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Russell Carson

Lead Independent Director at SELECT MEDICAL HOLDINGSSELECT MEDICAL HOLDINGS
Board

About Russell L. Carson

Russell L. Carson, age 81, is an independent director of Select Medical Holdings Corporation (SEM) and has served on the Company’s board since 2005, after previously serving on Select’s board since 1997 . He was elected Lead Independent Director in 2015 and continues to serve in that role with responsibilities including presiding over executive sessions, agenda-setting, and direct availability to significant stockholders . Carson co-founded Welsh, Carson, Anderson & Stowe (WCAS) in 1978 and has been a General Partner since 1979, focusing on healthcare investments; he previously served as Chairman and CEO of Citicorp Venture Capital Ltd. from 1974–1978 . The Board affirmatively determined that Carson is independent under NYSE standards .

Past Roles

OrganizationRoleTenureCommittees/Impact
Citicorp Venture Capital Ltd. (subsidiary of Citigroup)Chairman & CEO1974–1978Led venture capital operations
Welsh, Carson, Anderson & StoweCo-Founder; General PartnerCo-founded 1978; GP since 1979Focused on healthcare investments; firm has raised >$30B across 18 funds and invested in >250 companies
Select (predecessor entity)DirectorSince 1997Board service preceding SEM formation
Select Medical Holdings Corporation (SEM)Director; Lead Independent DirectorDirector since 2005; Lead Director since 2015Lead Independent Director; presides over executive sessions of independent directors

External Roles

OrganizationRoleTenureNotes
Welsh, Carson, Anderson & StoweGeneral PartnerSince 1979Private equity firm specializing in healthcare
Carson Family Charitable TrustChairmanNot disclosedOversees family philanthropy

Board Governance

  • Independence: Determined independent by the Board under NYSE rules .
  • Lead Independent Director: Elected in 2015; duties include presiding at executive sessions, liaising between Chair and independent directors, agenda/schedule approvals, calling meetings of independent directors, and direct communication with significant stockholders .
  • Committee Assignments: Member, Nominating, Governance and Sustainability Committee (chair: Marilyn B. Tavenner) which held four meetings in 2024; Carson is not listed on the Audit and Compliance Committee or the Human Capital and Compensation Committee .
  • Attendance: Board met five times in 2024; each director attended at least 75% of Board meetings and all meetings of committees of which they were a member; all directors attended the 2024 annual meeting of stockholders .
  • Term/Classification: Class I Director; term expiring at the 2025 Annual Meeting (nominee for re-election) .

Fixed Compensation

Component2024 ActualsPolicy Framework (submitted for shareholder approval)Notes
Quarterly Board Retainer (cash)$18,000 per quarter $18,000 per quarter; option to receive in fully-vested shares Attendance fees also apply
Board Meeting Attendance (in-person/telephonic)$3,000 / $600 per meeting Same structure retained Applies per meeting
Committee Attendance – Audit & Compliance$4,000 in-person with Board; $5,000 independent; $2,000 telephonic Same Structured by meeting context
Committee Attendance – Nominating$1,500 in-person with Board; $2,000 independent; $500 telephonic Same
Committee Attendance – Human Capital & Compensation$1,500 in-person with Board; $2,000 independent; $500 telephonic Same
Fees Earned (2024)$85,700 (Carson) N/ASee split below
Form of Receipt (2024 fees)Paid entirely in cash; no stock election Optional cash or stock retainer election Carson did not elect stock

Performance Compensation

Equity Award DetailGrant DateShares (#)Grant-Date Fair Value ($)Vesting
Restricted Stock (2024 annual grant to all non-employee directors)April 30, 202410,000$283,700 (Carson’s reported 2024 stock awards) Time-based; vests in full on first anniversary
Director Equity Grant Policy (prospective)N/AN/A$200,000 annual equity grant under proposed policy As per Policy submitted for shareholder approval
  • Stock Ownership Guidelines (Directors): Required to own shares equal to at least 5x annual cash compensation (excluding attendance fees); as of Dec 31, 2024 all directors satisfied or had time remaining to comply .

Other Directorships & Interlocks

PersonExternal AffiliationInterlock TypeRelevance
Russell L. CarsonWCAS General Partner Private equity sponsor tieBrings healthcare investment expertise; potential sponsor-related optics
Thomas A. Scully (SEM Director)WCAS General Partner Board-level interlock with WCASTwo WCAS partners on SEM Board; considered independent by Board
  • No related-party transactions involving Carson or WCAS are disclosed in the “Certain Relationships” section of the proxy; material related transactions disclosed pertain to NetJets arrangement with Executive Chairman Robert A. Ortenzio and separation/spin-off of Concentra .

