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Nonprofiteer
← DILEY RIDGE MEDICAL CENTER

Form 990 for tax year 2022

Filed by DILEY RIDGE MEDICAL CENTER.

Totals

Total revenue
$31,488,801
Total expenses
$19,191,249
Contributions and grants received
$10,000
Grants paid
$0
Program service revenue
$30,029,708
Investment income
$1,353,995
Other revenue
$95,098
Total assets, end of year
$38,493,249
Total liabilities, end of year
$5,344,563
Net assets or fund balances, end of year
$33,148,686
Program services expenses (Part IX)
$15,336,688
Management and general expenses
$3,854,561
Fundraising expenses
$0
Program service expenses (Part III)
$15,336,688

Program services were 79.9% 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.

  • 1e · Government grants (contributions)

    $10,000

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $30,029,708 · related or exempt $30,029,708

  • 3 · Investment income

    total $768,073 · excluded $768,073

  • 7a · Gross sales of assets other than inventory

    securities $590,129

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

    securities $0 · other assets $4,207

  • 7c · Gain or loss

    securities $590,129 · other assets -$4,207

  • 7d · Net gain or loss

    total $585,922 · excluded $585,922

  • 11a · Other revenue: CAFETERIA REVENUE

    total $83,937 · excluded $83,937

  • 11b · Other revenue: OTHER OPERATING REVENUE

    total $11,161 · related or exempt $11,161

  • 11e · Other revenue, total

    $95,098

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $237,298 · management and general $237,298

  • 7 · Other salaries and wages

    total $6,277,231 · program services $5,474,433 · management and general $802,798

  • 8 · Pension plan contributions

    total $232,507 · program services $204,436 · management and general $28,071

  • 9 · Other employee benefits

    total $631,253 · program services $561,408 · management and general $69,845

  • 10 · Payroll taxes

    total $482,662 · program services $407,115 · management and general $75,547

  • 11a · Fees: management

    total $1,500,677 · management and general $1,500,677

  • 11b · Fees: legal

    total $1,349 · management and general $1,349

  • 11f · Fees: investment management

    total $102,894 · management and general $102,894

  • 11g · Fees: other

    total $862,243 · program services $789,505 · management and general $72,738

  • 12 · Advertising and promotion

    total $40,160 · program services $5,796 · management and general $34,364

  • 13 · Office expenses

    total $141,729 · program services $86,984 · management and general $54,745

  • 14 · Information technology

    total $66,145 · program services $35,758 · management and general $30,387

  • 16 · Occupancy

    total $661,232 · program services $586,562 · management and general $74,670

  • 17 · Travel

    total $859 · program services $32 · management and general $827

  • 19 · Conferences, conventions and meetings

    total $540 · management and general $540

  • 20 · Interest

    total $208,906 · program services $208,906

  • 22 · Depreciation, depletion and amortization

    total $929,894 · program services $482,940 · management and general $446,954

  • 23 · Insurance

    total $325,151 · program services $325,151

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $4,069,228 · program services $4,069,228

  • 24b · Other expenses: MEDICAL SUPPLIES EXP

    total $1,233,000 · program services $1,233,000

  • 24c · Other expenses: HOSPITAL PROVIDER TAX

    total $624,028 · program services $624,028

  • 24d · Other expenses: EQUIPMENT MAINTENANCE

    total $450,974 · program services $221,883 · management and general $229,091

  • 24e · All other expenses

    total $111,289 · program services $19,523 · management and general $91,766

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $650 · end of year $650

  • 2 · Savings and temporary cash investments

    beginning of year $34,128,339 · end of year $18,544,138

  • 4 · Accounts receivable

    beginning of year $3,411,489 · end of year $3,884,577

  • 7 · Other notes and loans receivable

    beginning of year $130,976 · end of year $134,167

  • 8 · Inventories for sale or use

    beginning of year $2,415 · end of year $14,710

  • 9 · Prepaid expenses and deferred charges

    beginning of year $36,687 · end of year $35,016

  • 10a · Land, buildings and equipment: cost or other basis

    $28,450,875

  • 10b · Land, buildings and equipment: accumulated depreciation

    $12,952,058

  • 10c · Land, buildings and equipment, net

    beginning of year $16,566,159 · end of year $15,498,817

  • 15 · Other assets

    beginning of year $460,122 · end of year $381,174

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,809,856 · end of year $1,185,742

