Totals
- Total revenue
- $2,410,293
- Total expenses
- $223,094,170
- Contributions and grants received
- $162,430
- Grants paid
- $31,015
- Program services expenses (Part IX)
- $196,382,483
- Management and general expenses
- $26,711,687
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $196,382,483
Program services were 88.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
MARY H BOOSALIS
PRESIDENT & CEO (TO JAN)
- Total calculated
- $2,291,841
- From this org
- $2,267,077
- From related orgs
- $0
- Other
- $24,764
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $243,179
- Bonus
- $1,799,215
- Other
- $224,683
- Deferred
- $18,855
- Nontaxable benefits
- $5,909
- Filer's total
- $2,291,841
-
MICHAEL C RIORDAN
PRESIDENT & CEO (FROM JAN)
- Total calculated
- $1,308,572
- From this org
- $1,280,440
- From related orgs
- $0
- Other
- $28,132
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $1,067,901
- Bonus
- $0
- Other
- $212,539
- Deferred
- $0
- Nontaxable benefits
- $28,132
- Filer's total
- $1,308,572
-
BRYAN R LUDWIG MD
TRUSTEE
- Total calculated
- $889,941
- From this org
- $0
- From related orgs
- $848,809
- Other
- $41,132
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $845,835 related
- Bonus
- $0
- Other
- $0 + $2,974 related
- Deferred
- $0 + $12,084 related
- Nontaxable benefits
- $0 + $29,048 related
- Filer's total
- $0 + $889,941 related
-
DARIN J PANGALANGAN MD
TRUSTEE
- Total calculated
- $682,223
- From this org
- $0
- From related orgs
- $670,193
- Other
- $12,030
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $523,699 related
- Bonus
- $0 + $141,347 related
- Other
- $0 + $5,147 related
- Deferred
- $0 + $9,946 related
- Nontaxable benefits
- $0 + $2,084 related
- Filer's total
- $0 + $682,223 related
-
SUBODH K WADHWA MD
TRUSTEE
- Total calculated
- $280,969
- From this org
- $0
- From related orgs
- $265,924
- Other
- $15,045
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $235,408 related
- Bonus
- $0
- Other
- $0 + $30,516 related
- Deferred
- $0 + $3,638 related
- Nontaxable benefits
- $0 + $11,407 related
- Filer's total
- $0 + $280,969 related
-
KATHLEEN A CARLSON
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
STEVE BEINLICH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
MARVA COSBY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
LANCE DETRICK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
NICOLE ERNST
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
GAIL P FOREST
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
MARTIN K FUJIMURA MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
JOSEPH M GERAGHTY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
LARRY L HOLLINGSHEAD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
JOHN W JACK LOHBECK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
JASON MAHONEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
MITCH MELFI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
DOUGLAS L MEYER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
COLLEEN RYAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5
-
LISA SHOCKLEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
STEVEN STALEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
JILL WILSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.5 + 0.5 related
-
BARBARA A JOHNSON
COO
- Total calculated
- $1,191,910
- From this org
- $1,165,699
- From related orgs
- $0
- Other
- $26,211
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $779,540
- Bonus
- $297,335
- Other
- $88,824
- Deferred
- $14,063
- Nontaxable benefits
- $12,148
- Filer's total
- $1,191,910
-
GEOFFREY P WALKER
BOARD SECRETARY & CLO
- Total calculated
- $990,981
- From this org
- $942,545
- From related orgs
- $0
- Other
- $48,436
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $483,803
- Bonus
- $150,928
- Other
- $307,814
- Deferred
- $18,871
- Nontaxable benefits
- $29,565
- Filer's total
- $990,981
-
CRAIG GANGER
CFO
- Total calculated
- $872,740
- From this org
- $806,989
- From related orgs
- $0
- Other
- $65,751
- Hours/week
