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Nonprofiteer
← NORTHEAST GEORGIA MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by NORTHEAST GEORGIA MEDICAL CENTER INC.

Totals

Total revenue
$2,021,957,798
Total expenses
$1,712,828,559
Contributions and grants received
$10,297,384
Grants paid
$2,539,896
Program service revenue
$1,933,629,224
Investment income
$77,296,743
Other revenue
$734,447
Total assets, end of year
$2,577,164,049
Total liabilities, end of year
$1,428,356,415
Net assets or fund balances, end of year
$1,148,807,634
Program services expenses (Part IX)
$1,558,566,317
Management and general expenses
$154,262,242
Fundraising expenses
$0
Program service expenses (Part III)
$1,558,566,317

Program services were 91.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CAMILLE VIERA-HEWELL

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JENNY FLOYD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JEREMY WALKER

    PHYSICIAN - NGPG

    Total calculated
    $442,585
    From this org
    $400,941
    From related orgs
    $0
    Other
    $41,644
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $357,264
    Bonus
    $42,614
    Other
    $1,063
    Deferred
    $10,675
    Nontaxable benefits
    $30,969
    Filer's total
    $442,585

  • MARTHA RANDOLPH

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • PETE WILLIAMS

    PHYSICIAN - NGPG

    Total calculated
    $397,480
    From this org
    $355,835
    From related orgs
    $0
    Other
    $41,645
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $327,771
    Bonus
    $0
    Other
    $28,064
    Deferred
    $10,675
    Nontaxable benefits
    $30,970
    Filer's total
    $397,480

  • PHILLIPPA LEWIS MOSS

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • PRESTON BOWEN

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SEMUEL MAYSONET

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN SAMUEL

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CAROL BURRELL

    PRESIDENT & CEO

    Total calculated
    $1,764,333
    From this org
    $1,737,600
    From related orgs
    $0
    Other
    $26,733
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $1,224,403
    Bonus
    $422,941
    Other
    $90,256
    Deferred
    $446
    Nontaxable benefits
    $26,287
    Filer's total
    $1,764,333

  • BRIAN D STEINES

    CHIEF FINANCIAL OFFICER

    Total calculated
    $1,057,880
    From this org
    $932,421
    From related orgs
    $0
    Other
    $125,459
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $631,187
    Bonus
    $262,576
    Other
    $38,658
    Deferred
    $92,778
    Nontaxable benefits
    $32,681
    Filer's total
    $1,057,880

  • STEPHEN KELLY

    CHIEF COMPLIANCE OFFICER

    Total calculated
    $388,773
    From this org
    $327,490
    From related orgs
    $0
    Other
    $61,283
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $232,787
    Bonus
    $72,860
    Other
    $21,843
    Deferred
    $42,435
    Nontaxable benefits
    $18,848
    Filer's total
    $388,773

  • MICHAEL COVERT

    CHIEF OPERATING OFFICER, MEMBER

    Total calculated
    $1,320,534
    From this org
    $1,198,403
    From related orgs
    $0
    Other
    $122,131
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $814,501
    Bonus
    $339,878
    Other
    $44,024
    Deferred
    $114,931
    Nontaxable benefits
    $7,200
    Filer's total
    $1,320,534

  • DIANE POIROT

    CHIEF HR OFFICER - NGHS

    Total calculated
    $161,644
    From this org
    $153,802
    From related orgs
    $0
    Other
    $7,842
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $127,154
    Bonus
    $100
    Other
    $26,548
    Deferred
    $327
    Nontaxable benefits
    $7,515
    Filer's total
    $161,644

  • JOHN DELZELL JR

    VP MEDICAL EDUCATION - NGMC

    Total calculated
    $625,284
    From this org
    $543,085
    From related orgs
    $0
    Other
    $82,199
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $398,073
    Bonus
    $119,541
    Other
    $25,471
    Deferred
    $63,000
    Nontaxable benefits
    $19,199
    Filer's total
    $625,284

  • JOHN A WILLIAMSON

    PRESIDENT NGMC BRASELTON

    Total calculated
    $678,682
    From this org
    $564,401
    From related orgs
    $0
    Other
    $114,281
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $400,977
    Bonus
    $121,434
    Other
    $41,990
    Deferred
    $84,441
    Nontaxable benefits
    $29,840
    Filer's total
    $678,682

