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Nonprofiteer
← MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by MEMORIAL HOSPITAL INC.

Totals

Total revenue
$90,248,673
Total expenses
$87,531,600
Contributions and grants received
$506,690
Grants paid
$120,942
Program services expenses (Part IX)
$79,390,714
Management and general expenses
$8,140,886
Fundraising expenses
$0
Program service expenses (Part III)
$79,390,714

Program services were 90.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Cornett MD Anita

    Director/CMO

    Total calculated
    $381,291
    From this org
    $97,332
    From related orgs
    $240,713
    Other
    $43,246
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $71,771 + $169,843 related
    Bonus
    $0 + $65,510 related
    Other
    $25,561 + $5,360 related
    Deferred
    $0 + $7,664 related
    Nontaxable benefits
    $12,752 + $22,830 related
    Filer's total
    $110,084 + $271,207 related

  • Gabbard Shane

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • Gupta MD Giriraj

    Director

    Total calculated
    $529,024
    From this org
    $482,822
    From related orgs
    $0
    Other
    $46,202
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $309,072
    Bonus
    $168,786
    Other
    $4,964
    Deferred
    $17,727
    Nontaxable benefits
    $28,475
    Filer's total
    $529,024

  • Guyton Alan

    Director/Reg. CFO

    Total calculated
    $695,684
    From this org
    $0
    From related orgs
    $578,783
    Other
    $116,901
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $448,324 related
    Bonus
    $0 + $64,895 related
    Other
    $0 + $65,564 related
    Deferred
    $0 + $84,318 related
    Nontaxable benefits
    $0 + $32,583 related
    Filer's total
    $0 + $695,684 related

  • Hancock Jennifer

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • Hewitt Mike

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • House Marshall

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • Jacob Sissel

    Director/CEO

    Total calculated
    $415,473
    From this org
    $0
    From related orgs
    $325,759
    Other
    $89,714
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $270,628 related
    Bonus
    $0 + $34,316 related
    Other
    $0 + $20,815 related
    Deferred
    $0 + $59,046 related
    Nontaxable benefits
    $0 + $30,668 related
    Filer's total
    $0 + $415,473 related

  • Johnson Sandra

    Director/Chairperson (End 07/23)

    Total calculated
    $596,319
    From this org
    $0
    From related orgs
    $578,592
    Other
    $17,727
    Hours/week
    0.1 + 24 related

    Schedule J breakdown matched by us

    Base
    $0 + $397,096 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $131,496 related
    Deferred
    $0 + $17,727 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $596,319 related

  • Murrill Michael

    Dir/Chairperson/Reg CEO (End 01/23)

    Total calculated
    $1,475,098
    From this org
    $0
    From related orgs
    $1,420,477
    Other
    $54,621
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $401,055 related
    Bonus
    $0 + $141,291 related
    Other
    $0 + $878,131 related
    Deferred
    $0 + $17,727 related
    Nontaxable benefits
    $0 + $36,894 related
    Filer's total
    $0 + $1,475,098 related

  • Phillips James

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • Randolph Karsten

    Dir/Chairperson (Beg 07/23)/CFO Multi-State Div.

    Total calculated
    $2,368,832
    From this org
    $0
    From related orgs
    $2,198,983
    Other
    $169,849
    Hours/week
    0.1 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $731,672 related
    Bonus
    $0 + $168,601 related
    Other
    $0 + $1,298,710 related
    Deferred
    $0 + $137,475 related
    Nontaxable benefits
    $0 + $32,374 related
    Filer's total
    $0 + $2,368,832 related

  • Samples Reecia

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • Shepherd Luke

    Director

    Total calculated
    $0
    Hours/week
    0.1

  • Thompson Michael

    Director/ Regional CEO (Beg 01/23)

    Total calculated
    $1,487,155
    From this org
    $0
    From related orgs
    $1,343,101
    Other
    $144,054
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $695,764 related
    Bonus
    $0 + $212,727 related
    Other
    $0 + $434,610 related
    Deferred
    $0 + $106,792 related
    Nontaxable benefits
    $0 + $37,262 related
    Filer's total
    $0 + $1,487,155 related

  • Wilkens MD Gregory

    Director

    Total calculated
    $888,922
    From this org
    $845,517
    From related orgs
    $0
    Other
    $43,405
    Hours/week
    71.1

    Schedule J breakdown matched by us

    Base
    $518,498
    Bonus
    $320,634
    Other
    $6,385
    Deferred
    $17,727
    Nontaxable benefits
    $25,678
    Filer's total
    $888,922

