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Nonprofiteer
← ASCENSION MEDICAL GROUP PROMED

Form 990 for tax year 2023

Filed by ASCENSION MEDICAL GROUP PROMED.

Totals

Total revenue
$102,500,908
Total expenses
$95,172,955
Contributions and grants received
$1,110,646
Grants paid
$0
Program services expenses (Part IX)
$85,735,144
Management and general expenses
$9,437,811
Fundraising expenses
$0
Program service expenses (Part III)
$85,735,144

Program services were 90.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CAROL L SCHMIDT

    MINISTRY MARKET EXECUTIVE/PRESIDENT

    Total calculated
    $2,555,848
    From this org
    $0
    From related orgs
    $2,461,903
    Other
    $93,945
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $864,266 related
    Bonus
    $0 + $1,403,147 related
    Other
    $0 + $194,490 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $72,495 related
    Filer's total
    $0 + $2,555,848 related

  • MICHAEL WIEMANN MD

    EX-OFFICIO/PRESIDENT

    Total calculated
    $823,400
    From this org
    $0
    From related orgs
    $774,536
    Other
    $48,864
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $545,292 related
    Bonus
    $0 + $166,797 related
    Other
    $0 + $62,447 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $27,414 related
    Filer's total
    $0 + $823,400 related

  • ROBERT PETER CAMARA DO

    CHAIR

    Total calculated
    $518,121
    From this org
    $0
    From related orgs
    $468,373
    Other
    $49,748
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,114 related
    Bonus
    $0 + $62,827 related
    Other
    $0 + $5,432 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $31,598 related
    Filer's total
    $0 + $518,121 related

  • DONALD R ELLIS III MD

    DIRECTOR

    Total calculated
    $456,567
    From this org
    $0
    From related orgs
    $403,021
    Other
    $53,546
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $217,198 related
    Bonus
    $0 + $181,424 related
    Other
    $0 + $4,399 related
    Deferred
    $0 + $20,715 related
    Nontaxable benefits
    $0 + $32,831 related
    Filer's total
    $0 + $456,567 related

  • JAMILA N TAYLOR MD

    DIRECTOR

    Total calculated
    $281,414
    From this org
    $0
    From related orgs
    $255,918
    Other
    $25,496
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,113 related
    Bonus
    $0 + $34,412 related
    Other
    $0 + $2,393 related
    Deferred
    $0 + $14,491 related
    Nontaxable benefits
    $0 + $11,005 related
    Filer's total
    $0 + $281,414 related

  • KEVIN YOUNGS MD

    DIRECTOR

    Total calculated
    $493,598
    From this org
    $0
    From related orgs
    $438,098
    Other
    $55,500
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $328,996 related
    Bonus
    $0 + $87,697 related
    Other
    $0 + $21,405 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $34,050 related
    Filer's total
    $0 + $493,598 related

  • LEONARD JOHNSON MD

    DIRECTOR

    Total calculated
    $402,162
    From this org
    $0
    From related orgs
    $375,099
    Other
    $27,063
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,000 related
    Bonus
    $0 + $33,500 related
    Other
    $0 + $5,599 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $5,613 related
    Filer's total
    $0 + $402,162 related

  • MARCUS EBER DEGRAW MD

    DIRECTOR

    Total calculated
    $572,186
    From this org
    $0
    From related orgs
    $516,444
    Other
    $55,742
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $450,309 related
    Bonus
    $0 + $60,827 related
    Other
    $0 + $5,308 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $34,292 related
    Filer's total
    $0 + $572,186 related

  • SRIDHAR RAO MD

    DIRECTOR (END 12/2023)

    Total calculated
    $575,313
    From this org
    $0
    From related orgs
    $523,440
    Other
    $51,873
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,661 related
    Bonus
    $0 + $102,628 related
    Other
    $0 + $37,151 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $30,423 related
    Filer's total
    $0 + $575,313 related

  • STUART R VERSEMAN MD

    DIRECTOR/PHYSICIAN

    Total calculated
    $702,435
    From this org
    $662,599
    From related orgs
    $0
    Other
    $39,836
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $621,794
    Bonus
    $24,190
    Other
    $16,615
    Deferred
    $18,150
    Nontaxable benefits
    $21,686
    Filer's total
    $702,435

  • THOMAS KLEIN

    EX-OFFICIO/COO

    Total calculated
    $464,373
    From this org
    $0
    From related orgs
    $430,226
    Other
    $34,147
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $309,702 related
    Bonus
    $0 + $94,500 related
    Other
    $0 + $26,024 related
    Deferred
    $0 + $17,769 related
    Nontaxable benefits
    $0 + $16,378 related
    Filer's total
    $0 + $464,373 related

