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Nonprofiteer
← CLAIBORNE MEDICAL CENTER

Form 990 for tax year 2024

Filed by CLAIBORNE MEDICAL CENTER.

Totals

Total revenue
$37,039,229
Total expenses
$38,114,430
Contributions and grants received
$507,543
Grants paid
$2,075
Program service revenue
$36,307,195
Investment income
$21,258
Other revenue
$203,233
Total assets, end of year
$18,461,414
Total liabilities, end of year
$9,151,812
Net assets or fund balances, end of year
$9,309,602
Program services expenses (Part IX)
$35,942,722
Management and general expenses
$2,171,708
Fundraising expenses
$0
Program service expenses (Part III)
$35,942,722

Program services were 94.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Mitchell Dickson MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Stephanie Flood

    Director

    Total calculated
    $964
    From this org
    $0
    From related orgs
    $964
    Other
    $0
    Hours/week
    0 + 1 related

  • James Gibson

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Edgar Gray

    Director

    Total calculated
    $844
    From this org
    $0
    From related orgs
    $844
    Other
    $0
    Hours/week
    0 + 1 related

  • Leslye Hartsell

    Director

    Total calculated
    $1,124
    From this org
    $0
    From related orgs
    $1,124
    Other
    $0
    Hours/week
    0 + 1 related

  • Donald Hickman

    Director

    Total calculated
    $675
    From this org
    $0
    From related orgs
    $675
    Other
    $0
    Hours/week
    0 + 1 related

  • Timothy Matthews

    Director

    Total calculated
    $657
    From this org
    $0
    From related orgs
    $657
    Other
    $0
    Hours/week
    0 + 1 related

  • Janice McKinley

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Cletus McMahon MD

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Dave Miller

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Bill Myers

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • Alvin Nance

    Director

    Total calculated
    $648
    From this org
    $0
    From related orgs
    $648
    Other
    $0
    Hours/week
    0 + 1 related

  • Linda Ogle

    Director

    Total calculated
    $0
    Hours/week
    0 + 1 related

  • King Purnell

    Director/Chair

    Total calculated
    $935
    From this org
    $0
    From related orgs
    $935
    Other
    $0
    Hours/week
    0 + 1 related

  • Jorge Sanabria

    Director

    Total calculated
    $807
    From this org
    $0
    From related orgs
    $807
    Other
    $0
    Hours/week
    0 + 1 related

  • William Seale

    Director

    Total calculated
    $1,060
    From this org
    $0
    From related orgs
    $1,060
    Other
    $0
    Hours/week
    0 + 1 related

  • Cosby Stone

    Director

    Total calculated
    $1,113
    From this org
    $0
    From related orgs
    $1,113
    Other
    $0
    Hours/week
    0 + 1 related

  • Joe Sutter

    Director

    Total calculated
    $881
    From this org
    $0
    From related orgs
    $881
    Other
    $0
    Hours/week
    0 + 1 related

  • James Tramontana MD

    Director

    Total calculated
    $1,086
    From this org
    $0
    From related orgs
    $1,086
    Other
    $0
    Hours/week
    0 + 1 related

  • James D VanderSteeg

    President & CEO

    Total calculated
    $3,242,830
    From this org
    $0
    From related orgs
    $2,880,556
    Other
    $362,274
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,578,849 related
    Bonus
    $0 + $1,078,259 related
    Other
    $0 + $223,448 related
    Deferred
    $0 + $335,103 related
    Nontaxable benefits
    $0 + $27,171 related
    Filer's total
    $0 + $3,242,830 related

  • Joseph C Dolan

    EVP/CFO

    Total calculated
    $967,301
    From this org
    $0
    From related orgs
    $861,693
    Other
    $105,608
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $697,828 related
    Bonus
    $0 + $138,667 related
    Other
    $0 + $25,198 related
    Deferred
    $0 + $72,802 related
    Nontaxable benefits
    $0 + $32,806 related
    Filer's total
    $0 + $967,301 related

  • Patricia J Ketterman

    Fmr Pres & CAO (through Aug 2024)

    Total calculated
    $366,998
    From this org
    $0
    From related orgs
    $342,437
    Other
    $24,561
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $121,127 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $171,310 related
    Deferred
    $0 + $10,587 related
    Nontaxable benefits
    $0 + $13,974 related
    Filer's total
    $0 + $366,998 related

