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Nonprofiteer
← GOOD SHEPHERD REHABILITATION HOSP

Form 990 for tax year 2022

Filed by GOOD SHEPHERD REHABILITATION HOSP.

Totals

Total revenue
$88,341,229
Total expenses
$89,421,981
Contributions and grants received
$11,982,609
Grants paid
$0
Program services expenses (Part IX)
$76,886,076
Management and general expenses
$12,535,905
Fundraising expenses
$0
Program service expenses (Part III)
$76,886,076

Program services were 86.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MICHAEL R SPIGEL

    PRESIDENT & CEO

    Total calculated
    $645,814
    From this org
    $0
    From related orgs
    $609,700
    Other
    $36,114
    Hours/week
    6.5 + 43.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,700 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,250 related
    Nontaxable benefits
    $0 + $25,864 related
    Filer's total
    $0 + $645,814 related

  • GARY SCHMIDT

    CHAIR

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • SANDRA BODNYK

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • JOHN RICHTER

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • JAN HELLER

    TREASURER

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • POLLY BESTE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • PAMELA DECAMPLI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related

  • PAUL EMRICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • DAVID FESSLER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • LORI GUSTAVE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related

  • JAMES GREENFIELD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • ELSBETH HAYMON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • THOMAS LYNCH

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • MICHAEL PESSINA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • TINA RICHARDSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • VICTOR SALICETTI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • TIMOTHY STECKEL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • MAURA TOPPER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related

  • STEVEN MORRISON

    TRUSTEE (UNTIL 09/22)

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • JAAN NAKTIN

    TRUSTEE (UNTIL 09/22)

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related

  • DAN JANICAK

    INTERIM CFO

    Total calculated
    $381,000
    From this org
    $0
    From related orgs
    $381,000
    Other
    $0
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $381,000 related

  • JEANNE DZURENKO

    CNO & SVP

    Total calculated
    $269,123
    From this org
    $0
    From related orgs
    $252,031
    Other
    $17,092
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,031 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,201 related
    Nontaxable benefits
    $0 + $10,891 related
    Filer's total
    $0 + $269,123 related

  • CHERYL A FISHER

    CHIEF HR OFFICER

    Total calculated
    $300,553
    From this org
    $0
    From related orgs
    $270,839
    Other
    $29,714
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $270,839 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,229 related
    Nontaxable benefits
    $0 + $21,485 related
    Filer's total
    $0 + $300,553 related

  • TERENCE P O'NEIL

    CHIEF INFORMATION OFFICER

    Total calculated
    $305,730
    From this org
    $0
    From related orgs
    $277,077
    Other
    $28,653
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,077 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,743 related
    Nontaxable benefits
    $0 + $20,910 related
    Filer's total
    $0 + $305,730 related

  • SANDEEP SINGH

    CMO & SVP

    Total calculated
    $630,789
    From this org
    $584,951
    From related orgs
    $0
    Other
    $45,838
    Hours/week
    30 + 20 related

    Schedule J breakdown matched by us

    Base
    $352,911
    Bonus
    $232,040
    Other
    $0
    Deferred
    $10,250
    Nontaxable benefits
    $35,588
    Filer's total
    $630,789

  • KYLE C KLITSCH

    STAFF PHYSIATRIST

    Total calculated
    $273,994
    From this org
    $255,087
    From related orgs
    $0
    Other
    $18,907
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,941
    Bonus
    $82,146
    Other
    $0
    Deferred
    $7,720
    Nontaxable benefits
    $11,187
    Filer's total
    $273,994

  • KIMBERLY S KUCHINSKI

    MED DIR PEDIATRIC REHAB

    Total calculated
    $322,569
    From this org
    $284,451
    From related orgs
    $0
    Other
    $38,118
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $242,830
    Bonus
    $41,621
    Other
    $0
    Deferred
    $7,751
    Nontaxable benefits
    $30,367
    Filer's total
    $322,569

  • JAMES DALEY

    ASST MED DIRECTOR

    Total calculated
    $278,116
    From this org
    $272,351
    From related orgs
    $0
    Other
    $5,765
    Hours/week
    36 + 4 related

    Schedule J breakdown matched by us

    Base
    $209,829
    Bonus
    $62,522
    Other
    $0
    Deferred
    $4,171
    Nontaxable benefits
    $1,594
    Filer's total
    $278,116

  • ANDREW G REISH

    STAFF PHYSIATRIST

    Total calculated
    $261,735
    From this org
    $243,006
    From related orgs
    $0
    Other
    $18,729
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,410
    Bonus
    $75,596
    Other
    $0
    Deferred
    $7,016
    Nontaxable benefits
    $11,713
    Filer's total
    $261,735

  • JAMES B KIM

    STAFF PHYSIATRIST

    Total calculated
    $297,934
    From this org
    $264,575
    From related orgs
    $0
    Other
    $33,359
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,792
    Bonus
    $27,783
    Other
    $0
    Deferred
    $7,802
    Nontaxable benefits
    $25,557
    Filer's total
    $297,934

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

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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)

PART I, LINE 3
THE CEO IS COMPENSATED BY GOOD SHEPHERD REHABILITATION NETWORK ("GSRN"), AN AFFILIATED TAX-EXEMPT ORGANIZATION. THE HOSPITAL RELIED ON GSRN'S USE OF COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION.
PART I, LINE 7
GSRN HAS A PERFORMANCE COMPENSATION PROGRAM IN PLACE WHICH IS APPROVED BY THE BOARD. CERTAIN MEMBERS OF MANAGEMENT CAN RECEIVE AN ANNUAL PERFORMANCE PAYMENT WHEN PRE-DEFINED AND PRE-APPROVED FINANCIAL AND NON-FINANCIAL GOALS ARE ACHIEVED.

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
7 May 2024
IRS schema version
2022v5.0
Source object
202441359349300814

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

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