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Nonprofiteer
← TRINITY MEDICAL CENTER

Form 990 for tax year 2022

Filed by TRINITY MEDICAL CENTER.

Totals

Total revenue
$442,475,326
Total expenses
$470,184,311
Contributions and grants received
$7,344,863
Grants paid
$31,843,984
Program service revenue
$407,316,835
Investment income
$23,133,099
Other revenue
$4,680,529
Total assets, end of year
$487,718,585
Total liabilities, end of year
$263,840,075
Net assets or fund balances, end of year
$223,878,510
Program services expenses (Part IX)
$447,013,402
Management and general expenses
$23,170,909
Fundraising expenses
$0
Program service expenses (Part III)
$447,013,402

Program services were 95.1% 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.

  • 1d · Related organizations

    $2,408,563

  • 1e · Government grants (contributions)

    $4,934,677

  • 1f · All other contributions, gifts and grants

    $1,623

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $404,222,357 · related or exempt $404,222,357

  • 2b · Program service revenue: RENTAL INCOME

    total $2,290,511 · related or exempt $2,290,511

  • 2c · Program service revenue: LABORATORY SERVICES

    total $1,348,846 · related or exempt $1,348,846

  • 2d · Program service revenue: MGMT & SUPPORT SVCS

    total $512,295 · related or exempt $445,833 · unrelated business $66,462

  • 2e · Program service revenue: PUBLIC HEALTH PROGRAMS

    total $3,151 · related or exempt $3,151

  • 2f · All other program service revenue

    total -$1,060,325 · related or exempt -$1,060,325

  • 3 · Investment income

    total $4,374,911 · related or exempt $39,274 · excluded $4,335,637

  • 7a · Gross sales of assets other than inventory

    securities $99,836,183 · other assets $6,381,500

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

    securities $87,185,760 · other assets $273,735

  • 7c · Gain or loss

    securities $12,650,423 · other assets $6,107,765

  • 7d · Net gain or loss

    total $18,758,188 · excluded $18,758,188

  • 10a · Gross sales of inventory

    $378,599

  • 10b · Cost of goods sold

    $545,272

  • 10c · Net income from sales of inventory

    total -$166,673 · excluded -$166,673

  • 11a · Other revenue: SHARED SAVINGS REVENUE

    total $2,490,323 · related or exempt $2,490,323

  • 11b · Other revenue: MISCELLANEOUS

    total $2,315,626 · related or exempt $2,315,626

  • 11c · Other revenue: CAFETERIA/FOOD SVCS

    total $41,253 · related or exempt $530 · excluded $40,723

  • 11e · Other revenue, total

    $4,847,202

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $31,797,641 · program services $31,797,641

  • 2 · Grants to domestic individuals

    total $46,343 · program services $46,343

  • 5 · Compensation of officers, directors and key employees

    total $4,725,622 · management and general $4,725,622

  • 6 · Compensation of disqualified persons

    total $367,341 · management and general $367,341

  • 7 · Other salaries and wages

    total $182,404,388 · program services $171,236,977 · management and general $11,167,411

  • 8 · Pension plan contributions

    total $4,834,632 · program services $4,538,640 · management and general $295,992

  • 9 · Other employee benefits

    total $13,532,114 · program services $12,703,632 · management and general $828,482

  • 10 · Payroll taxes

    total $8,293,531 · program services $7,785,773 · management and general $507,758

  • 11a · Fees: management

    total $1,492,674 · program services $1,492,674

  • 11b · Fees: legal

    total $1,428,491 · program services $7,425 · management and general $1,421,066

  • 11f · Fees: investment management

    total $944,190 · program services $341,304 · management and general $602,886

  • 11g · Fees: other

    total $36,515,854 · program services $34,610,891 · management and general $1,904,963

