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Nonprofiteer
← SETON MEDICAL GROUP INC

Form 990 for tax year 2023

Filed by SETON MEDICAL GROUP INC.

Totals

Total revenue
$26,049,466
Total expenses
$41,369,712
Contributions and grants received
$174,015
Grants paid
$0
Program service revenue
$25,833,401
Investment income
$0
Other revenue
$42,050
Total assets, end of year
$39,439,333
Total liabilities, end of year
$32,851,934
Net assets or fund balances, end of year
$6,587,399
Program services expenses (Part IX)
$38,464,378
Management and general expenses
$2,905,334
Fundraising expenses
$0
Program service expenses (Part III)
$38,464,378

Program services were 93.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ASHLEY KINDER MD

    CHAIR/PHYSICIAN

    Total calculated
    $304,391
    From this org
    $286,353
    From related orgs
    $0
    Other
    $18,038
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $281,196
    Bonus
    $2,973
    Other
    $2,184
    Deferred
    $14,733
    Nontaxable benefits
    $3,305
    Filer's total
    $304,391

  • JOHN T ANTONIADES MD

    VICE CHAIR

    Total calculated
    $746,773
    From this org
    $0
    From related orgs
    $690,010
    Other
    $56,763
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $367,891 related
    Bonus
    $0 + $316,687 related
    Other
    $0 + $5,432 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $36,963 related
    Filer's total
    $0 + $746,773 related

  • JONATHAN CONRAD D'SOUZA MD

    SECRETARY

    Total calculated
    $538,180
    From this org
    $0
    From related orgs
    $499,751
    Other
    $38,429
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,540 related
    Bonus
    $0 + $109,500 related
    Other
    $0 + $34,711 related
    Deferred
    $0 + $16,246 related
    Nontaxable benefits
    $0 + $22,183 related
    Filer's total
    $0 + $538,180 related

  • JOSEPH W COOK IV MD

    PRESIDENT (END 9/2023)/CMO, EMPLOYED CLINICIAN NETWORK (START 9/2023)

    Total calculated
    $552,615
    From this org
    $509,637
    From related orgs
    $0
    Other
    $42,978
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $496,450
    Bonus
    $3,530
    Other
    $9,657
    Deferred
    $21,450
    Nontaxable benefits
    $21,528
    Filer's total
    $552,615

  • WILLIAM B HIGGINBOTHAM

    DIRECTOR/PRESIDENT & CEO (START 9/2023)

    Total calculated
    $503,708
    From this org
    $0
    From related orgs
    $452,658
    Other
    $51,050
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,633 related
    Bonus
    $0 + $65,000 related
    Other
    $0 + $4,025 related
    Deferred
    $0 + $20,888 related
    Nontaxable benefits
    $0 + $30,162 related
    Filer's total
    $0 + $503,708 related

  • JENNIFER MERRILL WARNE MD

    DIRECTOR

    Total calculated
    $267,289
    From this org
    $0
    From related orgs
    $246,843
    Other
    $20,446
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $204,399 related
    Bonus
    $0 + $42,000 related
    Other
    $0 + $444 related
    Deferred
    $0 + $11,473 related
    Nontaxable benefits
    $0 + $8,973 related
    Filer's total
    $0 + $267,289 related

  • KENNETH H WILLIAMS MD

    DIRECTOR/PHYSICIAN

    Total calculated
    $556,158
    From this org
    $501,854
    From related orgs
    $0
    Other
    $54,304
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $480,349
    Bonus
    $4,217
    Other
    $17,288
    Deferred
    $17,307
    Nontaxable benefits
    $36,997
    Filer's total
    $556,158

  • MARY ANN SORRA MD

    DIRECTOR/PHYSICIAN

    Total calculated
    $301,235
    From this org
    $263,843
    From related orgs
    $0
    Other
    $37,392
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $247,454
    Bonus
    $13,660
    Other
    $2,729
    Deferred
    $15,757
    Nontaxable benefits
    $21,635
    Filer's total
    $301,235

  • MERCY P JACKSON MD

    DIRECTOR/PHYSICIAN

    Total calculated
    $301,708
    From this org
    $253,161
    From related orgs
    $0
    Other
    $48,547
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $246,796
    Bonus
    $3,834
    Other
    $2,531
    Deferred
    $17,073
    Nontaxable benefits
    $31,474
    Filer's total
    $301,708

