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Nonprofiteer
← BARNESVILLE HOSPITAL ASSOCIATION INC

Form 990 for tax year 2022

Filed by BARNESVILLE HOSPITAL ASSOCIATION INC.

Totals

Total revenue
$23,462,451
Total expenses
$21,254,120
Contributions and grants received
$453,507
Grants paid
$0
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$16,545,559
Management and general expenses
$4,708,561
Fundraising expenses
$0
Program service expenses (Part III)
$16,545,559

Program services were 77.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Douglass Harrison

    Board Member

    Total calculated
    $700,971
    From this org
    $0
    From related orgs
    $607,564
    Other
    $93,407
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    not reported + $475,964 related
    Bonus
    not reported + $122,474 related
    Other
    not reported + $9,126 related
    Deferred
    not reported + $70,671 related
    Nontaxable benefits
    not reported + $22,736 related
    Filer's total
    not reported + $700,971 related

  • James Comerci MD

    Board Member

    Total calculated
    $562,792
    From this org
    $0
    From related orgs
    $539,158
    Other
    $23,634
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $334,386 related
    Bonus
    not reported
    Other
    not reported + $204,771 related
    Deferred
    not reported + $3,050 related
    Nontaxable benefits
    not reported + $20,585 related
    Filer's total
    not reported + $562,792 related

  • Shaun Roe DO

    Board Member/Physician

    Total calculated
    $355,091
    From this org
    $316,838
    From related orgs
    $0
    Other
    $38,253
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $316,838
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,539
    Nontaxable benefits
    $34,714
    Filer's total
    $355,091

  • David Phillips

    President/CEO

    Total calculated
    $305,800
    From this org
    $123,596
    From related orgs
    $123,596
    Other
    $58,608
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $101,388 + $101,388 related
    Bonus
    $21,975 + $21,975 related
    Other
    $233 + $233 related
    Deferred
    $14,935 + $14,935 related
    Nontaxable benefits
    $14,369 + $14,369 related
    Filer's total
    $152,900 + $152,900 related

  • Stacy Meeks

    Physician

    Total calculated
    $247,773
    From this org
    $233,546
    From related orgs
    $0
    Other
    $14,227
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,546
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,029
    Nontaxable benefits
    $11,198
    Filer's total
    $247,773

  • Amy Perry

    Director of Pharmacy

    Total calculated
    $170,616
    From this org
    $147,904
    From related orgs
    $0
    Other
    $22,712
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,904
    Bonus
    not reported
    Other
    not reported
    Deferred
    $2,172
    Nontaxable benefits
    $20,540
    Filer's total
    $170,616

  • Todd Tucker

    Pharmacist

    Total calculated
    $151,476
    From this org
    $114,962
    From related orgs
    $0
    Other
    $36,514
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $114,962
    Bonus
    not reported
    Other
    not reported
    Deferred
    $1,800
    Nontaxable benefits
    $34,714
    Filer's total
    $151,476

  • Willie Cooper-Lohr

    Director of Finance

    Total calculated
    $147,284
    From this org
    $117,039
    From related orgs
    $0
    Other
    $30,245
    Hours/week
    40

  • Pamela Lizon

    Pharmacist

    Total calculated
    $135,762
    From this org
    $122,682
    From related orgs
    $0
    Other
    $13,080
    Hours/week
    40

  • Amy Winkleman

    Physician

    Total calculated
    $131,365
    From this org
    $130,673
    From related orgs
    $0
    Other
    $692
    Hours/week
    40

  • Cynthia Touvelle

    Chief Nursing Officer, January - May

    Total calculated
    $60,202
    From this org
    $47,463
    From related orgs
    $0
    Other
    $12,739
    Hours/week
    40

  • William Frank

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kent Gallagher

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Angela Hannahs

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tom Johnson

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kenneth Mason Sr

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Ken Phillips

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Garen Rhome

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michael Sliva

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 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)

Part I Line 4b
The following individuals received deferred compensation contributions in 2022 - Douglass Harrison in the amount of 70,671 and David Phillips in the amount of 20,600. These amounts are properly recorded in deferred compensation on the Form 990 Schedule J.

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
2022
Filed
10 May 2023
IRS schema version
2022v5.0
Source object
202333179349310053

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