  • 23 · Secured mortgages and notes payable

    beginning of year $4,328,857 · end of year $3,268,039

  • 25 · Other liabilities

    beginning of year $941,712 · end of year $890,782

  • 27 · Net assets without donor restrictions

    beginning of year $46,656,412 · end of year $33,148,686

Mission and programs · 2022

Mission

TO PROVIDE HEALTH CARE THE WAY IT SHOULD BE.

Activities or mission (Part I)

TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES.

  • AN AFFILIATION OF MOUNT CARMEL HEALTH SYSTEM AND FAIRFIELD MEDICAL CENTER, DILEY RIDGE MEDICAL CENTER (DILEY RIDGE) IS A STATE-OF-THE-ART MEDICAL COMPLEX IN CANAL WINCHESTER, OH, THAT PROVIDES EMERGENCY, INPATIENT AND DIAGNOSTIC SERVICES. THE COMPLEX INCLUDES A 35,000 SQUARE-FOOT 24-HOUR EMERGENCY CENTER, DIAGNOSTIC CENTER, IMAGING CENTER, AND CLINICAL LABORATORY. IN FISCAL 2023, DILEY RIDGE PROVIDED MEDICAL CARE FOR 18,217 OUTPATIENT VISITS AND 23,679 EMERGENCY ROOM VISITS. THE HOSPITAL IS LICENSED FOR 10 ACUTE CARE BEDS FOR PATIENTS REQUIRING INPATIENT CARE, OBSERVATION AND MONITORING, AND ALSO A 14-BAY 24-HOUR EMERGENCY CENTER.DILEY RIDGE SERVES PATIENTS THROUGHOUT THE NORTHERN FAIRFIELD COUNTY, INCLUDING THE COMMUNITIES OF PICKERINGTON, GROVEPORT, CANAL WINCHESTER, CARROLL, BALTIMORE AND VIOLET TOWNSHIP. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.DILEYRIDGEMEDICALCENTER.COM

    Expenses $15,336,688 · Revenue $30,040,869

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • LORRAINE LUTTON

    MOUNT CARMEL PRESIDENT & CEO

    Total calculated
    $1,566,664
    From this org
    $0
    From related orgs
    $1,277,941
    Other
    $288,723
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $862,896 related
    Bonus
    $0 + $391,500 related
    Other
    $0 + $23,545 related
    Deferred
    $0 + $238,294 related
    Nontaxable benefits
    $0 + $50,429 related
    Filer's total
    $0 + $1,566,664 related

  • SCOTT WILBER MD

    DIR; CHR;MC EAST PRES & COO AT 11/22

    Total calculated
    $530,097
    From this org
    $0
    From related orgs
    $472,844
    Other
    $57,253
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $413,326 related
    Bonus
    $0 + $57,736 related
    Other
    $0 + $1,782 related
    Deferred
    $0 + $30,734 related
    Nontaxable benefits
    $0 + $26,519 related
    Filer's total
    $0 + $530,097 related

  • ANDY PRIDAY

    MOUNT CARMEL CFO

    Total calculated
    $459,294
    From this org
    $0
    From related orgs
    $405,211
    Other
    $54,083
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $346,480 related
    Bonus
    $0 + $55,888 related
    Other
    $0 + $2,843 related
    Deferred
    $0 + $37,378 related
    Nontaxable benefits
    $0 + $16,705 related
    Filer's total
    $0 + $459,294 related

  • KIMBERLY HODGKINSON

    FORMER OFFICER

    Total calculated
    $432,817
    From this org
    $0
    From related orgs
    $405,351
    Other
    $27,466
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $266,007 related
    Bonus
    $0 + $131,250 related
    Other
    $0 + $8,094 related
    Deferred
    $0 + $3,748 related
    Nontaxable benefits
    $0 + $23,718 related
    Filer's total
    $0 + $432,817 related

