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Nonprofiteer
← UPPER VALLEY MEDICAL CENTER

Form 990 for tax year 2023

Filed by UPPER VALLEY MEDICAL CENTER.

Totals

Total revenue
$163,500,910
Total expenses
$139,022,260
Contributions and grants received
$174,338
Grants paid
$3,225,075
Program service revenue
$155,108,597
Investment income
$5,602,288
Other revenue
$2,615,687
Total assets, end of year
$195,749,465
Total liabilities, end of year
$119,267,829
Net assets or fund balances, end of year
$76,481,636
Program services expenses (Part IX)
$134,008,703
Management and general expenses
$5,013,557
Fundraising expenses
$0
Program service expenses (Part III)
$134,008,703

Program services were 96.4% 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.

  • 1f · All other contributions, gifts and grants

    $174,338

  • 1g · Noncash contributions included above

    $27,361

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $79,688,300 · related or exempt $79,688,300

  • 2b · Program service revenue: MEDICARE / MEDICAID

    total $75,046,263 · related or exempt $75,046,263

  • 2c · Program service revenue: HOSP FRANCHISE TAX RECOVERIES

    total $256,103 · related or exempt $256,103

  • 2d · Program service revenue: ATHLETIC TRAINING

    total $86,779 · related or exempt $86,779

  • 2e · Program service revenue: MEDICAL RECORDS

    total $31,152 · related or exempt $31,152

  • 3 · Investment income

    total $1,425,991 · excluded $1,425,991

  • 6a · Gross rents

    real property $3,929,895

  • 6b · Less rental expenses

    real property $3,185,888

  • 6c · Rental income or loss

    real property $744,007

  • 6d · Net rental income or loss

    total $744,007 · excluded $744,007

  • 7a · Gross sales of assets other than inventory

    securities $44,677,049 · other assets $701,156

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

    securities $40,796,890 · other assets $405,018

  • 7c · Gain or loss

    securities $3,880,159 · other assets $296,138

  • 7d · Net gain or loss

    total $4,176,297 · excluded $4,176,297

  • 10a · Gross sales of inventory

    $200,738

  • 10b · Cost of goods sold

    $200,737

  • 10c · Net income from sales of inventory

    total $1 · excluded $1

  • 11a · Other revenue: PENSION INCOME

    total $1,623,321 · excluded $1,623,321

  • 11b · Other revenue: FEMA REVENUE

    total $88,690 · excluded $88,690

  • 11c · Other revenue: STERILE PROCESSING

    total $22,466 · excluded $22,466

  • 11d · All other revenue

    total $137,202 · excluded $137,202

  • 11e · Other revenue, total

    $1,871,679

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,225,075 · program services $3,225,075

  • 5 · Compensation of officers, directors and key employees

    total $1,019,179 · program services $841,181 · management and general $177,998

  • 7 · Other salaries and wages

    total $50,332,451 · program services $47,839,478 · management and general $2,492,973

  • 8 · Pension plan contributions

    total $2,316,655 · program services $2,196,158 · management and general $120,497

  • 9 · Other employee benefits

    total $3,899,303 · program services $3,696,487 · management and general $202,816

  • 10 · Payroll taxes

    total $3,849,568 · program services $3,649,339 · management and general $200,229

  • 11a · Fees: management

    total $182,739 · program services $182,739

  • 11b · Fees: legal

    total $196,150 · management and general $196,150

  • 11d · Fees: lobbying

    total $5,432 · management and general $5,432

  • 11f · Fees: investment management

    total $148,263 · management and general $148,263

  • 11g · Fees: other

    total $33,270,786 · program services $32,452,238 · management and general $818,548

  • 12 · Advertising and promotion

    total $315,030 · program services $315,030

  • 13 · Office expenses

    total $588,990 · program services $276,429 · management and general $312,561

  • 14 · Information technology

    total $758,941 · program services $627,478 · management and general $131,463

  • 16 · Occupancy

    total $4,786,931 · program services $4,747,631 · management and general $39,300

  • 17 · Travel

    total $34,070 · program services $30,001 · management and general $4,069

  • 20 · Interest

    total $1,629,038 · program services $1,629,038

  • 22 · Depreciation, depletion and amortization

    total $9,011,142 · program services $9,011,142

  • 23 · Insurance

    total $546,367 · program services $522,341 · management and general $24,026

  • 24a · Other expenses: OPERATING SUPPLIES

    total $16,711,309 · program services $16,711,309

  • 24b · Other expenses: HOSPITAL FRANCHISE TAX

    total $4,212,939 · program services $4,212,939

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $1,303,074 · program services $1,303,074