  • Camacho Daniel

    CFO (End 01/23)

    Total calculated
    $194,091
    From this org
    $0
    From related orgs
    $188,675
    Other
    $5,416
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $26,992 related
    Bonus
    $0 + $25,684 related
    Other
    $0 + $135,999 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,416 related
    Filer's total
    $0 + $194,091 related

  • Kleven Jesse

    CFO (Beg 03/23)

    Total calculated
    $352,202
    From this org
    $0
    From related orgs
    $310,128
    Other
    $42,074
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $176,370 related
    Bonus
    $0 + $20,519 related
    Other
    $0 + $113,239 related
    Deferred
    $0 + $8,023 related
    Nontaxable benefits
    $0 + $34,051 related
    Filer's total
    $0 + $352,202 related

  • Nelson James

    CNO

    Total calculated
    $275,562
    From this org
    $0
    From related orgs
    $247,002
    Other
    $28,560
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $185,969 related
    Bonus
    $0 + $20,010 related
    Other
    $0 + $41,023 related
    Deferred
    $0 + $10,540 related
    Nontaxable benefits
    $0 + $18,020 related
    Filer's total
    $0 + $275,562 related

  • Gorden MD Shawn

    Physician - OB/GYN

    Total calculated
    $450,469
    From this org
    $410,806
    From related orgs
    $0
    Other
    $39,663
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $364,063
    Bonus
    $39,966
    Other
    $6,777
    Deferred
    $11,127
    Nontaxable benefits
    $28,536
    Filer's total
    $450,469

  • Hutchison MD Stephanie

    Physician - OB/GYN

    Total calculated
    $354,933
    From this org
    $316,178
    From related orgs
    $0
    Other
    $38,755
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $310,769
    Bonus
    $0
    Other
    $5,409
    Deferred
    $16,846
    Nontaxable benefits
    $21,909
    Filer's total
    $354,933

  • Maxey MD Jackie

    Physician -Family Practice

    Total calculated
    $761,300
    From this org
    $708,933
    From related orgs
    $0
    Other
    $52,367
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,402
    Bonus
    $495,681
    Other
    $15,850
    Deferred
    $17,727
    Nontaxable benefits
    $34,640
    Filer's total
    $761,300

  • Naval Srinivas MD Rajiv

    Physician - Internal Medicine

    Total calculated
    $410,553
    From this org
    $383,149
    From related orgs
    $0
    Other
    $27,404
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $234,097
    Bonus
    $117,544
    Other
    $31,508
    Deferred
    $17,727
    Nontaxable benefits
    $9,677
    Filer's total
    $410,553

  • Nix MD Ashtin

    Physician - Pediatrics

    Total calculated
    $311,295
    From this org
    $277,763
    From related orgs
    $0
    Other
    $33,532
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,053
    Bonus
    $8,618
    Other
    $16,092
    Deferred
    $14,755
    Nontaxable benefits
    $18,777
    Filer's total
    $311,295

  • SelfChristopher

    Former Officer

    Total calculated
    $591,599
    From this org
    $0
    From related orgs
    $506,799
    Other
    $84,800
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $372,701 related
    Bonus
    $0 + $65,433 related
    Other
    $0 + $68,665 related
    Deferred
    $0 + $52,879 related
    Nontaxable benefits
    $0 + $31,921 related
    Filer's total
    $0 + $591,599 related

  • Bell Karen

    Former Key Employee

    Total calculated
    $308,082
    From this org
    $0
    From related orgs
    $264,357
    Other
    $43,725
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,406 related
    Bonus
    $0 + $28,141 related
    Other
    $0 + $17,810 related
    Deferred
    $0 + $11,637 related
    Nontaxable benefits
    $0 + $32,088 related
    Filer's total
    $0 + $308,082 related

  • Jones Angela

    Former Key Employee

    Total calculated
    $195,986
    From this org
    $174,896
    From related orgs
    $0
    Other
    $21,090
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $165,708
    Bonus
    $5,188
    Other
    $4,000
    Deferred
    $4,793
    Nontaxable benefits
    $16,297
    Filer's total
    $195,986

  • Stimson Michael

    Former Key Employee

    Total calculated
    $382,424
    From this org
    $0
    From related orgs
    $345,766
    Other
    $36,658
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $209,633 related
    Bonus
    $0 + $50,881 related
    Other
    $0 + $85,252 related
    Deferred
    $0 + $5,489 related
    Nontaxable benefits
    $0 + $31,169 related
    Filer's total
    $0 + $382,424 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