- 39.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $573,905
- Bonus
- $211,359
- Other
- $21,725
- Deferred
- $35,804
- Nontaxable benefits
- $29,947
- Filer's total
- $872,740
-
MARC R BELCASTRO DO
VP MEDICAL AFFAIRS & PREMIER CMO
- Total calculated
- $871,096
- From this org
- $834,885
- From related orgs
- $0
- Other
- $36,211
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $598,103
- Bonus
- $181,805
- Other
- $54,977
- Deferred
- $10,475
- Nontaxable benefits
- $25,736
- Filer's total
- $871,096
-
KEITH D BRICKING MD
VP-CHIEF CLINICAL OFFICER (FROM OCT)
- Total calculated
- $849,780
- From this org
- $0
- From related orgs
- $782,373
- Other
- $67,407
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $0 + $571,733 related
- Bonus
- $0 + $199,778 related
- Other
- $0 + $10,862 related
- Deferred
- $0 + $34,979 related
- Nontaxable benefits
- $0 + $32,428 related
- Filer's total
- $0 + $849,780 related
-
MARY M CLANCY
CHIEF DIGITAL OFFICER
- Total calculated
- $756,956
- From this org
- $704,534
- From related orgs
- $0
- Other
- $52,422
- Hours/week
- 9.5 + 30.5 related
Schedule J breakdown matched by us
- Base
- $470,691
- Bonus
- $150,789
- Other
- $83,054
- Deferred
- $19,693
- Nontaxable benefits
- $32,729
- Filer's total
- $756,956
-
J MICHAEL SIMS
SYS VP & CORPORATE CONTROLLER
- Total calculated
- $727,946
- From this org
- $677,602
- From related orgs
- $0
- Other
- $50,344
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $355,741
- Bonus
- $138,119
- Other
- $183,742
- Deferred
- $19,235
- Nontaxable benefits
- $31,109
- Filer's total
- $727,946
-
MARGARET PEGGY W MARK
VP NURSING/CNO/PATIENT EXP (TO APR)
- Total calculated
- $746,384
- From this org
- $566,116
- From related orgs
- $0
- Other
- $180,268
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $127,686
- Bonus
- $133,099
- Other
- $305,331
- Deferred
- $154,451
- Nontaxable benefits
- $25,817
- Filer's total
- $746,384
-
AMANDA K ADKINS-RICCI
SYSTEM VP REVENUE CYCLE
- Total calculated
- $310,301
- From this org
- $287,332
- From related orgs
- $0
- Other
- $22,969
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $241,887
- Bonus
- $44,970
- Other
- $475
- Deferred
- $11,512
- Nontaxable benefits
- $11,457
- Filer's total
- $310,301
-
LISA M GOSSETT
VP NURSE/CNO/PATIENT EXP (FROM JUN)
- Total calculated
- $215,250
- From this org
- $202,745
- From related orgs
- $0
- Other
- $12,505
- Hours/week
- 10 + 30 related
Schedule J breakdown matched by us
- Base
- $200,746
- Bonus
- $0
- Other
- $1,999
- Deferred
- $2,855
- Nontaxable benefits
- $9,650
- Filer's total
- $215,250
-
DIANE L PLEIMAN
PRESIDENT & CEO-PHYS COMPANIES
- Total calculated
- $876,949
- From this org
- $851,501
- From related orgs
- $0
- Other
- $25,448
- Hours/week
- 8 + 32 related
Schedule J breakdown matched by us
- Base
- $436,713
- Bonus
- $225,134
- Other
- $189,654
- Deferred
- $16,571
- Nontaxable benefits
- $8,877
- Filer's total
- $876,949
-
JASON M BAILEY
DIRECTOR-VALUE BASED SERVICES
- Total calculated
- $301,573
- From this org
- $204,086
- From related orgs
- $0
- Other
- $97,487
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $143,636
- Bonus
- $36,299
- Other
- $24,151
- Deferred
- $71,140
- Nontaxable benefits
- $26,347
- Filer's total
- $301,573
-
MICHAEL J MAIBERGER
FORMER OFFICER
- Total calculated
- $822,367
- From this org
- $0
- From related orgs
- $822,367
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $822,367 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $822,367 related
-
GARY G GINTER
FORMER KEY EMPLOYEE
- Total calculated
- $864,000
- From this org
- $0
- From related orgs
- $814,929
- Other
- $49,071
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $450,593 related
- Bonus
- $0 + $126,517 related
- Other
- $0 + $237,819 related
- Deferred
- $0 + $19,235 related
- Nontaxable benefits
- $0 + $29,836 related
- Filer's total
- $0 + $864,000 related
-
JENNIFER J HAULER DO
FORMER KEY EMPLOYEE
- Total calculated
- $784,507
- From this org
- $0
- From related orgs
- $765,079
- Other
- $19,428
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $557,482 related