  • MICHAEL PAUL VIETZ MD

    DIRECTOR

    Total calculated
    $577,075
    From this org
    $0
    From related orgs
    $535,648
    Other
    $41,427
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $377,600 related
    Bonus
    $0 + $149,420 related
    Other
    $0 + $8,628 related
    Deferred
    $0 + $11,550 related
    Nontaxable benefits
    $0 + $29,877 related
    Filer's total
    $0 + $577,075 related

  • SAIRA AHMED MD

    DIRECTOR

    Total calculated
    $380,102
    From this org
    $0
    From related orgs
    $356,177
    Other
    $23,925
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $352,870 related
    Bonus
    $0
    Other
    $0 + $3,307 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $4,125 related
    Filer's total
    $0 + $380,102 related

  • SHADI BARAKAT MD

    DIRECTOR

    Total calculated
    $345,075
    From this org
    $0
    From related orgs
    $294,649
    Other
    $50,426
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,431 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $2,218 related
    Deferred
    $0 + $17,178 related
    Nontaxable benefits
    $0 + $33,248 related
    Filer's total
    $0 + $345,075 related

  • SHIRALI PATEL MD

    DIRECTOR

    Total calculated
    $540,814
    From this org
    $0
    From related orgs
    $506,781
    Other
    $34,033
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $502,080 related
    Bonus
    $0 + $750 related
    Other
    $0 + $3,951 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $15,883 related
    Filer's total
    $0 + $540,814 related

  • MITCHELL G LOMAX

    CFO, MINISTRY MARKET

    Total calculated
    $453,541
    From this org
    $0
    From related orgs
    $402,645
    Other
    $50,896
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $304,685 related
    Bonus
    $0 + $94,554 related
    Other
    $0 + $3,406 related
    Deferred
    $0 + $20,036 related
    Nontaxable benefits
    $0 + $30,860 related
    Filer's total
    $0 + $453,541 related

  • ADAKU MBAGWU EZEIKE MD

    PHYSICIAN

    Total calculated
    $421,592
    From this org
    $401,096
    From related orgs
    $0
    Other
    $20,496
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $317,979
    Bonus
    $80,245
    Other
    $2,872
    Deferred
    $16,898
    Nontaxable benefits
    $3,598
    Filer's total
    $421,592

  • DOUGLAS L PINTO MD

    PHYSICIAN

    Total calculated
    $507,669
    From this org
    $459,799
    From related orgs
    $0
    Other
    $47,870
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $423,264
    Bonus
    $27,404
    Other
    $9,131
    Deferred
    $21,450
    Nontaxable benefits
    $26,420
    Filer's total
    $507,669

  • JOYCE A BONSU MD

    PHYSICIAN

    Total calculated
    $426,563
    From this org
    $383,724
    From related orgs
    $0
    Other
    $42,839
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $275,376
    Bonus
    $105,030
    Other
    $3,318
    Deferred
    $21,165
    Nontaxable benefits
    $21,674
    Filer's total
    $426,563

  • MARY R RIFINO MD

    PHYSICIAN

    Total calculated
    $535,319
    From this org
    $490,809
    From related orgs
    $0
    Other
    $44,510
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $469,603
    Bonus
    $4,353
    Other
    $16,853
    Deferred
    $21,450
    Nontaxable benefits
    $23,060
    Filer's total
    $535,319

  • ROBERT VANDENBOSCHE MD

    PHYSICIAN

    Total calculated
    $452,101
    From this org
    $404,419
    From related orgs
    $0
    Other
    $47,682
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $395,377
    Bonus
    $3,265
    Other
    $5,777
    Deferred
    $18,150
    Nontaxable benefits
    $29,532
    Filer's total
    $452,101

  • EDWARD R LOVERN

    FORMER BOARD OFFICER (END 5/2023)

    Total calculated
    $284,555
    From this org
    $0
    From related orgs
    $260,441
    Other
    $24,114
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $227,833 related
    Bonus
    $0
    Other
    $0 + $32,608 related
    Deferred
    $0 + $12,416 related
    Nontaxable benefits
    $0 + $11,698 related
    Filer's total
    $0 + $284,555 related

  • SCOTT M FURNISS

    FORMER OFFICER (END 1/2020)

    Total calculated
    $478,895
    From this org
    $0
    From related orgs
    $428,233
    Other
    $50,662
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $321,012 related
    Bonus
    $0 + $100,425 related
    Other
    $0 + $6,796 related
    Deferred
    $0 + $18,622 related
    Nontaxable benefits
    $0 + $32,040 related
    Filer's total
    $0 + $478,895 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, and on a Form 990-PF Part VIII's — 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
10 May 2025
IRS schema version
2023v6.0
Source object
202501309349300715

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