  • 12 · Advertising and promotion

    total $491 · management and general $491

  • 13 · Office expenses

    total $644,785 · program services $142,919 · management and general $501,866

  • 14 · Information technology

    total $117,069 · program services $117,069

  • 16 · Occupancy

    total $9,883,785 · program services $9,649,156 · management and general $234,629

  • 17 · Travel

    total $150,462 · program services $135,043 · management and general $15,419

  • 19 · Conferences, conventions and meetings

    total $7,819 · program services $6,874 · management and general $945

  • 20 · Interest

    total $8,284,036 · program services $8,284,036

  • 22 · Depreciation, depletion and amortization

    total $14,232,723 · program services $13,730,398 · management and general $502,325

  • 23 · Insurance

    total $2,854,413 · program services $2,854,413

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $89,891,829 · program services $89,859,528 · management and general $32,301

  • 24b · Other expenses: MISCELLANEOUS EXPENSE

    total $57,723,041 · program services $57,665,360 · management and general $57,681

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $6,590 · program services $6,590

  • 24d · Other expenses: INCOME TAXES

    total $4,447 · program services $716 · management and general $3,731

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,496,292 · end of year $615,390

  • 2 · Savings and temporary cash investments

    beginning of year $1,143,303 · end of year $167,977

  • 4 · Accounts receivable

    beginning of year $53,894,334 · end of year $53,919,541

  • 7 · Other notes and loans receivable

    beginning of year $16,578,698 · end of year $21,694,645

  • 8 · Inventories for sale or use

    beginning of year $9,487,689 · end of year $9,828,104

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,975,392 · end of year $2,278,223

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

    $460,358,725

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

    $298,384,763

  • 10c · Land, buildings and equipment, net

    beginning of year $164,555,025 · end of year $161,973,962

  • 11 · Investments: publicly traded securities

    beginning of year $214,947,032 · end of year $181,359,977

  • 13 · Investments: program-related

    beginning of year $33,738,457 · end of year $43,152,493

  • 14 · Intangible assets

    beginning of year $160,906 · end of year $2

  • 15 · Other assets

    beginning of year $12,907,891 · end of year $12,728,271

  • 17 · Accounts payable and accrued expenses

    beginning of year $27,253,116 · end of year $34,555,241

  • 19 · Deferred revenue

    beginning of year $26,183,731 · end of year -$66,440

  • 23 · Secured mortgages and notes payable

    beginning of year $1,362,378 · end of year $952,499

  • 24 · Unsecured notes and loans payable

    beginning of year $15,397,265 · end of year $14,047,665

  • 25 · Other liabilities

    beginning of year $156,510,839 · end of year $214,351,110

  • 27 · Net assets without donor restrictions

    beginning of year $276,749,563 · end of year $216,599,166

  • 28 · Net assets with donor restrictions

    beginning of year $8,428,127 · end of year $7,279,344

Mission and programs · 2022

Mission

THE MISSION OF TRINITY MEDICAL CENTER IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.

Activities or mission (Part I)

IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.

  • HEALTH-CARE SERVICESTRINITY MEDICAL CENTER IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE QUAD CITIES COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. TRINITY MEDICAL CENTER PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, INTENSIVE CARE AND CRITICAL CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, MATERNAL/CHILD CARE, LABORATORY, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2022, TRINITY MEDICAL CENTER ADMITTED 13,248 PATIENTS RESULTING IN A TOTAL OF 60,574 PATIENT DAYS. OUTPATIENT VISITS TOTALED 331,128 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 9,018. THERE WERE ALSO 77,763 EMERGENCY ROOM VISITS AND 1,888 BABIES DELIVERED.

    Expenses $414,338,901 · Grants $20,077,943 · Revenue $412,162,588

  • COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: TRINITY MEDICAL CENTER PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $2,347,991 IN 2022. OFTENTIMES, TRINITY MEDICAL CENTER RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. TRINITY MEDICAL CENTER PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. TRINITY MEDICAL CENTER'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $17,637,335 FOR 2022. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $19,985,326.OTHER BENEFITS: TRINITY MEDICAL CENTER PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; CONTINUING EDUCATION FOR HEALTH PROFESSIONALS; SUBSIDIZED HEALTH SERVICES; RESEARCH; AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. TRINITY MEDICAL CENTER COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. TRINITY MEDICAL CENTER HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $12,689,175.

