Form 990 for tax year 2023
Filed by OVERLAKE MEDICAL CENTER & CLINICS.
Totals
- Total revenue
- $802,768,233
- Total expenses
- $827,985,191
- Contributions and grants received
- $21,054,751
- Grants paid
- $2,604,090
- Program services expenses (Part IX)
- $685,999,838
- Management and general expenses
- $141,985,353
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $685,999,838
Program services were 82.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JASON THOMPSON
CHAIR
- Total calculated
- $0
- Hours/week
- 6 + 2 related
-
TOM EVERT
SECRETARY & TREASURER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
PAULINE BACH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5 + 3.5 related
-
KRISTINA BELFIORE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1.5 + 0.1 related
-
ROBERT CAMPBELL
TRUSTEE THRU 05/24
- Total calculated
- $0
- Hours/week
- 3 + 3 related
-
JORGE CERDA
TRUSTEE THRU 12/23
- Total calculated
- $0
- Hours/week
- 1.5 + 1.5 related
-
ANNETTE CLARK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
TED HERB
TRUSTEE
- Total calculated
- $0
- Hours/week
- 3 + 0.1 related
-
TIFFANY KOENIG
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 0.1 related
-
JAMES LADD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 3 + 1 related
-
MARTHA LEE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 0.1 related
-
LINDA MAHAFFEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 0.5 related
-
UMA RAGHAVAN-THURMAN
TRUSTEE THRU 05/24
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
JULIE SUN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
DILIP WAGLE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 3 + 0.1 related
-
LISA WISSNER-SLIVKA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 0.1 related
-
JESSIE WOOLLEY-WILSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
J MICHAEL MARSH
PRESIDENT & CEO
- Total calculated
- $1,305,849
- From this org
- $1,155,990
- From related orgs
- $0
- Other
- $149,859
- Hours/week
- 45 + 8 related
Schedule J breakdown matched by us
- Base
- $979,055
- Bonus
- $65,067
- Other
- $111,868
- Deferred
- $130,474
- Nontaxable benefits
- $19,385
- Filer's total
- $1,305,849
-
ANDREW TOKAR
CFO THRU 04/24
- Total calculated
- $526,527
- From this org
- $490,217
- From related orgs
- $0
- Other
- $36,310
- Hours/week
- 48 + 9 related
Schedule J breakdown matched by us
- Base
- $456,772
- Bonus
- $30,400
- Other
- $3,045
- Deferred
- $23,100
- Nontaxable benefits
- $13,210
- Filer's total
- $526,527
-
PAUL ISHIZUKA
INTERIM CFO FROM 03/24
- Total calculated
- $0
- Hours/week
- 49 + 1 related
-
KELAN R KOENIG MD
OMC PHYSICIAN EXECUTIVE
- Total calculated
- $841,073
- From this org
- $758,327
- From related orgs
- $0
- Other
- $82,746
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $505,991
- Bonus
- $34,200
- Other
- $218,136
- Deferred
- $57,298
- Nontaxable benefits
- $25,448
- Filer's total
- $841,073
-
VALERIE CHRUSCIEL
OC CHIEF OPERATING OFFICER
- Total calculated
- $491,945
- From this org
- $439,343
- From related orgs
- $0
- Other
- $52,602
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $301,559
- Bonus
- $20,467
- Other
- $117,317
- Deferred
- $35,041
- Nontaxable benefits
- $17,561
- Filer's total
- $491,945
-
MICHELLE CURRY
CHIEF NURSING OFFICER
- Total calculated
- $413,485
- From this org
- $363,768
- From related orgs
- $0
- Other
- $49,717
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $335,925
- Bonus
- $22,267
- Other
- $5,576
- Deferred
- $37,297
- Nontaxable benefits
- $12,420
- Filer's total
- $413,485
-
SCOTT WATERS
CHIEF INFORMATION OFFICER
- Total calculated
- $405,868
- From this org
- $341,672
- From related orgs
- $0
- Other
- $64,196
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $339,844
- Bonus
- $0
- Other
- $1,828
- Deferred
- $39,480
- Nontaxable benefits
- $24,716
- Filer's total
- $405,868
-
DAVID WINOKUR
CHIEF ADMINISTRATIVE OFFICER
- Total calculated
- $339,598
- From this org
- $285,720
- From related orgs
- $0
- Other
- $53,878
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $278,953
- Bonus
- $0
- Other
- $6,767
- Deferred
- $29,938
- Nontaxable benefits
- $23,940
- Filer's total
- $339,598
-
DEREK RODRIGUES MD
CARDIOLOGIST
- Total calculated
- $1,078,219
- From this org
- $1,034,169
- From related orgs