  • MELISSA TYMCHUK

    CHIEF OF STAFF - NGHS

    Total calculated
    $546,723
    From this org
    $453,575
    From related orgs
    $0
    Other
    $93,148
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $328,698
    Bonus
    $91,179
    Other
    $33,698
    Deferred
    $58,913
    Nontaxable benefits
    $34,235
    Filer's total
    $546,723

  • TRACY VARDEMAN

    CHIEF STRATEGY EXECUTIVE - NGHS

    Total calculated
    $727,530
    From this org
    $593,209
    From related orgs
    $0
    Other
    $134,321
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $389,375
    Bonus
    $159,666
    Other
    $44,168
    Deferred
    $104,560
    Nontaxable benefits
    $29,761
    Filer's total
    $727,530

  • JACK CHENG

    PHYSICIAN

    Total calculated
    $392,494
    From this org
    $371,820
    From related orgs
    $0
    Other
    $20,674
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,491
    Bonus
    $145,159
    Other
    $1,170
    Deferred
    $8,768
    Nontaxable benefits
    $11,906
    Filer's total
    $392,494

  • KONSTANTIN ZUBELEVITSKIY

    VP - POST ACUTE CARE

    Total calculated
    $561,775
    From this org
    $517,446
    From related orgs
    $0
    Other
    $44,329
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $504,637
    Bonus
    $10,147
    Other
    $2,662
    Deferred
    $10,675
    Nontaxable benefits
    $33,654
    Filer's total
    $561,775

  • KRUPA DESAI

    MEDICAL DIRECTOR - CAPACITY COMMAND CENTER

    Total calculated
    $444,734
    From this org
    $403,089
    From related orgs
    $0
    Other
    $41,645
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $386,609
    Bonus
    $15,300
    Other
    $1,180
    Deferred
    $10,675
    Nontaxable benefits
    $30,970
    Filer's total
    $444,734

  • MARTIN AUSTIN

    PHYSICIAN

    Total calculated
    $485,525
    From this org
    $454,634
    From related orgs
    $0
    Other
    $30,891
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $426,570
    Bonus
    $0
    Other
    $28,064
    Deferred
    $10,675
    Nontaxable benefits
    $20,216
    Filer's total
    $485,525

  • TINA WALDEN

    VP - ADMINISTRATOR OF PHYSICIAN PRACTICE, GEORGIA

    Total calculated
    $451,171
    From this org
    $356,018
    From related orgs
    $0
    Other
    $95,153
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,168
    Bonus
    $76,366
    Other
    $14,484
    Deferred
    $72,028
    Nontaxable benefits
    $23,125
    Filer's total
    $451,171

  • LUISA GUTMAN

    FORMER CHIEF HR OFFICER - NGHS

    Total calculated
    $127,234
    From this org
    $101,974
    From related orgs
    $0
    Other
    $25,260
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $101,974
    Deferred
    $23,469
    Nontaxable benefits
    $1,791
    Filer's total
    $127,234

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
  • 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
EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN BRIAN D. STEINES $ 82,103 JOHN DELZELL, JR. $ 52,325 JOHN A. WILLIAMSON $ 53,153 MELISSA TYMCHUK $ 37,015 MICHAEL COVERT $ 104,256 STEPHEN KELLY $ 31,892 TRACY VARDEMAN $ 51,583 TINA WALDEN $ 33,897 CAROL H. BURRELL, PRESIDENT AND CEO: BEGINNING IN DECEMBER 2017, NORTHEAST GEORGIA HEALTH SYSTEM (A RELATED ORGANIZATION) INVESTED IN A JOINTLY-OWNED SPLIT DOLLAR LIFE INSURANCE PLAN FOR MS. BURRELL. THE ASSET VALUE AS OF SEPTEMBER 30, 2023 WAS $5,756,819. EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): BRIAN D. STEINES $ 77,146 JOHN DELZELL, JR. $ 48,385 JOHN A. WILLIAMSON $ 49,152 MELISSA TYMCHUK $ 30,061 MICHAEL COVERT $ 104,256 STEPHEN KELLY $ 29,491 TINA WALDEN $ 30,572 TRACY VARDEMAN $ 42,429

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SCA - NORTHEAST GEORGIA HEALTH LLC

    RELATED · HEALTHCARE · AL · 51% owned · share of income $564,695 · share of assets $903,020 · general or managing partner

    Directly controlled by NORTHEAST GEORGIA MEDICAL CENTER INC

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202422279349300627

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