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Nonprofiteer
← SOUTHSIDE COMMUNITY HOSPITAL INC

Form 990 for tax year 2022

Filed by SOUTHSIDE COMMUNITY HOSPITAL INC.

Totals

Total revenue
$115,719,514
Total expenses
$105,193,220
Contributions and grants received
$499,559
Grants paid
$7,379
Program service revenue
$114,399,322
Investment income
-$5,907
Other revenue
$826,540
Total assets, end of year
$141,312,777
Total liabilities, end of year
$9,028,988
Net assets or fund balances, end of year
$132,283,789
Program services expenses (Part IX)
$82,282,771
Management and general expenses
$22,910,449
Fundraising expenses
$0
Program service expenses (Part III)
$82,282,771

Program services were 78.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $915

  • 1e · Government grants (contributions)

    $498,644

  • 1f · All other contributions, gifts and grants

    $0

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $113,443,798 · related or exempt $113,443,798

  • 2b · Program service revenue: ANCILLARY SERVICES

    total $955,524 · related or exempt $955,524

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $296,712

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $296,712 · personal property $0

  • 6d · Net rental income or loss

    total $296,712 · excluded $296,712

  • 7a · Gross sales of assets other than inventory

    other assets $0

  • 7b · Less cost or other basis and sales expenses

    other assets $5,907

  • 7c · Gain or loss

    other assets -$5,907

  • 7d · Net gain or loss

    total -$5,907 · excluded -$5,907

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: CAFETERIA

    total $368,357 · related or exempt $368,357

  • 11b · Other revenue: MISCELLANEOUS REVENUE

    total $161,471 · related or exempt $161,471

  • 11e · Other revenue, total

    $529,828

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,379 · program services $7,379

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $2,693,538 · program services $2,373,607 · management and general $319,931

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $26,918,269 · program services $23,720,996 · management and general $3,197,273

  • 8 · Pension plan contributions

    total $751,087 · program services $663,464 · management and general $87,623

  • 9 · Other employee benefits

    total $5,908,342 · program services $5,024,287 · management and general $884,055

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $251,836 · program services $22,435 · management and general $229,401

  • 11b · Fees: legal

    total $29,528 · program services $3,460 · management and general $26,068

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $23,402,649 · program services $23,137,325 · management and general $265,324 · fundraising $0

  • 12 · Advertising and promotion

    total $217,969 · program services $22,355 · management and general $195,614

  • 13 · Office expenses

    total $2,435,324 · program services $1,954,652 · management and general $480,672

  • 14 · Information technology

    total $44,781 · program services $10,325 · management and general $34,456

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $3,487,966 · program services $2,979,639 · management and general $508,327

  • 17 · Travel

    total $477,509 · program services $428,354 · management and general $49,155

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $74,369 · program services $55,363 · management and general $19,006

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $3,176,919 · program services $2,902,651 · management and general $274,268

  • 23 · Insurance

    total $636,140 · management and general $636,140

  • 24a · Other expenses: DRUGS

    total $13,026,758 · program services $13,003,507 · management and general $23,251

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $5,933,344 · program services $5,933,330 · management and general $14

  • 24c · Other expenses: COLLECTIONS EXPENSES

    total $200,517 · program services $39,642 · management and general $160,875

  • 24d · Other expenses: OVERHEAD ALLOCATION

    total $15,518,996 · management and general $15,518,996

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $18,157,828 · end of year $8,686,875

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $14,767,629 · end of year $13,817,715

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $3,322,186 · end of year $3,752,658

  • 9 · Prepaid expenses and deferred charges

    beginning of year $17,398 · end of year $52,027

  • 10a · Land, buildings and equipment: cost or other basis

    $98,210,718

  • 10b · Land, buildings and equipment: accumulated depreciation

    $73,000,544

  • 10c · Land, buildings and equipment, net

    beginning of year $24,072,126 · end of year $25,210,174

  • 11 · Investments: publicly traded securities

    beginning of year $156,671 · end of year $141,674

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $78,884,754 · end of year $89,651,654

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,565,040 · end of year $5,680,700

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $110,803 · end of year $14,515

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $11,945,254 · end of year $3,333,773

  • 27 · Net assets without donor restrictions

    beginning of year $121,757,495 · end of year $132,283,789

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE WITH A PERSONAL TOUCH.

