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← WIH FACULTY PHYSICIANS INC

Form 990 for tax year 2022

Filed by WIH FACULTY PHYSICIANS INC.

Totals

Total revenue
$1,581,498
Total expenses
$2,558,105
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,581,498
Investment income
$0
Other revenue
$0
Total assets, end of year
$1,391,460
Total liabilities, end of year
$11,050,572
Net assets or fund balances, end of year
-$9,659,112
Program services expenses (Part IX)
$2,558,105
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$2,558,105

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $1,581,498 · related or exempt $1,581,498 · unrelated business $0

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $839,967 · program services $839,967 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $2,459 · program services $2,459

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $179,599 · program services $179,599

  • 17 · Travel

    total $28,256 · program services $28,256

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: ALLOC. OF PERSONNEL COSTS

    total $1,385,747 · program services $1,385,747

  • 24b · Other expenses: PURCHASED SERVICES

    total $102,375 · program services $102,375

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $14,760 · program services $14,760

  • 24d · Other expenses: OTHER EXPENSES

    total $4,942 · program services $4,942

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $178,316 · end of year $185,781

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $1,205,679

  • 17 · Accounts payable and accrued expenses

    beginning of year $26,980 · end of year $81,200

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $8,833,841 · end of year $10,969,372

  • 27 · Net assets without donor restrictions

    beginning of year -$8,682,505 · end of year -$9,659,112

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

WIH FACULTY PHYSICIANS, INC. PROVIDES HEALTHCARE SERVICES TO RHODE ISLAND AND SURROUNDING COMMUNITIES INCLUDING SERVING A SIGNIFICANT NUMBER OF MEDICAID AND INDIGENT PATIENTS.

Activities or mission (Part I)

WIH FACULTY PHYSICIANS, INC. PROVIDES HEALTHCARE SERVICES TO RHODE ISLAND & SURROUNDING COMMUNITIES INCLUDING SERVING A SIGNIFICANT NUMBER OF MEDICAID & INDIGENT PATIENTS

  • EXPENSES INCURRED IN PROVIDING HEALTHCARE SERVICES TO RHODE ISLAND AND SURROUNDING COMMUNITIES INCLUDING SERVING A SIGNIFICANT NUMBER OF MEDICAID AND INDIGENT PATIENTS.

    Expenses $2,558,105 · Revenue $1,581,498

As filed on the 2022 return.

Listed in Part VII

  • Paul Di Silvestro MD

    DIRECTOR

    Total calculated
    $631,247
    From this org
    $0
    From related orgs
    $571,087
    Other
    $60,160
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $521,968 related
    Bonus
    $0 + $45,000 related
    Other
    $0 + $4,119 related
    Deferred
    $0 + $28,900 related
    Nontaxable benefits
    $0 + $31,260 related
    Filer's total
    $0 + $631,247 related

  • Shannon Sullivan

    DIRECTOR-PRESIDENT/COO/WIH

    Total calculated
    $578,667
    From this org
    $0
    From related orgs
    $526,318
    Other
    $52,349
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $447,247 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $4,071 related
    Deferred
    $0 + $18,750 related
    Nontaxable benefits
    $0 + $33,599 related
    Filer's total
    $0 + $578,667 related

  • Methodius G Tuuli MD

    VP OF MEDICAL AFFAIRS

    Total calculated
    $572,515
    From this org
    $0
    From related orgs
    $539,549
    Other
    $32,966
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $537,928 related
    Bonus
    $0
    Other
    $0 + $1,621 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $32,966 related
    Filer's total
    $0 + $572,515 related

  • Jill L Maron MD MPH

    PRESIDENT - DIRECTOR

    Total calculated
    $431,046
    From this org
    $0
    From related orgs
    $428,916
    Other
    $2,130
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $427,935 related
    Bonus
    $0
    Other
    $0 + $981 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,130 related
    Filer's total
    $0 + $431,046 related

  • Stephen R Carr MD

    DIRECTOR

    Total calculated
    $294,500
    From this org
    $0
    From related orgs
    $241,235
    Other
    $53,265
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $200,163 related
    Bonus
    $0 + $20,028 related
    Other
    $0 + $21,044 related
    Deferred
    $0 + $31,602 related
    Nontaxable benefits
    $0 + $21,663 related
    Filer's total
    $0 + $294,500 related

  • Thomas P Ricci III

    TREASURER - DIRECTOR

    Total calculated
    $185,951
    From this org
    $0
    From related orgs
    $160,272
    Other
    $25,679
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $126,404 related
    Bonus
    $0 + $30,000 related
    Other
    $0 + $3,868 related
    Deferred
    $0 + $6,935 related
    Nontaxable benefits
    $0 + $18,744 related
    Filer's total
    $0 + $185,951 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART VII AND SCHEDULE J
IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2022 FORMS W-2 AND FORMS 1099 (IF APPLICABLE).
SCHEDULE J, PART I; QUESTION 6A & 6B
THE EXECUTIVE COMPENSATION PACKAGE FOR VARIOUS INDIVIDUALS REPORTED ON THIS FORM 990 CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE AT-RISK COMPENSATION IS COMPRISED OF BOTH SHORT-TERM AND LONG-TERM FACTORS AS FOLLOWS. THE SHORT-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL AND PATIENT SATISFACTION. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS, MARKET SHARE, PATIENT SATISFACTION AND STRATEGIC OBJECTIVE.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • W & I INDEMNITY LTD

    C CORP · FINANCIAL VEHICLE · CJ

    Directly controlled by NA

  • TOLL GATE INDEMNITY LTD

    C CORP · FINANCIAL VEHICLE · CJ

    Directly controlled by NA

  • BOULEVARD MEDICAL CONDO ASSOCIATION

    C CORP · REAL ESTATE · RI

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202422279349303817

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