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Nonprofiteer
← MEDICAL PARK HOSPITAL INC

Form 990 for tax year 2022

Filed by MEDICAL PARK HOSPITAL INC.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2022 , filed 14 December 2023. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$81,381,496 changed to $7,003,794
Total expenses
$67,677,976 changed to $6,178,009
Contributions and grants received
$227,137 changed to $0
Grants paid
$3,500 changed to $0
Program service revenue
$80,763,631 changed to $6,996,580
Investment income
$98,496 changed to $7,214
Other revenue
$292,232 changed to $0
Total assets, end of year
$432,442,893 changed to $0
Total liabilities, end of year
$6,488,015 changed to $0
Net assets or fund balances, end of year
$425,954,878 changed to $0
Program services expenses
$49,387,536 changed to $4,480,062
Management and general expenses
$18,290,440 changed to $1,697,947
Program service expenses (Part III)
$49,387,536 changed to $4,480,062

Listed only on the earlier return

  • ALICIA SECHRIST
  • BARBARA FRANCE
  • FRED HARGETT
  • JOHN WINN
  • KIRSTEN ROYSTER
  • LESLIE BARRETT
  • MARK YOUENS
  • MOLLY STEWART
  • SUSAN METCALF
  • TRISHA COLEMAN

Listed only on the later return

  • MICHAEL HORN

Listed under a different title

  • ANDREW SCHNEIDER MD: TRUSTEE (EFF 7/1/2022) then TRUSTEE
  • MICHAEL SETLIFF: TRUSTEE then PRESIDENT

Totals

Total revenue
$81,381,496
Total expenses
$67,677,976
Contributions and grants received
$227,137
Grants paid
$3,500
Program service revenue
$80,763,631
Investment income
$98,496
Other revenue
$292,232
Total assets, end of year
$432,442,893
Total liabilities, end of year
$6,488,015
Net assets or fund balances, end of year
$425,954,878
Program services expenses (Part IX)
$49,387,536
Management and general expenses
$18,290,440
Fundraising expenses
$0
Program service expenses (Part III)
$49,387,536

Program services were 73.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $227,137

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $80,763,631 · related or exempt $80,763,631

  • 3 · Investment income

    total $85,554 · excluded $85,554

  • 7a · Gross sales of assets other than inventory

    other assets $37,746

  • 7b · Less cost or other basis and sales expenses

    other assets $24,804

  • 7c · Gain or loss

    other assets $12,942

  • 7d · Net gain or loss

    total $12,942 · excluded $12,942

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $150,924 · related or exempt $150,924

  • 11b · Other revenue: CAFETERIA MEALS

    total $131,776 · excluded $131,776

  • 11c · Other revenue: VENDING MACHINE INCOME

    total $9,532 · excluded $9,532

  • 11e · Other revenue, total

    $292,232

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,150 · program services $2,150

  • 2 · Grants to domestic individuals

    total $1,350 · program services $1,350

  • 5 · Compensation of officers, directors and key employees

    total $3,512 · management and general $3,512

  • 7 · Other salaries and wages

    total $19,964,808 · program services $17,768,679 · management and general $2,196,129

  • 8 · Pension plan contributions

    total $896,797 · program services $798,149 · management and general $98,648

  • 9 · Other employee benefits

    total $3,245,349 · program services $2,888,361 · management and general $356,988

  • 10 · Payroll taxes

    total $1,388,166 · program services $1,235,468 · management and general $152,698

  • 11g · Fees: other

    total $2,691,516 · program services $2,469,184 · management and general $222,332

  • 12 · Advertising and promotion

    total $19,315 · program services $19,315

  • 13 · Office expenses

    total $288,256 · program services $200,399 · management and general $87,857

  • 14 · Information technology

    total $309,909 · program services $305,239 · management and general $4,670

  • 16 · Occupancy

    total $1,417,259 · program services $1,253,990 · management and general $163,269

  • 17 · Travel

    total $12,690 · program services $10,702 · management and general $1,988

  • 19 · Conferences, conventions and meetings

    total $8,770 · program services $7,805 · management and general $965

  • 20 · Interest

    total $570,190 · program services $570,190

  • 22 · Depreciation, depletion and amortization

    total $3,088,352 · program services $2,748,035 · management and general $340,317

  • 23 · Insurance

    total $179,970 · program services $140,066 · management and general $39,904

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $14,594,944 · program services $14,579,076 · management and general $15,868

  • 24b · Other expenses: CORPORATE SUPPORT

    total $14,346,575 · management and general $14,346,575

  • 24c · Other expenses: PHARMACEUTICALS

    total $1,683,156 · program services $1,683,156

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $1,622,803 · program services $1,597,367 · management and general $25,436

