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Nonprofiteer
← THE FREDERICK FERRIS THOMPSON HOSPI TAL

Form 990 for tax year 2022

Filed by THE FREDERICK FERRIS THOMPSON HOSPI TAL.

Totals

Total revenue
$190,510,319
Total expenses
$192,883,891
Contributions and grants received
$1,396,859
Grants paid
$0
Program services expenses (Part IX)
$163,137,685
Management and general expenses
$29,746,206
Fundraising expenses
$0
Program service expenses (Part III)
$163,137,685

Program services were 84.6% 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 F Stapleton JR

    President/CEO

    Total calculated
    $1,042,142
    From this org
    $0
    From related orgs
    $916,820
    Other
    $125,322
    Hours/week
    31 + 9 related

    Schedule J breakdown matched by us

    Base
    $0 + $530,313 related
    Bonus
    $0 + $236,789 related
    Other
    $0 + $149,718 related
    Deferred
    $0 + $94,181 related
    Nontaxable benefits
    $0 + $31,141 related
    Filer's total
    $0 + $1,042,142 related

  • 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 and Surgeon

    Total calculated
    $630,606
    From this org
    $590,018
    From related orgs
    $0
    Other
    $40,588
    Hours/week
    40 + 1.5 related

    Schedule J breakdown matched by us

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

  • Jeffrey Goldstein

    Gastroenterologist

    Total calculated
    $624,516
    From this org
    $598,063
    From related orgs
    $0
    Other
    $26,453
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $575,229
    Bonus
    $0
    Other
    $22,834
    Deferred
    $15,251
    Nontaxable benefits
    $11,202
    Filer's total
    $624,516

  • David Baum MD

    SVP Medical Affairs & Emergency Physician

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

    Schedule J breakdown matched by us

    Base
    $0 + $381,621 related
    Bonus
    $0 + $77,415 related
    Other
    $0 + $50,145 related
    Deferred
    $0 + $60,057 related
    Nontaxable benefits
    $0 + $32,543 related
    Filer's total
    $0 + $601,781 related

  • Matthew Osborne MD

    Medical Director Chief of Emergency Medicine

    Total calculated
    $519,970
    From this org
    $473,481
    From related orgs
    $0
    Other
    $46,489
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $387,659
    Bonus
    $70,000
    Other
    $15,821
    Deferred
    $15,251
    Nontaxable benefits
    $31,238
    Filer's total
    $519,969

  • Joseph Talarico MD

    Physician

    Total calculated
    $519,331
    From this org
    $502,436
    From related orgs
    $0
    Other
    $16,895
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $500,000
    Bonus
    $2,250
    Other
    $186
    Deferred
    $15,251
    Nontaxable benefits
    $1,644
    Filer's total
    $519,331

  • Mark Prunoske

    Senior VP & CFO

    Total calculated
    $518,789
    From this org
    $0
    From related orgs
    $438,546
    Other
    $80,243
    Hours/week
    30 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,212 related
    Bonus
    $0 + $69,455 related
    Other
    $0 + $51,880 related
    Deferred
    $0 + $52,884 related
    Nontaxable benefits
    $0 + $27,359 related
    Filer's total
    $0 + $518,790 related

  • Kurt Koczent

    EVP/COO

    Total calculated
    $506,002
    From this org
    $343,611
    From related orgs
    $85,903
    Other
    $76,488
    Hours/week
    36 + 4 related

    Schedule J breakdown matched by us

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

  • Jeremy Schorr

    Emergency Physician

    Total calculated
    $485,354
    From this org
    $445,001
    From related orgs
    $0
    Other
    $40,353
    Hours/week
    39

    Schedule J breakdown matched by us

    Base
    $376,033
    Bonus
    $38,800
    Other
    $30,169
    Deferred
    $9,149
    Nontaxable benefits
    $31,203
    Filer's total
    $485,354

  • Jennifer Wills

    Physician

    Total calculated
    $447,623
    From this org
    $436,880
    From related orgs
    $0
    Other
    $10,743
    Hours/week
    37

    Schedule J breakdown matched by us

    Base
    $375,952
    Bonus
    $30,772
    Other
    $30,157
    Deferred
    $9,149
    Nontaxable benefits
    $1,594
    Filer's total
    $447,624

  • Justin Weis 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
    $0
    From related orgs
    $285,895
    Other
    $45,055
    Hours/week
    26.5 + 13.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $240,995 related
    Bonus
    $0 + $30,037 related
    Other
    $0 + $14,863 related
    Deferred
    $0 + $14,573 related
    Nontaxable benefits
    $0 + $30,483 related
    Filer's total
    $0 + $330,951 related

  • Jennifer DeVault

    VP Associate Services and Wellness

    Total calculated
    $303,280
    From this org
    $252,312
    From related orgs
    $0
    Other
    $50,968
    Hours/week
    36 + 4 related

    Schedule J breakdown matched by us

    Base
    $206,955
    Bonus
    $31,713
    Other
    $13,644
    Deferred
    $18,529
    Nontaxable benefits
    $32,438
    Filer's total
    $303,279

  • Cynthia Teerlinck MD

    Board Member and Physician

    Total calculated
    $295,134
    From this org
    $253,938
    From related orgs
    $0
    Other
    $41,196
    Hours/week
    40 + 1.5 related

    Schedule J breakdown matched by us

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

  • Hazel Robertshaw

    VP Patient Care Services/CNO

    Total calculated
    $281,515
    From this org
    $251,554
    From related orgs
    $0
    Other
    $29,961
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,091
    Bonus
    $31,065
    Other
    $11,398
    Deferred
    $17,814
    Nontaxable benefits
    $12,147
    Filer's total
    $281,515

  • Akua Asante MD

    Board Member and Physician

    Total calculated
    $195,298
    From this org
    $131,268
    From related orgs
    $58,759
    Other
    $5,271
    Hours/week
    28 + 12 related

    Schedule J breakdown matched by us

    Base
    $124,813 + $58,759 related
    Bonus
    $1,337
    Other
    $5,117
    Deferred
    $0 + $3,649 related
    Nontaxable benefits
    $1,432 + $190 related
    Filer's total
    $132,699 + $62,598 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

  • Krista Jackson

    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

  • Gigi 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

  • Frank 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 by an affiliated organization as part of his employment agreement.
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 Hospital's compensation is established by the manners' described and also described in Form 990 Part VI, Section B, line 15.
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, David Baum - $38,707. SERP plan payments that are included in deferred compensation were: Steven Goldstein - $159,400, Mark Taubman - $127,265 and Michael Apostolakos - $50,000. These payments were made by a related organization. The following individual participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in other reportable compensation. 457(f) plan payments were: Steven Goldstein - $1,701,399. These amounts represent employee deferrals of compensation, plus investment earnings, over several years that vested and were paid pursuant to the requirements of the plan. The employee deferrals were reported as deferred compensation in schedule J, Part II, column C in prior years and are also reflected, net of investment earnings, in schedule J, Part II, column (f). This payment was made by a related organization.
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
202323049349300112

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