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Nonprofiteer
← T J SAMSON COMMUNITY HOSPITAL

Form 990 for tax year 2024

Filed by T J SAMSON COMMUNITY HOSPITAL.

Totals

Total revenue
$289,619,094
Total expenses
$269,580,408
Contributions and grants received
$103,158
Grants paid
$14,631,575
Program services expenses (Part IX)
$223,605,168
Management and general expenses
$45,975,240
Fundraising expenses
$0
Program service expenses (Part III)
$223,605,168

Program services were 82.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • HARIKRISHNAN D NAIR

    PHYSICAN

    Total calculated
    $1,586,739
    From this org
    $1,547,661
    From related orgs
    $0
    Other
    $39,078
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $735,254
    Bonus
    $812,329
    Other
    $78
    Deferred
    $10,977
    Nontaxable benefits
    $28,101
    Filer's total
    $1,586,739
  • BARETT LESSENBERRY

    PHYSICAN

    Total calculated
    $1,529,492
    From this org
    $1,497,819
    From related orgs
    $0
    Other
    $31,673
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $620,041
    Bonus
    $877,700
    Other
    $78
    Deferred
    $13,800
    Nontaxable benefits
    $17,873
    Filer's total
    $1,529,492
  • VENKATA REDDY

    PHYSICAN

    Total calculated
    $1,326,771
    From this org
    $1,301,717
    From related orgs
    $0
    Other
    $25,054
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $822,353
    Bonus
    $476,978
    Other
    $2,386
    Deferred
    $13,800
    Nontaxable benefits
    $11,254
    Filer's total
    $1,326,771
  • BRIAN ELMLINGER

    PHYSICAN

    Total calculated
    $1,131,240
    From this org
    $1,097,554
    From related orgs
    $0
    Other
    $33,686
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $489,541
    Bonus
    $607,935
    Other
    $78
    Deferred
    $7,810
    Nontaxable benefits
    $25,876
    Filer's total
    $1,131,240
  • ZAKURE SALIFU MD

    PHYSICAN

    Total calculated
    $930,888
    From this org
    $888,987
    From related orgs
    $0
    Other
    $41,901
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $445,028
    Bonus
    $438,881
    Other
    $5,078
    Deferred
    $13,800
    Nontaxable benefits
    $28,101
    Filer's total
    $930,888
  • NEIL THORNBURY

    CHIEF EXECUTIVE DIRECTOR

    Total calculated
    $774,994
    From this org
    $0
    From related orgs
    $738,164
    Other
    $36,830
    Hours/week
    5 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $644,486 related
    Bonus
    $0 + $93,600 related
    Other
    $0 + $78 related
    Deferred
    $0 + $8,729 related
    Nontaxable benefits
    $0 + $28,101 related
    Filer's total
    $0 + $774,994 related
  • JOHN P CRADDOCK MD

    FORMER VICE CHIEF OF STAFF

    Total calculated
    $628,104
    From this org
    $586,203
    From related orgs
    $0
    Other
    $41,901
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $497,185
    Bonus
    $83,940
    Other
    $5,078
    Deferred
    $13,800
    Nontaxable benefits
    $28,101
    Filer's total
    $628,104
  • DR MICHAEL SARIDAKIS MD

    DIRECTOR/VICE CHIEF OF STAFF

    Total calculated
    $548,269
    From this org
    $503,578
    From related orgs
    $0
    Other
    $44,691
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $424,495
    Bonus
    $69,005
    Other
    $10,078
    Deferred
    $13,800
    Nontaxable benefits
    $30,891
    Filer's total
    $548,269
  • MEI DENG

    CHIEF FINANCIAL OFFICER

    Total calculated
    $406,011
    From this org
    $0
    From related orgs
    $371,138
    Other
    $34,873
    Hours/week
    5 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,060 related
    Bonus
    $0 + $35,000 related
    Other
    $0 + $78 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $21,073 related
    Filer's total
    $0 + $406,011 related
  • ERIC FISHER MD

    FORMER CHIEF OF STAFF

    Total calculated
    $376,539
    From this org
    $335,444
    From related orgs
    $0
    Other
    $41,095
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $335,366
    Bonus
    $0
    Other
    $78
    Deferred
    $11,725
    Nontaxable benefits
    $29,370
    Filer's total
    $376,539
  • HENRY ROYSE

    DIRECTOR

    Total calculated
    $19,699
    From this org
    $0
    From related orgs
    $0
    Other
    $19,699
    Hours/week
    1 + 4 related
  • T RICH ALEXANDER

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • BRENT BILLINGSLEY

    VICE CHAIRMAN

    Total calculated
    $15,914
    From this org
    $0
    From related orgs
    $0
    Other
    $15,914
    Hours/week
    1 + 3 related
  • ERVIN SORRELL

    TREASURER

    Total calculated
    $10,105
    From this org
    $0
    From related orgs
    $0
    Other
    $10,105
    Hours/week
    1 + 2 related
  • MICHAEL SCOTT YOUNG

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • BO MATTHEWS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • JOEY ALLEN BOTTS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • DAN FOUTCH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • DR KYLE KISER MD

    DIRECTOR/CHIEF OF STAFF

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • AMY NORRIS CASSADY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • CORNELIUS FAULKNER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 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

  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
TJ REGIONAL HEALTH, INC., A RELATED ORGANIZATION OF TJ SAMSON COMMUNITY HOSPITAL, INC., USES COMPENSATION SURVEYS/STUDIES AND 990S OF OTHER HOSPITALS SIMILAR IN SIZE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. THIS PROCESS IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE BOARD.
PART I, LINE 7
PHYSICIANS ARE ELGIBLE FOR INCENTIVE COMPENSATION. PHYSICIANS MAY EARN ADDITONAL COMPENSATION THROUGH QUARTERLY PRODUCTIVITY BONUSES THAT ARE BASED ON THE CALCULATED DIFFERENCE OF ACTUAL WRVUS FOR THE QUARTER LESS A WRVU QUARTERLY TARGET. THE OFFICER'S BONUSES ARE CALCULATED BASED ON STANDARD PERFORMANCE METRICS AS MEASURED BY ANNUAL CMS PATIENT SATISFACTION SURVEY RESULTS, ANNUAL EMPLOYEE SATISFACTION AND TURNOVER RESULTS, ANNUAL CMS HOSPITAL QUALITY SCORES IMPROVEMENT, FINANCIAL PERFORMANCE TO GOALS, SERVICE LINE GROWTH AND MARKET SHARE EXPANSION, AND COMMUNITY DEVELOPMENT SUPPORT AND PROGRESS.

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

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
2024
IRS schema version
2024v5.5
Source object
202632239349301103

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