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Nonprofiteer
← ST MARYS MEDICAL GROUP LLC

Form 990 for tax year 2022

Filed by ST MARYS MEDICAL GROUP LLC.

Totals

Total revenue
$86,625,786
Total expenses
$146,588,041
Contributions and grants received
$59,170
Grants paid
$0
Program services expenses (Part IX)
$126,918,437
Management and general expenses
$19,669,604
Fundraising expenses
$0
Program service expenses (Part III)
$126,918,437

Program services were 86.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BRADLEY MCNABB

    CHIEF OPERATING OFFICER

    Total calculated
    $555,536
    From this org
    $0
    From related orgs
    $512,528
    Other
    $43,008
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $360,893 related
    Bonus
    $0 + $110,680 related
    Other
    $0 + $40,955 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $24,708 related
    Filer's total
    $0 + $555,536 related

  • ELIZABETH L HELMS APRN

    SECRETARY

    Total calculated
    $168,121
    From this org
    $0
    From related orgs
    $143,983
    Other
    $24,138
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $130,436 related
    Bonus
    $0 + $12,618 related
    Other
    $0 + $929 related
    Deferred
    $0 + $9,678 related
    Nontaxable benefits
    $0 + $14,460 related
    Filer's total
    $0 + $168,121 related

  • JENNIFER L STANLEY MD

    CHAIR

    Total calculated
    $379,108
    From this org
    $0
    From related orgs
    $336,170
    Other
    $42,938
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $299,596 related
    Bonus
    $0 + $35,001 related
    Other
    $0 + $1,573 related
    Deferred
    $0 + $15,875 related
    Nontaxable benefits
    $0 + $27,063 related
    Filer's total
    $0 + $379,108 related

  • EMILY J COCHARD MD

    DIRECTOR

    Total calculated
    $639,065
    From this org
    $0
    From related orgs
    $598,253
    Other
    $40,812
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $508,694 related
    Bonus
    $0 + $74,562 related
    Other
    $0 + $14,997 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $24,037 related
    Filer's total
    $0 + $639,065 related

  • JOHN C RODRIGUES MD

    DIRECTOR/PHYSICIAN

    Total calculated
    $490,141
    From this org
    $450,515
    From related orgs
    $0
    Other
    $39,626
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $385,582
    Bonus
    $59,749
    Other
    $5,184
    Deferred
    $18,300
    Nontaxable benefits
    $21,326
    Filer's total
    $490,141

  • KAREN WENDOWSKI MD

    DIRECTOR

    Total calculated
    $374,247
    From this org
    $0
    From related orgs
    $328,099
    Other
    $46,148
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,015 related
    Bonus
    $0
    Other
    $0 + $1,084 related
    Deferred
    $0 + $19,671 related
    Nontaxable benefits
    $0 + $26,477 related
    Filer's total
    $0 + $374,247 related

  • KEVIN M SHERIDAN MD

    DIRECTOR

    Total calculated
    $606,847
    From this org
    $0
    From related orgs
    $584,020
    Other
    $22,827
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,561 related
    Bonus
    $0 + $192,217 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $4,527 related
    Filer's total
    $0 + $606,847 related

  • MAZEN ALSATIE MD

    DIRECTOR

    Total calculated
    $774,967
    From this org
    $0
    From related orgs
    $735,172
    Other
    $39,795
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,478 related
    Bonus
    $0 + $123,072 related
    Other
    $0 + $2,622 related
    Deferred
    $0 + $7,625 related
    Nontaxable benefits
    $0 + $32,170 related
    Filer's total
    $0 + $774,967 related

  • MICHAEL T EMMONS DO

    DIRECTOR

    Total calculated
    $650,651
    From this org
    $0
    From related orgs
    $612,238
    Other
    $38,413
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,112 related
    Bonus
    $0 + $127,500 related
    Other
    $0 + $43,626 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $20,113 related
    Filer's total
    $0 + $650,651 related

  • RONDA A HAMAKER MD

    DIRECTOR

    Total calculated
    $638,084
    From this org
    $0
    From related orgs
    $599,648
    Other
    $38,436
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,624 related
    Bonus
    $0 + $132,426 related
    Other
    $0 + $4,598 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $27,761 related
    Filer's total
    $0 + $638,084 related

