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← COMMUNITY LIMITED CARE DIALYSIS CENTER

Form 990 for tax year 2023

Filed by COMMUNITY LIMITED CARE DIALYSIS CENTER.

Totals

Total revenue
$2,973,245
Total expenses
$138,692
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

    TREASURER (START 7/23)

    Total calculated
    $541,535
    From this org
    $0
    From related orgs
    $464,763
    Other
    $76,772
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,643 related
    Bonus
    $0 + $84,701 related
    Other
    $0 + $43,419 related
    Deferred
    $0 + $50,761 related
    Nontaxable benefits
    $0 + $26,011 related
    Filer's total
    $0 + $541,535 related

  • STEVE MOMBACH

    DIRECTOR

    Total calculated
    $771,596
    From this org
    $0
    From related orgs
    $704,175
    Other
    $67,421
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,447 related
    Bonus
    $0 + $155,346 related
    Other
    $0 + $33,382 related
    Deferred
    $0 + $42,118 related
    Nontaxable benefits
    $0 + $25,303 related
    Filer's total
    $0 + $771,596 related

  • MARLA SILLIMAN

    CHAIRPERSON & CEO

    Total calculated
    $929,282
    From this org
    $0
    From related orgs
    $860,815
    Other
    $68,467
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $630,713 related
    Bonus
    $0 + $183,544 related
    Other
    $0 + $46,558 related
    Deferred
    $0 + $55,871 related
    Nontaxable benefits
    $0 + $12,596 related
    Filer's total
    $0 + $929,282 related

  • JOHN WARD

    VICE PRESIDENT

    Total calculated
    $933,371
    From this org
    $0
    From related orgs
    $850,111
    Other
    $83,260
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $618,637 related
    Bonus
    $0 + $193,011 related
    Other
    $0 + $38,463 related
    Deferred
    $0 + $50,543 related
    Nontaxable benefits
    $0 + $32,717 related
    Filer's total
    $0 + $933,371 related

  • STEVE GRACEY

    SECRETARY

    Total calculated
    $830,534
    From this org
    $0
    From related orgs
    $744,735
    Other
    $85,799
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,042 related
    Bonus
    $0 + $166,459 related
    Other
    $0 + $41,234 related
    Deferred
    $0 + $46,545 related
    Nontaxable benefits
    $0 + $39,254 related
    Filer's total
    $0 + $830,534 related

  • WILL GRONEMAN

    FORMER OFFICER

    Total calculated
    $630,976
    From this org
    $0
    From related orgs
    $547,014
    Other
    $83,962
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $382,252 related
    Bonus
    $0 + $94,141 related
    Other
    $0 + $70,621 related
    Deferred
    $0 + $50,533 related
    Nontaxable benefits
    $0 + $33,429 related
    Filer's total
    $0 + $630,976 related

  • ANDREW DEVOE

    FORMER OFFICER

    Total calculated
    $1,209,124
    From this org
    $0
    From related orgs
    $1,121,641
    Other
    $87,483
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $786,423 related
    Bonus
    $0 + $273,587 related
    Other
    $0 + $61,631 related
    Deferred
    $0 + $47,606 related
    Nontaxable benefits
    $0 + $39,877 related
    Filer's total
    $0 + $1,209,124 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

The filer's explanations (Part III)

PART I, LINE 4B
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. DURING THE CALENDAR YEAR, NONE OF THE 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.
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 2023 CALENDAR YEAR, NONE OF THE REPORTABLE INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM TRIHEALTH, INC., A RELATED ORGANIZATION.

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
13 May 2025
IRS schema version
2023v6.0
Source object
202501339349305305

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