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← MARY FREE BED INSURANCE COMPANY PCC

Form 990 for tax year 2023

Filed by MARY FREE BED INSURANCE COMPANY PCC.

Totals

Total revenue
$2,219,494
Total expenses
$3,179,283
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$3,007,540
Management and general expenses
$171,743
Fundraising expenses
$0
Program service expenses (Part III)
$3,007,540

Program services were 94.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KENT RIDDLE

    SECRETARY

    Total calculated
    $1,128,043
    From this org
    $0
    From related orgs
    $1,065,549
    Other
    $62,494
    Hours/week
    1 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $906,955 related
    Bonus
    $0 + $158,594 related
    Other
    $0
    Deferred
    $0 + $44,212 related
    Nontaxable benefits
    $0 + $18,282 related
    Filer's total
    $0 + $1,128,043 related
  • RYAN PODVIN

    TREASURER

    Total calculated
    $424,163
    From this org
    $0
    From related orgs
    $357,902
    Other
    $66,261
    Hours/week
    1 + 51.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $314,815 related
    Bonus
    $0 + $43,087 related
    Other
    $0
    Deferred
    $0 + $45,460 related
    Nontaxable benefits
    $0 + $20,801 related
    Filer's total
    $0 + $424,163 related
  • NATHANIEL GUZMAN

    PRESIDENT

    Total calculated
    $215,155
    From this org
    $0
    From related orgs
    $198,338
    Other
    $16,817
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,147 related
    Bonus
    $0 + $17,191 related
    Other
    $0
    Deferred
    $0 + $11,887 related
    Nontaxable benefits
    $0 + $4,930 related
    Filer's total
    $0 + $215,155 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)

PART I, LINE 3
KENT RIDDLE IS COMPENSATED BY A RELATED PARTY WHO USES A COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION.
PART I, LINE 4B
MARY FREE BED REHABILITATION HOSPITAL (MFB) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF MFB AND ITS AFFILIATED ENTITIES. THIS SERP IS AN UNFUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THIS SERP IS TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. KENT RIDDLE IS A PARTICIPANT OF THIS PLAN. THERE WERE NO SERP PAYMENTS DURING THE YEAR.

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
2023
Filed
5 February 2025
IRS schema version
2023v6.0
Source object
202500419349301615

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

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