Activities or mission (Part I)

TO PROVIDE HEALTHCARE SERVICES FOR EIGHT COUNTIES IN CENTRAL VIRGINIA

  • SOUTHSIDE COMMUNITY HOSPITAL, INC. IS A 501(C)(3) HOSPITAL COMMITTED TO OFFERING AFFORDABLE HEALTHCARE TO THE RESIDENTS OF SOUTHSIDE VIRGINIA. WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE. COMMUNITY BENEFIT HIGHLIGHTS * DURING FY 2022, $6,029,235 IN CHARGES AT AN ESTIMATED COST OF $1,692,499 WAS CONTRIBUTED AS TRADITIONAL CHARITY CARE TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. ELIGIBILITY FOR CHARITY CARE IS BASED ON POVERTY INCOME LEVELS SET BY THE STATE. * CHARGES OF $10,044,628 AT AN ESTIMATED COST OF $2,819,681, WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. * LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $0 * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $0. VOLUNTEER SERVICES CENTRA SOUTHSIDE COMMUNITY HOSPITAL IS HONORED TO HAVE VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. SOME OF OUR VOLUNTEER SERVICES ARE: * AUXILIARY OF SOUTHSIDE COMMUNITY HOSPITAL: FUNDRAISING FOR HOSPITAL - PROVIDES SCHOLARSHIPS FOR MEDICAL/NURSING STUDENTS. * CSCH VOLUNTEERS: FRONT DESK, REGISTRATION, EMERGENCY DEPT., TRANSPORT, TELE-MED-SURG, OB, SAME DAY SURGERY, ETC. * HOSPICE VOLUNTEERS: CARE FOR END-OF-LIFE PATIENTS * CARDIO-REHAB VOLUNTEERS: ASSISTANTS IN THE GYM FOR CARDIO PATIENTS * PACE (PROGRAM FOR ALL INCLUSIVE CARE FOR THE ELDERLY) VOLUNTEERS: ASSISTS WITH ACTIVITIES FOR THE ELDERLY * LONGWOOD UNIVERSITY/HAMPDEN-SYDNEY COLLEGE/LOCAL HIGH SCHOOL STUDENT VOLUNTEERS IN 2022, FARMVILLE HOSPICE VOLUNTEERS DONATED 1,929.25. HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO GROCERY SHOPPING, MEAL, AND MEDICATION DELIVERY. VOLUNTEERS DEVELOPED A NEW PROGRAM OF SENDING CARDS, PHONE CALLS AND SMALL GIFTS TO PATIENTS AND FAMILIES. HOSPICE MEMORIAL SERVICES MOVED TO ON VIRTUAL FORMAT ON FACEBOOK LIVE. DEVELOPED A NEW VIRTUAL SERVICE WHICH WAS PROVIDE EACH QUARTEROUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 3,553 MILES IN 2022. The following is a list of community benefit programs/events and number of participants: *Childbirth/Baby Care/Infant Safety, 1 Event, 4 participants *Drug Addition, 3 Events *Pulmonary Disease, 1 EVENT *Speakers Bureau (Health Topics), 10 Events, 39 participants Total community benefit realized for Southside Community Hospital in 2022 is $31,509.60. STORIES OF ASSISTANCE TO THE COMMUNITY CENTRA SOUTHSIDE COMMUNITY HOSPITAL SERVES ITS COMMUNITY AND THE SURROUNDING EIGHT COUNTIES IN MANY WAYS. OUR NURSES AND STAFF ARE ENTHUSIASTIC ABOUT PARTICIPATING IN COMMUNITY EVENTS BY CONDUCTING BLOOD PRESSURE CHECKS, PROVIDING FREE HEALTH EDUCATION MATERIALS TO THE PUBLIC, AND ASSISTING IN HEALTH SCREENINGS. WE WERE ABLE TO DO MORE THIS YEAR, SINCE COVID BANS WERE LIFTED, AND WE WERE ABLE TO BE OUT IN THE PUBLIC AGAIN. WE CONTINUALLY DONATE SCHOOL SUPPLIES TO AREA SCHOOL SUPPLY DRIVES, AND WE HAVE ACTIVE MEMBERS IN MANY CIVIC ORGANIZATIONS, SUCH AS THE LIONS CLUB, THE ROTARY CLUB, CHAMBER OF COMMERCE, VFW, HABITAT FOR HUMANITY, AND THE DOWNTOWN FARMVILLE ORGANIZATION. WE CONTINUE TO PARTNER WITH THE LIONS CLUB TO SUPPLY A FOOD PANTRY AT THE LOCAL HIGH SCHOOL. A TEAM OF EMPLOYEES AND VOLUNTEERS REGULARLY VOLUNTEER AT THE LOCAL PUBLIC SCHOOL MONTHLY FOOD MARKET, AND FACES, THE LOCAL FOOD PANTRY. OUR HOSPITAL ALSO HAS AN EMPLOYEE FOOD PANTRY THAT STAYS WELL STOCKED. WE COLLECT EGG CARTONS FOR THE LOCAL FOOD PANTRY, AND BOOKS FOR THE VIRGINIA CHILDREN'S BOOK FESTIVAL. WE HAVE A HUGE COAT DRIVE EVERY YEAR AND DISTRIBUTE THE COATS AT THE LOCAL FOOD PANTRY IN DECEMBER. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS WELL UNDERWAY. THE HOSPITAL LEADERSHIP CONTINUES TO HOST MEETINGS WITH LOCAL COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES TO BETTER UNDERSTAND THE MEDICAL NEEDS OF OUR COMMUNITY. THE HOSPITAL WANTS TO ENSURE THAT MEMBERS OF THE COMMUNITIES THAT WE SERVE CAN VOICE THEIR CURRENT MEDICAL CARE CONCERNS AND PROVIDE INSIGHT ON HOW THE HOSPITAL CAN BETTER MEET THE MEDICAL NEEDS OF THE COMMUNITY IN THE FUTURE. CENTRA SOUTHSIDE COMMUNITY HOSPITAL PARTICIPATES IN THE "HEART OF VIRGINIA FREE CLINIC", BY PROVIDING ALL LAB TESTS AND RADIOLOGY EXAMS FOR FREE. IN 2022, OVER 1000 TESTS AND EXAMS WERE PROVIDED TO THE COMMUNITY AT NO CHARGE. MANY OF OUR STAFF ALSO VOLUNTEER AT THE CLINIC. THE SCOPE/MEALS ON WHEELS PROGRAM PROVIDES BALANCED, NUTRITIOUS MEALS TO THE ELDERLY, DISABLED, OR HOMEBOUND WHO HAVE NO RELIABLE MEANS OF OBTAINING THEIR DAILY FOOD REQUIREMENTS. THE MEALS ARE PREPARED AT OUR HOSPITAL. OUR CARING VOLUNTEERS HELP TO ALLEVIATE THE SENSE OF ISOLATION AND WORRY OF CLIENTS AND OBSERVE THEIR PHYSICAL CONDITION. IN COOPERATION WITH THE COMMUNITY AND COUNTY AGENCIES, WE IDENTIFY THOSE IN NEED OF THESE SERVICES PREPARE ALL MEALS AND GET THEM READY FOR DISTRIBUTION BY VOLUNTEERS.