- $0
- Other
- $44,050
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $813,889
- Bonus
- $200,125
- Other
- $20,155
- Deferred
- $23,100
- Nontaxable benefits
- $20,950
- Filer's total
- $1,078,219
-
DAVID W NELSON MD
CARDIAC SURGEON
- Total calculated
- $1,005,782
- From this org
- $955,217
- From related orgs
- $0
- Other
- $50,565
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $886,102
- Bonus
- $53,673
- Other
- $15,442
- Deferred
- $23,100
- Nontaxable benefits
- $27,465
- Filer's total
- $1,005,782
-
ASIF ALI KHAN MD
NEUROSURGEON
- Total calculated
- $923,887
- From this org
- $879,177
- From related orgs
- $0
- Other
- $44,710
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $579,602
- Bonus
- $292,716
- Other
- $6,859
- Deferred
- $16,500
- Nontaxable benefits
- $28,210
- Filer's total
- $923,887
-
ROBERT BINFORD MD
CARDIAC SURGEON
- Total calculated
- $919,470
- From this org
- $868,890
- From related orgs
- $0
- Other
- $50,580
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $799,150
- Bonus
- $53,673
- Other
- $16,067
- Deferred
- $23,100
- Nontaxable benefits
- $27,480
- Filer's total
- $919,470
-
SCOTT LOUIS MD
CARDIAC SURGEON
- Total calculated
- $906,732
- From this org
- $863,047
- From related orgs
- $0
- Other
- $43,685
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $802,961
- Bonus
- $53,673
- Other
- $6,413
- Deferred
- $16,500
- Nontaxable benefits
- $27,185
- Filer's total
- $906,732
-
JON DUARTE
FORMER KEY EMPLOYEE
- Total calculated
- $415,327
- From this org
- $362,836
- From related orgs
- $0
- Other
- $52,491
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $338,677
- Bonus
- $22,733
- Other
- $1,426
- Deferred
- $26,915
- Nontaxable benefits
- $25,576
- Filer's total
- $415,327
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
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Written employment contract
- 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 7
- IN 2023, EXECUTIVE INCENTIVES WERE PAID TO J. MICHAEL MARSH, KELAN KOENIG, ANDREW TOKAR, VALERIE CHRUSCIEL, JON DUARTE, AND MICHELLE CURRY. THE INCENTIVES WERE BASED ON MEETING CERTAIN 3 YEAR ORGANIZATIONAL PATIENT QUALITY AND SAFETY GOALS. IN 2023, DEREK RODRIGUES, DAVID NELSON, ASIF KHAN, ROBERT BINFORD, AND SCOTT LOUIS RECEIVED INCENTIVES BASED ON MEETING CERTAIN INDIVIDUAL QUALITY GOALS AND DEREK RODRIGUES AND ASIF KHAN RECEIVED INCENTIVES BASED ON MEETING PRODUCTIVITY GOALS.
- PART I, LINE 4B:
- J. MICHAEL MARSH PARTICIPATED IN A BENEFIT WITHIN THE EXECUTIVE BENEFIT PLAN CALLED THE CAPITAL ACCUMULATION ACCOUNT. THE CAPITAL ACCUMULATION ACCOUNT IS CLASSIFIED AS A 457(F) PLAN BY THE IRS. THE FOLLOWING AMOUNTS REFLECT 2023 DEFERRALS: J. MICHAEL MARSH ($107,374). THE FOLLOWING AMOUNTS FROM THE CAPITAL ACCUMULATION ACCOUNT WERE PAID IN 2023: J. MICHAEL MARSH ($102,261). THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR FORMS 990. J. MICHAEL MARSH RECEIVED REDEMPTION OF CREDITS IN THE CAPITAL ACCUMULATION ACCOUNT THAT HAD BECOME VESTED. KELAN R. KOENIG, ANDREW J. TOKAR, JON DUARTE, MICHELLE CURRY, VALERIE CHRUSCIEL, SCOTT WATERS, AND DAVID WINOKUR ALL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BENEFIT. THIS IS A NONQUALIFIED PLAN SPONSORED BY OVERLAKE MEDICAL CENTER & CLINICS. THE FOLLOWING AMOUNTS REFLECT 2023 DEFERRALS: KELAN R. KOENIG ($34,198), JON DUARTE ($17,242), MICHELLE CURRY ($14,196), VALERIE CHRUSCIEL ($11,940), SCOTT WATERS ($16,380), DAVID WINOKUR ($24,360). THE FOLLOWING AMOUNTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WERE PAID IN 2023: KELAN R. KOENIG ($212,832), VALERIE CHRUSCIEL ($108,727).
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
-
$2,390,208
SUPPORT OPERATIONS
-
$25,000
SPONSOR
-
$15,000
SPONSOR
-
$15,000
SPONSOR
-
$15,000
SPONSOR
-
$15,000
SPONSOR
-
SPONSOR
-
SPONSOR
-
$11,549
SPONSOR
-
$10,000
SPONSOR
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.
-
501(C)(3) · FUNDRAISING · WA · controlled entity
Directly controlled by OVERLAKE MEDICAL CENTER & CLINICS
-
501(C)(3) · PROVIDE SUPPORT · WA · controlled entity
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 23 April 2025
- IRS schema version
- 2023v6.0
- Source object
- 202501269349301685
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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