Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $146,445

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $13,989,958 · related or exempt $13,989,958

• 6a · Gross rents

  real property $14,851

• 6b · Less rental expenses

  real property $4,327

• 6c · Rental income or loss

  real property $10,524

• 6d · Net rental income or loss

  total $10,524 · excluded $10,524

• 7b · Less cost or other basis and sales expenses

  other assets $7,958

• 7c · Gain or loss

  other assets -$7,958

• 7d · Net gain or loss

  total -$7,958 · excluded -$7,958

• 11a · Other revenue: EMR INCENTIVE

  total $13,045 · excluded $13,045

• 11b · Other revenue: PURCHASE DISCOUNT

  total $1,853 · excluded $1,853

• 11e · Other revenue, total

  $14,898

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $12,145,153 · program services $10,636,279 · management and general $1,508,874

• 8 · Pension plan contributions

  total $348,450 · program services $272,779 · management and general $75,671

• 9 · Other employee benefits

  total $1,110,093 · program services $869,875 · management and general $240,218

• 10 · Payroll taxes

  total $707,887 · program services $566,813 · management and general $141,074

• 11g · Fees: other

  total $3,839,555 · program services $3,585,688 · management and general $253,867

• 12 · Advertising and promotion

  total $221 · program services $221

• 13 · Office expenses

  total $176,501 · program services $123,347 · management and general $53,154

• 14 · Information technology

  total $5,095 · program services $3,818 · management and general $1,277

• 16 · Occupancy

  total $883,422 · program services $682,265 · management and general $201,157

• 17 · Travel

  total $155,032 · program services $154,654 · management and general $378

• 22 · Depreciation, depletion and amortization

  total $106,253 · program services $106,253

• 23 · Insurance

  total $153,322 · program services $131,807 · management and general $21,515

• 24a · Other expenses: OPERATING SUPPLIES

  total $1,295,227 · program services $1,295,227

• 24b · Other expenses: REPAIRS AND MAINTENANCE

  total $30,154 · program services $25,875 · management and general $4,279

• 24c · Other expenses: MINOR EQUIPMENT

  total $24,583 · program services $23,728 · management and general $855

• 24d · Other expenses: TAXES

  total $5,229 · program services $5,229

• 24e · All other expenses

  total $2,947 · program services $1,942 · management and general $1,005

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $2,600 · end of year $2,600

• 2 · Savings and temporary cash investments

  beginning of year $352,933 · end of year $91,491

• 4 · Accounts receivable

  beginning of year $1,251,142 · end of year $1,267,993

• 9 · Prepaid expenses and deferred charges

  beginning of year $117,611 · end of year $160,084

• 10a · Land, buildings and equipment: cost or other basis

  $1,520,108

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,047,799

• 10c · Land, buildings and equipment, net

  beginning of year $616,533 · end of year $472,309

• 11 · Investments: publicly traded securities

  beginning of year $6,855,678 · end of year $5,866,678

• 15 · Other assets

  beginning of year $249,473 · end of year $161,805

• 17 · Accounts payable and accrued expenses

  beginning of year $9,037,849 · end of year $7,971,089

• 23 · Secured mortgages and notes payable

  beginning of year $145,845 · end of year $116,409

• 25 · Other liabilities

  beginning of year $409,034 · end of year $0

• 27 · Net assets without donor restrictions

  beginning of year -$146,758 · end of year -$64,538

The filer's explanations (Part III)

PART I, LINE 3

COMPENSATION FOR UVPC'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH UVPC IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15.

PART I, LINE 4A:

THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: TIMOTHY SNIDER RECEIVED $271,152 IN 2022.

PART I, LINE 4B:

DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, UPPER VALLEY PROFESSIONAL CORPORATION (UVPC) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. UVPC SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN AND A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2022. THE INDIVIDUALS LISTED BELOW HAVE MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: MICHAEL SIMS $156,921; GEOFFREY WALKER $300,385. THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: KRISTINA KEAN $3,066; KEVIN HARLAN $8,945. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES.

Related partnerships

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

• SWEITZER STREET LLC

  EXCLUDED · REAL ESTATE · OH

  Directly controlled by MVHE INC

• SWEITZER MOB LLC

  EXCLUDED · REAL ESTATE · OH

  Directly controlled by MVHE INC

Related corporations and trusts

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

• AFTER HOURS FAMILY CARE

  C · HEALTH CARE · OH

  Directly controlled by UPPER VALLEY PROFESSIONAL CORP

• GOOD SAMARITAN HOSPITAL

  C · HOSPITAL · OH

  Directly controlled by PREMIER HEALTH

• MVHE INC

  C · PHYSICIAN SVCS · OH

  Directly controlled by PREMIER HEALTH HOLDING CO

• PREMIER HEALTH ACO OF OHIO

  C · MEDICARE ACO · OH

  Directly controlled by PREMIER HEALTH

• PREMIER HEALTH HOLDING CO

  C · HOLDING CO · OH

  Directly controlled by PREMIER HEALTH

• PREMIER HEALTH INSURING CO

  C · HEALTH INSURANCE · OH

  Directly controlled by PREMIER HEALTH

• PREMIER HEALTH INT'L INSURANCE

  C · INSURANCE · BD

  Directly controlled by PREMIER HEALTH

• PREMIER HEALTH PLAN INC

  C · HEALTH INSURANCE · OH

  Directly controlled by PREMIER HEALTH INSURING CO

• PREMIER HEALTH SPECIALISTS

  C · PHYSICIAN SVCS · OH

  Directly controlled by PREMIER HEALTH HOLDING CO

• PREMIER HEALTH URGENT CARE INC

  C · URGENT CARE · OH

  Directly controlled by PREMIER HEALTH HOLDING CO

• SAMARITAN FAMILY CARE

  C · PHYSICIAN SVCS · OH

  Directly controlled by PREMIER HEALTH HOLDING CO

• UVMC MANAGEMENT CORP

  C · MANAGEMENT COMPANY · OH

  Directly controlled by PREMIER HEALTH