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← HOPKINS COUNTY PHYSICIAN SERVICES

Form 990 for tax year 2022

Filed by HOPKINS COUNTY PHYSICIAN SERVICES.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$51,965
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$51,965
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$0

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $51,965 · end of year $51,965

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $51,965 · end of year $51,965

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF CHRISTUS HEALTH, AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS PROMULGATED OR AMENDED FROM TIME TO TIME BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST, TRANSFER AND/OR DISPOSE OF FUNDS OF THE CORPORATION FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF, CHRISTUS HEALTH.

Activities or mission (Part I)

SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS IN EXTENDING THE HEALING MINISTRY OF JESUS CHRIST IN CONFORMITY WITH THE ROMAN CATHOLIC CHURCH.

  • HOPKINS COUNTY PHYSCICIAN SERVICES IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE CHARITABLE, SCIENTIFIC, EDUCATIONAL AND RELIGIOUS PURPOSES OF ADVANCING, PROMOTING AND SUPPORTING THE HEALTH CARE MINISTRIES OF THE SPONSORING CONGREGATIONS, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD,HOUSTON, TEXAS, THE CONGREGATION OF SISTERS OF CHARITY OF THE INCARNATE WORD (SAN ANTONIO), AND THE SISTER OF THE HOLY FAMILY OF NAZARETH, WHICH OPERATE AND ARE CONTROLLED IN CONFORMITY WITH THE ETHICAL AND MORAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, AND PROMOTING EFFICIENT GOVERNANCE AND MANAGEMENT, COOPERATIVE PLANNING AND THE SHARING OF RESOURCES AMONG SUCH HEALTH CARE MINISTRIES. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE CORPORATION'S MISSION SHALL BE TO EXTEND THE HEALING MINISTRY OF JESUS CHRIST, AND CONSISTENT THEREWITH, SHALL OPERATE ACCORDING TO THE DOCTRINES, RESOLUTIONS, DECREES AND ETHICAL PRINCIPLES OF THE SPONSORING CONGREGATIONS AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH SERVICES AS PROMULGATED AND AMENDED FROM TIME TO TIME BY THE UNITED STATES CATHOLIC CONFERENCE OF BISHOPS. IT IS ALSO A PURPOSE OF THE CORPORATION TO AID, LEND FINANCIAL SUPPORT AND ASSISTANCE TO, AND TO INVEST AND/OR DISPOSE OF FUNDS OF THE CORPORATION AND THE SYSTEM PARTICIPANTS FOR THE USE AND BENEFIT OF, AND IN FURTHERANCE OF THE PURPOSES OF CHRISTUS, THE SYSTEM, THE CORPORATION, THE SYSTEM PARTICIPANTS AND THE LOCAL ENTITIES. THE CORPORATION SHALL ALSO BE AUTHORIZED TO ENGAGE IN SUCH PURSUITS AS MAY BE NECESSARY OR INCIDENTAL, OR WHICH MAY AID OR ASSIST, IN CARRYING OUT THE CORPORATION'S MISSION AND PURPOSES. THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THE PURPOSES AS WELL AS THOSE SYSTEM ENTITIES THAT ARE DESCRIBED IN SECTION 501(C)(3), AND SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAW (HEREINAFTER THE "CODE").

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jeff Puckett

    DIRECTOR

    Total calculated
    $8,975,235
    From this org
    $0
    From related orgs
    $6,548,766
    Other
    $2,426,469
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $3,121,353 related
    Bonus
    not reported + $2,702,700 related
    Other
    not reported + $724,713 related
    Deferred
    not reported + $2,412,400 related
    Nontaxable benefits
    not reported + $14,069 related
    Filer's total
    not reported + $8,975,235 related

  • CHRIS GLENNEY

    DIRECTOR

    Total calculated
    $1,849,968
    From this org
    $0
    From related orgs
    $1,403,929
    Other
    $446,039
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    not reported + $956,519 related
    Bonus
    not reported + $446,760 related
    Other
    not reported + $650 related
    Deferred
    not reported + $431,192 related
    Nontaxable benefits
    not reported + $14,847 related
    Filer's total
    not reported + $1,849,968 related

