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← PROTESTANT MEMORIAL MEDICAL CENTER INC SELF-INSURANCE PROGRAM

Form 990 for tax year 2023

Filed by PROTESTANT MEMORIAL MEDICAL CENTER INC SELF-INSURANCE PROGRAM.

Totals

Total revenue
$457,767
Total expenses
$7,947
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$457,767
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$7,947
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $209,069 · excluded $209,069

  • 7a · Gross sales of assets other than inventory

    securities $12,800,753

  • 7b · Less cost or other basis and sales expenses

    securities $12,552,055

  • 7c · Gain or loss

    securities $248,698

  • 7d · Net gain or loss

    total $248,698 · excluded $248,698

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $7,947 · management and general $7,947

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    end of year $0

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $2,276,831 · end of year $0

  • 12 · Investments: other securities

    beginning of year $5,983,402 · end of year $0

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $8,260,233 · end of year $0

Mission and programs · 2023

Mission

PROTESTANT MEMORIAL MEDICAL CENTER, INC.,SELF-INSURANCE PROGRAM FORMERLY FUNDED THE MEDICAL MALPRACTICE CLAIMS AND EXPENSES AGAINST PROTESTANT MEMORIAL MEDICAL CENTER, INC. A RELATED SEC. 501(C)(3)ORGANIZATION.

Activities or mission (Part I)

PROTESTANT MEMORIAL MEDICAL CENTER, INC.,SELF-INSURANCE PROGRAM PROVIDES FUNDING OF MEDICAL MALPRACTICE CLAIMS AND EXPENSES FOR PROTESTANT MEMORIAL MEDICAL CENTER, INC., A RELATED SEC.501(C)(3) ORGANIZATION.

  • FUNDING OF MEDICAL MALPRACTICE CLAIMS AND EXPENSES

As filed on the 2023 return.

Listed in Part VII

  • Moosa Hans

    DIRECTOR

    Total calculated
    $820,372
    From this org
    $0
    From related orgs
    $807,745
    Other
    $12,627
    Hours/week
    1 + 4 related

    Schedule J breakdown matched by us

    Base
    $0 + $754,193 related
    Bonus
    $0 + $46,368 related
    Other
    $0 + $7,184 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $12,627 related
    Filer's total
    $0 + $820,372 related

  • McManus Michael

    PRESIDENT, DIRECTOR

    Total calculated
    $630,546
    From this org
    $0
    From related orgs
    $582,051
    Other
    $48,495
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $388,244 related
    Bonus
    $0 + $188,013 related
    Other
    $0 + $5,794 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $48,495 related
    Filer's total
    $0 + $630,546 related

  • Ramos-Pardo Beatriz MD

    DIRECTOR

    Total calculated
    $374,199
    From this org
    $0
    From related orgs
    $368,233
    Other
    $5,966
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,239 related
    Bonus
    $0 + $65,150 related
    Other
    $0 + $4,844 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,966 related
    Filer's total
    $0 + $374,199 related

  • Cook Keith

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dyer Rob Rev

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ganim Randall

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Hoering Edward

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jackson Rachel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Oliver Staci

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Porter Ann

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Schroeder Kurt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Stephens Ronald

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Boyer Geri

    VICE CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Eckert Chris

    VICE CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Gasser Susan

    VICE CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Thaxton Valerie

    CHAIRMAN, DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Barto Nick

    SR VICE PRESIDENT & CFO

    Total calculated
    $2,303,560
    From this org
    $0
    From related orgs
    $2,090,557
    Other
    $213,003
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,204,678 related
    Bonus
    $0 + $820,515 related
    Other
    $0 + $65,364 related
    Deferred
    $0 + $30,270 related
    Nontaxable benefits
    $0 + $182,733 related
    Filer's total
    $0 + $2,303,560 related

  • Koesterer Susan

    VP FINANCE, SECRETARY

    Total calculated
    $493,280
    From this org
    $0
    From related orgs
    $356,290
    Other
    $136,990
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,865 related
    Bonus
    $0 + $81,361 related
    Other
    $0 + $2,064 related
    Deferred
    $0 + $96,272 related
    Nontaxable benefits
    $0 + $40,718 related
    Filer's total
    $0 + $493,280 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
DURING 2023, THE FOLLOWING INDIVIDUALS RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS/ACCRUALS FROM THE ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II): BARTO, NICK $181,500 MCMANUS, MICHAEL $49,436 KOESTERER, SUSAN $27,909

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.

  • THE HEART CARE INSTITUTE LLC

    MEDICAL SERVICES · MO

  • GAMMA KNIFE CENTER AT BARNES JEWISH HOSP LLC

    OUTPATIENT CARE SERVICES · MO

  • THE REHABILITATION INSTITUTE OF ST LOUIS LLC

    MEDICAL SERVICES · AL

  • THE REHABILITATION INSTITUTE OF SOUTHERN ILLINOIS LLC

    MEDICAL SERVICES · AL

  • CHILDREN'S DISCOVERY INSTITUTE LLC

    SEARCH FOR CURES OF PEDIATRIC DISEASES · MO

  • Y-SIHVI LLC

    PHYSICAL THERAPY & FITNESS · IL

  • SOUTHWEST ILLINOIS HEALTH SERVICES REAL ESTATE LLP

    COMMERCIAL REAL ESTATE · IL

  • ST LOUIS HEALTHCARE SUPPORT SERVICES LLC

    MEDICAL SERVICES · MO

Related corporations and trusts

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

  • ATG ASSURANCE COMPANY LTD

    C · INSURANCE · CJ

  • MB MEDICAL SERVICES INC

    C · HEALTHCARE SERVICES · MO

  • PF SERVICES INC

    C · MANAGEMENT SERVICES · MO

  • ACTIVUM SG FEEDER FUND VII LP

    C · INVESTMENT HOLDINGS · JE

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202403179349308440

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