Expertise & Qualifications

  • The Board cites Carson’s extensive healthcare investment experience, deep knowledge of healthcare regulatory and competitive dynamics, and insight on governance and compensation matters as reasons for continued board service .

Equity Ownership

HolderBeneficial Shares% OutstandingUnvested RS Outstanding (12/31/24)
Russell L. Carson1,096,000<1% (indicated by asterisk)10,000
  • Anti-Hedging Policy: Directors and employees are prohibited from hedging SEM securities (e.g., prepaid forwards, options, swaps, collars) .
  • Pledging: The proxy discloses anti-hedging; it does not disclose a specific anti-pledging policy for directors in the cited sections .

Governance Assessment

  • Strengths:
    • Long-tenured Lead Independent Director with clear responsibilities supporting board effectiveness and investor engagement .
    • Independence affirmed; committee membership on Nominating supports governance oversight; attendance thresholds met and annual meeting participation confirmed .
    • Significant personal ownership (1.096M shares) and annual director equity grants foster alignment; directors meet stock ownership guidelines .
  • Watch Items / Red Flags:
    • Board interlock via WCAS: Carson and Scully both WCAS partners; while independence is affirmed, sponsor ties can raise optics on objectivity and potential conflicts in certain transactions; no related-party transactions involving Carson were disclosed .
    • Director compensation scrutiny: The Board submitted a formal Non-Employee Director Compensation Policy for stockholder approval, noting it followed a stockholder demand to inspect books and records related to 2022–2024 director pay levels—this signals prior investor concern about director compensation .
    • Anti-pledging policy not disclosed in the cited sections; continued monitoring advisable given pledging can impair alignment if present .
  • Implications for investor confidence:
    • Carson’s healthcare investment acumen and lead independent role are positives for board challenge and governance continuity .
    • The WCAS interlock requires ongoing vigilance; absence of related-party transactions naming Carson mitigates conflict risk in current disclosures .
    • Formalizing director pay via shareholder-approved policy may improve transparency and address prior concerns .

Director Compensation (2024 Actuals)

NameFees Earned (Cash/Stock) ($)Stock Awards ($)Total ($)
Russell L. Carson85,700 (Paid entirely in cash; 0 shares) 283,700 369,400

Committee Assignments (2024)

CommitteeMembersChairMeetings (2024)
Audit & ComplianceEly; Davisson; Frist; Khanuja; Thomas Ely 5
Human Capital & CompensationThomas; Davisson; Scully Thomas 5
Nominating, Governance & SustainabilityEly; Carson; Tavenner Tavenner 4

Meeting & Attendance

Metric2024
Board Meetings Held5
Directors Attendance ThresholdEach director attended ≥75% of Board meetings and 100% of their committee meetings
Directors at Annual MeetingAll directors attended 2024 annual meeting

Proposed Non-Employee Director Compensation Policy (for Shareholder Approval)

ComponentAmount
Quarterly Retainer$18,000, with option for fully-vested shares in lieu of cash
Board Meeting Attendance$3,000 in-person; $600 telephonic
Audit & Compliance Committee Attendance$4,000 in-person with Board; $5,000 independent; $2,000 telephonic
Nominating Committee Attendance$1,500 in-person with Board; $2,000 independent; $500 telephonic
Human Capital & Compensation Attendance$1,500 in-person with Board; $2,000 independent; $500 telephonic
Annual Equity Grant$200,000

Related Party Transactions (Context)

  • NetJets Agreement: Payments to Executive Chairman Robert A. Ortenzio ($128,090 in FY2024) for aircraft use; no transactions named involving Carson .
  • Concentra Separation/Spin-off: Separation completed with IPO in July 2024 and distribution in Nov 2024; directors Ortenzio and Thomas serve on Concentra’s board; no Carson-specific related transactions disclosed .

Summary Signals

  • Alignment: High share ownership and role as Lead Independent Director support investor confidence .
  • Governance Quality: Independent status, active Nominating Committee role, and strong board process/attendance are positives .
  • Compensation Optics: Formal policy and shareholder vote responding to prior demand suggests responsiveness; monitor pay-for-service balance (meeting fees) versus equity alignment .
  • Conflicts: WCAS interlock present; no related-party transactions involving Carson disclosed; maintain oversight .