  • Steven Keuer MD

    Director

    Total calculated
    $1,520,254
    From this org
    $0
    From related orgs
    $1,293,582
    Other
    $226,672
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $684,550 related
    Bonus
    not reported + $410,841 related
    Other
    not reported + $198,191 related
    Deferred
    not reported + $209,400 related
    Nontaxable benefits
    not reported + $17,272 related
    Filer's total
    not reported + $1,520,254 related

  • CHRIS KARAM

    DIRECTOR (THRU 09/2018)

    Total calculated
    $1,427,294
    From this org
    $0
    From related orgs
    $1,224,050
    Other
    $203,244
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $841,150 related
    Bonus
    not reported + $382,900 related
    Other
    not reported
    Deferred
    not reported + $193,553 related
    Nontaxable benefits
    not reported + $9,691 related
    Filer's total
    not reported + $1,427,294 related

  • MARK ANDERSON MD

    CHAIR (THRU 04/2021)

    Total calculated
    $1,204,984
    From this org
    $0
    From related orgs
    $933,102
    Other
    $271,882
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $683,470 related
    Bonus
    not reported + $249,632 related
    Other
    not reported
    Deferred
    not reported + $199,056 related
    Nontaxable benefits
    not reported + $72,826 related
    Filer's total
    not reported + $1,204,984 related

  • JASON ADAMS

    DIRECTOR (THRU 04/2021)

    Total calculated
    $819,001
    From this org
    $0
    From related orgs
    $674,084
    Other
    $144,917
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $445,694 related
    Bonus
    not reported + $228,006 related
    Other
    not reported + $384 related
    Deferred
    not reported + $121,795 related
    Nontaxable benefits
    not reported + $23,122 related
    Filer's total
    not reported + $819,001 related

  • Elizabeth Pulliam

    Director (THRU 04/2021)

    Total calculated
    $683,185
    From this org
    $0
    From related orgs
    $585,994
    Other
    $97,191
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $356,837 related
    Bonus
    not reported + $154,939 related
    Other
    not reported + $74,218 related
    Deferred
    not reported + $89,333 related
    Nontaxable benefits
    not reported + $7,858 related
    Filer's total
    not reported + $683,185 related

  • Scott Smith MD

    Director (THRU 11/2021)

    Total calculated
    $644,620
    From this org
    $0
    From related orgs
    $621,000
    Other
    $23,620
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $310,500 related
    Bonus
    not reported
    Other
    not reported + $310,500 related
    Deferred
    not reported + $7,444 related
    Nontaxable benefits
    not reported + $16,176 related
    Filer's total
    not reported + $644,620 related

  • ANDRIA CARDINALLI-STEIN

    DIRECTOR

    Total calculated
    $488,706
    From this org
    $0
    From related orgs
    $476,506
    Other
    $12,200
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $381,926 related
    Bonus
    not reported + $94,130 related
    Other
    not reported + $450 related
    Deferred
    not reported + $12,200 related
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $488,706 related

  • JAMES DARRYL DOUGHTIE MD

    DIRECTOR (THRU 04/2021)

    Total calculated
    $451,463
    From this org
    $0
    From related orgs
    $417,490
    Other
    $33,973
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $294,173 related
    Bonus
    not reported + $40,417 related
    Other
    not reported + $82,900 related
    Deferred
    not reported + $12,201 related
    Nontaxable benefits
    not reported + $21,772 related
    Filer's total
    not reported + $451,463 related

  • PAUL HARVEY

    PRESIDENT CHHA

    Total calculated
    $392,296
    From this org
    $0
    From related orgs
    $361,082
    Other
    $31,214
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $259,833 related
    Bonus
    not reported + $100,599 related
    Other
    not reported + $650 related
    Deferred
    not reported + $12,200 related
    Nontaxable benefits
    not reported + $19,014 related
    Filer's total
    not reported + $392,296 related

