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Nonprofiteer
← C H M C ANESTHESIA FOUNDATION INC

Form 990 for tax year 2022

Filed by C H M C ANESTHESIA FOUNDATION INC.

Totals

Total revenue
$161,222,696
Total expenses
$146,502,384
Contributions and grants received
$536,000
Grants paid
$5,500
Program services expenses (Part IX)
$139,701,795
Management and general expenses
$6,800,589
Fundraising expenses
$0
Program service expenses (Part III)
$139,701,795

Program services were 95.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Joseph P Cravero MD

    President/Treasurer

    Total calculated
    $1,137,070
    From this org
    $1,000,893
    From related orgs
    $0
    Other
    $136,177
    Hours/week
    54 + 6 related

    Schedule J breakdown matched by us

    Base
    $755,750
    Bonus
    $115,660
    Other
    $129,483
    Deferred
    $86,160
    Nontaxable benefits
    $50,017
    Filer's total
    $1,137,070

  • Jeffrey Burns MD

    Director

    Total calculated
    $952,851
    From this org
    $840,087
    From related orgs
    $0
    Other
    $112,764
    Hours/week
    59 + 1 related

    Schedule J breakdown matched by us

    Base
    $720,200
    Bonus
    $20,000
    Other
    $99,887
    Deferred
    $59,160
    Nontaxable benefits
    $53,604
    Filer's total
    $952,851

  • John Fiadjoe MD

    Clerk

    Total calculated
    $871,580
    From this org
    $736,348
    From related orgs
    $0
    Other
    $135,232
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $565,276
    Bonus
    $20,000
    Other
    $151,072
    Deferred
    $86,160
    Nontaxable benefits
    $49,072
    Filer's total
    $871,580

  • Jue Wang MD

    Director

    Total calculated
    $552,139
    From this org
    $448,819
    From related orgs
    $0
    Other
    $103,320
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $227,674
    Bonus
    $14,385
    Other
    $206,760
    Deferred
    $76,243
    Nontaxable benefits
    $27,077
    Filer's total
    $552,139

  • Anjali Koka MD

    Director

    Total calculated
    $526,124
    From this org
    $398,409
    From related orgs
    $0
    Other
    $127,715
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $293,067
    Bonus
    $20,000
    Other
    $85,342
    Deferred
    $79,660
    Nontaxable benefits
    $48,055
    Filer's total
    $526,124

  • Kirsten C Odegard MD

    Director

    Total calculated
    $815,422
    From this org
    $653,963
    From related orgs
    $0
    Other
    $161,459
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $370,142
    Bonus
    $20,000
    Other
    $263,821
    Deferred
    $108,245
    Nontaxable benefits
    $53,214
    Filer's total
    $815,422

  • Sally Vitali MD

    Director

    Total calculated
    $649,180
    From this org
    $501,596
    From related orgs
    $0
    Other
    $147,584
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $320,735
    Bonus
    $20,000
    Other
    $160,861
    Deferred
    $100,078
    Nontaxable benefits
    $47,506
    Filer's total
    $649,180

  • Mary Landrigan-Ossar MD

    Director

    Total calculated
    $834,248
    From this org
    $671,666
    From related orgs
    $0
    Other
    $162,582
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $405,015
    Bonus
    $20,000
    Other
    $246,651
    Deferred
    $114,496
    Nontaxable benefits
    $48,086
    Filer's total
    $834,248

  • Christine Greco MD

    Director

    Total calculated
    $817,055
    From this org
    $661,301
    From related orgs
    $0
    Other
    $155,754
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $422,733
    Bonus
    $20,000
    Other
    $218,568
    Deferred
    $102,540
    Nontaxable benefits
    $53,214
    Filer's total
    $817,055

  • Michael L McManus MD

    Director

    Total calculated
    $633,971
    From this org
    $521,396
    From related orgs
    $0
    Other
    $112,575
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $429,622
    Bonus
    $20,000
    Other
    $71,774
    Deferred
    $59,160
    Nontaxable benefits
    $53,415
    Filer's total
    $633,971

  • Cynthia Tung MD

    Director

    Total calculated
    $595,810
    From this org
    $503,408
    From related orgs
    $0
    Other
    $92,402
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $353,409
    Bonus
    $20,000
    Other
    $129,999
    Deferred
    $79,660
    Nontaxable benefits
    $12,742
    Filer's total
    $595,810

  • Viviane G Nasr MD

    Director

    Total calculated
    $834,938
    From this org
    $707,358
    From related orgs
    $0
    Other
    $127,580
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $418,401
    Bonus
    $20,000
    Other
    $268,957
    Deferred
    $79,660
    Nontaxable benefits
    $47,920
    Filer's total
    $834,938

  • Craig McClain MD

    Director (10/22-8/23)

    Total calculated
    $740,077
    From this org
    $585,552
    From related orgs
    $0
    Other
    $154,525
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $440,625
    Bonus
    $20,000
    Other
    $124,927
    Deferred
    $107,054
    Nontaxable benefits
    $47,471
    Filer's total
    $740,077

  • Nina Deutsch MD

    Director (9/23)

    Total calculated
    $0
    Hours/week
    60

  • Physicians Org at CH Inc

    Institutional Trustee

    Total calculated
    $0
    Hours/week
    2

  • Aykut Bilge MD

    Physician

    Total calculated
    $966,703
    From this org
    $829,918
    From related orgs
    $0
    Other
    $136,785
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $326,683
    Bonus
    $20,000
    Other
    $483,235
    Deferred
    $86,160
    Nontaxable benefits
    $50,625
    Filer's total
    $966,703

