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← WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL

Form 990 for tax year 2022

Filed by WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL.

Totals

Total revenue
$86,725
Total expenses
$5,663
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$5,663
Fundraising expenses
$0
Program service expenses (Part III)
$0

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CYNTHIA BARNETT

    Treasurer (Beg 03/22)

    Total calculated
    $0
    Hours/week
    1

  • DALA DEWITT

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • PHILIP TEUSINK

    Board Chair (End 3/22); Board Member (End 8/22)

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RICK FINKBINE

    TREASURER (End 03/22); Board Chair (Beg 03/22)

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • RYAN GILLAM

    Vice Chair (Beg 03/22)

    Total calculated
    $0
    Hours/week
    1

  • Afsheen Ansari Rizvi MD

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • ANTHONY G SCRUSE

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Brian Roberts

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Chris Meister

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • COURTNEY PORTER

    Board Member (Beg 01/22)

    Total calculated
    $0
    Hours/week
    1

  • DANIEL PERSINGER MD

    Board Member, Surgeon

    Total calculated
    $456,933
    From this org
    $0
    From related orgs
    $408,991
    Other
    $47,942
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $371,228 related
    Bonus
    $0
    Other
    $0 + $37,763 related
    Deferred
    $0 + $23,819 related
    Nontaxable benefits
    $0 + $24,123 related
    Filer's total
    $0 + $456,933 related

  • DONALD B JOHNSON MD

    Board Member, Former Chief Clinical Officer - Springfield

    Total calculated
    $205,542
    From this org
    $0
    From related orgs
    $205,257
    Other
    $285
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $205,257 related
    Deferred
    $0 + $285 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $205,542 related

  • JOHN MAURER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL ADAMSON

    Board Member, VP Mission - Springfield (Beg 03/22)

    Total calculated
    $191,813
    From this org
    $0
    From related orgs
    $176,969
    Other
    $14,844
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $119,820 related
    Bonus
    $0
    Other
    $0 + $57,149 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $14,844 related
    Filer's total
    $0 + $191,813 related

  • PATRICIA YOUNG

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • RANDY KAPP

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • SUSAN E BERGER

    Board Member, Nurse Practitioner

    Total calculated
    $139,173
    From this org
    $0
    From related orgs
    $118,721
    Other
    $20,452
    Hours/week
    1 + 40 related

  • WADE SMITH DO

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • WENDY H DOOLITTLE

    Board Member (Beg 01/22)

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM H RAY JR

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ADAM GROSHANS

    President and CEO - Springfield

    Total calculated
    $1,036,146
    From this org
    $0
    From related orgs
    $802,884
    Other
    $233,262
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $418,654 related
    Bonus
    $0 + $178,156 related
    Other
    $0 + $206,074 related
    Deferred
    $0 + $200,633 related
    Nontaxable benefits
    $0 + $32,629 related
    Filer's total
    $0 + $1,036,146 related

  • KRISTY KOHL MCCREADY

    PRESIDENT, EXECUTIVE DIRECTOR, COMMUNITY MERCY FOUNDATION

    Total calculated
    $210,583
    From this org
    $0
    From related orgs
    $178,184
    Other
    $32,399
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $114,656 related
    Bonus
    $0 + $27,705 related
    Other
    $0 + $35,823 related
    Deferred
    $0 + $4,071 related
    Nontaxable benefits
    $0 + $28,328 related
    Filer's total
    $0 + $210,583 related

  • MATTHEW CALDWELL

    Former President and CEO - Springfield

    Total calculated
    $1,374,984
    From this org
    $0
    From related orgs
    $1,086,217
    Other
    $288,767
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $535,911 related
    Bonus
    $0 + $232,063 related
    Other
    $0 + $318,243 related
    Deferred
    $0 + $257,354 related
    Nontaxable benefits
    $0 + $31,413 related
    Filer's total
    $0 + $1,374,984 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
The compensation of the Executive Director is determined by Community Mercy Health Partners (CMHP), a related tax-exempt organization. CMHP utilizes a compensation committee when determining the Executive Director's compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
The Community Mercy Health Partners SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the CMHP Committee. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest the later of five years of active service or the second anniversary of his or her separation from service with the employer. Vesting occurs earlier for death or total disability. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Donald B. Johnson, MD, $205,257.
Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP
The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Matthew Caldwell, $89,724; Adam Groshans, $41,889; Kristy Kohl McCready, $11,008.
Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health Physicians SERP
The Bon Secours Mercy Health Physician SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. The amount includible as taxable compensation for the listed individual due to SERP participation in the reporting year is as follows: Daniel Persinger, MD, $0.

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
2 October 2023
IRS schema version
2022v5.0
Source object
202332759349300028

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