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← VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC

Form 990 for tax year 2022

Filed by VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC.

Totals

Total revenue
$24,634,939
Total expenses
$6,001,883
Contributions and grants received
$741,058
Grants paid
$0
Program services expenses (Part IX)
$4,716,010
Management and general expenses
$1,285,873
Fundraising expenses
$0
Program service expenses (Part III)
$4,716,010

Program services were 78.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DENNIS W PULLIN

    PRESIDENT/CEO

    Total calculated
    $3,096,351
    From this org
    $0
    From related orgs
    $3,045,242
    Other
    $51,109
    Hours/week
    0.2 + 42.09 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,674,091 related
    Bonus
    $0 + $1,359,151 related
    Other
    $0 + $12,000 related
    Deferred
    $0 + $8,221 related
    Nontaxable benefits
    $0 + $42,888 related
    Filer's total
    $0 + $3,096,351 related

  • HAFEZA SHAIKHDOSTART32222

    TRUSTEE - PHYSICIAN

    Total calculated
    $699,982
    From this org
    $0
    From related orgs
    $646,422
    Other
    $53,560
    Hours/week
    0.12 + 41.08 related

    Schedule J breakdown matched by us

    Base
    $0 + $548,841 related
    Bonus
    $0 + $77,081 related
    Other
    $0 + $20,500 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $42,885 related
    Filer's total
    $0 + $699,982 related

  • EDWARD B CLOUES

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.16 + 1.44 related

  • JAMES DWYER DO

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.14 + 1.51 related

  • PATRICIA CODEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.12 + 1.08 related

  • ELAINE DAMM

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.12 + 1.08 related

  • LESLIE DONATO START 51122

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.11 + 0.99 related

  • GRAYLING JOHNSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.13 + 1.17 related

  • SANIAH JOHNSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.12 + 1.08 related

  • PRATAP KHEDKAR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.12 + 1.08 related

  • DAVID KINDLICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.14 + 1.26 related

  • GEORGE LYNN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.14 + 1.26 related

  • FAYE MELOY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.14 + 1.26 related

  • SHAHRAM JAY MIRMANESHMD

    TRUSTEE (START 1/1/22)

    Total calculated
    $0
    Hours/week
    0.12 + 1.08 related

  • JOHN PARKER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.19 + 1.71 related

  • ADOLFO PIPERNO START 1122

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.13 + 1.17 related

  • STACY ROBINSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.13 + 1.17 related

  • MARVIN SAMSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.13 + 1.17 related

  • ROY SHUBERT MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.12 + 1.08 related

  • CHARLES VILA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.15 + 1.35 related

  • ROBERT M SEGIN

    TREASURER - EVP/CFO

    Total calculated
    $1,216,683
    From this org
    $0
    From related orgs
    $1,175,768
    Other
    $40,915
    Hours/week
    0.18 + 42.16 related

    Schedule J breakdown matched by us

    Base
    $0 + $744,067 related
    Bonus
    $0 + $400,909 related
    Other
    $0 + $30,792 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $30,240 related
    Filer's total
    $0 + $1,216,683 related

  • LAUREN ROWINSKI

    SECRETARY-SVP&CHIEF LEGAL OFFICER

    Total calculated
    $832,562
    From this org
    $0
    From related orgs
    $791,678
    Other
    $40,884
    Hours/week
    0.18 + 41.72 related

    Schedule J breakdown matched by us

    Base
    $0 + $536,706 related
    Bonus
    $0 + $245,972 related
    Other
    $0 + $9,000 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $27,159 related
    Filer's total
    $0 + $832,562 related

  • LISA C FERRARO

    SVP - INTEGRATED OPERATION

    Total calculated
    $474,253
    From this org
    $0
    From related orgs
    $438,310
    Other
    $35,943
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $310,666 related
    Bonus
    $0 + $98,144 related
    Other
    $0 + $29,500 related
    Deferred
    $0 + $9,037 related
    Nontaxable benefits
    $0 + $26,906 related
    Filer's total
    $0 + $474,253 related

  • DIANE K COSTELLO

    NURSE LTC SUB ACUTE

    Total calculated
    $158,531
    From this org
    $144,808
    From related orgs
    $0
    Other
    $13,723
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $111,939
    Bonus
    $6,000
    Other
    $26,869
    Deferred
    $4,947
    Nontaxable benefits
    $8,776
    Filer's total
    $158,531

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
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
VIRTUA HEALTH AND REHABILITAION CENTER AT MT HOLLY INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE POLICY USES THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE VIRTUA BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
A RELATED ORGANIZATION, VIRTUA HEALTH, INC., HAS A "COLLATERAL ASSIGNMENT SPLIT DOLLAR PLAN" (CASD), WHICH IS DESCRIBED IN SCHEDULE O.
PART I, LINE 7
PAY AT RISK AND/OR DISCRETIONARY BONUSES PROVIDED TO THE INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A ARE BASED ON THE ACHIEVEMENT OF SIGNIFICANT QUANTITATIVE, QUALITATIVE, AND/OR PROGRAMMATIC GOALS AND ARE APPROVED BY THE COMPENSATION COMMITTEE FOR DISQUALIFIED INDIVIDUALS AND BY THE CEO FOR ALL OTHERS.

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
13 November 2023
IRS schema version
2022v5.0
Source object
202323179349309777

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