  • 24d · Other expenses: MINOR EQUIPMENT

    total $242,207 · program services $241,467 · management and general $740

  • 24e · All other expenses

    total $436,621 · program services $298,129 · management and general $138,492

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,560 · end of year $2,560

  • 2 · Savings and temporary cash investments

    beginning of year $6,293,431 · end of year $616,219

  • 4 · Accounts receivable

    beginning of year $24,709,345 · end of year $24,688,757

  • 7 · Other notes and loans receivable

    beginning of year $1,153,487 · end of year $1,230,000

  • 8 · Inventories for sale or use

    beginning of year $1,251,423 · end of year $1,211,605

  • 9 · Prepaid expenses and deferred charges

    beginning of year $936,774 · end of year $1,840,737

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

    $229,115,490

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

    $153,137,771

  • 10c · Land, buildings and equipment, net

    beginning of year $71,472,776 · end of year $75,977,719

  • 11 · Investments: publicly traded securities

    beginning of year $50,491,018 · end of year $62,847,819

  • 12 · Investments: other securities

    beginning of year $25,883,359 · end of year $26,716,606

  • 15 · Other assets

    beginning of year $1,186,248 · end of year $617,443

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,496,092 · end of year $11,984,777

  • 18 · Grants payable

    beginning of year $2,851,461 · end of year $813,277

  • 20 · Tax-exempt bond liabilities

    beginning of year $53,904,415 · end of year $53,652,265

  • 23 · Secured mortgages and notes payable

    beginning of year $693,307 · end of year $537,668

  • 25 · Other liabilities

    beginning of year $42,959,154 · end of year $52,279,842

  • 27 · Net assets without donor restrictions

    beginning of year $71,475,992 · end of year $76,481,636

Listed in Part VII

  • MICHAEL C RIORDAN

    PREMIER PRESIDENT & CEO

    Total calculated
    $1,409,042
    From this org
    $0
    From related orgs
    $1,373,331
    Other
    $35,711
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,209,511 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $138,820 related
    Deferred
    $0 + $4,950 related
    Nontaxable benefits
    $0 + $30,761 related
    Filer's total
    $0 + $1,409,042 related

  • ROBERT M KOHUT MD

    TRUSTEE

    Total calculated
    $685,302
    From this org
    $0
    From related orgs
    $669,257
    Other
    $16,045
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $634,379 related
    Bonus
    $0 + $13,750 related
    Other
    $0 + $21,128 related
    Deferred
    $0 + $10,613 related
    Nontaxable benefits
    $0 + $5,432 related
    Filer's total
    $0 + $685,302 related

  • KEVIN W HARLAN

    PRESIDENT

    Total calculated
    $649,856
    From this org
    $0
    From related orgs
    $607,513
    Other
    $42,343
    Hours/week
    19.5 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $500,254 related
    Bonus
    $0 + $77,008 related
    Other
    $0 + $30,251 related
    Deferred
    $0 + $30,980 related
    Nontaxable benefits
    $0 + $11,363 related
    Filer's total
    $0 + $649,856 related

  • LAKMALI C RANATHUNGA MD

    TRUSTEE & CMO (FROM JULY)

    Total calculated
    $554,629
    From this org
    $209,009
    From related orgs
    $318,213
    Other
    $27,407
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $198,467 + $261,277 related
    Bonus
    $2,710 + $46,058 related
    Other
    $7,832 + $10,878 related
    Deferred
    $4,205 + $9,516 related
    Nontaxable benefits
    $6,317 + $7,369 related
    Filer's total
    $219,531 + $335,098 related

  • SCOTT B KANAGY DO

    TRUSTEE & CMO (TO JULY)

    Total calculated
    $521,810
    From this org
    $219,600
    From related orgs
    $240,850
    Other
    $61,360
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $159,496 + $239,584 related
    Bonus
    $59,264
    Other
    $840 + $1,266 related
    Deferred
    $14,063 + $18,898 related
    Nontaxable benefits
    $12,015 + $16,384 related
    Filer's total
    $245,678 + $276,132 related