  • 24e · All other expenses

    total $1,342,139 · program services $1,108,855 · management and general $233,284

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,294 · end of year $13,832

  • 4 · Accounts receivable

    beginning of year $11,383,203 · end of year $11,715,087

  • 7 · Other notes and loans receivable

    beginning of year $1,726,890 · end of year $1,547,072

  • 8 · Inventories for sale or use

    beginning of year $4,062,001 · end of year $3,920,174

  • 9 · Prepaid expenses and deferred charges

    beginning of year $220,473 · end of year $148,750

  • 10a · Land, buildings and equipment: cost or other basis

    $71,496,709

  • 10b · Land, buildings and equipment: accumulated depreciation

    $51,958,370

  • 10c · Land, buildings and equipment, net

    beginning of year $20,901,225 · end of year $19,538,339

  • 15 · Other assets

    beginning of year $383,046,809 · end of year $395,559,639

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,606,575 · end of year $3,427,156

  • 25 · Other liabilities

    beginning of year $3,486,962 · end of year $3,060,859

  • 27 · Net assets without donor restrictions

    beginning of year $412,251,358 · end of year $425,954,878

Mission and programs · 2022

Mission

SEE SCHEDULE O

  • MEDICAL PARK HOSPITAL CARRIES OUT THE PURPOSE OF THE FORSYTH COUNTY BOARD OF COMMISSIONERS THROUGH ADVANCING AND SUPPORTING THE PROMOTION OF HEALTH OF THE INHABITANTS OF FORSYTH COUNTY. MEDICAL PARK HOSPITAL HAS 22 LICENSED BEDS. DURING 2022, THERE WERE 1,706 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 3 DAYS, AN AVERAGE DAILY CENSUS OF 5, AND 560 DISCHARGES. THERE WERE 9,285 INPATIENT AND OUTPATIENT SURGERIES, AND 20,643 OUTPATIENT ENCOUNTERS.

    Expenses $49,387,536 · Grants $3,500 · Revenue $80,914,555

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • MICHAEL SETLIFF

    TRUSTEE

    Total calculated
    $1,177,550
    From this org
    $0
    From related orgs
    $1,024,957
    Other
    $152,593
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $608,168 related
    Bonus
    $0 + $345,135 related
    Other
    $0 + $71,654 related
    Deferred
    $0 + $113,628 related
    Nontaxable benefits
    $0 + $38,965 related
    Filer's total
    $0 + $1,177,550 related

  • JENNIFER CHRISTMAN

    TRUSTEE

    Total calculated
    $587,954
    From this org
    $0
    From related orgs
    $536,965
    Other
    $50,989
    Hours/week
    0.2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,308 related
    Bonus
    $0 + $106,149 related
    Other
    $0 + $36,508 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $32,689 related
    Filer's total
    $0 + $587,954 related

  • TERRENCE ALMENGUAL MD

    VICE CHAIR

    Total calculated
    $115
    From this org
    $0
    From related orgs
    $115
    Other
    $0
    Hours/week
    0.2

  • LARI HARDING

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.2 related

  • ANDREW SCHNEIDER MD

    TRUSTEE (EFF 7/1/2022)

    Total calculated
    $1,320
    From this org
    $0
    From related orgs
    $1,320
    Other
    $0
    Hours/week
    0.2 + 0.2 related

  • ERNEST MCPHAIL MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • JOHN WILLIS MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • FRED HARGETT

    EVP & CFO

    Total calculated
    $2,417,516
    From this org
    $0
    From related orgs
    $2,355,664
    Other
    $61,852
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,092,939 related
    Bonus
    $0 + $843,828 related
    Other
    $0 + $418,897 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $43,552 related
    Filer's total
    $0 + $2,417,516 related

  • LESLIE BARRETT

    PRESIDENT & COO

    Total calculated
    $696,552
    From this org
    $0
    From related orgs
    $616,813
    Other
    $79,739
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $366,867 related
    Bonus
    $0 + $194,460 related
    Other
    $0 + $55,486 related
    Deferred
    $0 + $64,937 related
    Nontaxable benefits
    $0 + $14,802 related
    Filer's total
    $0 + $696,552 related

  • TRISHA COLEMAN

    TREASURER

    Total calculated
    $422,045
    From this org
    $0
    From related orgs
    $371,746
    Other
    $50,299
    Hours/week
    0.2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $286,857 related
    Bonus
    $0 + $69,414 related
    Other
    $0 + $15,475 related
    Deferred
    $0 + $17,874 related
    Nontaxable benefits
    $0 + $32,425 related
    Filer's total
    $0 + $422,045 related

  • BARBARA FRANCE

    SECRETARY

    Total calculated
    $64,076
    From this org
    $3,417
    From related orgs
    $40,058
    Other
    $20,601
    Hours/week
    50

  • ALICIA SECHRIST

    SUPV CRNA

    Total calculated
    $341,143
    From this org
    $288,176
    From related orgs
    $0
    Other
    $52,967
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $278,744
    Bonus
    $2,580
    Other
    $6,852
    Deferred
    $17,603
    Nontaxable benefits
    $35,364
    Filer's total
    $341,143

  • SUSAN METCALF

    CRNA II

    Total calculated
    $280,979
    From this org
    $254,389
    From related orgs
    $0
    Other
    $26,590
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $237,986
    Bonus
    $2,595
    Other
    $13,808
    Deferred
    $14,974
    Nontaxable benefits
    $11,616
    Filer's total
    $280,979