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 1a · Discretionary spending account
  • 1a · Housing allowance or residence for personal use
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 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, Line 1a
The filing organization is a part of the system of healthcare organizations known as AdventHealth. Members of the filing organization's executive management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. AHSSHC is exempt from federal income tax under IRC Section 501(c)(3). The filing organization reimburses AHSSHC for the salary and benefit cost of those executives listed in Part VII that are on the payroll of AHSSHC. At the direction of AHSSHC, and in accordance with the reserved powers in the filing organization's governing documents, the executive team listed on Part VII provides services to the filing organization. First-class or charter travel: Pursuant to the AdventHealth system-wide general policy regarding business travel, no reimbursement will be provided for any additional cost incurred with respect to first-class or charter air travel beyond the cost of a regular coach airfare. As a means of providing additional business travel reimbursement for those members of the AHSSHC senior executive management team that travel frequently on behalf of AdventHealth, a special annual travel allowance is provided for those executives. As AdventHealth operates 50 hospitals in 9 states, the senior leadership of AHSSHC travel extensively and often visit multiple hospital locations in different states as a part of a single business trip. The special travel allowance can provide reimbursements to the executive for such items as the purchase of air travel upgrade coupons, to cover the cost differential between coach and first-class travel, or to cover the cost of a charter flight. The special travel allowance benefit was originally authorized by and codified into a policy by the AHSSHC Board Compensation Committee (the Committee), an independent body of the AHSSHC Board of Directors, who also approves the annual cap on the amount of the allowance. The special travel allowance has an annual cap of $24,000 for members of the Leadership Executive Team (15 AdventHealth Cabinet members and the AdventHealth Multi-State CFO) and $15,000 for AdventHealth Corporate Office Senior Vice Presidents, Regional CEO's, and Division Chief Officers (generally 45-55 individual executives). The Multi-State CFO and Regional CEO for AdventHealth are members of the Board of Directors of the filing organization. These individuals are considered common law employees of and are on the payroll of AHSSHC. While the special travel allowance benefit is an AHSSHC compensation policy and practice, the cost of providing this benefit is allocated to and either wholly or partially reimbursed by the filing organization. Accordingly, the filing organization has checked the box in Schedule J, Part I, line 1a for first-class or charter travel since it has wholly or partially paid for the cost of providing this benefit. Those executives who receive the special travel allowance are responsible for tracking the expenses reimbursable under the special travel allowance and must submit such expenses on their accountable plan expense report. A report on charter travel is provided to the AHSSHC Board Compensation Committee at each meeting. Any taxable reimbursements made to executives under the special travel allowance arrangement are treated as taxable compensation to the executive. Travel for companions: AHSSHC has a Corporate Executive Policy that provides a benefit to allow for a traveling AHSSHC executive to have his or her spouse accompany the executive on certain business trips each year. Typically, reimbursement is only provided to certain executive leaders and is usually limited to one business trip per year beyond the annual AdventHealth President's Council business meeting and other meetings where the spouse is specifically invited. The AHSSHC Corporate Executive Spousal Travel Policy was originally approved and reviewed by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. All spousal travel costs reimbursed to the executive are considered taxable compensation to the executive. Tax Indemnification and gross-up payments: AdventHealth has a system-wide policy addressing gross-up payments provided in connection with employer-provided benefits/other taxable items. Under the policy, certain taxable business-related reimbursements (i.e. taxable business-related moving expenses, taxable items provided in connection with employment) provided to any employee may be grossed-up at a 25% rate upon approval by the filing organization's CEO and CFO. Additionally, employees at the Director level and above are eligible for gross-up payments on gifts received for board of director services. Discretionary spending account: Occasional discretionary spending amounts are periodically provided to eligible executives who attend annual business meetings such as the AdventHealth President's Council, CFO Conference or the CMO/CNO business meeting. Payments provided to each executive are considered taxable compensation to the executive. Housing allowance or residence for personal use: AHSSHC has a Corporate Executive Policy that addresses assistance to executives who have been relocated by the company during the year. Relocation assistance provided to executives may include relocation allowances to assist with duplicate housing expenses. Relocation assistance is administered per AHSSHC policy by an external relocation company. All taxable reimbursements made to executives in connection with relocation assistance are treated as wages to the executive and are subject to all payroll withholding and reporting requirements. Health or social club dues or initiation fees: AHSSHC has a Corporate Executive Policy that addresses