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Nonprofiteer
← ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS

Form 990 for tax year 2022

Filed by ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS.

Totals

Total revenue
$73,193,102
Total expenses
$15,610,042
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$14,050,478
Management and general expenses
$1,559,564
Fundraising expenses
$0
Program service expenses (Part III)
$14,050,478

Program services were 90.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • HOLLIS DORSEY MEIDL

    PRESIDENT (START 11/2022)

    Total calculated
    $861,490
    From this org
    $0
    From related orgs
    $830,443
    Other
    $31,047
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $360,877 related
    Bonus
    $0 + $409,045 related
    Other
    $0 + $60,521 related
    Deferred
    $0 + $7,625 related
    Nontaxable benefits
    $0 + $23,422 related
    Filer's total
    $0 + $861,490 related

  • MARY A MADICK

    DIRECTOR (END 11/2022)/SECRETARY

    Total calculated
    $882,253
    From this org
    $0
    From related orgs
    $843,485
    Other
    $38,768
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $452,095 related
    Bonus
    $0 + $315,882 related
    Other
    $0 + $75,508 related
    Deferred
    $0 + $13,000 related
    Nontaxable benefits
    $0 + $25,768 related
    Filer's total
    $0 + $882,253 related

  • TIM MOORHEAD

    PRESIDENT & CEO (END 11/2022)

    Total calculated
    $1,151,849
    From this org
    $0
    From related orgs
    $1,117,817
    Other
    $34,032
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,145 related
    Bonus
    $0 + $570,000 related
    Other
    $0 + $190,672 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $24,882 related
    Filer's total
    $0 + $1,151,849 related

  • CHRISTINE K MCCOY JD

    DIRECTOR (START 9/2022)

    Total calculated
    $3,215,639
    From this org
    $0
    From related orgs
    $2,687,024
    Other
    $528,615
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $842,992 related
    Bonus
    $0 + $1,632,000 related
    Other
    $0 + $212,032 related
    Deferred
    $0 + $487,825 related
    Nontaxable benefits
    $0 + $40,790 related
    Filer's total
    $0 + $3,215,639 related

  • JONATHAN SOHN

    DIRECTOR (START 11/2022)

    Total calculated
    $1,343,939
    From this org
    $0
    From related orgs
    $1,289,649
    Other
    $54,290
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $536,290 related
    Bonus
    $0 + $660,000 related
    Other
    $0 + $93,359 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $34,465 related
    Filer's total
    $0 + $1,343,939 related

  • JOSEPH G CACCHIONE MD FACC

    DIRECTOR (END 8/2022)

    Total calculated
    $3,857,281
    From this org
    $0
    From related orgs
    $3,809,601
    Other
    $47,680
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,053,026 related
    Bonus
    $0 + $2,400,000 related
    Other
    $0 + $356,575 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $30,905 related
    Filer's total
    $0 + $3,857,281 related

  • MARK WHALEN

    DIRECTOR (END 11/2022)

    Total calculated
    $1,297,436
    From this org
    $0
    From related orgs
    $1,259,906
    Other
    $37,530
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $424,801 related
    Bonus
    $0 + $642,000 related
    Other
    $0 + $193,105 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $28,380 related
    Filer's total
    $0 + $1,297,436 related

  • MICHAEL A MCCOLLOM

    DIRECTOR (END 11/2022)

    Total calculated
    $230,514
    From this org
    $0
    From related orgs
    $198,383
    Other
    $32,131
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $162,157 related
    Bonus
    $0 + $34,680 related
    Other
    $0 + $1,546 related
    Deferred
    $0 + $12,557 related
    Nontaxable benefits
    $0 + $19,574 related
    Filer's total
    $0 + $230,514 related

  • ELIZABETH C FOSHAGE CPA

    TREASURER

    Total calculated
    $3,981,721
    From this org
    $0
    From related orgs
    $3,923,793
    Other
    $57,928
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,188,334 related
    Bonus
    $0 + $2,400,000 related
    Other
    $0 + $335,459 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $38,103 related
    Filer's total
    $0 + $3,981,721 related