  • JIGAR PATEL MD

    TRUSTEE

    Total calculated
    $399,110
    From this org
    $0
    From related orgs
    $358,601
    Other
    $40,509
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $321,962 related
    Bonus
    $0 + $35,800 related
    Other
    $0 + $839 related
    Deferred
    $0 + $9,398 related
    Nontaxable benefits
    $0 + $31,111 related
    Filer's total
    $0 + $399,110 related

  • TRISHA L WACKLER

    TRUSTEE & CNO

    Total calculated
    $375,972
    From this org
    $341,504
    From related orgs
    $0
    Other
    $34,468
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $275,117
    Bonus
    $45,430
    Other
    $20,957
    Deferred
    $19,247
    Nontaxable benefits
    $15,221
    Filer's total
    $375,972

  • SCOTT SWABB DO

    TRUSTEE

    Total calculated
    $172,888
    From this org
    $0
    From related orgs
    $172,888
    Other
    $0
    Hours/week
    0.5

    Schedule J breakdown matched by us

    Base
    $0 + $172,888 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $172,888 related

  • APRIL ANDERSON MD

    TRUSTEE

    Total calculated
    $32,083
    From this org
    $0
    From related orgs
    $32,083
    Other
    $0
    Hours/week
    0.5

  • EBBA RAJAB MD

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    0.5

  • BENJAMIN A WATSON ESQ

    BOARD SECRETARY (FROM MAY TO SEP)

    Total calculated
    $181,408
    From this org
    $0
    From related orgs
    $166,904
    Other
    $14,504
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $145,490 related
    Bonus
    $0 + $21,105 related
    Other
    $0 + $309 related
    Deferred
    $0 + $6,147 related
    Nontaxable benefits
    $0 + $8,357 related
    Filer's total
    $0 + $181,408 related

  • DIANNE RUHENKAMP

    BOARD TREASURER

    Total calculated
    $177,998
    From this org
    $147,459
    From related orgs
    $0
    Other
    $30,539
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $130,474
    Bonus
    $15,837
    Other
    $1,148
    Deferred
    $10,085
    Nontaxable benefits
    $20,454
    Filer's total
    $177,998

  • ELIZABETH D WILFONG

    BOARD SECRETARY (FROM OCT)

    Total calculated
    $93,844
    From this org
    $0
    From related orgs
    $93,483
    Other
    $361
    Hours/week
    0.5 + 39.5 related

  • ANDREA L FLAUTE

    BOARD SECRETARY (TO FEB)

    Total calculated
    $35,681
    From this org
    $0
    From related orgs
    $28,257
    Other
    $7,424
    Hours/week
    0.5 + 39.5 related

  • GEOFFREY P WALKER ESQ - SR

    SPECIAL ADVISORY COUNSEL/SECRETARY

    Total calculated
    $990,663
    From this org
    $0
    From related orgs
    $940,274
    Other
    $50,389
    Hours/week
    9 + 31 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,418 related
    Bonus
    $0 + $88,423 related
    Other
    $0 + $361,433 related
    Deferred
    $0 + $19,285 related
    Nontaxable benefits
    $0 + $31,104 related
    Filer's total
    $0 + $990,663 related

  • KEITH D BRICKING MD

    VP & CHIEF CLINICAL OFFICER

    Total calculated
    $964,899
    From this org
    $0
    From related orgs
    $848,781
    Other
    $116,118
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $694,422 related
    Bonus
    $0 + $138,952 related
    Other
    $0 + $15,407 related
    Deferred
    $0 + $82,268 related
    Nontaxable benefits
    $0 + $33,850 related
    Filer's total
    $0 + $964,899 related

  • MARY M CLANCY

    CHIEF DIGITAL & INFORMATION OFFICER

    Total calculated
    $743,419
    From this org
    $0
    From related orgs
    $684,404
    Other
    $59,015
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $475,333 related
    Bonus
    $0 + $86,305 related
    Other
    $0 + $122,766 related
    Deferred
    $0 + $23,477 related
    Nontaxable benefits
    $0 + $35,538 related
    Filer's total
    $0 + $743,419 related

  • J MICHAEL SIMS

    SYS VP & CORPORATE CONTROLLER

    Total calculated
    $714,006
    From this org
    $0
    From related orgs
    $659,279
    Other
    $54,727
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $370,642 related
    Bonus
    $0 + $66,308 related
    Other
    $0 + $222,329 related
    Deferred
    $0 + $22,390 related
    Nontaxable benefits
    $0 + $32,337 related
    Filer's total
    $0 + $714,006 related