  • MELISSA FLEMING

    DIRECTOR; MOUNT CARMEL ASSOC COUNSEL

    Total calculated
    $323,179
    From this org
    $0
    From related orgs
    $280,041
    Other
    $43,138
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,935 related
    Bonus
    $0 + $26,010 related
    Other
    $0 + $1,096 related
    Deferred
    $0 + $17,257 related
    Nontaxable benefits
    $0 + $25,881 related
    Filer's total
    $0 + $323,179 related

  • CHRISHONDA SMITH

    DIR & MOUNT CARMEL CHRO THR 8/22

    Total calculated
    $245,782
    From this org
    $0
    From related orgs
    $231,337
    Other
    $14,445
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $172,992 related
    Bonus
    $0 + $57,319 related
    Other
    $0 + $1,026 related
    Deferred
    $0 + $2,205 related
    Nontaxable benefits
    $0 + $12,240 related
    Filer's total
    $0 + $245,782 related

  • STACEY COLLINS

    ADMINISTRATOR; CHIEF NURSING OFFICER

    Total calculated
    $237,298
    From this org
    $195,550
    From related orgs
    $0
    Other
    $41,748
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $176,683
    Bonus
    $18,491
    Other
    $376
    Deferred
    $9,211
    Nontaxable benefits
    $32,537
    Filer's total
    $237,298

  • AMANDA MARIE MCCULLOUCH

    DIRECTOR AT 9/22; MC CHRO AT 10/22

    Total calculated
    $222,414
    From this org
    $0
    From related orgs
    $207,805
    Other
    $14,609
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,673 related
    Bonus
    $0 + $16,717 related
    Other
    $0 + $415 related
    Deferred
    $0 + $12,474 related
    Nontaxable benefits
    $0 + $2,135 related
    Filer's total
    $0 + $222,414 related

  • CHERYL WOLFE

    DIR; MOUNT CARMEL REGULATORY OFFICER

    Total calculated
    $182,970
    From this org
    $0
    From related orgs
    $153,021
    Other
    $29,949
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $133,117 related
    Bonus
    $0 + $18,171 related
    Other
    $0 + $1,733 related
    Deferred
    $0 + $11,742 related
    Nontaxable benefits
    $0 + $18,207 related
    Filer's total
    $0 + $182,970 related

  • LISA MCCORMACK

    STAFF RN

    Total calculated
    $152,434
    From this org
    $129,619
    From related orgs
    $0
    Other
    $22,815
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,822
    Bonus
    $0
    Other
    $1,797
    Deferred
    $5,373
    Nontaxable benefits
    $17,442
    Filer's total
    $152,434

  • TAMMY CRAWFORD

    STAFF RN

    Total calculated
    $138,433
    From this org
    $113,928
    From related orgs
    $0
    Other
    $24,505
    Hours/week
    40

  • NICKI HAMILTON-ALLEN

    STAFF RN

    Total calculated
    $134,484
    From this org
    $111,673
    From related orgs
    $0
    Other
    $22,811
    Hours/week
    40

  • KAREN LEBLANC

    MRI TECHNICIAN

    Total calculated
    $121,191
    From this org
    $112,445
    From related orgs
    $0
    Other
    $8,746
    Hours/week
    40

  • MICHELLE DAVIS

    STAFF RN

    Total calculated
    $114,040
    From this org
    $109,621
    From related orgs
    $0
    Other
    $4,419
    Hours/week
    40

  • ALAN GREENSLADE

    DIRECTOR; VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • SKY GETTYS

    DIRECTOR & TREASURER THROUGH 12/22

    Total calculated
    $0
    Hours/week
    2

  • DENISE BAUER

    DIRECTOR; SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • JONATHAN KELLY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MIKE LITTLE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • HANNAH VOSS

    DIRECTOR

    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, 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 3
DILEY RIDGE MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. DILEY RIDGE MEDICAL CENTER'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF DILEY RIDGE MEDICAL CENTER'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVERY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING ACCRUALS FOR 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LORRAINE LUTTON - $224,569 ANDY PRIDAY - $23,653 SCOTT WILBER, MD - $17,009 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). THE FOLLOWING PAYOUT FOR 2022 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CHRISHONDA SMITH - $219

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411369349307466

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