    Expenses $32,674,501 · Grants $11,766,041

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

Listed in Part VII

  • Aj Ahmed

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Gregorio Aguilar

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mary Ann Anderson PhD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Costas Constantinou MD

    BOARD MEMBER

    Total calculated
    $1,040,900
    From this org
    $0
    From related orgs
    $1,003,309
    Other
    $37,591
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $927,853 related
    Bonus
    $0 + $72,048 related
    Other
    $0 + $3,408 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $22,341 related
    Filer's total
    $0 + $1,040,900 related
  • Nathan Durick MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Patrick Eikenberry

    BOARD CHAIR

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 1 related
  • Robert Erickson

    BOARD MEMBER/PRESIDENT/CEO

    Total calculated
    $810,812
    From this org
    $680,681
    From related orgs
    $0
    Other
    $130,131
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $510,076
    Bonus
    $153,613
    Other
    $16,992
    Deferred
    $98,448
    Nontaxable benefits
    $31,683
    Filer's total
    $810,812
  • Debbie Freiburg

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Rev Dwight Ford

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Francis Kane MD

    BOARD MEMBER

    Total calculated
    $100,600
    From this org
    $0
    From related orgs
    $89,589
    Other
    $11,011
    Hours/week
    1 + 40 related
  • Rev Christopher Lee

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Lisa McCraw

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Msgr Mark Merdian

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Heidi Parkhurst

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Daniel Stein

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dana Wilkinson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Marie Ziegler

    BOARD VICE CHAIR

    Total calculated
    $13,500
    From this org
    $0
    From related orgs
    $13,500
    Other
    $0
    Hours/week
    1 + 1 related
  • Katherine Marchik

    SR VP FINANCE/CFO

    Total calculated
    $543,661
    From this org
    $447,615
    From related orgs
    $0
    Other
    $96,046
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $356,893
    Bonus
    $86,084
    Other
    $4,638
    Deferred
    $66,238
    Nontaxable benefits
    $29,808
    Filer's total
    $543,661
  • Dennis Duke

    PRESIDENT RYC

    Total calculated
    $339,810
    From this org
    $295,348
    From related orgs
    $0
    Other
    $44,462
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $232,499
    Bonus
    $56,965
    Other
    $5,884
    Deferred
    $14,059
    Nontaxable benefits
    $30,403
    Filer's total
    $339,810
  • Shawn Keeven MD

    VP/MEDICAL DIRECTOR

    Total calculated
    $596,545
    From this org
    $0
    From related orgs
    $554,390
    Other
    $42,155
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,939 related
    Bonus
    $0 + $37,491 related
    Other
    $0 + $960 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $26,905 related
    Filer's total
    $0 + $596,545 related
  • Kevin Kurth MD

    MEDICAL DIRECTOR-ER/TRAUMA

    Total calculated
    $719,095
    From this org
    $676,833
    From related orgs
    $0
    Other
    $42,262
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $670,297
    Bonus
    $0
    Other
    $6,536
    Deferred
    $15,250
    Nontaxable benefits
    $27,012
    Filer's total
    $719,095
  • Joy Ledbetter

    VP HUMAN RESOURCES

    Total calculated
    $492,186
    From this org
    $0
    From related orgs
    $454,663
    Other
    $37,523
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $305,776 related
    Bonus
    $0 + $90,925 related
    Other
    $0 + $57,962 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $22,273 related
    Filer's total
    $0 + $492,186 related
  • Toyosi Olutade MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $933,780
    From this org
    $764,932
    From related orgs
    $127,756
    Other
    $41,092
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $655,879 + $127,756 related
    Bonus
    $104,042
    Other
    $5,011
    Deferred
    $10,526 + $4,724 related
    Nontaxable benefits
    $21,133 + $4,709 related
    Filer's total
    $796,591 + $137,189 related
  • Katherine Pearson

    SR VP/CHIEF STRATEGY OFFICER

    Total calculated
    $479,090
    From this org
    $406,582
    From related orgs
    $0
    Other
    $72,508
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $323,686
    Bonus
    $77,490
    Other
    $5,406
    Deferred
    $54,591
    Nontaxable benefits
    $17,917
    Filer's total
    $479,090
  • Barbara Weber

