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Nonprofiteer
← JAY HOSPITAL INC

Form 990 for tax year 2022

Filed by JAY HOSPITAL INC.

Totals

Total revenue
$13,280,503
Total expenses
$18,377,155
Contributions and grants received
$0
Grants paid
$13,107
Program services expenses (Part IX)
$14,042,145
Management and general expenses
$4,335,010
Fundraising expenses
$0
Program service expenses (Part III)
$14,042,145

Program services were 76.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAVE CLEVELAND

    MEMBER/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • KARA CARDONA

    MEMBER/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • MARGARET T STOPP

    MEMBER/VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • RICKY W SMITH

    MEMBER/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • RONALD E JACKSON

    MEMBER/CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • BRIAN WYER

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • DAVID HAWKINS

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • JARL (JT) YOUNG

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • JOHN HEER

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • JOHN HOSMAN

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • JOHN M KIZZIAH

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • MARCUS PAUL DMD

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • MARJORIE MOORE

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • MARTHA SAUNDERS PHD

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • MICHAEL J MAZENKO

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • SHIRLEY HENDERSON

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • STEVEN SHELL

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • THOMAS F OWENS

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • ANDREW TERRY

    SENIOR VP/CFO-INCOMING

    Total calculated
    $451,270
    From this org
    $0
    From related orgs
    $425,152
    Other
    $26,118
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $333,001 related
    Bonus
    $0 + $67,461 related
    Other
    $0 + $24,689 related
    Deferred
    $0 + $7,625 related
    Nontaxable benefits
    $0 + $18,493 related
    Filer's total
    $0 + $451,270 related
  • BRETT ALDRIDGE

    COO & EVP

    Total calculated
    $482,591
    From this org
    $0
    From related orgs
    $438,882
    Other
    $43,709
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $353,535 related
    Bonus
    $0 + $58,471 related
    Other
    $0 + $26,876 related
    Deferred
    $0 + $7,625 related
    Nontaxable benefits
    $0 + $36,084 related
    Filer's total
    $0 + $482,591 related
  • MICHAEL GLEASON

    SENIOR VP/CFO-OUTGOING

    Total calculated
    $809,518
    From this org
    $0
    From related orgs
    $784,097
    Other
    $25,421
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $626,582 related
    Bonus
    $0 + $116,627 related
    Other
    $0 + $40,889 related
    Deferred
    $0 + $7,625 related
    Nontaxable benefits
    $0 + $17,796 related
    Filer's total
    $0 + $809,518 related
  • MICHAEL HUTCHINS

    VP/ADMINISTRATOR

    Total calculated
    $282,658
    From this org
    $261,944
    From related orgs
    $0
    Other
    $20,714
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $192,655
    Bonus
    $25,114
    Other
    $44,174
    Deferred
    $5,863
    Nontaxable benefits
    $14,851
    Filer's total
    $282,658
  • DANIEL D SHEPPARD

    MANAGER PHARMACY

    Total calculated
    $159,068
    From this org
    $129,289
    From related orgs
    $0
    Other
    $29,779
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $129,289
    Bonus
    $0
    Other
    $0
    Deferred
    $3,389
    Nontaxable benefits
    $26,391
    Filer's total
    $159,068
  • DEBRA JENKINS

    ASST. ADMINISTRATOR

    Total calculated
    $171,108
    From this org
    $140,775
    From related orgs
    $0
    Other
    $30,333
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,590
    Bonus
    $0
    Other
    $1,186
    Deferred
    $3,662
    Nontaxable benefits
    $26,671
    Filer's total
    $171,109
  • GREG W PETTY

    REHAB MANAGER

    Total calculated
    $121,456
    From this org
    $109,075
    From related orgs
    $0
    Other
    $12,381
    Hours/week
    40
  • KARIN PARDUE

    PHYSICIAN

    Total calculated
    $330,162
    From this org
    $301,781
    From related orgs
    $0
    Other
    $28,381
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $289,208
    Bonus
    $12,030
    Other
    $543
    Deferred
    $0
    Nontaxable benefits
    $28,381
    Filer's total
    $330,162
  • KATHRYN R HUNT

    PHYSICIAN

    Total calculated
    $138,763
    From this org
    $138,763
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

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 · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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

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 1a Tax indemnification and gross-up payments
THE FOLLOWING OFFICERS/KEY EMPLOYEES RECEIVED TAX GROSS-UP PAYMENTS THAT WERE INCLUDED IN THEIR W-2 TAXABLE WAGES: --MICHAEL HUTCHINS
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BRETT ALDRIDGE MICHAEL GLEASON MICHAEL HUTCHINS THERE WERE NO CONTRIBUTIONS TO THE PLAN DURING THE TAX YEAR.
Schedule J, Part II
THE RELATED COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATIONS: --BAPTIST HEALTH CARE, INC.

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
15 August 2024
IRS schema version
2022v5.0
Source object
202422289349301852

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