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← JEFFERSON REGIONAL MEDICAL CENTER FOUNDATION

Form 990 for tax year 2024

Filed by JEFFERSON REGIONAL MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$202,312
Total expenses
$313,045
Contributions and grants received
$183,729
Grants paid
$180,911
Program service revenue
$0
Investment income
$12,635
Other revenue
$5,948
Total assets, end of year
$445,947
Total liabilities, end of year
$102,448
Net assets or fund balances, end of year
$343,499
Program services expenses (Part IX)
$180,911
Management and general expenses
$132,134
Fundraising expenses
$0
Program service expenses (Part III)
$180,911

Program services were 57.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • B THOMAS - SEE SCH O

    PRESIDENT, EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0

  • D HOLLINGSWORTH - SEE SCH O

    MEMBER, EX OFFICIO

    Total calculated
    $0
    Hours/week
    1

  • J Jeffery - SEE SCH O

    Treasurer

    Total calculated
    $0
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0

  • J SIMPSON - SEE SCH O

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • B JONES - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • C TROTTER - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • D TERRELL - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • G DUNKLIN - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • L KOSMITIS - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • L RANDLE - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • N OUDIN - SEE SCH O

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • N TODD - SEE SCH O

    MEMBER (AS OF 11/24)

    Total calculated
    $0
    Hours/week
    0.3

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

Itemized on Schedule J with no Part VII listing of the same name on this return:

  • B JACKSON - SEE SCH O

    FORMER EX-OFFICIO

    Schedule J breakdown

    Base
    $0
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0

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)

Schedule J, Part I, Line 4a Severance or change-of-control payment
BRYAN JACKSON RECEIVED A SEVERANCE PAYMENT IN CONNECTION WITH HIS SEPARATION FROM SERVICE, PURSUANT TO THE TERMS OF HIS EMPLOYMENT/SEVERANCE AGREEMENT. BRYAN JACKSON $248,829
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: Amount reported in W-2: Brian Thomas $154,193 Jeremy Jeffery $310,800 Bryan Jackson $34,844 CERTAIN AMOUNTS REPORTED WERE CREDITED TO PRIOR YEARS OF SERVICE DUE TO MULTI-YEAR VESTING REQUIRMENTS.
Schedule J, Part I, Line 3 METHOD TO DETERMINE EXECUTIVE COMPENSATION
JEFFERSON HOSPITAL ASSOCIATION, INC., A RELATED ENTITY, UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL.
Schedule J, Part II Compensation Table
COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE AMOUNTS ARE INCLUDED IN THE ATTACHMENT.

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.

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.

Related partnerships

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

  • Jefferson Regional R&B Hospital

    N/A · REHAB HOSPITAL · TN

    Directly controlled by NA

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
13 May 2026
IRS schema version
2024v5.1
Source object
202611339349304691

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