    CHIEF OPERATING OFFICER

    Total calculated
    $530,418
    From this org
    $479,562
    From related orgs
    $0
    Other
    $50,856
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $381,625
    Bonus
    $90,508
    Other
    $7,429
    Deferred
    $49,123
    Nontaxable benefits
    $1,733
    Filer's total
    $530,418
  • Mellissa Wood

    CHIEF NURSING EXECUTIVE

    Total calculated
    $367,590
    From this org
    $359,363
    From related orgs
    $0
    Other
    $8,227
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $287,941
    Bonus
    $67,945
    Other
    $3,477
    Deferred
    $6,100
    Nontaxable benefits
    $2,127
    Filer's total
    $367,590
  • Alysa Davis Do

    EMERGENCY PHYSICIAN

    Total calculated
    $567,053
    From this org
    $541,523
    From related orgs
    $0
    Other
    $25,530
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $410,976
    Bonus
    $130,115
    Other
    $432
    Deferred
    $15,250
    Nontaxable benefits
    $10,280
    Filer's total
    $567,053
  • Thomas Ramstack Do

    EMERGENCY PHYSICIAN

    Total calculated
    $570,297
    From this org
    $527,656
    From related orgs
    $0
    Other
    $42,641
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $417,640
    Bonus
    $108,672
    Other
    $1,344
    Deferred
    $15,250
    Nontaxable benefits
    $27,391
    Filer's total
    $570,297
  • Zachary Rasmussen MD

    EMERGENCY PHYSICIAN

    Total calculated
    $551,638
    From this org
    $511,162
    From related orgs
    $0
    Other
    $40,476
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $450,198
    Bonus
    $60,570
    Other
    $394
    Deferred
    $15,250
    Nontaxable benefits
    $25,226
    Filer's total
    $551,638
  • Elizabeth Schupp MD

    PULMONOLOGIST

    Total calculated
    $581,077
    From this org
    $564,567
    From related orgs
    $0
    Other
    $16,510
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $556,909
    Bonus
    $0
    Other
    $7,658
    Deferred
    $15,250
    Nontaxable benefits
    $1,260
    Filer's total
    $581,077
  • Rhonda Sowards MD

    EMERGENCY PHYSICIAN

    Total calculated
    $741,664
    From this org
    $700,846
    From related orgs
    $0
    Other
    $40,818
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $610,558
    Bonus
    $89,418
    Other
    $870
    Deferred
    $15,250
    Nontaxable benefits
    $25,568
    Filer's total
    $741,664
  • Richard Seidler To 519

    FORMER BD MEMBER/PRESIDENT/CEO

    Total calculated
    $367,341
    From this org
    $367,341
    From related orgs
    $0
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $367,341
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $367,341
  • John Sheehan To 919

    FORMER BD MEMBER/INTERIM PRES/CEO

    Total calculated
    $1,290,619
    From this org
    $0
    From related orgs
    $1,266,433
    Other
    $24,186
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,574 related
    Bonus
    $0 + $237,174 related
    Other
    $0 + $568,685 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $8,936 related
    Filer's total
    $0 + $1,290,619 related
  • Matthew Behrens To 919

    REG VP/CLINIC OPS

    Total calculated
    $319,261
    From this org
    $0
    From related orgs
    $294,692
    Other
    $24,569
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $223,028 related
    Bonus
    $0 + $71,526 related
    Other
    $0 + $138 related
    Deferred
    $0 + $14,942 related
    Nontaxable benefits
    $0 + $9,627 related
    Filer's total
    $0 + $319,261 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

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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, LINES 4A-B
SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: JOHN SHEEHAN $359,175. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: ROBERT ERICKSON $83,198 , KATHERINE MARCHIK $50,988 , KATHERINE PEARSON $ 39,341, & BARBARA WEBER $38,292. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: RICHARD SEIDLER $ 367,341 & JOHN SHEEHAN $192,653. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.

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

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.

