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Nonprofiteer
← GRACE MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by GRACE MEDICAL CENTER INC.

Totals

Total revenue
$10,772,195
Total expenses
$25,508,694
Contributions and grants received
$722,684
Grants paid
$0
Program services expenses (Part IX)
$17,372,574
Management and general expenses
$8,136,120
Fundraising expenses
$0
Program service expenses (Part III)
$17,372,574

Program services were 68.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • NEIL MELTZER

    PRESIDENT/ CEO, LBH

    Total calculated
    $4,027,911
    From this org
    $0
    From related orgs
    $3,617,972
    Other
    $409,939
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,100,384 related
    Bonus
    $0 + $1,347,370 related
    Other
    $0 + $1,170,218 related
    Deferred
    $0 + $388,009 related
    Nontaxable benefits
    $0 + $21,930 related
    Filer's total
    $0 + $4,027,911 related

  • DAVID KRAJEWSKI

    EX OFFICIO-ASSISTANT TREASURER

    Total calculated
    $2,261,085
    From this org
    $0
    From related orgs
    $1,734,148
    Other
    $526,937
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $781,444 related
    Bonus
    $0 + $642,476 related
    Other
    $0 + $310,228 related
    Deferred
    $0 + $505,167 related
    Nontaxable benefits
    $0 + $21,770 related
    Filer's total
    $0 + $2,261,085 related

  • LESLIE SIMMONS

    COO, LBH,INTERIM PRES. SHB&GMC

    Total calculated
    $1,908,539
    From this org
    $0
    From related orgs
    $1,643,643
    Other
    $264,896
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $711,284 related
    Bonus
    $0 + $454,822 related
    Other
    $0 + $477,537 related
    Deferred
    $0 + $242,547 related
    Nontaxable benefits
    $0 + $22,349 related
    Filer's total
    $0 + $1,908,539 related

  • MATTHEW POFFENROTH MD

    VICE PRESIDENT, LBH

    Total calculated
    $1,207,387
    From this org
    $0
    From related orgs
    $1,035,160
    Other
    $172,227
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $600,585 related
    Bonus
    $0 + $335,121 related
    Other
    $0 + $99,454 related
    Deferred
    $0 + $146,837 related
    Nontaxable benefits
    $0 + $25,390 related
    Filer's total
    $0 + $1,207,387 related

  • DANIEL BLUM THRU 223

    SVP LBH, PRESIDENT SHB & GMC

    Total calculated
    $1,106,162
    From this org
    $0
    From related orgs
    $1,002,822
    Other
    $103,340
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $672,148 related
    Bonus
    $0 + $318,849 related
    Other
    $0 + $11,825 related
    Deferred
    $0 + $78,027 related
    Nontaxable benefits
    $0 + $25,313 related
    Filer's total
    $0 + $1,106,162 related

  • JASON WEINER

    EX OFFICIO-ASSISTANT SECRETARY

    Total calculated
    $1,076,887
    From this org
    $0
    From related orgs
    $930,684
    Other
    $146,203
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $464,254 related
    Bonus
    $0 + $337,022 related
    Other
    $0 + $129,408 related
    Deferred
    $0 + $124,187 related
    Nontaxable benefits
    $0 + $22,016 related
    Filer's total
    $0 + $1,076,887 related

  • REBECCA ALTMAN

    VICE PRESIDENT, LBH

    Total calculated
    $516,552
    From this org
    $0
    From related orgs
    $443,921
    Other
    $72,631
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $354,256 related
    Bonus
    $0 + $89,487 related
    Other
    $0 + $178 related
    Deferred
    $0 + $48,239 related
    Nontaxable benefits
    $0 + $24,392 related
    Filer's total
    $0 + $516,552 related

  • DEBRA MORTON

    CHIEF NURSING OFFICER

    Total calculated
    $450,467
    From this org
    $0
    From related orgs
    $404,572
    Other
    $45,895
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $315,005 related
    Bonus
    $0 + $81,668 related
    Other
    $0 + $7,899 related
    Deferred
    $0 + $37,146 related
    Nontaxable benefits
    $0 + $8,749 related
    Filer's total
    $0 + $450,467 related

  • ARSALAN SHEIKH MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $378,959
    From this org
    $347,206
    From related orgs
    $0
    Other
    $31,753
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $313,850
    Bonus
    $33,356
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $31,753
    Filer's total
    $378,959

  • THEODORA BALIS MD

    PRIMARY CARE PHYSICIAN

    Total calculated
    $362,133
    From this org
    $330,076
    From related orgs
    $0
    Other
    $32,057
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $280,076
    Bonus
    $50,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $32,057
    Filer's total
    $362,133

