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Nonprofiteer
← SPIRIT PHYSICIAN SERVICES INC

Form 990 for tax year 2022

Filed by SPIRIT PHYSICIAN SERVICES INC.

Totals

Total revenue
$19,520,640
Total expenses
$43,204,967
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$34,750,311
Management and general expenses
$8,454,656
Fundraising expenses
$0
Program service expenses (Part III)
$34,750,311

Program services were 80.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • THOMAS STOESSEL

    DIRECTOR / PSH EVP

    Total calculated
    $1,180,877
    From this org
    $0
    From related orgs
    $1,119,232
    Other
    $61,645
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $604,667 related
    Bonus
    $0 + $311,731 related
    Other
    $0 + $202,834 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,245 related
    Filer's total
    $0 + $1,180,877 related

  • DEBORAH ADDO

    DIRECTOR / PSH COO

    Total calculated
    $969,615
    From this org
    $0
    From related orgs
    $920,763
    Other
    $48,852
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $788,301 related
    Bonus
    $0 + $88,462 related
    Other
    $0 + $44,000 related
    Deferred
    $0 + $39,593 related
    Nontaxable benefits
    $0 + $9,259 related
    Filer's total
    $0 + $969,615 related

  • DONALD MCKENNA

    DIRECTOR / PRESIDENT

    Total calculated
    $626,292
    From this org
    $0
    From related orgs
    $521,848
    Other
    $104,444
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $465,481 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $6,367 related
    Deferred
    $0 + $80,836 related
    Nontaxable benefits
    $0 + $23,608 related
    Filer's total
    $0 + $626,292 related

  • SISTER JOANN MARIE AUMAND SCC

    DIRECTOR (THRU 6/23)

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • PAULA TINCH

    TREASURER / PSH CFO & EVP

    Total calculated
    $928,345
    From this org
    $0
    From related orgs
    $808,482
    Other
    $119,863
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $740,070 related
    Bonus
    $0 + $64,231 related
    Other
    $0 + $4,181 related
    Deferred
    $0 + $102,173 related
    Nontaxable benefits
    $0 + $17,690 related
    Filer's total
    $0 + $928,345 related

  • NICOLE LEHMAN

    INTERIM SEC. (PSU EMP)

    Total calculated
    $373,998
    From this org
    $0
    From related orgs
    $276,742
    Other
    $97,256
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,742 related
    Bonus
    $0 + $15,000 related
    Other
    $0
    Deferred
    $0 + $70,490 related
    Nontaxable benefits
    $0 + $26,766 related
    Filer's total
    $0 + $373,998 related

  • ROSS DARROW

    VICE PRESIDENT, TREASURER

    Total calculated
    $363,497
    From this org
    $0
    From related orgs
    $301,878
    Other
    $61,619
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $262,516 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $14,362 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,219 related
    Filer's total
    $0 + $363,497 related

  • KATHLEEN MILLER

    ASSOC. SECRETARY

    Total calculated
    $110,473
    From this org
    $0
    From related orgs
    $99,552
    Other
    $10,921
    Hours/week
    1 + 39 related

  • SAFWAT GASSIS MD

    PHYSICIAN

    Total calculated
    $965,369
    From this org
    $0
    From related orgs
    $903,345
    Other
    $62,024
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $643,060 related
    Bonus
    $0 + $187,882 related
    Other
    $0 + $72,403 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,624 related
    Filer's total
    $0 + $965,369 related

  • DAVID C MAN MD

    PHYSICIAN

    Total calculated
    $856,979
    From this org
    $0
    From related orgs
    $795,057
    Other
    $61,922
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $673,524 related
    Bonus
    $0 + $115,268 related
    Other
    $0 + $6,265 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,522 related
    Filer's total
    $0 + $856,979 related

  • ANDREAS U WALI MD FACC FSCAI

    PHYSICIAN

    Total calculated
    $691,846
    From this org
    $0
    From related orgs
    $629,822
    Other
    $62,024
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $501,344 related
    Bonus
    $0 + $121,981 related
    Other
    $0 + $6,497 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,624 related
    Filer's total
    $0 + $691,846 related

  • STEPHEN MASSINI

    FMR DIR (THRU 6/22) / PSH CEO

    Total calculated
    $1,661,502
    From this org
    $0
    From related orgs
    $1,599,857
    Other
    $61,645
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,319,391 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $205,466 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $23,245 related
    Filer's total
    $0 + $1,661,502 related

  • PETER DILLON MD

    FMR DIR (THRU 6/22) / PSH EVP

    Total calculated
    $1,074,328
    From this org
    $0
    From related orgs
    $1,018,570
    Other
    $55,758
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $694,569 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $249,001 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $17,358 related
    Filer's total
    $0 + $1,074,328 related

  • KYLE C SNYDER MHA

    FMR OFF (THRU 7/22) / REG. COO

    Total calculated
    $497,794
    From this org
    $0
    From related orgs
    $425,029
    Other
    $72,765
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $367,347 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $17,682 related
    Deferred
    $0 + $49,342 related
    Nontaxable benefits
    $0 + $23,423 related
    Filer's total
    $0 + $497,794 related

  • RANDY B MORRIS

    FMR OFF (THRU 10/20) / PSH VP FIN.

    Total calculated
    $400,356
    From this org
    $0
    From related orgs
    $344,594
    Other
    $55,762
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,233 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $17,361 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $17,362 related
    Filer's total
    $0 + $400,356 related

  • ANNEMARIE BOYAN

    FMR SEC/PSH GC (PSU EMP) (THRU 2/22)

    Total calculated
    $154,783
    From this org
    $0
    From related orgs
    $142,089
    Other
    $12,694
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $142,089 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,383 related
    Nontaxable benefits
    $0 + $5,311 related
    Filer's total
    $0 + $154,783 related

  • J BRET DELONE

    FMR KE (THRU 6/21) / VP MED AFFAIRS

    Total calculated
    $600,550
    From this org
    $0
    From related orgs
    $559,921
    Other
    $40,629
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $373,288 related
    Bonus
    $0 + $156,265 related
    Other
    $0 + $30,368 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $2,229 related
    Filer's total
    $0 + $600,550 related

  • SHUBHRA KUMAR-BRADLEY

    FMR KE (THRU 6/20) / PHYSICIAN

    Total calculated
    $401,689
    From this org
    $0
    From related orgs
    $341,071
    Other
    $60,618
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,534 related
    Bonus
    $0
    Other
    $0 + $23,537 related
    Deferred
    $0 + $38,400 related
    Nontaxable benefits
    $0 + $22,218 related
    Filer's total
    $0 + $401,689 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
  • 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 3
ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO (PRESIDENT) IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART 1, LINE 4B:
DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, A CURRENT DIRECTOR AND TWO FORMER DIRECTORS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - STEPHEN MASSINI - $165,523 - THOMAS STOESSEL - $155,778 - PETER DILLON - $89,133 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, CERTAIN DIRECTORS AND OFFICERS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - PAULA TINCH - $63,773 - DONALD MCKENNA - $42,436 - KYLE SNYDER - $10,942 - DEBORAH ADDO - $1,193

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
10 May 2024
IRS schema version
2022v5.0
Source object
202401319349302985

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

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