  • ADVANCED IMAGING CENTER LLC

    RELATED · DIAGNOSTIC RADIOLOGY CENTER · IA · 51% owned · share of income $256,253 · share of assets $1,717,919 · general or managing partner

    Directly controlled by TRINITY MEDICAL CENTER

  • ANKENY MEDICAL PARK SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC

    CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY

    ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • CENTRAL IOWA PHYSIO LLC

    PHYSICAL THERAPY SERVICES · IA · general or managing partner

  • CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC

    SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES · IA · general or managing partner

  • DUBUQUE ENDOSCOPY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • EASTERN IOWA SLEEP SUPPLY LLC

    MEDICAL EQUIPMENT RETAIL SALES · IA · general or managing partner

  • HEALTH CARE AFFILIATES OF THE TRI-STATES LLC

    PROVIDE ACCESS TO LICENSED SOFTWARE · IA · general or managing partner

  • IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC

    OUTPATIENT DIAGNOSTIC IMAGING · IA · general or managing partner

  • IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

    GROUP PURCHASING · IA · general or managing partner

  • LAKEVIEW SURGERY CENTER LC

    SURGERY CENTER · IA · general or managing partner

  • MR ASSOCIATES LLP

    OWN AND OPERATE MR UNIT · IA · general or managing partner

  • ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • REHABILITATION THERAPY SERVICES LLC

    REHABILATION THERAPY · IL · general or managing partner

  • THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC

    AMBULATORY SURGERY CENTER. · IA · general or managing partner

  • UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • UPHT-SCA HOLDINGS LLC

    INVESTMENT · AMBULATORY SURGERY CENTER INVESTMENT · DE · 51% owned · share of income -$174,311 · share of assets $9,158,844

    Directly controlled by TRINITY MEDICAL CENTER

  • WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC

    ORTHOPEDIC SERVICE LINES MANAGEMENT · IA · general or managing partner

  • WEST LAKES SLEEP CENTER LLC

    SLEEP DISORDER DIAGNOSTIC TESTING FACILITY · IA · general or managing partner

Related corporations and trusts

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

  • ABBE MANAGEMENT CORPORATION

    C · MANAGEMENT SERVICES · IA

  • BELCREST SERVICES LTD

    C · MEDICAL SERVICES · IL

  • BROADBAND INC

    C · INFORMATION TECHNOLOGY MGMT. · IA

  • DELHI POINT CONDO ASSOCIATION

    C · REAL ESTATE MANAGEMENT · IA

  • HCP CORPORATION

    C · REAL ESTATE RENTAL · WI

  • HANSEN CHARITABLE REMAINDER ANNUITY TRUST

    T · INVESTMENT · IA

  • HANSEN CHARITABLE REMAINDER UNITRUST

    T · INVESTMENT · IA

  • HEALTH ADVANTAGE PLUS INC

    C · PHYSICAL THERAPY · IA

  • HEALTH PLUS INC

    C · MANAGED CARE ADMINISTRATION · IL

  • HNC SERVICES

    C · FIBER OPTIC NETWORK SERVICES · IA

  • MEDIMORE INC

    C · MANAGED CARE · IA

  • MERITER HEALTH ENTERPRISES INC

    C · MANAGEMENT SERVICES · WI

  • MERITER MANAGEMENT SERVICES INC

    C · ADMINISTRATIVE SERVICES · WI

  • METHODIST HEALTH VENTURES INC & SUB

    C · PHARMACY/OFFICE STAFFING · IL

  • OPTIMUM HEALTH SOLUTIONS INC

    C · HEALTH & WELLNESS CONSULTING · IA

  • PEKIN PROHEALTH INC

    C · CLINIC · IL

  • PRECEDENCE INC

    C · MANAGED MENTAL CARE · IA

  • PRECEDENCE PLUS INC

    C · MANAGED MENTAL CARE · IA

  • PROVIDER RESOURCE MANAGEMENT INC

    C · RESOURCE MANAGEMENT · IL

  • STL HEALTH RESOURCES CO

    C · PHYSICIAN OFFICE RENTAL · IA

  • TRINITY HEALTH ENTERPRISES INC

    C · RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY · IL

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202313189349307816

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