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Nonprofiteer
← F F THOMPSON HEALTH SYSTEM INC

Form 990 for tax year 2022

Filed by F F THOMPSON HEALTH SYSTEM INC.

Totals

Total revenue
$5,026,543
Total expenses
$4,883,989
Contributions and grants received
$157,196
Grants paid
$0
Program services expenses (Part IX)
$4,821,823
Management and general expenses
$62,166
Fundraising expenses
$0
Program service expenses (Part III)
$4,821,823

Program services were 98.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Steven Goldstein

    Board Member

    Total calculated
    $3,516,221
    From this org
    $0
    From related orgs
    $3,306,548
    Other
    $209,673
    Hours/week
    0.5 + 71 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,509,252 related
    Bonus
    $0
    Other
    $0 + $1,797,296 related
    Deferred
    $0 + $188,712 related
    Nontaxable benefits
    $0 + $20,961 related
    Filer's total
    $0 + $3,516,221 related

  • Mark Taubman MD

    Board Member

    Total calculated
    $1,960,405
    From this org
    $0
    From related orgs
    $1,783,432
    Other
    $176,973
    Hours/week
    0.5 + 75 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,744,544 related
    Bonus
    $0
    Other
    $0 + $38,888 related
    Deferred
    $0 + $156,577 related
    Nontaxable benefits
    $0 + $20,396 related
    Filer's total
    $0 + $1,960,405 related

  • Michael Stapleton

    President/CEO

    Total calculated
    $1,042,142
    From this org
    $916,820
    From related orgs
    $0
    Other
    $125,322
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $530,313
    Bonus
    $236,789
    Other
    $149,718
    Deferred
    $94,181
    Nontaxable benefits
    $31,141
    Filer's total
    $1,042,142

  • Michael Apostolakos MD

    Board Member

    Total calculated
    $809,047
    From this org
    $0
    From related orgs
    $701,264
    Other
    $107,783
    Hours/week
    0.5 + 64 related

    Schedule J breakdown matched by us

    Base
    $0 + $678,734 related
    Bonus
    $0
    Other
    $0 + $22,530 related
    Deferred
    $0 + $79,312 related
    Nontaxable benefits
    $0 + $28,471 related
    Filer's total
    $0 + $809,047 related

  • A David Peter MD

    Board Member

    Total calculated
    $630,606
    From this org
    $0
    From related orgs
    $590,018
    Other
    $40,588
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $589,850 related
    Bonus
    $0
    Other
    $0 + $169 related
    Deferred
    $0 + $9,149 related
    Nontaxable benefits
    $0 + $31,438 related
    Filer's total
    $0 + $630,606 related

  • David Baum

    SVP Medical Affairs

    Total calculated
    $601,780
    From this org
    $509,180
    From related orgs
    $0
    Other
    $92,600
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $381,621
    Bonus
    $77,415
    Other
    $50,145
    Deferred
    $60,057
    Nontaxable benefits
    $32,543
    Filer's total
    $601,781

  • Mark Prunoske

    SVP Finance/CFO

    Total calculated
    $518,789
    From this org
    $438,546
    From related orgs
    $0
    Other
    $80,243
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $317,212
    Bonus
    $69,455
    Other
    $51,880
    Deferred
    $52,884
    Nontaxable benefits
    $27,358
    Filer's total
    $518,789

  • Kurt Koczent

    EVP/COO

    Total calculated
    $506,002
    From this org
    $85,903
    From related orgs
    $343,611
    Other
    $76,488
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $56,462 + $225,847 related
    Bonus
    $17,290 + $69,162 related
    Other
    $12,151 + $48,602 related
    Deferred
    $8,814 + $35,254 related
    Nontaxable benefits
    $6,484 + $25,936 related
    Filer's total
    $101,201 + $404,801 related