  • WILLIAM EDGAR MD

    DIRECTOR

    Total calculated
    $513,359
    From this org
    $0
    From related orgs
    $474,003
    Other
    $39,356
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $365,157 related
    Bonus
    $0 + $70,000 related
    Other
    $0 + $38,846 related
    Deferred
    $0 + $18,050 related
    Nontaxable benefits
    $0 + $21,306 related
    Filer's total
    $0 + $513,359 related

  • MICHAEL MCCULLOUGH

    CFO, MINISTRY MARKET

    Total calculated
    $956,345
    From this org
    $0
    From related orgs
    $914,952
    Other
    $41,393
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $470,365 related
    Bonus
    $0 + $374,800 related
    Other
    $0 + $69,787 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $23,243 related
    Filer's total
    $0 + $956,345 related

  • JAGADEESH KUMAR KALAVAKUNTA MD

    PHYSICIAN

    Total calculated
    $1,267,649
    From this org
    $1,201,326
    From related orgs
    $0
    Other
    $66,323
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,157,187
    Bonus
    $40,189
    Other
    $3,950
    Deferred
    $18,150
    Nontaxable benefits
    $48,173
    Filer's total
    $1,267,649

  • JERRY W PRATT MD

    PHYSICIAN

    Total calculated
    $1,169,190
    From this org
    $1,112,493
    From related orgs
    $0
    Other
    $56,697
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $966,500
    Bonus
    $132,000
    Other
    $13,993
    Deferred
    $18,150
    Nontaxable benefits
    $38,547
    Filer's total
    $1,169,190

  • VEERA PAVAN K KOTARU MD

    PHYSICIAN

    Total calculated
    $1,186,144
    From this org
    $1,127,308
    From related orgs
    $0
    Other
    $58,836
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,040,747
    Bonus
    $82,041
    Other
    $4,520
    Deferred
    $16,500
    Nontaxable benefits
    $42,336
    Filer's total
    $1,186,144

  • VISHAL GUPTA MD

    PHYSICIAN

    Total calculated
    $1,489,581
    From this org
    $1,424,665
    From related orgs
    $0
    Other
    $64,916
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,373,275
    Bonus
    $46,370
    Other
    $5,020
    Deferred
    $19,800
    Nontaxable benefits
    $45,116
    Filer's total
    $1,489,581

  • ZHIGANG LIU MD

    PHYSICIAN

    Total calculated
    $1,259,215
    From this org
    $1,210,417
    From related orgs
    $0
    Other
    $48,798
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $653,462
    Bonus
    $553,005
    Other
    $3,950
    Deferred
    $14,850
    Nontaxable benefits
    $33,948
    Filer's total
    $1,259,215

  • DOUGLAS TODD MYERS

    FORMER OFFICER (END 3/2023)

    Total calculated
    $648,758
    From this org
    $0
    From related orgs
    $635,975
    Other
    $12,783
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $120,152 related
    Bonus
    $0 + $110,100 related
    Other
    $0 + $405,723 related
    Deferred
    $0 + $3,750 related
    Nontaxable benefits
    $0 + $9,033 related
    Filer's total
    $0 + $648,758 related

  • JONATHAN SAMUEL NALLI FACHE

    FORMER OFFICER (END 12/2022)

    Total calculated
    $2,344,273
    From this org
    $0
    From related orgs
    $2,316,020
    Other
    $28,253
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,226 related
    Bonus
    $0 + $1,236,132 related
    Other
    $0 + $718,662 related
    Deferred
    $0 + $8,451 related
    Nontaxable benefits
    $0 + $19,802 related
    Filer's total
    $0 + $2,344,273 related

  • KENNETH BERKOVITZ MD

    FORMER OFFICER (END 6/2020)

    Total calculated
    $900,260
    From this org
    $0
    From related orgs
    $893,560
    Other
    $6,700
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + -$6,700 related
    Bonus
    $0
    Other
    $0 + $900,260 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,700 related
    Filer's total
    $0 + $900,260 related

  • ROBERT GUHA

    FORMER OFFICER (END 6/2022)

    Total calculated
    $287,804
    From this org
    $0
    From related orgs
    $283,133
    Other
    $4,671
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $47,065 related
    Bonus
    $0 + $51,236 related
    Other
    $0 + $184,832 related
    Deferred
    $0 + $1,164 related
    Nontaxable benefits
    $0 + $3,507 related
    Filer's total
    $0 + $287,804 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 — 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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
The following individual(s) received severance payments from the organization or a related organization during calendar year 2023: Kenneth Burkovitz: $890,000 Robert Guha: $174,561 Douglas Todd Myers: $374,999 Jonathan Samuel Nalli: $610,039
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202541349349313259

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

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