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Nonprofiteer
← HARBOR PALLIATIVE CARE SERVICES INC

Form 990 for tax year 2022

Filed by HARBOR PALLIATIVE CARE SERVICES INC.

Totals

Total revenue
$304,849
Total expenses
$1,289,365
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$1,289,365
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$1,289,365

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Heather Siegel Miller

    Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Randy Levitt

    Chairman

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Randy Nobles

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • William Quinn II

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Barbara Bolton Litten

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • John Mullen

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • KRISTIN AHR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Marian Pearlman Nease

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Maurice Woods

    Director

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Thomas G Burns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Charles e Snider

    CHRO (beg. 8.23.22)

    Total calculated
    $122,797
    From this org
    $0
    From related orgs
    $117,181
    Other
    $5,616
    Hours/week
    10 + 30 related
  • David C Fielding

    CEO

    Total calculated
    $811,401
    From this org
    $0
    From related orgs
    $772,630
    Other
    $38,771
    Hours/week
    5 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $447,975 related
    Bonus
    $0 + $268,122 related
    Other
    $0 + $56,533 related
    Deferred
    $0 + $14,275 related
    Nontaxable benefits
    $0 + $24,496 related
    Filer's total
    $0 + $811,401 related
  • Faustino Gonzalez MD

    Chief Medical Officer (through 8.23.22)

    Total calculated
    $435,377
    From this org
    $0
    From related orgs
    $403,576
    Other
    $31,801
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $262,822 related
    Bonus
    $0 + $85,492 related
    Other
    $0 + $55,262 related
    Deferred
    $0 + $14,275 related
    Nontaxable benefits
    $0 + $17,526 related
    Filer's total
    $0 + $435,377 related
  • Fred T Watson

    Vice President, CHRO (through 8.23.22)

    Total calculated
    $241,185
    From this org
    $0
    From related orgs
    $219,057
    Other
    $22,128
    Hours/week
    5 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $128,000 related
    Bonus
    $0 + $62,019 related
    Other
    $0 + $29,038 related
    Deferred
    $0 + $9,821 related
    Nontaxable benefits
    $0 + $12,307 related
    Filer's total
    $0 + $241,185 related
  • Katherine L Brazzale MD

    Chief Medical Officer (beg. 8.23.22)

    Total calculated
    $318,822
    From this org
    $0
    From related orgs
    $291,338
    Other
    $27,484
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $246,055 related
    Bonus
    $0 + $800 related
    Other
    $0 + $44,483 related
    Deferred
    $0 + $11,134 related
    Nontaxable benefits
    $0 + $16,350 related
    Filer's total
    $0 + $318,822 related
  • Mark R Huntley

    CFO

    Total calculated
    $475,123
    From this org
    $0
    From related orgs
    $439,673
    Other
    $35,450
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,841 related
    Bonus
    $0 + $106,375 related
    Other
    $0 + $53,457 related
    Deferred
    $0 + $14,275 related
    Nontaxable benefits
    $0 + $21,175 related
    Filer's total
    $0 + $475,123 related
  • Tarrah L Lowry

    Chief Operating Officer

    Total calculated
    $373,038
    From this org
    $0
    From related orgs
    $346,566
    Other
    $26,472
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,964 related
    Bonus
    $0 + $30,002 related
    Other
    $0 + $14,600 related
    Deferred
    $0 + $2,827 related
    Nontaxable benefits
    $0 + $23,645 related
    Filer's total
    $0 + $373,038 related
  • Valerie A Vitale

    Director of Palliative Care (beg. 8.23.22)

    Total calculated
    $177,073
    From this org
    $0
    From related orgs
    $165,771
    Other
    $11,302
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $132,380 related
    Bonus
    $0 + $32,796 related
    Other
    $0 + $595 related
    Deferred
    $0 + $4,995 related
    Nontaxable benefits
    $0 + $6,307 related
    Filer's total
    $0 + $177,073 related
  • Pedro A Herrera

    Former Officer

    Total calculated
    $288,415
    From this org
    $0
    From related orgs
    $274,682
    Other
    $13,733
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $182,234 related
    Bonus
    $0 + $52,869 related
    Other
    $0 + $39,579 related
    Deferred
    $0 + $13,039 related
    Nontaxable benefits
    $0 + $694 related
    Filer's total
    $0 + $288,415 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 — 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
THE ORGANIZATION RELIED ON TRUSTBRIDGE, INC. (A RELATED TAX-EXEMPT ORGANIZATION) WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF ITS CEO. THIS REVIEW LAST TOOK PLACE IN April of 2022 AND WAS DOCUMENTED IN THE BOARD MINUTES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING CONTRIBUTIONS WERE MADE DURING 2022 TO A SECTION 457(F) PLAN: Fielding, David C. - $5,125 Huntley, Mark R. - $5,125 GONZALEZ, FAUSTINO - $5,125 Brazzale, Katherine L. - $2,400 Herrera, Pedro A. - $5,125 Watson, Fred T. - $3,750 Snider, Charles E. - $75 THE FOLLOWING DISTRIBUTIONS WERE PAID DURING 2022: Fielding, David C. - $5,159 Huntley, Mark R. - $4,635 GONZALEZ, FAUSTINO - $5,321 Brazzale, Katherine L. - $4,948 Herrera, Pedro A. - $5,161

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303189349315185

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