  • SANDEEP A JOSHI MD

    DIRECTOR

    Total calculated
    $905,135
    From this org
    $0
    From related orgs
    $859,289
    Other
    $45,846
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $502,419 related
    Bonus
    $0 + $354,521 related
    Other
    $0 + $2,349 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $27,546 related
    Filer's total
    $0 + $905,135 related

  • BRIAN MORRIS

    VP, FINANCE

    Total calculated
    $471,766
    From this org
    $0
    From related orgs
    $432,639
    Other
    $39,127
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,861 related
    Bonus
    $0 + $99,297 related
    Other
    $0 + $7,481 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $20,827 related
    Filer's total
    $0 + $471,766 related

  • PARVEEN CHAND

    INTERIM PRESIDENT (END 8/2022)

    Total calculated
    $575,121
    From this org
    $0
    From related orgs
    $536,859
    Other
    $38,262
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,004 related
    Bonus
    $0 + $106,250 related
    Other
    $0 + $23,605 related
    Deferred
    $0 + $10,554 related
    Nontaxable benefits
    $0 + $27,708 related
    Filer's total
    $0 + $575,121 related

  • RONALD C PERKINS MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $586,342
    From this org
    $549,066
    From related orgs
    $0
    Other
    $37,276
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $453,444
    Bonus
    $93,000
    Other
    $2,622
    Deferred
    $7,625
    Nontaxable benefits
    $29,651
    Filer's total
    $586,342

  • ANTHONY VOELKEL MD

    PHYSICIAN

    Total calculated
    $1,258,057
    From this org
    $1,230,201
    From related orgs
    $0
    Other
    $27,856
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,111,445
    Bonus
    $117,616
    Other
    $1,140
    Deferred
    $16,775
    Nontaxable benefits
    $11,081
    Filer's total
    $1,258,057

  • ROBERT RYAN QUADE MD

    PHYSICIAN

    Total calculated
    $1,184,404
    From this org
    $1,133,966
    From related orgs
    $0
    Other
    $50,438
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $864,966
    Bonus
    $240,121
    Other
    $28,879
    Deferred
    $16,775
    Nontaxable benefits
    $33,663
    Filer's total
    $1,184,404

  • SHERYL L ZIEGLER DO

    PHYSICIAN

    Total calculated
    $1,199,017
    From this org
    $1,177,496
    From related orgs
    $0
    Other
    $21,521
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $625,834
    Bonus
    $547,326
    Other
    $4,336
    Deferred
    $15,250
    Nontaxable benefits
    $6,271
    Filer's total
    $1,199,017

  • UMANG M PATEL MD

    PHYSICIAN

    Total calculated
    $1,285,821
    From this org
    $1,243,462
    From related orgs
    $0
    Other
    $42,359
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $937,665
    Bonus
    $303,175
    Other
    $2,622
    Deferred
    $9,150
    Nontaxable benefits
    $33,209
    Filer's total
    $1,285,821

  • VISHAL BHATIA MD

    PHYSICIAN

    Total calculated
    $950,933
    From this org
    $925,666
    From related orgs
    $0
    Other
    $25,267
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $727,230
    Bonus
    $196,726
    Other
    $1,710
    Deferred
    $16,775
    Nontaxable benefits
    $8,492
    Filer's total
    $950,933

  • DANIEL A PAROD

    FORMER OFFICER (END 1/2022)

    Total calculated
    $973,050
    From this org
    $0
    From related orgs
    $924,461
    Other
    $48,589
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $536,684 related
    Bonus
    $0 + $266,280 related
    Other
    $0 + $121,497 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $31,814 related
    Filer's total
    $0 + $973,050 related

  • ZACH ZIRKELBACH

    FORMER OFFICER (END 1/2018)

    Total calculated
    $337,652
    From this org
    $0
    From related orgs
    $289,442
    Other
    $48,210
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,969 related
    Bonus
    $0 + $69,768 related
    Other
    $0 + $705 related
    Deferred
    $0 + $16,672 related
    Nontaxable benefits
    $0 + $31,538 related
    Filer's total
    $0 + $337,652 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

  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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 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
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202411299349303126

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

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