  • YASMEEN AHMED MD

    PHYSICIAN

    Total calculated
    $279,326
    From this org
    $246,221
    From related orgs
    $0
    Other
    $33,105
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,221
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $33,105
    Filer's total
    $279,326

  • MOHAMED DAUDA MD

    PRESIDENT MEDICAL STAFF

    Total calculated
    $278,838
    From this org
    $245,531
    From related orgs
    $0
    Other
    $33,307
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,031
    Bonus
    $0
    Other
    $19,500
    Deferred
    $0
    Nontaxable benefits
    $33,307
    Filer's total
    $278,838

  • MICHELLE BERKLEY-BROWN

    AVP OPERATIONS

    Total calculated
    $218,287
    From this org
    $216,008
    From related orgs
    $0
    Other
    $2,279
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $187,913
    Bonus
    $28,095
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $2,279
    Filer's total
    $218,287

  • CAROLYN R KELLY-GREENE

    DIRECTOR IMAGING SERVICES

    Total calculated
    $212,811
    From this org
    $180,565
    From related orgs
    $0
    Other
    $32,246
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,284
    Bonus
    $24,281
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $32,246
    Filer's total
    $212,811

  • HEATHER YOUNG

    PROGRAM DIRECTOR

    Total calculated
    $199,937
    From this org
    $165,612
    From related orgs
    $0
    Other
    $34,325
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,807
    Bonus
    $22,805
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $34,325
    Filer's total
    $199,937

  • JONATHAN DAVIDOV

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • DENNIS WEINMAN

    VICE CHAIR/SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL GAINES SR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • VENROY JULY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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:
SINCE NOVEMBER 1, 2020, THE ORGANIZATION HAS BEEN PART OF LIFEBRIDGE HEALTH ("LBH"). THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY LBH AS PART OF ITS PROCESS FOR SETTING EXECUTIVE COMPENSATION ACROSS THE HEALTH SYSTEM. METHODS USED BY LBH INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4B:
THE FOLLOWING DIRECTORS, OFFICERS and key employees PARTICIPATED IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. THE AMOUNTS REPORTED BELOW REPRESENT EMPLOYER CONTRIBUTIONS TO THE SECTION 457(F) PLAN MADE DURING THE YEAR: DAVID KRAJEWSKI $ 467,587 NEIL MELTZER $ 354,129 LESLIE SIMMONS $ 209,197 MATTHEW POFFENROTH, MD $ 139,485 JASON WEINER $ 96,460 DANIEL BLUM $ 75,712 REBECCA ALTMAN $ 39,613 DURING THE YEAR, THE FOLLOWING DIRECTORS AND OFFICERS RECEIVED PAYMENTS AS PART OF THEIR PARTICIPATION IN A LIFEBRIDGE HEALTH SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: NEIL MELTZER $ 1,111,000 LESLIE SIMMONS $ 451,092 DAVID KRAJEWSKI $ 272,466 JASON WEINER $ 98,198 MATTHEW POFFENROTH, MD $ 85,072 COMPENSATION PROVIDED BY RELATED ORGANIZATIONS: MR. BLUM RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC./PRESIDENT OF SINAI HOSPITAL OF BALTIMORE, INC. & GRACE MEDICAL CENTER, NOT AS A DIRECTOR. MR. KRAJEWSKI RECEIVED COMPENSATION AS AN EXECUTIVE VICE PRESIDENT AND THE CHIEF FINANCIAL OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. WEINER RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT AND THE GENERAL COUNSEL OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. POFFENROTH RECEIVED COMPENSATION AS A SENIOR VICE PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS AN OFFICER OF GRACE MEDICAL CENTER, INC. MR. MELTZER RECEIVED COMPENSATION AS THE CHIEF EXECUTIVE OFFICER AND PRESIDENT OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. MS. ALTMAN RECEIVED COMPENSATION AS A VICE PRESIDENT AND THE CHIEF INTEGRATION OFFICER OF LIFEBRIDGE HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC. DR. DAUDA RECEIVED COMPENSATION AS AN EMPLOYED PHYSICIAN OF GRACE MEDICAL CENTER, INC., NOT AS A DIRECTOR OF GRACE MEDICAL CENTER, INC. MS. SIMMONS RECEIVED COMPENSATION AS THE CHIEF OPERATIONS OFFICER AND EXECUTIVE VICE PRESIDENT OF LIFEBRIDGE, HEALTH, INC., NOT AS A DIRECTOR OR OFFICER OF GRACE MEDICAL CENTER, INC.

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
9 May 2024
IRS schema version
2022v5.0
Source object
202401349349308935

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