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Nonprofiteer
← GOOD SAMARITAN UNIVERSITY HOSPITAL

Form 990 for tax year 2022

Filed by GOOD SAMARITAN UNIVERSITY HOSPITAL.

Totals

Total revenue
$858,734,754
Total expenses
$838,010,900
Contributions and grants received
$4,506,105
Grants paid
$268,294
Program services expenses (Part IX)
$747,978,069
Management and general expenses
$90,032,831
Fundraising expenses
$0
Program service expenses (Part III)
$747,978,069

Program services were 89.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PATRICK O'SHAUGHNESSY DO

    PRESIDENT & CEO

    Total calculated
    $3,276,291
    From this org
    $0
    From related orgs
    $2,439,713
    Other
    $836,578
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $1,656,290 related
    Bonus
    $0 + $753,000 related
    Other
    $0 + $30,423 related
    Deferred
    $0 + $785,411 related
    Nontaxable benefits
    $0 + $51,167 related
    Filer's total
    $0 + $3,276,291 related

  • PADMALATHA GURRAM

    PHYSICIAN

    Total calculated
    $1,677,160
    From this org
    $1,640,402
    From related orgs
    $0
    Other
    $36,758
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $580,956
    Bonus
    $1,057,114
    Other
    $2,332
    Deferred
    $21,167
    Nontaxable benefits
    $15,591
    Filer's total
    $1,677,160

  • BARAA ALLAF

    PHYSICIAN

    Total calculated
    $1,493,512
    From this org
    $1,417,952
    From related orgs
    $0
    Other
    $75,560
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $710,165
    Bonus
    $706,648
    Other
    $1,139
    Deferred
    $21,167
    Nontaxable benefits
    $54,393
    Filer's total
    $1,493,512

  • Leonid Kogan

    PHYSICIAN

    Total calculated
    $1,474,167
    From this org
    $1,445,868
    From related orgs
    $0
    Other
    $28,299
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $602,010
    Bonus
    $843,035
    Other
    $823
    Deferred
    $21,167
    Nontaxable benefits
    $7,132
    Filer's total
    $1,474,167

  • DANIEL DEBARBA

    EVP & CFO THRU 8/5/2022

    Total calculated
    $1,411,216
    From this org
    $0
    From related orgs
    $1,103,144
    Other
    $308,072
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $626,446 related
    Bonus
    $0 + $350,000 related
    Other
    $0 + $126,698 related
    Deferred
    $0 + $274,411 related
    Nontaxable benefits
    $0 + $33,661 related
    Filer's total
    $0 + $1,411,216 related

  • Sami Almaskeen

    STAFF PHYSICIAN

    Total calculated
    $1,405,994
    From this org
    $1,337,261
    From related orgs
    $0
    Other
    $68,733
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $591,666
    Bonus
    $737,621
    Other
    $7,974
    Deferred
    $21,167
    Nontaxable benefits
    $47,566
    Filer's total
    $1,405,994

  • Kourosh Adhami

    PHYSICIAN

    Total calculated
    $1,314,393
    From this org
    $1,246,277
    From related orgs
    $0
    Other
    $68,116
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $987,258
    Bonus
    $256,697
    Other
    $2,322
    Deferred
    $21,167
    Nontaxable benefits
    $46,949
    Filer's total
    $1,314,393

  • RUTH HENNESSEY

    PRESIDENT/CAO

    Total calculated
    $1,221,305
    From this org
    $1,037,879
    From related orgs
    $0
    Other
    $183,426
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $666,635
    Bonus
    $170,000
    Other
    $201,244
    Deferred
    $164,167
    Nontaxable benefits
    $19,259
    Filer's total
    $1,221,305

  • PATRICK MINICUS

    EVP & CFO AS OF 12/12/2022

    Total calculated
    $875,086
    From this org
    $0
    From related orgs
    $805,216
    Other
    $69,870
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $607,424 related
    Bonus
    $0 + $180,000 related
    Other
    $0 + $17,792 related
    Deferred
    $0 + $21,411 related
    Nontaxable benefits
    $0 + $48,459 related
    Filer's total
    $0 + $875,086 related

  • DONALD TEPLITZ

    CMO

    Total calculated
    $740,788
    From this org
    $686,059
    From related orgs
    $0
    Other
    $54,729
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $606,600
    Bonus
    $75,000
    Other
    $4,459
    Deferred
    $21,167
    Nontaxable benefits
    $33,562
    Filer's total
    $740,788

  • JOHN MCMURRAY

    COO

    Total calculated
    $495,835
    From this org
    $433,388
    From related orgs
    $0
    Other
    $62,447
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $381,456
    Bonus
    $51,000
    Other
    $932
    Deferred
    $21,167
    Nontaxable benefits
    $41,280
    Filer's total
    $495,835

  • JOHN FRANCFORT MD

    TRUSTEE RESIGNED 5/22

    Total calculated
    $302,277
    From this org
    $281,765
    From related orgs
    $0
    Other
    $20,512
    Hours/week
    37.5 + 2 related

    Schedule J breakdown matched by us

    Base
    $281,765
    Bonus
    $0
    Other
    $0
    Deferred
    $19,554
    Nontaxable benefits
    $958
    Filer's total
    $302,277

  • SALVATORE SODANO

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • BRIAN MCGUIRE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • JEROME POLLER

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • ROBERT ZUCCARO

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • CHRIS PASCUCCI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • VIRGINIA EWEN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • FRANK L KURRE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • REV MSGR ROBERT MORRISEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • DANIEL T ROWE

    TRUSTEE RESIGNED 12/22

    Total calculated
    $0
    Hours/week
    2

  • Rev John McCartney

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • KEVIN J CONWAY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • PETER D'ANGELO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • REV PETER DUGANDZIC

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • HON ANTHONY MARANO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • STEPHEN F MCLOUGHLIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • WILLIAM WARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • PETER QUICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • THOMAS CHRISTMAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Debra Del Vecchio

    TRUSTEE AS OF

    Total calculated
    $0
    Hours/week
    2

  • Regina Piscazzi

    TRUSTEE AS OF

    Total calculated
    $0
    Hours/week
    2

  • John Romanelli MD

    TRUSTEE AS OF

    Total calculated
    $0
    Hours/week
    2

  • Andrew Zucaro

    TRUSTEE AS OF

    Total calculated
    $0
    Hours/week
    2

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. DANIEL DEBARBA $253,000 PARTICIPATION IN THE PLAN. RUTH HENNESSEY $143,000 PARTICIPATION IN THE PLAN. PATRICK O'SHAUGHNESSY $764,000 PARTICIPATION IN THE PLAN. THE DEFERRED COMPENSATION IN COLUMN C FOR THESE INDIVIDUALS INCLUDES BOTH QUALIFIED AND NON-QUALIFIED RETIREMENT PLANS. THE FOLLOWING INDIVIDUALS VESTED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). THESE AMOUNTS INCLUDE A TAX GROSS UP. RUTH HENNESSY $176,818 VESTED IN PLAN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5 AS TAXABLE WAGES BECAUSE THEY ARE VESTED, BUT ARE NOT DISTRIBUTED UNTIL RETIREMENT.
PART II - FORMER OFFICERS & DIRECTORS
EFFECTIVE 12/19/18, RUTH HENNESSEY WAS TRANSFERRED FROM ST. FRANCIS HOSPITAL, A RELATED ENTITY, TO SERVE AS THE PRESIDENT/CAO.

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
202313179349310001

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

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