  • ADOLFO MIGUEL VALADEZ

    VP, INSURANCE SERVICES

    Total calculated
    $268,365
    From this org
    $238,640
    From related orgs
    $0
    Other
    $29,725
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $226,250
    Bonus
    $0
    Other
    $12,390
    Deferred
    $11,423
    Nontaxable benefits
    $18,302
    Filer's total
    $268,365

  • KRISTEN COVER

    ASSOCIATE VP, BUSINESS DEVELOPMENT

    Total calculated
    $438,665
    From this org
    $305,093
    From related orgs
    $91,216
    Other
    $42,356
    Hours/week
    50 + 50 related

    Schedule J breakdown matched by us

    Base
    $233,361 + $55,075 related
    Bonus
    $70,512
    Other
    $1,220 + $36,141 related
    Deferred
    $7,649 + $6,383 related
    Nontaxable benefits
    $22,882 + $5,442 related
    Filer's total
    $335,624 + $103,041 related

  • MARINAN R WILLIAMS

    VP, INSURANCE SERVICES

    Total calculated
    $719,959
    From this org
    $578,207
    From related orgs
    $103,715
    Other
    $38,037
    Hours/week
    50 + 50 related

    Schedule J breakdown matched by us

    Base
    $352,885 + $84,020 related
    Bonus
    $161,552
    Other
    $63,770 + $19,695 related
    Deferred
    $12,750 + $8,600 related
    Nontaxable benefits
    $13,478 + $3,209 related
    Filer's total
    $604,435 + $115,524 related

  • SARA JANE DAUGHERTY

    SENIOR DIRECTOR, BUSINESS DEVELOPMENT

    Total calculated
    $214,883
    From this org
    $202,920
    From related orgs
    $0
    Other
    $11,963
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $157,640
    Bonus
    $43,182
    Other
    $2,098
    Deferred
    $8,106
    Nontaxable benefits
    $3,857
    Filer's total
    $214,883

  • TAMMY R KILLEBREW

    RN/SENIOR DIRECTOR, UTILIZATION MANAGEMENT

    Total calculated
    $228,092
    From this org
    $204,721
    From related orgs
    $0
    Other
    $23,371
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $168,137
    Bonus
    $34,212
    Other
    $2,372
    Deferred
    $12,846
    Nontaxable benefits
    $10,525
    Filer's total
    $228,092

  • ANTHONY J SPERANZO

    FORMER OFFICER (END 6/2018)

    Total calculated
    $3,296,502
    From this org
    $0
    From related orgs
    $3,241,817
    Other
    $54,685
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,166,147 related
    Bonus
    $0 + $1,583,550 related
    Other
    $0 + $492,120 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $34,860 related
    Filer's total
    $0 + $3,296,502 related

  • JOSEPH R IMPICCICHE JD MHA

    FORMER OFFICER (END 12/2019)

    Total calculated
    $9,118,708
    From this org
    $0
    From related orgs
    $9,057,632
    Other
    $61,076
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,511,904 related
    Bonus
    $0 + $6,885,000 related
    Other
    $0 + $660,728 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $41,251 related
    Filer's total
    $0 + $9,118,708 related

  • MATTHEW A JAGGER

    FORMER OFFICER (END 12/2019)

    Total calculated
    $754,149
    From this org
    $0
    From related orgs
    $697,286
    Other
    $56,863
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $380,441 related
    Bonus
    $0 + $266,680 related
    Other
    $0 + $50,165 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $37,038 related
    Filer's total
    $0 + $754,149 related

  • PAUL JOSEPH POSEY JR

    FORMER OFFICER (END 6/2018)

    Total calculated
    $804,957
    From this org
    $0
    From related orgs
    $804,957
    Other
    $0
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $13,608 related
    Bonus
    $0 + $308,750 related
    Other
    $0 + $482,599 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $804,957 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
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF 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 OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2022: Paul J. Posey Jr - $475,000 Tim Moorhead - $109,615 Mark Whalen - $102,885
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES MAY PARTICIPATE IN CERTAIN NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). IF SO, 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. NO PAYMENTS WERE MADE TO LISTED PERSONS IN PART VII UNDER THE VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS DURING THE YEAR.

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
15 November 2023
IRS schema version
2022v5.0
Source object
202323199349302722

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

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