business development expenditures. Under this policy, to encourage executives to establish and cultivate strong working relationships with the medical community and other leaders in the community and industry, certain AdventHealth executives may be reimbursed for member dues and usage charges for a country club or other social club upon authorization. Club memberships must be approved by the AdventHealth President/CEO initially as well as on an annual basis. Each AdventHealth executive who is approved for a club membership must submit an annual report describing how they used the membership to benefit their organization during the preceding year so that the AdventHealth President/CEO can determine if continuance of the club membership furthers the business interests of AdventHealth. In the current year, for this filing organization, One (1) executive listed in Part VII received reimbursement for club fees. While the club dues membership is an AHSSHC compensation policy and practice, the cost of providing this benefit is allocated to and reimbursed in whole or in part by the filing organization. Accordingly, the filing organization has checked the box in Schedule J, Part I, line 1a for health or social club dues since it has wholly or partially paid for the cost of providing this benefit.
Part I, Line 3
The individual who serves as the CEO of the filing organization is appointed and compensated by Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). Compensation and benefits provided to this individual are determined pursuant to policies, procedures, and processes of AHSSHC that are designed to ensure compliance with the intermediate sanctions laws as set forth in IRC Section 4958. AHSSHC has taken steps to ensure that processes are in place to satisfy the rebuttable presumption of reasonableness standard as set forth in Treasury Regulation Section 53.4958-6 with respect to its active executive-level positions. The AHSSHC Board Compensation Committee (the Committee) serves as the governing body for all executive compensation matters. The Committee is composed of certain members of the Board of Directors (the Board) of AHSSHC. Voting members of the Committee include only individuals who serve on the Board as independent representatives, who hold no employment positions with AHSSHC and who do not have relationships with any of the individuals whose compensation is under their review that impacts their best independent judgment as fiduciaries of AHSSHC. The Committee's role is to review and approve all components of the executive compensation plan of AHSSHC. As an independent governing body with respect to executive compensation, it should be noted that the Committee will often confer in executive sessions on matters of compensation policy and policy changes. In such executive sessions, no members of management of AHSSHC are present, other than the Chief People Officer, who remains at the request of the Chairman/committee to provide assistance/information as needed. The Committee is advised by an independent third-party compensation advisor. This advisor prepares all the benchmark studies for the Committee. Compensation levels are benchmarked with a national peer group of other not-for-profit healthcare systems and hospitals of similar size and complexity to AdventHealth and each of its affiliated entities. The following principles guide the establishment of individual executive compensation: - The salary of the President/CEO of AdventHealth will not exceed the 50th percentile of comparable salaries paid by similarly situated organizations; and - Other executive salaries shall be established using market medians. The compensation philosophy, policies, and practices of AHSSHC are consistent with the organization's faith-based mission and conform to applicable laws, regulations, and business practices. As a faith-based organization sponsored by the Seventh-day Adventist Church (the Church), AHSSHC's philosophy and principles with respect to its executive compensation practices reflect the conservative approach of the Church's mission of service and were developed in counsel with the Church's leadership.
Part I, Lines 4a-b
During the year ending December 31, 2023, Michael Murrill, Daniel Camacho, and Michael Stimson received severance payments in the amount of $373,237, $118,996, and $67,404 respectively. Pursuant to the AHSSHC Corporate Executive Policy governing executive severance, severance agreements for executives operating at the Vice President level and above are entered into upon eligibility to facilitate the transition to subsequent employment following an involuntary separation from employment with AdventHealth. As discussed in Line 1a above, executives on the filing organization's management team that hold the position of Vice-President or above are compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides supplemental executive retirement benefit plans to eligible executives. As the supplemental executive retirement benefit plans were updated in 2020 and certain individuals still participate as grand-fathered participants in certain plans, the narrative below discusses all plans in which there were any participants in 2023. The SERP III plan effectively replaces the prior SERP II plan, the Executive Flex Benefit Program Plan, and the Senior Executive Death Benefit Plan for qualified executives except for certain grandfathered executive employees. SERP III Plan: The SERP III plan provides eligible executives a percentage of their base pay, which is credited to a deferred compensation account. The plan also provides for compensation deferral and selection of life insurance coverage and long-term care insurance. To be eligible to participate in the SERP III plan, executives must be on the AHSSHC corporate payroll and be either a CEO of an AdventHealth entity, an AHSSHC Vice President (VP) or VP of an AdventHealth