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Nonprofiteer
← CIVISTA MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by CIVISTA MEDICAL CENTER INC.

Totals

Total revenue
$165,909,433
Total expenses
$158,268,005
Contributions and grants received
$827,117
Grants paid
$91,200
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$138,371,661
Management and general expenses
$19,896,344
Fundraising expenses
$0
Program service expenses (Part III)
$138,371,661

Program services were 87.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Charles Rosenfield

    Chairman

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • NOEL A CERVINO

    President and CEO

    Total calculated
    $676,489
    From this org
    $640,504
    From related orgs
    $0
    Other
    $35,985
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $452,734
    Bonus
    $100,074
    Other
    $87,696
    Deferred
    $12,200
    Nontaxable benefits
    $23,785
    Filer's total
    $676,489

  • Patrick Pierce

    Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tom Dennison

    Secretary and Treasurer

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BRIANNA D BOWLING

    Director

    Total calculated
    $0
    Hours/week
    1 + 2.5 related

  • Crystal Hunt

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DIANE HICKS

    Director

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Dianna Abney MD

    Director (Ended 7/2022)

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Ivelisse Michel MD

    Director

    Total calculated
    $0
    Hours/week
    20 + 1 related

  • John Hungerford

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jon P Burns

    Director

    Total calculated
    $1,231,779
    From this org
    $0
    From related orgs
    $1,197,291
    Other
    $34,488
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $867,898 related
    Bonus
    $0 + $157,424 related
    Other
    $0 + $171,969 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $22,288 related
    Filer's total
    $0 + $1,231,779 related

  • Mary Lilly

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MOHAN SUNTHA MD

    UMMS President and CEO

    Total calculated
    $4,402,469
    From this org
    $0
    From related orgs
    $4,360,614
    Other
    $41,855
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,371,864 related
    Bonus
    $0 + $946,575 related
    Other
    $0 + $1,042,175 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $29,655 related
    Filer's total
    $0 + $4,402,469 related

  • Richard Ferraro MD

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ALBERT J ZANGER

    VP Finance and CFO

    Total calculated
    $338,388
    From this org
    $302,293
    From related orgs
    $0
    Other
    $36,095
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $238,948
    Bonus
    $37,592
    Other
    $25,753
    Deferred
    $8,288
    Nontaxable benefits
    $27,807
    Filer's total
    $338,388

  • Dana Cecil

    Chief Nursing Officer

    Total calculated
    $313,571
    From this org
    $293,751
    From related orgs
    $0
    Other
    $19,820
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,873
    Bonus
    $32,987
    Other
    $42,891
    Deferred
    $9,566
    Nontaxable benefits
    $10,254
    Filer's total
    $313,571

  • Joseph D Moser MD

    SVP and Chief Medical Officer

    Total calculated
    $484,580
    From this org
    $472,136
    From related orgs
    $0
    Other
    $12,444
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $369,570
    Bonus
    $46,662
    Other
    $55,904
    Deferred
    $12,200
    Nontaxable benefits
    $244
    Filer's total
    $484,580

  • Anne Weekley

    VP Quality and Patient Experience

    Total calculated
    $241,944
    From this org
    $213,552
    From related orgs
    $0
    Other
    $28,392
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,038
    Bonus
    $19,015
    Other
    $45,499
    Deferred
    $6,362
    Nontaxable benefits
    $22,030
    Filer's total
    $241,944

  • Josie Salvador

    Nurse

    Total calculated
    $245,909
    From this org
    $229,752
    From related orgs
    $0
    Other
    $16,157
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,144
    Bonus
    $12,500
    Other
    $108
    Deferred
    $0
    Nontaxable benefits
    $16,157
    Filer's total
    $245,909

  • Joy Adiansingh

    Nurse

    Total calculated
    $239,682
    From this org
    $228,590
    From related orgs
    $0
    Other
    $11,092
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $215,779
    Bonus
    $12,500
    Other
    $311
    Deferred
    $0
    Nontaxable benefits
    $11,092
    Filer's total
    $239,682

  • Katherine Middleton

    Registered Nurse

    Total calculated
    $286,823
    From this org
    $275,616
    From related orgs
    $0
    Other
    $11,207
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,818
    Bonus
    $12,500
    Other
    $298
    Deferred
    $0
    Nontaxable benefits
    $11,207
    Filer's total
    $286,823

  • William Grimes

    VP Ancilliary Services

    Total calculated
    $280,786
    From this org
    $269,696
    From related orgs
    $0
    Other
    $11,090
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,127
    Bonus
    $27,617
    Other
    $39,952
    Deferred
    $8,886
    Nontaxable benefits
    $2,204
    Filer's total
    $280,786

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
DURING THE FISCAL YEAR-ENDED JUNE 30, 2023, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE VESTED IN THE PLAN IN A PRIOR YEAR, THEREFORE THE CONTRIBUTIONS TO THE PLAN FOR THE FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B (III), OTHER REPORTABLE COMPENSATION: MOHAN SUNTHA, $1,015,893 DANA CECIL, $21,524 JON P. BURNS, $131,019 NOEL A. CERVINO, $75,512 WILLIAM GRIMES, $19,994 JOSEPH MOSER, $46,931 ANNE WEEKLEY, $41,591 ALBERT ZANGER, $22,210
Schedule J, Part I, Line 7 Non-fixed payments
BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401349349304910

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

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