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Nonprofiteer
← INSPIRA HEALTH NETWORK MEDICAL GROUP PC

Form 990 for tax year 2023

Filed by INSPIRA HEALTH NETWORK MEDICAL GROUP PC.

Totals

Total revenue
$76,174,587
Total expenses
$115,814,087
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$104,232,678
Management and general expenses
$11,581,409
Fundraising expenses
$0
Program service expenses (Part III)
$104,232,678

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

  • Timothy S Pilla MD

    Vascular Surgeon

    Total calculated
    $1,203,286
    From this org
    $1,167,859
    From related orgs
    $0
    Other
    $35,427
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $1,154,402
    Bonus
    $0
    Other
    $13,457
    Deferred
    $9,899
    Nontaxable benefits
    $25,528
    Filer's total
    $1,203,286

  • Thomas P Baldosaro CPA

    Fromer Officer

    Total calculated
    $1,061,165
    From this org
    $0
    From related orgs
    $1,037,773
    Other
    $23,392
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $123,287 related
    Other
    $0 + $914,486 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $23,392 related
    Filer's total
    $0 + $1,061,165 related

  • Kurt W Kaulback MD

    Cardiologist

    Total calculated
    $871,870
    From this org
    $839,883
    From related orgs
    $0
    Other
    $31,987
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $642,741
    Bonus
    $189,348
    Other
    $7,794
    Deferred
    $9,900
    Nontaxable benefits
    $22,087
    Filer's total
    $871,870

  • Erev Tubb MD

    Oncologist

    Total calculated
    $862,862
    From this org
    $851,038
    From related orgs
    $0
    Other
    $11,824
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $843,924
    Bonus
    $5,000
    Other
    $2,114
    Deferred
    $9,900
    Nontaxable benefits
    $1,924
    Filer's total
    $862,862

  • Craig Bober MD

    Physician

    Total calculated
    $833,760
    From this org
    $799,386
    From related orgs
    $0
    Other
    $34,374
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $743,596
    Bonus
    $500
    Other
    $55,290
    Deferred
    $9,900
    Nontaxable benefits
    $24,474
    Filer's total
    $833,760

  • Ashfaque Unwala MD

    Cardiologist

    Total calculated
    $819,288
    From this org
    $785,172
    From related orgs
    $0
    Other
    $34,116
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $578,507
    Bonus
    $194,146
    Other
    $12,519
    Deferred
    $9,900
    Nontaxable benefits
    $24,216
    Filer's total
    $819,288

  • William D Pelino CPA MBA

    SVP & CFO (EFF 2/6/23)

    Total calculated
    $697,080
    From this org
    $0
    From related orgs
    $591,179
    Other
    $105,901
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $527,955 related
    Bonus
    $0 + $30,000 related
    Other
    $0 + $33,224 related
    Deferred
    $0 + $83,343 related
    Nontaxable benefits
    $0 + $22,558 related
    Filer's total
    $0 + $697,080 related

  • Scott e Wagner MD MBA

    President - Trustee

    Total calculated
    $673,124
    From this org
    $0
    From related orgs
    $566,936
    Other
    $106,188
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $452,404 related
    Bonus
    $0 + $75,888 related
    Other
    $0 + $38,644 related
    Deferred
    $0 + $75,898 related
    Nontaxable benefits
    $0 + $30,290 related
    Filer's total
    $0 + $673,124 related

  • Matthew K Doonan Esq

    SVP & Chief Legal Officer

    Total calculated
    $667,059
    From this org
    $0
    From related orgs
    $544,564
    Other
    $122,495
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $394,929 related
    Bonus
    $0 + $80,700 related
    Other
    $0 + $68,935 related
    Deferred
    $0 + $91,409 related
    Nontaxable benefits
    $0 + $31,086 related
    Filer's total
    $0 + $667,059 related

  • Evelyn K Balogun

    Chief Medical Officer

    Total calculated
    $459,697
    From this org
    $443,818
    From related orgs
    $0
    Other
    $15,879
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $387,754
    Bonus
    $54,662
    Other
    $1,402
    Deferred
    $14,995
    Nontaxable benefits
    $884
    Filer's total
    $459,697

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 4A
THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2023 WHICH WERE INCLUDED IN HIS 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS P. BALDOSARO, CPA, $513,698.
SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS P. BALDOSARO, CPA, $396,511; Scott e. Wagner, M.D., MBA, $9,778 AND MATTHEW k. DOONAN, ESQ., $39,747. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WILLIAM PELINO, $83,343; SCOTT e. WAGNER, M.D., MBA, $56,386 AND MATTHEW k. DOONAN, ESQ., $76,818.
SCHEDULE J, PART I; QUESTION 7
THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 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.
SCHEDULE J, PART II; COLUMN B(III)
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND WERE REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

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
2023
Filed
15 May 2024
IRS schema version
2023v5.1
Source object
202443199349315424

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

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