  • Pete Kovatsis MD

    Physician

    Total calculated
    $922,999
    From this org
    $773,673
    From related orgs
    $0
    Other
    $149,326
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $350,622
    Bonus
    $20,000
    Other
    $403,051
    Deferred
    $95,235
    Nontaxable benefits
    $54,091
    Filer's total
    $922,999

  • Monica Kleinman MD

    Physician

    Total calculated
    $986,155
    From this org
    $826,840
    From related orgs
    $0
    Other
    $159,315
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $412,870
    Bonus
    $20,000
    Other
    $393,970
    Deferred
    $105,305
    Nontaxable benefits
    $54,010
    Filer's total
    $986,155

  • Daniel Kohane MD

    Physician

    Total calculated
    $990,074
    From this org
    $777,218
    From related orgs
    $0
    Other
    $212,856
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $468,960
    Bonus
    $20,000
    Other
    $288,258
    Deferred
    $158,158
    Nontaxable benefits
    $54,698
    Filer's total
    $990,074

  • Adrienne Randolph MD

    Physician

    Total calculated
    $1,054,461
    From this org
    $896,633
    From related orgs
    $0
    Other
    $157,828
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $478,875
    Bonus
    $20,780
    Other
    $396,978
    Deferred
    $102,263
    Nontaxable benefits
    $55,565
    Filer's total
    $1,054,461

  • Paul R Hickey MD

    Former Officer

    Total calculated
    $1,009,889
    From this org
    $909,249
    From related orgs
    $0
    Other
    $100,640
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $295,864
    Bonus
    $12,000
    Other
    $601,385
    Deferred
    $59,160
    Nontaxable benefits
    $41,480
    Filer's total
    $1,009,889

  • Soriano Sulpicio MD

    Former Officer

    Total calculated
    $794,434
    From this org
    $688,754
    From related orgs
    $0
    Other
    $105,680
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $506,021
    Bonus
    $20,000
    Other
    $162,733
    Deferred
    $59,160
    Nontaxable benefits
    $46,520
    Filer's total
    $794,434

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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 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)

Part I, Line 1a
The Foundation provides gross-up payments for mortgage forgiveness, tuition payments, and long-term disability insurance. These payments are included as taxable wages during the year. All permanent full-time employees of the Foundation are eligible for the gross-up payments.
Part I, Line 4b
The Foundation established the CHMC Anesthesia Foundation, Inc. 2005 Supplemental Executive Retirement Plan (SERP), effective as of January 1, 2005 to reward licensed physician employees with a benefit based on services. The plan was restated on January 1, 2016 to the CHMC Anesthesia Foundation, Inc. 2016 After-Tax Plan (the Plan). Each participant employed on June 30 is allocated 6% of base salary, excluding bonuses and clinical incentive payments, during the Plan year. For the Plan year in which an eligible employee becomes a participant, they will receive an additional contribution equal to 6% of their Plan compensation for each year of service prior to becoming a participant. The Foundation's contributions under the Plan are taxable to the participant as they are made and are not subject to forfeiture if the participant leaves before retiring. Contributions to the Plan will be included as part of taxable wages in the W-2 of each individual. During 2022, the following participants received a contribution that is recorded on the W-2: Joseph P. Cravero, MD, $45,000; Michael L. McManus, MD, $26,503; Kirsten C. Odegard, MD, $24,202; Cynthia Tung, MD, $21,620; Jeffrey Burns, MD, $43,992; Jue Wang, MD, $155,899; Anjali Koka, MD, $18,649; Sally Vitali, MD, $20,075; Mary Landrigan-Ossar, MD, $22,267; Christine Greco, MD, $27,306; Viviane G. Nasr, MD, $161,468; Craig McClain, MD, $24,676; Soriano Sulpicio, MD, $32,222; Paul R. Hickey, MD, $17,310; Aykut Bilge, MD, $21,637; Monica Kleinman, MD, $25,514; Pete Kovatsis, MD, $21,465; Adrienne Randolph, MD, $27,615; and Daniel Kohane, MD, $30,035. In addition to the regular annual contribution, the Foundation makes a one-time contribution on behalf of participants first employed by the Foundation after December 21, 2008 after completing seven years of service. The amount of the contribution is $20,000 for each of the seven years in which the participant was a full-time employee (at least 32 hours per week), and $20,000 prorated, based on the participant's full-time equivalent percentage (FTE), for each year in which the participant worked part-time. Any pre-2016 account contributions are fully vested for each participant. The vesting schedule is 50% of post-2016 earnings account amounts vest after ten years of service, 75% vest after fifteen years of service, and amounts are fully invested after twenty years of service. During 2022, distributions from the After-Tax plan accounts were made to Paul R. Hickey, MD, $567,301; Michael McManus, MD, $5,973; Viviane G. Nasr, MD, $2,815; Cynthia Tung, MD, $13,625; Jue Wang, MD, $3,340; and Sulpicio Soriano, MD, $10,473. These amounts have been reported in Schedule J, Part II, Column B(iii) for each physician. Furthermore, if any portion of these amounts were reported on previous 990s as part of total compensation earned, that portion is also being disclosed in Schedule J, Part II, Column F for the respective physician.
Part I, Line 7
The Foundation provides an annual bonus to their anesthesiologist-employees. The amounts are discretionary based on the financial performance of the Foundation and on individual job performance.

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 August 2024
IRS schema version
2022v5.0
Source object
202412269349300741

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