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Nonprofiteer
← TRI-COUNTY CLINICAL

Form 990 for tax year 2023

Filed by TRI-COUNTY CLINICAL.

Totals

Total revenue
$13,542,172
Total expenses
$15,854,087
Contributions and grants received
$585,374
Grants paid
$0
Program services expenses (Part IX)
$14,461,731
Management and general expenses
$1,392,356
Fundraising expenses
$0
Program service expenses (Part III)
$14,461,731

Program services were 91.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JASON REICHENBERG MD

    PRESIDENT

    Total calculated
    $672,522
    From this org
    $0
    From related orgs
    $612,814
    Other
    $59,708
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $435,085 related
    Bonus
    $0 + $135,000 related
    Other
    $0 + $42,729 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $38,258 related
    Filer's total
    $0 + $672,522 related

  • FAUSTO MEZA MD

    DIRECTOR (END 11/2023)

    Total calculated
    $581,122
    From this org
    $0
    From related orgs
    $558,961
    Other
    $22,161
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $388,778 related
    Bonus
    $0 + $127,500 related
    Other
    $0 + $42,683 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $12,261 related
    Filer's total
    $0 + $581,122 related

  • MARK J PIRWITZ MD

    DIRECTOR

    Total calculated
    $1,312,889
    From this org
    $0
    From related orgs
    $1,274,145
    Other
    $38,744
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,137,084 related
    Bonus
    $0 + $126,727 related
    Other
    $0 + $10,334 related
    Deferred
    $0 + $18,909 related
    Nontaxable benefits
    $0 + $19,835 related
    Filer's total
    $0 + $1,312,889 related

  • CLAYTON L CARSNER

    SECRETARY

    Total calculated
    $557,772
    From this org
    $0
    From related orgs
    $507,580
    Other
    $50,192
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,822 related
    Bonus
    $0 + $111,000 related
    Other
    $0 + $37,758 related
    Deferred
    $0 + $17,115 related
    Nontaxable benefits
    $0 + $33,077 related
    Filer's total
    $0 + $557,772 related

  • DANIEL W HUFFINE

    CFO, MINISTRY MARKET

    Total calculated
    $736,270
    From this org
    $0
    From related orgs
    $699,488
    Other
    $36,782
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,557 related
    Bonus
    $0 + $136,488 related
    Other
    $0 + $70,443 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $20,282 related
    Filer's total
    $0 + $736,270 related

  • SCOTT HERNDON

    FORMER OFFICER (END 8/2022)

    Total calculated
    $1,624,101
    From this org
    $0
    From related orgs
    $1,564,886
    Other
    $59,215
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $582,193 related
    Bonus
    $0 + $878,940 related
    Other
    $0 + $103,753 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $41,065 related
    Filer's total
    $0 + $1,624,101 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
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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
9 May 2025
IRS schema version
2023v6.0
Source object
202531299349304368

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