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Nonprofiteer
← TJA ORTHOPEDIC SURGERY PC

Form 990 for tax year 2022

Filed by TJA ORTHOPEDIC SURGERY PC.

Totals

Total revenue
$12,033,102
Total expenses
$15,526,102
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$15,104,590
Management and general expenses
$421,512
Fundraising expenses
$0
Program service expenses (Part III)
$15,104,590

Program services were 97.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BRYAN T KELLY

    DIRECTOR, PRESIDENT, TREASURER

    Total calculated
    $5,518,910
    From this org
    $0
    From related orgs
    $5,436,047
    Other
    $82,863
    Hours/week
    0.5 + 75.34 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,558,035 related
    Bonus
    $0 + $485,000 related
    Other
    $0 + $2,393,012 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $55,413 related
    Filer's total
    $0 + $5,518,910 related

  • SAMUEL TAYLOR

    ASSISTANT ATTENDING PHYSICIAN

    Total calculated
    $1,853,627
    From this org
    $534,069
    From related orgs
    $1,246,163
    Other
    $73,395
    Hours/week
    15 + 35 related

    Schedule J breakdown matched by us

    Base
    $175,641 + $409,830 related
    Bonus
    $0
    Other
    $358,428 + $836,333 related
    Deferred
    $8,235 + $19,215 related
    Nontaxable benefits
    $13,784 + $32,161 related
    Filer's total
    $556,088 + $1,297,539 related

  • SCOTT WOLFE

    ATTENDING PHYSICIAN

    Total calculated
    $1,594,341
    From this org
    $167,448
    From related orgs
    $1,354,809
    Other
    $72,084
    Hours/week
    5.5 + 53.47 related

    Schedule J breakdown matched by us

    Base
    $50,659 + $409,877 related
    Bonus
    $0
    Other
    $116,789 + $944,932 related
    Deferred
    $3,019 + $24,430 related
    Nontaxable benefits
    $4,910 + $39,725 related
    Filer's total
    $175,377 + $1,418,964 related

  • THEODORE BLAINE

    ASSISTANT ATTENDING PHYSICIAN

    Total calculated
    $1,471,055
    From this org
    $1,147,772
    From related orgs
    $251,950
    Other
    $71,333
    Hours/week
    41 + 9 related

    Schedule J breakdown matched by us

    Base
    $394,039 + $86,496 related
    Bonus
    $0
    Other
    $753,733 + $165,454 related
    Deferred
    $18,758 + $4,118 related
    Nontaxable benefits
    $39,735 + $8,722 related
    Filer's total
    $1,206,265 + $264,790 related

  • STEVEN J MCANANY

    ASSISTANT ATTENDING PHYSICIAN

    Total calculated
    $1,250,325
    From this org
    $1,019,685
    From related orgs
    $165,995
    Other
    $64,645
    Hours/week
    43 + 7 related

    Schedule J breakdown matched by us

    Base
    $360,155 + $58,630 related
    Bonus
    $0
    Other
    $659,530 + $107,365 related
    Deferred
    $19,672 + $3,202 related
    Nontaxable benefits
    $35,923 + $5,848 related
    Filer's total
    $1,075,280 + $175,045 related

  • CHARLES CORNELL

    ATTENDING PHYSICIAN

    Total calculated
    $1,200,768
    From this org
    $592,498
    From related orgs
    $525,923
    Other
    $82,347
    Hours/week
    26.5 + 23.5 related

    Schedule J breakdown matched by us

    Base
    $475,018 + $421,242 related
    Bonus
    $0
    Other
    $117,480 + $104,681 related
    Deferred
    $14,548 + $12,901 related
    Nontaxable benefits
    $29,096 + $25,802 related
    Filer's total
    $636,142 + $564,626 related

  • RICHARD CROWLEY

    SECRETARY

    Total calculated
    $1,014,930
    From this org
    $0
    From related orgs
    $947,052
    Other
    $67,878
    Hours/week
    0.5 + 59.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $710,383 related
    Bonus
    $0 + $205,952 related
    Other
    $0 + $30,717 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $40,428 related
    Filer's total
    $0 + $1,014,930 related

  • TODD J ALBERT MD

    FMR DIRECTOR, PRESIDENT, TREAS

    Total calculated
    $214,537
    From this org
    $0
    From related orgs
    $152,983
    Other
    $61,554
    Hours/week
    0 + 12.72 related

    Schedule J breakdown matched by us

    Base
    $0 + $131,651 related
    Bonus
    $0
    Other
    $0 + $21,332 related
    Deferred
    $0 + $13,096 related
    Nontaxable benefits
    $0 + $48,458 related
    Filer's total
    $0 + $214,537 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

  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this 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
RELATED ORGANIZATION, HOSPITAL FOR SPECIAL SURGERY(HSS), IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST CORPORATE GOVERNANCE. THE HSS BOARD HAS CHARGED THE COMPENSATION COMMITTEE (WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS WITH NO CONFLICTS OF INTEREST IN REGARD TO EXECUTIVE COMPENSATION) WITH MAKING ALL DECISIONS RELATED TO COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IT IN THIS PROCESS. COMPENSATION LEVELS ARE ESTABLISHED CONSIDERING DATA FOR FUNCTIONALLY COMPARABLE ROLES IN COMPARABLE ORGANIZATIONS, AN ASSESSMENT OF PERFORMANCE, AND OTHER BUSINESS JUDGMENT FACTORS, CONSISTENT WITH HSS EXECUTIVE COMPENSATION PHILOSOPHY. THE COMMITTEE'S DECISIONS ARE MADE IN THE BEST INTERESTS OF HSS, AND ARE INTENDED TO ENSURE THE RECRUITMENT AND RETENTION OF KEY EXECUTIVE TALENT, CONSISTENT WITH THE MARKET PRACTICES OF OTHER NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS OF COMPARABLE MISSION AND COMPLEXITY, CONSIDERING BOTH LOCAL AND NATIONAL MARKET CHALLENGES IN SUCH REGARD. ON AN ANNUAL BASIS (INCLUDING 2022), THE COMMITTEE PROVIDES THE FULL BOARD WITH AN OVERVIEW OF ITS DETERMINATIONS AND PROCESS. HSS ESTABLISHED THIS PROCESS IN AN EFFORT TO COMPLY WITH THE INTERMEDIATE SANCTIONS GUIDELINES FOR QUALIFYING FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, AS WELL AS BEST CORPORATE GOVERNANCE PRACTICES IN ENSURING THE TRANSPARENCY OF THE EXECUTIVE COMPENSATION DECISION MAKING PROCESS WITH THE BOARD.
Schedule J, Part I, Line 5B
Certain employed physicians listed on Part VII, Section A, Line 1A receive compensation in part, based on professional service revenue generated from services they personally performed in their individual practices. In 2022, no physician was paid compensation contingent upon the organization's overall revenue or net earnings.
Schedule J, Part I, Line 6B
Performance based incentive awards are paid to officers and key employees based on a number of important quality, satisfaction, efficiency, and financial measures, of which achieving budget is a factor.

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
13 November 2023
IRS schema version
2022v5.0
Source object
202303179349312225

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