- Bonus
- $0 + $184,044 related
- Other
- $0 + $23,553 related
- Deferred
- $0 + $17,044 related
- Nontaxable benefits
- $0 + $2,384 related
- Filer's total
- $0 + $784,507 related
-
ELAINE LAINIE M DEAN
FORMER KEY EMPLOYEE
- Total calculated
- $586,099
- From this org
- $0
- From related orgs
- $560,347
- Other
- $25,752
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $407,817 related
- Bonus
- $0 + $129,774 related
- Other
- $0 + $22,756 related
- Deferred
- $0 + $11,065 related
- Nontaxable benefits
- $0 + $14,687 related
- Filer's total
- $0 + $586,099 related
-
BILLIE L LUCENTE-BAKER
FORMER KEY EMPLOYEE
- Total calculated
- $351,034
- From this org
- $0
- From related orgs
- $319,191
- Other
- $31,843
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $241,999 related
- Bonus
- $0 + $76,411 related
- Other
- $0 + $781 related
- Deferred
- $0 + $16,655 related
- Nontaxable benefits
- $0 + $15,188 related
- Filer's total
- $0 + $351,034 related
-
MATTHEW S REEVES
FORMER HIGHEST COMPENSATED EMPLOYEE
- Total calculated
- $441,758
- From this org
- $413,044
- From related orgs
- $0
- Other
- $28,714
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $95,316
- Other
- $317,728
- Deferred
- $6,632
- Nontaxable benefits
- $22,082
- Filer's total
- $441,758
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 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 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, LINE 4A:
- THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2022: JASON BAILEY $23,694; MARY BOOSALIS $218,596; MARGARET MARK $273,306; MATTHEW REEVES $328,122.
- 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, PREMIER HEALTH (PREMIER) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. PREMIER 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: MARY CLANCY $78,305; DIANE PLEIMAN $166,819; J. MICHAEL SIMS $156,921; GEOFFREY WALKER $300,385. UNDER THE SERP AND RECEIVED THE ASSOCIATED PLAN PAYMENT IN 2022. THE INDIVIDUALS LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE SERP AND RECEIVED THE ASSOCIATED PAYMENT IN 2022: MARC BELCASTRO, M.D. $43,756; GARY GINTER $230,909; BARBARA JOHNSON $74,090; MICHAEL MAIBERGER $392,827; MARGARET MARK $17,830. THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELD UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: KEITH BRICKING, M.D. $25,383; CRAIG GANGER $24,813; JENNIFER HAULER, D.O. $7,358; BILLIE LUCENTE-BAKER $1,828. 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.
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
-
SAMARITAN BEHAVIORAL HEALTH INC
$30,000
SUPPORT
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) · SUPPORT ORG · OH
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
MIAMI VALLEY HOSPITAL FOUNDATION
501(C)(3) · FOUNDATION · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
501(C)(3) · HOME HEALTH · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
501(C)(3) · HEALTH EDUCATION · OH · controlled entity
Directly controlled by FIDELITY HEALTH CARE
-
GOOD SAMARITAN FOUNDATION - DAYTON
501(C)(3) · FOUNDATION · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
501(C)(3) · SUPPORT ORG · OH
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
501(C)(3) · SUPPORT ORG · OH
-
501(C)(3) · HOSPITAL · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
UPPER VALLEY PROFESSIONAL CORP
501(C)(3) · HEALTH CARE · OH · controlled entity
Directly controlled by PREMIER HEALTH HOLDING CO
-
501(C)(3) · HEALTH CARE · OH · controlled entity
Directly controlled by PREMIER HEALTH HOLDING CO
-
501(C)(3) · NURSING HOME · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
COMPUNET CLINICAL LABORATORIES LLC (MAR 09 TO DEC 31)
501(C)(3) · LAB · OH · controlled entity
Directly controlled by PREMIER HEALTH
-
SAMARITAN BEHAVIORAL HEALTH INC
501(C)(3) · BEHAVIORAL HEALTH · OH · controlled entity
Directly controlled by PREMIER HEALTH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323189349312787
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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