  • BARRY LOFQUIST

    TREASURER/CFO (thru 05/2020)

    Total calculated
    $303,762
    From this org
    $0
    From related orgs
    $278,878
    Other
    $24,884
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $214,241 related
    Bonus
    not reported + $64,087 related
    Other
    not reported + $550 related
    Deferred
    not reported + $11,600 related
    Nontaxable benefits
    not reported + $13,284 related
    Filer's total
    not reported + $303,762 related

  • ERIC GARRISON

    TREASURER (THRU 04/2021)

    Total calculated
    $234,935
    From this org
    $0
    From related orgs
    $220,283
    Other
    $14,652
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $167,361 related
    Bonus
    not reported + $52,922 related
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported + $14,652 related
    Filer's total
    not reported + $234,935 related

  • SISTER ROSEANNE POPP MD

    DIRECTOR

    Total calculated
    $234,651
    From this org
    $0
    From related orgs
    $231,979
    Other
    $2,672
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    not reported + $209,945 related
    Bonus
    not reported + $3,500 related
    Other
    not reported + $18,534 related
    Deferred
    not reported + $317 related
    Nontaxable benefits
    not reported + $2,355 related
    Filer's total
    not reported + $234,651 related

  • AMANDA SMITH

    SECRETARY

    Total calculated
    $58,961
    From this org
    $0
    From related orgs
    $48,820
    Other
    $10,141
    Hours/week
    1 + 39 related

  • BILL CHEN PH D

    DIRECTOR

    Total calculated
    $19,699
    From this org
    $0
    From related orgs
    $19,699
    Other
    $0
    Hours/week
    1

  • JOE BOB BURGIN

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • RANDY CHILDRESS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JEAN COLEMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    5

  • Shannon Dacus

    Director/Chair

    Total calculated
    $0
    Hours/week
    1

  • Michael Hallum

    Director

    Total calculated
    $0
    Hours/week
    1

  • Fred Harris Jr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sonja Yates Hubbard

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jeb Jones

    Director

    Total calculated
    $0
    Hours/week
    1

  • Joe Bob Joyce

    DIRECTOR (THRU 12/2022)

    Total calculated
    $0
    Hours/week
    1

  • Sister Guadalupe Ruiz

    Director

    Total calculated
    $0
    Hours/week
    0

  • Preston Smith

    Director

    Total calculated
    $0
    Hours/week
    1

  • Dick Stone

    Director

    Total calculated
    $0
    Hours/week
    1

  • SISTER RITA FANNING

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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

  • 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)

SUPPLEMENTAL COMPENSATION INFORMATION
FORM 990, PART VII, QUESTION 1A AND SCHEDULE J, PART II DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE FILING ORGANIZATION OR A RELATED ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
EXPLANATION OF RELATED ORG DETERMINING EXECUTIVE DIRECTOR COMPENSATION
990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. THIS ENTITY RELIED ON A RELATED ORGANIZATION, CHRISTUS HEALTH, THAT USED THE FOLLOWING METHOD TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT AND EXTERNAL CONSULTANT. THE FILING ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DETERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
FORM 990, SCHEDULE J, PART I, QUESTION 4B AND FORM 990, SCHEDULE J, PART II, COLUMN (F) COMPENSATION REPORTED AS DEFERRED IN A PRIOR FORM 990 DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET.
DEFERRED COMPENSATION
FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.
SUPPLEMENTAL COMPENSATION INFORMATION
FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
BONUS AND INCENTIVE COMPENSATION
FORM 990, SCHEDULE J, PART II, COLUMN B(II) BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2022.
SEVERANCE
FORM 990, SCHEDULE J, PART, LINE 4A DURING CALENDAR YEAR 2022, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE COMPENSATION: SCOTT SMITH, MD: $300,000

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
6 May 2024
IRS schema version
2022v5.0
Source object
202441289349300034

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