  • MARK YOUENS

    CRNA II

    Total calculated
    $292,494
    From this org
    $249,876
    From related orgs
    $0
    Other
    $42,618
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $231,924
    Bonus
    $2,575
    Other
    $15,377
    Deferred
    $14,930
    Nontaxable benefits
    $27,688
    Filer's total
    $292,494

  • JOHN WINN

    CRNA II

    Total calculated
    $269,393
    From this org
    $231,743
    From related orgs
    $0
    Other
    $37,650
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $205,808
    Bonus
    $11,725
    Other
    $14,210
    Deferred
    $12,006
    Nontaxable benefits
    $25,644
    Filer's total
    $269,393

  • MOLLY STEWART

    CRNA III

    Total calculated
    $260,931
    From this org
    $222,827
    From related orgs
    $0
    Other
    $38,104
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $219,810
    Bonus
    $2,610
    Other
    $407
    Deferred
    $12,453
    Nontaxable benefits
    $25,651
    Filer's total
    $260,931

  • KIRSTEN ROYSTER

    FMR PRES

    Total calculated
    $783,348
    From this org
    $0
    From related orgs
    $689,224
    Other
    $94,124
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $401,451 related
    Bonus
    $0 + $235,329 related
    Other
    $0 + $52,444 related
    Deferred
    $0 + $79,096 related
    Nontaxable benefits
    $0 + $15,028 related
    Filer's total
    $0 + $783,348 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, and on a Form 990-PF Part VIII's — 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

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1a · Discretionary spending account
  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
PART I, LINE 1A: FRINGE OR EXPENSE EXPLANATION FIRST-CLASS OR CHARTER TRAVEL: FIRST-CLASS OR CHARTER TRAVEL IS NOT A COVERED TRAVEL EXPENSE FOR EXECUTIVES; THEY ARE LIMITED TO BUSINESS OR COACH CLASS FARES FOR COMMERCIAL FLIGHTS. HOWEVER, CHARTER TRAVEL IS AVAILABLE TO CERTAIN EXECUTIVES, BOARD MEMBERS, AND APPROVED BUSINESS PERSONNEL MEETING APPLICABLE POLICY CRITERIA. TRAVEL FOR COMPANIONS: COMPANIONS ARE ALLOWED ON CERTAIN CHARTER FLIGHTS PAID FOR BY THE ORGANIZATION. IN THAT CASE, THE VALUE OF THE COMPANION'S FLIGHT IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S TAXABLE INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS. DISCRETIONARY SPENDING ACCOUNT: CERTAIN EXECUTIVES RECEIVE A DISCRETIONARY SPENDING ACCOUNT. THE DOLLAR AMOUNT IN THE ACCOUNT IS PRE-APPROVED BY THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE NOVANT HEALTH BOARD OF TRUSTEES. THE EXECUTIVE MAY DEFER THE AMOUNT TO A RETIREMENT ACCOUNT OR THE AMOUNT IS TREATED AS COMPENSATION AND IS SPREAD OUT OVER THE COURSE OF THE YEAR IN THE EXECUTIVE'S PAYCHECKS AS TAXABLE INCOME. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: WE PROVIDE TEMPORARY HOUSING ALLOWANCES IN CERTAIN EXECUTIVE RECRUITMENT AND RELOCATION PACKAGES. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND THAT AMOUNT IS INCLUDED IN THE EXECUTIVE'S INCOME AS PRESCRIBED BY THE APPLICABLE TAX LAWS.
PART I, LINE 3
PART I, LINE 3: THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH, AN INTEGRATED HEALTHCARE SYSTEM AND RELIES UPON NOVANT HEALTH, INC., THE PARENT ORGANIZATION, TO USE THE PROCESS DESCRIBED IN PART VI, LINE 15A/15B OF THIS RETURN TO ESTABLISH COMPENSATION FOR CERTAIN EXECUTIVES. THIS PROCESS ADHERES TO THE REQUIREMENTS SET FORTH TO SECURE THE REBUTTABLE PRESUMPTION OF REASONABLENESS AND INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT AND DISINTERESTED MEMBERS OF A COMPENSATION COMMITTEE, CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, THE UTILIZATION OF THIRD-PARTY COMPARABILITY DATA SUCH AS PUBLISHED COMPENSATION SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION.
PART I, LINE 4B
PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONE NONQUALIFIED LESLIE BARRETT $11,248 FRED HARGETT $11,892 KIRSTEN ROYSTER $11,892 MICHAEL SETLIFF $31,278 EQUITY-BASED NONE
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS:
THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES, AND TO OFFER COMPETITIVE TOTAL COMPENSATION. GENERALLY, ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS OR PAYMENTS, THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("COMMITTEE") WILL APPROVE THE AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WILL APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. OTHERWISE, VESTING WILL OCCUR ON JANUARY 1ST OF EACH YEAR FOR THE APPROPRIATE CLASS-YEAR VESTING PERIOD. THE COMMITTEE REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
12 December 2023
IRS schema version
2022v5.0
Source object
202343469349300874

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