    Expenses $82,282,771 · Grants $7,379 · Revenue $114,929,150

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • AMY CARRIER

    DIRECTOR

    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

  • DOUGLAS DAVENPORT

    CHIEF FINANCIAL OFFICER

    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

  • BIKRAM S BAL MD

    DIRECTOR

    Total calculated
    $939,750
    From this org
    $920,849
    From related orgs
    $0
    Other
    $18,901
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $880,319
    Bonus
    $39,397
    Other
    $1,133
    Deferred
    $9,150
    Nontaxable benefits
    $9,751
    Filer's total
    $939,750

  • SUNIL RAJAN MD

    DIRECTOR As of 10/22

    Total calculated
    $839,708
    From this org
    $797,213
    From related orgs
    $0
    Other
    $42,495
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $746,053
    Bonus
    $49,785
    Other
    $1,375
    Deferred
    $9,150
    Nontaxable benefits
    $33,345
    Filer's total
    $839,708

  • Michael Elliott

    Director through 3/22

    Total calculated
    $519,814
    From this org
    $0
    From related orgs
    $423,619
    Other
    $96,195
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $131,235 related
    Bonus
    $0 + $271,208 related
    Other
    $0 + $21,176 related
    Deferred
    $0 + $83,824 related
    Nontaxable benefits
    $0 + $12,371 related
    Filer's total
    $0 + $519,814 related

