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Nonprofiteer
← SAINT PETERS HEALTHCARE SYSTEM INC

Form 990 for tax year 2022

Filed by SAINT PETERS HEALTHCARE SYSTEM INC.

Totals

Total revenue
$52,401,863
Total expenses
$52,578,363
Contributions and grants received
$0
Grants paid
$119,845
Program services expenses (Part IX)
$42,406,099
Management and general expenses
$10,172,264
Fundraising expenses
$0
Program service expenses (Part III)
$42,406,099

Program services were 80.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LESLIE D HIRSCH FACHE

    TRUSTEE - PRESIDENT/CEO

    Total calculated
    $2,013,577
    From this org
    $1,739,763
    From related orgs
    $0
    Other
    $273,814
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $1,151,007
    Bonus
    $546,073
    Other
    $42,683
    Deferred
    $251,153
    Nontaxable benefits
    $22,661
    Filer's total
    $2,013,577
  • GARRICK J STOLDT FHFMA CPA

    TREASURER - CFO

    Total calculated
    $1,063,335
    From this org
    $959,460
    From related orgs
    $0
    Other
    $103,875
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $582,164
    Bonus
    $148,895
    Other
    $228,401
    Deferred
    $76,617
    Nontaxable benefits
    $27,258
    Filer's total
    $1,063,335
  • ALYSSA A VERDERAMI ESQ

    SECRETARY-VP LEGAL & RISK MGMT

    Total calculated
    $775,009
    From this org
    $686,686
    From related orgs
    $0
    Other
    $88,323
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $413,492
    Bonus
    $107,382
    Other
    $165,812
    Deferred
    $57,590
    Nontaxable benefits
    $30,733
    Filer's total
    $775,009
  • ALMA S RATCLIFFE MD

    VP; CHIEF CLIN TRANS OFF.

    Total calculated
    $748,068
    From this org
    $660,521
    From related orgs
    $0
    Other
    $87,547
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $493,502
    Bonus
    $128,414
    Other
    $38,605
    Deferred
    $67,229
    Nontaxable benefits
    $20,318
    Filer's total
    $748,068
  • JORDAN M TANNENBAUM MD MBA

    VP; CIO/CMIO

    Total calculated
    $689,891
    From this org
    $591,707
    From related orgs
    $0
    Other
    $98,184
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $436,765
    Bonus
    $117,635
    Other
    $37,307
    Deferred
    $62,290
    Nontaxable benefits
    $35,894
    Filer's total
    $689,891
  • NIRANJAN V RAO MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $616,750
    From this org
    $532,448
    From related orgs
    $0
    Other
    $84,302
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $384,529
    Bonus
    $105,525
    Other
    $42,394
    Deferred
    $56,876
    Nontaxable benefits
    $27,426
    Filer's total
    $616,750
  • JAMES S CHOMA

    VP; CATHOLIC MISSION & CDO

    Total calculated
    $569,891
    From this org
    $501,851
    From related orgs
    $0
    Other
    $68,040
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $296,499
    Bonus
    $85,479
    Other
    $119,873
    Deferred
    $47,551
    Nontaxable benefits
    $20,489
    Filer's total
    $569,891
  • LISA M DRUMBORE

    VP; CHIEF EXPERIENCE OFFICER

    Total calculated
    $568,850
    From this org
    $495,360
    From related orgs
    $0
    Other
    $73,490
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $296,802
    Bonus
    $86,346
    Other
    $112,212
    Deferred
    $47,950
    Nontaxable benefits
    $25,540
    Filer's total
    $568,850
  • BARBARA J GRIFFITHS-WELSH

    CHIEF COMPLIANCE OFFICER

    Total calculated
    $526,230
    From this org
    $455,610
    From related orgs
    $0
    Other
    $70,620
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $265,984
    Bonus
    $78,574
    Other
    $111,052
    Deferred
    $44,284
    Nontaxable benefits
    $26,336
    Filer's total
    $526,230
  • EDWARD DAECH

    VP; CHIEF HR OFF. (2/22-12/22)

    Total calculated
    $459,978
    From this org
    $418,514
    From related orgs
    $0
    Other
    $41,464
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $306,928
    Bonus
    $31,085
    Other
    $80,501
    Deferred
    $11,376
    Nontaxable benefits
    $30,088
    Filer's total
    $459,978
  • DOREEN STEVENSON