  • Justin Weiss MD

    Board Member President of Medical Staff

    Total calculated
    $374,910
    From this org
    $0
    From related orgs
    $315,641
    Other
    $59,269
    Hours/week
    0.5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,029 related
    Bonus
    $0 + $14,612 related
    Other
    $0
    Deferred
    $0 + $28,059 related
    Nontaxable benefits
    $0 + $31,210 related
    Filer's total
    $0 + $374,910 related

  • Elizabeth Talia

    VP Legal & Regulatory Affairs and General Counsel

    Total calculated
    $330,950
    From this org
    $285,895
    From related orgs
    $0
    Other
    $45,055
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $240,995
    Bonus
    $30,037
    Other
    $14,863
    Deferred
    $14,573
    Nontaxable benefits
    $30,483
    Filer's total
    $330,951

  • Cindy Teerlinck MD

    Board Member and Physician

    Total calculated
    $295,134
    From this org
    $0
    From related orgs
    $253,938
    Other
    $41,196
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $197,487 related
    Bonus
    $0 + $56,141 related
    Other
    $0 + $310 related
    Deferred
    $0 + $13,079 related
    Nontaxable benefits
    $0 + $28,117 related
    Filer's total
    $0 + $295,134 related

  • Akua Asante MD

    Board Member

    Total calculated
    $195,298
    From this org
    $0
    From related orgs
    $190,027
    Other
    $5,271
    Hours/week
    0.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $183,572 related
    Bonus
    $0 + $1,337 related
    Other
    $0 + $5,117 related
    Deferred
    $0 + $3,649 related
    Nontaxable benefits
    $0 + $1,623 related
    Filer's total
    $0 + $195,298 related

  • Mary Schneiter

    Director of Development and Corp Comm

    Total calculated
    $44,399
    From this org
    $24,383
    From related orgs
    $19,070
    Other
    $946
    Hours/week
    20 + 20 related

  • Daniel Fuller

    Board Chair

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Dale Hunt

    Board Vice Chair

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • David G Case

    Board Treasurer

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Lauren Dixon

    Board Secretary

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Mark Blazey

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Randall Farnsworth

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Roger Friedlander

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Paul Griswold

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Jennifer Jones

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • William R Kenyon Esq

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Georgia Lamb

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Lauren Sands Esq

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 2 related

  • Margaret Somerset Esq

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Lori Van Dusen

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Maureen Wolfe

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Krista Jackson

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Frank H Hamlin III Esq

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 related

  • Deborah Price

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 1.5 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

  • 1a · Health or social club dues or initiation fees
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1a
Health/Social Club Dues of $2,000 were paid for the President/CEO.
Schedule J, Part I, Line 1b
As part of the CEO's contractual employment agreement, health or social club dues are included as a part of his benefit package. Therefore, there is no written policy regarding payment or reimbursement of those expenses outside of the employment agreement itself.
Schedule J, Part I, Line 3
The CEO of the FF Thompson Health System, Inc. received compensation from a related organization through a common paymaster. Because employees are included in the common paymaster, the CEO's salary is allocated to the System. In addition, the affiliated entities collectively establish CEO compensation by the manners' described on this line.
Schedule J, Part I, Line 4
The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation. 457(f) plan payments were Michael Stapleton - $78,930, Mark Prunoske - $31,534, Kurt Koczent - $28,817 and David Baum - $38,707. SERP plan payments that are included in deferred compensation were Steven Goldstein - $159,400, Mark Taubman, MD - $127,265 and Michael Apostolakos, MD $50,000. 457(f) employer payment and included in other reportable compensation was Steven Goldstein $1,701,399. These amounts represent employee deferrals of compensation plus investment earnings over several years that were vested and paid pursuant to the requirements of the plans. The employee deferrals were reported as deferred compensation in Schedule J, Part II, Column C in prior years and reflected, net of investment earnings, in Schedule J, Part II, Column F.
Schedule J, Part I, Line 7
The President/CEO, Executive VP/COO and Senior VP of Finance/CFO are eligible for a variable percent year end incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goals tie in part to the net earnings of the organization and its' affiliates.

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
30 October 2023
IRS schema version
2022v5.0
Source object
202303049349300800

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