  • THOMAS ANGELO

    VP & SCH CEO

    Total calculated
    $412,362
    From this org
    $331,191
    From related orgs
    $0
    Other
    $81,171
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $261,371
    Bonus
    $40,392
    Other
    $29,428
    Deferred
    $40,805
    Nontaxable benefits
    $40,366
    Filer's total
    $412,362

  • CLAUDIA MEINHARD

    CHIEF NURSING OFFICER

    Total calculated
    $252,167
    From this org
    $238,993
    From related orgs
    $0
    Other
    $13,174
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $172,339
    Bonus
    $12,356
    Other
    $54,298
    Deferred
    $6,821
    Nontaxable benefits
    $6,353
    Filer's total
    $252,167

  • KIRSTEN HUBER MD

    DIRECTOR Through 09/22

    Total calculated
    $249,551
    From this org
    $236,891
    From related orgs
    $0
    Other
    $12,660
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $235,943
    Bonus
    $0
    Other
    $948
    Deferred
    $6,721
    Nontaxable benefits
    $5,939
    Filer's total
    $249,551

  • ROBERT JEFFERSON

    PHARMACIST

    Total calculated
    $207,971
    From this org
    $156,939
    From related orgs
    $0
    Other
    $51,032
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $142,041
    Bonus
    $375
    Other
    $14,523
    Deferred
    $5,800
    Nontaxable benefits
    $45,232
    Filer's total
    $207,971

  • XIAOXIA ZHANG

    RN ACUTE CARE WEO A CNEP 4

    Total calculated
    $198,984
    From this org
    $157,680
    From related orgs
    $0
    Other
    $41,304
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $128,683
    Bonus
    $28,989
    Other
    $8
    Deferred
    $4,579
    Nontaxable benefits
    $36,725
    Filer's total
    $198,984

  • GLORIA MOORE

    RN ACUTE CARE CNEP 4

    Total calculated
    $181,326
    From this org
    $163,459
    From related orgs
    $0
    Other
    $17,867
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $137,544
    Bonus
    $22,139
    Other
    $3,776
    Deferred
    $4,581
    Nontaxable benefits
    $13,286
    Filer's total
    $181,326

  • HARRY ELAM

    PHARMACIST

    Total calculated
    $151,158
    From this org
    $147,206
    From related orgs
    $0
    Other
    $3,952
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $125,326
    Bonus
    $375
    Other
    $21,505
    Deferred
    $3,952
    Nontaxable benefits
    $0
    Filer's total
    $151,158

  • KATHERINE KENDALL

    DIRECTOR NURSING SCH GMC

    Total calculated
    $149,979
    From this org
    $145,849
    From related orgs
    $0
    Other
    $4,130
    Hours/week
    50

  • SHARON HARRUP

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • KEMPER BEASLEY III

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • LEE PFEIFFER JR

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • RHONDA B ALGEIER MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • C SCOTT DAVIS LPD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • REV DR CALVIN GRAY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • HAROLD M HARRIS JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • WILLIAM MCGUIRE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • RODNEY NEWTON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • CAMERON PATTERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • ODESSA PRIDE ED D

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • TIM THARPE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • FRANCIS E WOOD JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • GEORGE ZIPPEL

    DIRECTOR AS OF 06/22

    Total calculated
    $0
    Hours/week
    2 + 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, 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

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)

PART I, LINE 3:
UNDER A MANAGEMENT ARRANGEMENT WITH CENTRA HEALTH, INC. (A RELATED PARTY), THE ORGANIZATION'S EXECUTIVE COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH, INC.'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY.
Part I, Line 4b:
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 CHIEF FINANCIAL OFFICER 110,210 MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFFICER 79,589 THOMAS ANGELO VP & SCH CEO 29,376 TOTAL 440,825 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFFICER 163,674

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.

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 corporations and trusts

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

  • GENERAL BUSINESS CONCERNS INC

    C Corp · REAL ESTATE/P · VA · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CENTRA HEALTH

  • PCHP HOLDING INC

    C Corp · HOLDING COMPA · VA · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CENTRA HEALTH

  • PIEDMONT COMMUNITY HEALTH PLAN INC

    C Corp · HEALTH INSURA · VA · 0% owned · share of income $0 · share of assets $0

    Directly controlled by CENTRA HEALTH

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349307174

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