    DIRECTOR OF FINANCE

    Total calculated
    $303,567
    From this org
    $258,211
    From related orgs
    $0
    Other
    $45,356
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $255,093
    Bonus
    $0
    Other
    $3,118
    Deferred
    $13,451
    Nontaxable benefits
    $31,905
    Filer's total
    $303,567
  • WILLIAM J REARS

    CHIEF TECHNOLOGY OFFICER

    Total calculated
    $301,759
    From this org
    $257,705
    From related orgs
    $0
    Other
    $44,054
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $253,277
    Bonus
    $0
    Other
    $4,428
    Deferred
    $12,987
    Nontaxable benefits
    $31,067
    Filer's total
    $301,759
  • MICHELE N GIULIANO CMPE

    EXECUTIVE DIRECTOR

    Total calculated
    $292,671
    From this org
    $248,032
    From related orgs
    $0
    Other
    $44,639
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $241,949
    Bonus
    $0
    Other
    $6,083
    Deferred
    $12,767
    Nontaxable benefits
    $31,872
    Filer's total
    $292,671
  • CINDY KOTTLER

    SR. DIRECTOR APPLICATIONS

    Total calculated
    $282,437
    From this org
    $239,236
    From related orgs
    $0
    Other
    $43,201
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $234,999
    Bonus
    $0
    Other
    $4,237
    Deferred
    $12,407
    Nontaxable benefits
    $30,794
    Filer's total
    $282,437
  • NICHOLAS J LACERENZA

    CONTROLLER

    Total calculated
    $262,199
    From this org
    $248,676
    From related orgs
    $0
    Other
    $13,523
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $246,174
    Bonus
    $0
    Other
    $2,502
    Deferred
    $12,420
    Nontaxable benefits
    $1,103
    Filer's total
    $262,199
  • HARRY DIEUVEUIL

    FORMER KEY EMPLOYEE

    Total calculated
    $218,367
    From this org
    $202,847
    From related orgs
    $0
    Other
    $15,520
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $10,605
    Bonus
    $0
    Other
    $192,242
    Deferred
    $921
    Nontaxable benefits
    $14,599
    Filer's total
    $218,367
  • VINCENT J DICKS

    CHAIRMAN - TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • RACHEAL ANKRAH-FOSU

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • JUDITH T CARUSO DNP MBA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • REV TIMOTHY A CHRISTY VG

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • LEONARDO DECANDIA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • REV MONSIGNOR JOHN N FELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • ALFRED J GABURO JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • CHRISTOPHER GRIBBON MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • MICHAEL LIGORANO KM ESQ

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • KEVIN NINI MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • CAROL A PURCELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • DAVID SAMUEL PE PP CME

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • BORISLAV STOEV DO FACEP

    TRUSTEE

    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

  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I; QUESTION 1A AND 1B
THE ORGANIZATION PROVIDED EDWARD DAECH, VICE PRESIDENT/CHIEF HUMAN RESOURCES OFFICER (02/2022 - 12/2022) WITH A HOUSING ALLOWANCE IN THE AMOUNT OF $58,533, WHICH WAS INCLUDED IN HIS 2022 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART I, QUESTION 4A
THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2022 WHICH WERE INCLUDED IN HIS 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: HARRY DIEUVEUIL, $177,692.
SCHEDULE J, PART I; QUESTION 4B
THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THIS AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GARRICK J. STOLDT, FHFMA, CPA, $186,352; ALYSSA A. VERDERAMI, ESQ., $126,275; JAMES S. CHOMA, $93,266; LISA M. DRUMBORE; $87,610; AND BARBARA J. GRIFFITHS-WELSH, $80,708. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, AS TAXABLE MEDICARE WAGES: LESLIE D. HIRSCH, FACHE, $235,903; GARRICK J. STOLDT, FHFMA, CPA, $61,367; ALYSSA A. VERDERAMI, ESQ., $42,340; ALMA S. RATCLIFFE, M.D., $51,979; JORDAN M. TANNENBAUM, M.D., MBA, $47,040; NIRANJAN V. RAO, M.D., $41,626; JAMES S. CHOMA, $32,301; LISA M. DRUMBORE, $32,700 AND BARBARA J. GRIFFITHS-WELSH, $29,970.
SCHEDULE J, PART I; QUESTION 7
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN COLUMN (II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

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
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202323179349303812

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