  • LISA M GOSSETT

    VP NURSING/CNO/PATIENT EXP

    Total calculated
    $472,841
    From this org
    $0
    From related orgs
    $446,599
    Other
    $26,242
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $406,141 related
    Bonus
    $0 + $36,459 related
    Other
    $0 + $3,999 related
    Deferred
    $0 + $11,178 related
    Nontaxable benefits
    $0 + $15,064 related
    Filer's total
    $0 + $472,841 related

  • CARA W POWERS

    CHIEF LEGAL OFFICER

    Total calculated
    $414,186
    From this org
    $0
    From related orgs
    $355,315
    Other
    $58,871
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $308,692 related
    Bonus
    $0 + $45,012 related
    Other
    $0 + $1,611 related
    Deferred
    $0 + $26,103 related
    Nontaxable benefits
    $0 + $32,768 related
    Filer's total
    $0 + $414,186 related

  • AMANDA K ADKINS-RICCI

    SYSTEM VP REVENUE CYCLE

    Total calculated
    $332,212
    From this org
    $0
    From related orgs
    $307,434
    Other
    $24,778
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,695 related
    Bonus
    $0 + $39,152 related
    Other
    $0 + $587 related
    Deferred
    $0 + $12,952 related
    Nontaxable benefits
    $0 + $11,826 related
    Filer's total
    $0 + $332,212 related

  • MIKI L GILLESPIE

    RESP THERP II - REG

    Total calculated
    $247,471
    From this org
    $193,036
    From related orgs
    $0
    Other
    $54,435
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,511
    Bonus
    $3,400
    Other
    $125
    Deferred
    $5,662
    Nontaxable benefits
    $48,773
    Filer's total
    $247,471

  • RYAN E MCELDOWNEY

    CLINICAL STAFF PHARMACIST I

    Total calculated
    $241,723
    From this org
    $202,741
    From related orgs
    $0
    Other
    $38,982
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,613
    Bonus
    $0
    Other
    $128
    Deferred
    $10,986
    Nontaxable benefits
    $27,996
    Filer's total
    $241,723

  • MARSHA S HESS

    CLINICAL STAFF PHARMACIST I

    Total calculated
    $230,259
    From this org
    $195,943
    From related orgs
    $0
    Other
    $34,316
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,780
    Bonus
    $0
    Other
    $163
    Deferred
    $6,827
    Nontaxable benefits
    $27,489
    Filer's total
    $230,259

  • DUANNA R OSTING

    PRES/EXEC DIR-UVMC FOUNDATION

    Total calculated
    $211,949
    From this org
    $183,501
    From related orgs
    $0
    Other
    $28,448
    Hours/week
    10

    Schedule J breakdown matched by us

    Base
    $146,988
    Bonus
    $35,792
    Other
    $721
    Deferred
    $6,331
    Nontaxable benefits
    $22,117
    Filer's total
    $211,949

  • DENISE R HERKINS

    DIR-NURSING-SURGERY/TELE-UVMC

    Total calculated
    $201,232
    From this org
    $171,786
    From related orgs
    $0
    Other
    $29,446
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,133
    Bonus
    $17,922
    Other
    $731
    Deferred
    $10,165
    Nontaxable benefits
    $19,281
    Filer's total
    $201,232

  • FAYEZ D ABBOUD MD

    FORMER TRUSTEE & OFFICER

    Total calculated
    $673,911
    From this org
    $0
    From related orgs
    $635,157
    Other
    $38,754
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $573,282 related
    Bonus
    $0 + $31,250 related
    Other
    $0 + $30,625 related
    Deferred
    $0 + $11,850 related
    Nontaxable benefits
    $0 + $26,904 related
    Filer's total
    $0 + $673,911 related

  • DIANE L PLEIMAN

    FORMER OFFICER

    Total calculated
    $846,049
    From this org
    $0
    From related orgs
    $817,582
    Other
    $28,467
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $439,353 related
    Bonus
    $0 + $150,942 related
    Other
    $0 + $227,287 related
    Deferred
    $0 + $19,330 related
    Nontaxable benefits
    $0 + $9,137 related
    Filer's total
    $0 + $846,049 related

  • BARBARA A JOHNSON

    FORMER KEY EMPLOYEE

    Total calculated
    $1,692,066
    From this org
    $0
    From related orgs
    $1,064,584
    Other
    $627,482
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $444,660 related
    Bonus
    $0 + $170,112 related
    Other
    $0 + $449,812 related
    Deferred
    $0 + $616,360 related
    Nontaxable benefits
    $0 + $11,122 related
    Filer's total
    $0 + $1,692,066 related

