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Nonprofiteer
← CLAYTON HEALTH SYSTEMS INC

Form 990 for tax year 2023

Filed by CLAYTON HEALTH SYSTEMS INC.

Totals

Total revenue
$15,745,146
Total expenses
$16,344,982
Contributions and grants received
$1,533,642
Grants paid
$0
Program service revenue
$14,172,540
Investment income
$32,964
Other revenue
$6,000
Total assets, end of year
$14,913,998
Total liabilities, end of year
$4,816,052
Net assets or fund balances, end of year
$10,097,946
Program services expenses (Part IX)
$12,461,125
Management and general expenses
$3,883,857
Fundraising expenses
$0
Program service expenses (Part III)
$12,461,125

Program services were 76.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Judith Cooper

    President

    Total calculated
    $0
    Hours/week
    1
  • Nick Diller

    Vice President

    Total calculated
    $0
    Hours/week
    1
  • Craig Reeves

    Treasurer

    Total calculated
    $0
    Hours/week
    1
  • Robert Williams

    Secretary and CRNA

    Total calculated
    $219,540
    From this org
    $175,655
    From related orgs
    $0
    Other
    $43,885
    Hours/week
    41

    Schedule J breakdown matched by us

    Base
    $175,655
    Bonus
    $0
    Other
    $0
    Deferred
    $20,790
    Nontaxable benefits
    $23,095
    Filer's total
    $219,540
  • Paul Briesh

    Director

    Total calculated
    $0
    Hours/week
    1
  • Tammie Chavez

    CEO

    Total calculated
    $0
    Hours/week
    40
  • Melissa Prante

    CFO (Until Sept 23)

    Total calculated
    $0
    Hours/week
    40
  • Jamie Armijo CNP

    Family Nurse Practitioner

    Total calculated
    $210,448
    From this org
    $163,118
    From related orgs
    $0
    Other
    $47,330
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,118
    Bonus
    $0
    Other
    $0
    Deferred
    $12,836
    Nontaxable benefits
    $34,494
    Filer's total
    $210,448
  • Jay Fluhman FNP-C ACNP

    Certified Nurse Practitioner

    Total calculated
    $194,053
    From this org
    $150,600
    From related orgs
    $0
    Other
    $43,453
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,600
    Bonus
    $0
    Other
    $0
    Deferred
    $33,991
    Nontaxable benefits
    $9,462
    Filer's total
    $194,053
  • Russell Lees PT

    Director of Rehabiliation

    Total calculated
    $180,685
    From this org
    $140,542
    From related orgs
    $0
    Other
    $40,143
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,542
    Bonus
    $0
    Other
    $0
    Deferred
    $9,001
    Nontaxable benefits
    $31,142
    Filer's total
    $180,685
  • Mark Van Wormer MD

    Family Medicine-Chief of Staff

    Total calculated
    $698,255
    From this org
    $630,712
    From related orgs
    $0
    Other
    $67,543
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $630,712
    Bonus
    $0
    Other
    $0
    Deferred
    $39,900
    Nontaxable benefits
    $27,643
    Filer's total
    $698,255
  • Jessica Wright DNP-C

    Certified Nurse Practitioner

    Total calculated
    $207,752
    From this org
    $170,767
    From related orgs
    $0
    Other
    $36,985
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,767
    Bonus
    $0
    Other
    $0
    Deferred
    $9,600
    Nontaxable benefits
    $27,385
    Filer's total
    $207,752

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, and on a Form 990-PF Part VIII's — 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

  • 3 · Approval by the board or compensation committee

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
  • 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)

Part I, Line 3
The Board of Directors approves the contract with Community Hospital Corporation, the management company that employs the CEO.

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
13 May 2025
IRS schema version
2023v6.0
Source object
202531349349309043

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