entity with a base salary of at least $330,000 in 2023 (adjusted annually by the same percentage as IRC Section 401(a)(17) limit increases), or other leader specifically approved by the AdventHealth President. Eligible executives do not include grandfathered executives, meaning those executives who would satisfy all the eligibility requirements of the SERP II plan prior to Dec 31, 2027, had the plan not been amended and restated as of Jan. 1, 2020. Contribution credits will be established and maintained by class year accounts for each participant using tiered contribution credit percentages of annual base compensation. Contribution credit percentages range between 15% and 19% of base compensation. Contribution credits will be made each quarter in 25% increments with reductions in contributions if the executive is also a grandfathered FLEX participant (see below). SERP III provides for a class year vesting and payment schedule (7 years for each class year) with respect to amounts accumulated in the executive's deferred compensation account. Upon attainment of a normal retirement age (age 62), or upon certain other circumstances as defined in the SERP III plan document, all deferred amounts are paid immediately to the participant. For any executives working beyond the normal retirement age, future employer contributions will be made quarterly from SERP III directly to the participant as a taxable cash bonus. SERP II Plan: The SERP II plan is a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AdventHealth and/or to other Seventh-day Adventist Church hospitals or health care institutions. Under the provisions of the SERP II plan, benefits are provided to qualifying executive participants on a pro-rata schedule beginning with 20 years of service as an employee of AdventHealth and/or another hospital or health care institution controlled by the Seventh-day Adventist Church and who satisfy certain other qualifying criteria. Eligible employees are restricted to those executives who, as of January 1, 2020, satisfied, or if employment continues, will satisfy the eligibility requirements of SERP II prior to December 31, 2027. This supplemental executive retirement plan (SERP II) was designed to provide eligible executives with the economic equivalent of an annual income beginning at normal retirement age equal to 60% of the average of the participant's three, five or seven highest years of base salary from AdventHealth active employment inclusive of income from all other Seventh-day Adventist Church healthcare employer-financed retirement income sources and investment income earned on those contributions through social security normal retirement age as defined in the plan. The number of years included in highest average compensation is determined by the individual's year of entry to SERP II and by the individual's year of entry to the AdventHealth Executive FLEX Benefit Program. FLEX Plan: The Flex Plan was originally designed to provide eligible executives an opportunity to select from among a variety of supplemental benefits, including a split dollar life insurance policy and long-term care insurance, to individually tailor a benefits program appropriate to each executive's needs. In 2020, the Flex Plan was amended to exclude employed executives who are hired or promoted after a certain date from being eligible to participate in the Flex Plan except for certain insurance coverage features of the plan. The Flex Plan provides eligible participants a pre-determined benefits allowance credit that is equal to a percentage of the executive's base pay from which the cost of mandatory and elective employee benefits is deducted. The benefits allowance credit percentage for any plan year shall not be greater than the maximum dollar amount or the percentage of compensation as determined by the AdventHealth Benefits Administration Committee. For grandfathered eligible employees, the annual pre-determined Flex allowance is contributed and any funds that remain after the cost of mandatory and elective benefits are subtracted are, at the employee's option, contributed to either an IRC 457(f) deferred compensation account or to an IRC 457(b) eligible deferred compensation plan. Upon attainment of age 65, all previous 457(f) deferred amounts are paid immediately to the participant and any future employer contributions are made quarterly from the Plan directly to the participant. The Plan provides for a class year vesting schedule (2 years for each class year) with respect to amounts accumulated in the executive's 457(f) deferred compensation account. Distributions could also be made from the executive's 457(f) deferred compensation account upon attainment of age 65 or upon an involuntary separation. The account will be forfeited by the executive upon a voluntary separation. With respect to grandfathered participants, the Flex Plan documents define eligible employees to include the Chief Executive Officers of AdventHealth entities and Vice Presidents of all AdventHealth entities whose base salary was at least equal to the Internal Revenue Code Section 401(a)(17) compensation limit each year.
Line 4b (Continued):
FLEX Plan FLEX Plan SERP II SERP III SERP III Contr. Distr.* Contr./Distr. Contr. Distr.* Randolph,Karsten $ 119,748 $ 74,817 $ 1,188,200 $ 0 $ 0 Thompson, Michael$ 111,565 $ 72,543 $ 291,806 $ 0 $ 0 Murrill,Michael $ 0 $ 0 $ 0 $ 25,962 $ 303,568 Guyton,Alan $ 50,558 $ 40,742 $ 0 $ 16,033 $ 0 Johnson,Sandra $ 0 $ 112,200 $ 0 $ 0 $ 0 Self,Christopher $ 35,542 $ 21,397 $ 0 $ 22,109 $ 0 Jacob,Sissel $ 0 $ 0 $ 0 $ 42,196 $ 0 * Including Investment Earnings

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.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202433209349314423

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

The source document this was parsed from is served over the API, which is where bulk and document access live.