Totals
- Total revenue
- $4,025,165
- Total expenses
- $7,158,328
- Contributions and grants received
- $2,519,937
- Grants paid
- $5,564,517
- Program services expenses (Part IX)
- $5,564,517
- Management and general expenses
- $1,404,122
- Fundraising expenses
- $189,689
- Program service expenses (Part III)
- $5,564,517
Program services were 77.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Amy Carrier
PRESIDENT/CEO
- Total calculated
- $1,356,246
- From this org
- $0
- From related orgs
- $1,095,007
- Other
- $261,239
- Hours/week
- 2 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $760,606 related
- Bonus
- $0 + $167,055 related
- Other
- $0 + $167,346 related
- Deferred
- $0 + $230,800 related
- Nontaxable benefits
- $0 + $30,439 related
- Filer's total
- $0 + $1,356,246 related
-
Doug Davenport
Treasurer
- Total calculated
- $1,068,942
- From this org
- $0
- From related orgs
- $926,896
- Other
- $142,046
- Hours/week
- 2 + 54 related
Schedule J breakdown matched by us
- Base
- $0 + $540,095 related
- Bonus
- $0 + $306,377 related
- Other
- $0 + $80,424 related
- Deferred
- $0 + $119,360 related
- Nontaxable benefits
- $0 + $22,686 related
- Filer's total
- $0 + $1,068,942 related
-
Elizabeth Doyle
Executive Vice President
- Total calculated
- $311,817
- From this org
- $264,471
- From related orgs
- $0
- Other
- $47,346
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $206,364
- Bonus
- $36,172
- Other
- $21,935
- Deferred
- $18,904
- Nontaxable benefits
- $28,442
- Filer's total
- $311,817
-
Winifred Winnie Agard MD
Director
- Total calculated
- $300,811
- From this org
- $0
- From related orgs
- $247,221
- Other
- $53,590
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $189,639 related
- Bonus
- $0 + $36,701 related
- Other
- $0 + $20,881 related
- Deferred
- $0 + $2,318 related
- Nontaxable benefits
- $0 + $51,272 related
- Filer's total
- $0 + $300,811 related
-
Allison Ebert
DIRECTOR OF FDN. DEVELOPMENT
- Total calculated
- $115,297
- From this org
- $100,174
- From related orgs
- $0
- Other
- $15,123
- Hours/week
- 40
-
Carolyn W Jacques
Chairman
- Total calculated
- $0
- Hours/week
- 2 + 50 related
-
George A Hurt MD
Vice-Chairman
- Total calculated
- $0
- Hours/week
- 2 + 50 related
-
Robert R Chapman III
Director
- Total calculated
- $0
- Hours/week
- 2
-
Thomas Delaney MD
Director
- Total calculated
- $0
- Hours/week
- 2
-
Michael J Diminick MD
Director
- Total calculated
- $0
- Hours/week
- 2
-
MaryJane Dolan
Director
- Total calculated
- $0
- Hours/week
- 2
-
James Jim Dunstan MD
Director
- Total calculated
- $0
- Hours/week
- 2
-
H Cap Eschenroeder MD
Director
- Total calculated
- $0
- Hours/week
- 2
-
Paul F Fitzgerald MD
Director
- Total calculated
- $0
- Hours/week
- 2
-
John J Halpin MD -res0221
Director
- Total calculated
- $0
- Hours/week
- 2
-
David Herrick - res 0921
Director
- Total calculated
- $0
- Hours/week
- 2
-
Janet HickmanMD
Director
- Total calculated
- $0
- Hours/week
- 2
-
Yuille Holt III
Director
- Total calculated
- $0
- Hours/week
- 2
-
Lee Pfeiffer-term ended 1221
Director
- Total calculated
- $0
- Hours/week
- 2
-
Augustus A Petticolas DDS
Director
- Total calculated
- $0
- Hours/week
- 2
-
Amy Ray - res 1221
Director
- Total calculated
- $0
- Hours/week
- 2
-
John H Sorrells III
Director
- Total calculated
- $0
- Hours/week
- 2
-
Pavan Thallapragada
Director
- Total calculated
- $0
- Hours/week
- 2
-
Charles B White
Director
- Total calculated
- $0
- Hours/week
- 2
-
Darryl D Whitesell
Director
- Total calculated
- $0
- Hours/week
- 2
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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 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)
- SCHEDULE J, PART I, LINE 3:
- UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., THE ORGANIZATION'S EXECUTIVE DIRECTOR'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) & COMPENSATION STUDY OR SURVEY.
- SCHEDULE J, PART I, LINE 4B:
- NO INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. NAME TITLE AMOUNT OF DEFERRAL AMY CARRIER PRESIDENT/CEO 221,650 DOUGLAS DAVENPORT SVP CFO (A RELATED PARTY) 110,210
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
-
$5,407,519
See Part IV
-
$58,333
PROVIDE FINANCIAL SUPPORT TO HOSPITAL
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.
-
501(C)(3) · HEALTHCARE · VA
Directly controlled by NA
-
SOUTHSIDE COMMUNITY HOSPITAL INC
501(C)(3) · HEALTHCARE · VA
Directly controlled by NA
-
501(C)(3) · CONTINUING CA · VA
Directly controlled by NA
-
501(C)(3) · HEALTHCARE · VA
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313189349314156
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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