  • JENNIFER J HAULER DO

    FORMER KEY EMPLOYEE

    Total calculated
    $1,261,248
    From this org
    $0
    From related orgs
    $957,363
    Other
    $303,885
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,289 related
    Bonus
    $0 + $102,218 related
    Other
    $0 + $635,856 related
    Deferred
    $0 + $302,929 related
    Nontaxable benefits
    $0 + $956 related
    Filer's total
    $0 + $1,261,248 related

  • MARC R BELCASTRO DO

    FORMER KEY EMPLOYEE

    Total calculated
    $1,143,019
    From this org
    $0
    From related orgs
    $786,594
    Other
    $356,425
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $188,103 related
    Bonus
    $0 + $108,762 related
    Other
    $0 + $489,729 related
    Deferred
    $0 + $330,675 related
    Nontaxable benefits
    $0 + $25,750 related
    Filer's total
    $0 + $1,143,019 related

  • GARY G GINTER

    FORMER KEY EMPLOYEE

    Total calculated
    $827,508
    From this org
    $0
    From related orgs
    $563,645
    Other
    $263,863
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $111,178 related
    Bonus
    $0 + $73,099 related
    Other
    $0 + $379,368 related
    Deferred
    $0 + $234,965 related
    Nontaxable benefits
    $0 + $28,898 related
    Filer's total
    $0 + $827,508 related

  • ELAINE LAINIE M DEAN

    FORMER KEY EMPLOYEE

    Total calculated
    $565,118
    From this org
    $0
    From related orgs
    $516,325
    Other
    $48,793
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $413,535 related
    Bonus
    $0 + $77,991 related
    Other
    $0 + $24,799 related
    Deferred
    $0 + $32,634 related
    Nontaxable benefits
    $0 + $16,159 related
    Filer's total
    $0 + $565,118 related

  • BILLIE L LUCENTE-BAKER

    FORMER KEY EMPLOYEE

    Total calculated
    $329,819
    From this org
    $0
    From related orgs
    $292,774
    Other
    $37,045
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,144 related
    Bonus
    $0 + $43,828 related
    Other
    $0 + $802 related
    Deferred
    $0 + $21,259 related
    Nontaxable benefits
    $0 + $15,786 related
    Filer's total
    $0 + $329,819 related

  • MARGARET PEGGY W MARK

    FORMER KEY EMPLOYEE

    Total calculated
    $157,555
    From this org
    $0
    From related orgs
    $142,194
    Other
    $15,361
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $142,194 related
    Deferred
    $0 + $6,662 related
    Nontaxable benefits
    $0 + $8,699 related
    Filer's total
    $0 + $157,555 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

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

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION FOR UPPER VALLEY'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH UPPER VALLEY IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.
PART I, LINE 4A:
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE: MARC BELCASTRO, D.O. $437,592 IN 2023, AND WILL RECEIVE $319,324 IN 2024; GARY GINTER $357,696 IN 2023, AND WILL RECEIVE $214,618 IN 2024; JENNIFER HAULER, D.O. $344,571 IN 2023, AND WILL RECEIVE $233,419 IN 2024; BARBARA JOHNSON $363,235 IN 2023 AND WILL RECEIVE $605,392 IN 2024; MARGARET MARK $144,691 IN 2023.
PART I LINE 4B:
DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, UPPER VALLEY MEDICAL CENTER'S (UPPER VALLEY) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. UPPER VALLEY SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2023. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN RECEIVED THE ASSOCIATED PAYMENT IN 2023: MARY CLANCY $117,983; DIANE PLEIMAN $202,599; J. MICHAEL SIMS $193,261; GEOFFREY WALKER $353,909. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT 2023: MARC BELCASTRO, D.O. $48,184; GARY GINTER $19,794; JENNIFER HAULER, D.O. $275,693; BARBARA JOHNSON $77,444; MICHAEL RIORDAN $79,256. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: KEITH BRICKING, M.D. $71,554; ELAINE DEAN $19,981; KEVIN HARLAN $19,935; JENNIFER HAULER, D.O. $58,759; SCOTT KANAGY $22,116; BILLIE LUCENTE-BAKER $2,095; CARA POWERS $10,188; TRISHA WACKLER $5,831. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 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

The 10 largest by cash amount. The API serves every itemized grant.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202403199349303285

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

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