  • Jacqueline H Hounshell

    Fmr VP - Fin Svcs (through Aug 2024)

    Total calculated
    $265,030
    From this org
    $0
    From related orgs
    $222,480
    Other
    $42,550
    Hours/week
    15 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $153,925 related
    Bonus
    $0 + $29,000 related
    Other
    $0 + $39,555 related
    Deferred
    $0 + $9,057 related
    Nontaxable benefits
    $0 + $33,493 related
    Filer's total
    $0 + $265,030 related

  • Gordon E Lintz

    President & CAO

    Total calculated
    $590,525
    From this org
    $0
    From related orgs
    $564,436
    Other
    $26,089
    Hours/week
    15 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $387,063 related
    Bonus
    $0 + $110,000 related
    Other
    $0 + $67,373 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $12,889 related
    Filer's total
    $0 + $590,525 related

  • Amy E Herndon

    VP - Financial Services

    Total calculated
    $227,124
    From this org
    $0
    From related orgs
    $198,501
    Other
    $28,623
    Hours/week
    15 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $136,570 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $36,931 related
    Deferred
    $0 + $6,127 related
    Nontaxable benefits
    $0 + $22,496 related
    Filer's total
    $0 + $227,124 related

  • Anthony W Rowe

    Pharmacist

    Total calculated
    $187,038
    From this org
    $151,865
    From related orgs
    $0
    Other
    $35,173
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $140,871
    Bonus
    $0
    Other
    $10,994
    Deferred
    $4,631
    Nontaxable benefits
    $30,542
    Filer's total
    $187,038

  • Vicki L Cornelius

    VP - Chief Nursing Officer

    Total calculated
    $151,571
    From this org
    $127,106
    From related orgs
    $0
    Other
    $24,465
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $110,429
    Bonus
    $16,000
    Other
    $677
    Deferred
    $3,335
    Nontaxable benefits
    $21,130
    Filer's total
    $151,571

  • Robert B Davis

    Physical Therapist

    Total calculated
    $129,600
    From this org
    $107,389
    From related orgs
    $0
    Other
    $22,211
    Hours/week
    50

  • William C Martin

    Clinical Nurse

    Total calculated
    $137,584
    From this org
    $104,415
    From related orgs
    $0
    Other
    $33,169
    Hours/week
    50

  • Jodi L Whitaker

    Fmr VP - CNO

    Total calculated
    $234,271
    From this org
    $0
    From related orgs
    $195,709
    Other
    $38,562
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $145,568 related
    Bonus
    $0 + $24,000 related
    Other
    $0 + $26,141 related
    Deferred
    $0 + $7,118 related
    Nontaxable benefits
    $0 + $31,444 related
    Filer's total
    $0 + $234,271 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, 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

  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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
Covenant Health, the parent company of Claiborne Medical Center, used the following methods in establishing the compensation of President/CEO, James D. VanderSteeg: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee. Additional detail is provided in response to Form 990, Part VI, Section B, Lines 15a and 15b within Schedule O.
Part I, Lines 4a-b
Patricia Ketterman, Former President and CAO, received a severance payment of $83,047 during 2024. The amount is included in taxable compensation. Her termination date was August 2, 2024. Covenant Health maintains a nonqualified deferred compensation ("NQDC") plan intended to support retention of President and CEO, James D. VanderSteeg, and EVP and CFO, Joseph C. Dolan. Employer contributions of $321,903 for James D. VanderSteeg and $72,802 for Joseph C. Dolan are reported as deferred compensation on Schedule J, Part II, Column C. Contributions along with 2024 earnings of $114,551 for James D. VanderSteeg and $4,468 for Joseph C. Dolan are subject to a substantial risk of forfeiture. Amounts are combined with other compensation and considered for reasonableness. Compensation procedures are discussed in detail in Schedule O (Form 990, Part VI, Section B, Line 15a). Please note that the amounts included in Part II, Column C as contributions to the NQDC plan for James D. VanderSteeg and other executive leaders are deferred but NOT received during the filing year. We report compensation in both the year earned and the year paid, as required by IRS guidelines; however, wages appear overstated due to dual reporting of compensation earned in one year and distributed in a subsequent year.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • Claiborne EMS LLC

    Ambulance service · TN · income $2,461,203 · assets $2,300,517

    Directly controlled by Claiborne Medical Center

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
12 November 2025
IRS schema version
2024v5.2
Source object
202543169349301149

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