Skip to content
Nonprofiteer
← COMMUNITY LIMITED CARE DIALYSIS CENTER

Form 990 for tax year 2022

Filed by COMMUNITY LIMITED CARE DIALYSIS CENTER.

Totals

Total revenue
$2,513,126
Total expenses
$142,841
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

Listed in Part VII

  • MICHAEL CROFTON

    DIRECTOR (START 7/22)

    Total calculated
    $529,853
    From this org
    $0
    From related orgs
    $440,848
    Other
    $89,005
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $310,077 related
    Bonus
    $0 + $124,932 related
    Other
    $0 + $5,839 related
    Deferred
    $0 + $64,878 related
    Nontaxable benefits
    $0 + $24,127 related
    Filer's total
    $0 + $529,853 related

  • STEVE MOMBACH

    DIRECTOR

    Total calculated
    $739,728
    From this org
    $0
    From related orgs
    $659,020
    Other
    $80,708
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $489,316 related
    Bonus
    $0 + $137,068 related
    Other
    $0 + $32,636 related
    Deferred
    $0 + $56,790 related
    Nontaxable benefits
    $0 + $23,918 related
    Filer's total
    $0 + $739,728 related

  • MARLA SILLIMAN

    CHAIRPERSON & CEO

    Total calculated
    $898,401
    From this org
    $0
    From related orgs
    $828,602
    Other
    $69,799
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $598,682 related
    Bonus
    $0 + $152,579 related
    Other
    $0 + $77,341 related
    Deferred
    $0 + $58,175 related
    Nontaxable benefits
    $0 + $11,624 related
    Filer's total
    $0 + $898,401 related

  • JOHN WARD

    VICE PRESIDENT

    Total calculated
    $864,564
    From this org
    $0
    From related orgs
    $775,177
    Other
    $89,387
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,982 related
    Bonus
    $0 + $152,196 related
    Other
    $0 + $35,999 related
    Deferred
    $0 + $58,486 related
    Nontaxable benefits
    $0 + $30,901 related
    Filer's total
    $0 + $864,564 related

  • ANDREW DEVOE

    TREASURER

    Total calculated
    $1,379,857
    From this org
    $0
    From related orgs
    $1,284,173
    Other
    $95,684
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $738,138 related
    Bonus
    $0 + $488,508 related
    Other
    $0 + $57,527 related
    Deferred
    $0 + $58,175 related
    Nontaxable benefits
    $0 + $37,509 related
    Filer's total
    $0 + $1,379,857 related

  • STEVE GRACEY

    SECRETARY

    Total calculated
    $760,046
    From this org
    $0
    From related orgs
    $675,796
    Other
    $84,250
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,083 related
    Bonus
    $0 + $140,225 related
    Other
    $0 + $35,488 related
    Deferred
    $0 + $47,484 related
    Nontaxable benefits
    $0 + $36,766 related
    Filer's total
    $0 + $760,046 related

  • GAIL DONOVAN

    FORMER OFFICER

    Total calculated
    $582,038
    From this org
    $0
    From related orgs
    $582,038
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $582,038 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $582,038 related

  • WILL GRONEMAN

    FORMER OFFICER

    Total calculated
    $486,400
    From this org
    $0
    From related orgs
    $408,837
    Other
    $77,563
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $251,279 related
    Bonus
    $0
    Other
    $0 + $157,558 related
    Deferred
    $0 + $54,235 related
    Nontaxable benefits
    $0 + $23,328 related
    Filer's total
    $0 + $486,400 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 — 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

PART I, LINES 4A-B
ELIGIBLE EXECUTIVES (GENERALLY VICE PRESIDENTS AND ABOVE) PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUAL(S) LISTED IN SCHEDULE J, PART II, RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WHICH WAS TREATED AS TAXABLE COMPENSATION BY TRIHEALTH, INC., A RELATED ORGANIZATION. GAIL DONOVAN - $582,038 WILL GRONEMAN - $55,510
PART I, LINE 3
TRIHEALTH, INC., A RELATED ORGANIZATION OF COMMUNITY LIMITED CARE DIALYSIS CENTER, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.
PART I, LINE 4A
THE REPORTABLE INDIVIDUALS OF COMMUNITY LIMITED CARE DIALYSIS CENTER ARE PAID BY TRIHEALTH, INC., A RELATED ORGANIZATION, RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3). TRIHEALTH, INC. HAS A STANDARD EMPLOYEE SEVERANCE PACKAGE. GENERAL SEVERANCE PAY IS BASED ON LENGTH OF SERVICE. IN ADDITION, NOTICE PAY, IF APPLICABLE UNDER TRIHEALTH, INC. POLICY, MAY BE ADDED TO THE SEVERANCE PACKAGE AND THE AMOUNT OF NOTICE PAY WILL BE DETERMINED BY HUMAN RESOURCES IN ACCORDANCE WITH TRIHEALTH, INC. POLICY. PAYMENTS OF SEVERANCE ARE CONDITIONED UPON SIGNING A SEPARATION AND RELEASE AGREEMENT. DURING THE 2022 CALENDAR YEAR, THE FOLLOWING REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC., A RELATED ORGANIZATION. WILL GRONEMAN - $89,632

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202441349349303124

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.