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Nonprofiteer
← JEFFERSON HOSPITAL ASSN INC

Form 990 for tax year 2022

Filed by JEFFERSON HOSPITAL ASSN INC.

Totals

Total revenue
$234,584,037
Total expenses
$244,028,278
Contributions and grants received
$1,379,362
Grants paid
$476,642
Program services expenses (Part IX)
$215,384,528
Management and general expenses
$28,643,750
Fundraising expenses
$0
Program service expenses (Part III)
$215,384,528

Program services were 88.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • J ACOSTA - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • F ANTHONY - SEE SCH O

    DIRECTOR Retired: 09/22

    Total calculated
    $0
    Hours/week
    1

  • D BRIDGFORTH - SEE SCH O

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • D BROWN - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • M CASTEEL - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • M ECKERT - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    40

  • JB MAYS - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    40

  • S PITTILLO - SEE SCH O

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • D ROBINSON - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • A SANDERS - SEE SCH O

    Director Effective: 09/22

    Total calculated
    $0
    Hours/week
    1

  • F TROTTER III - SEE SCH O

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • S WRIGHT - SEE SCH O

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • B THOMAS - SEE SCH O

    PRESIDENT & CEO

    Total calculated
    $0
    Hours/week
    40

  • L ALEXANDER - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    1

  • D ATKINSON - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    1

  • A CAHILL - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    40

  • A Kline - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    1

  • G Makris - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    1

  • T Middleton - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    1

  • C Morgan - SEE SCH O

    Director

    Total calculated
    $0
    Hours/week
    1

  • P AUSTIN - SEE SCH O

    SVP & COO

    Total calculated
    $0
    Hours/week
    40

  • L HICKMAN - SEE SCH O

    VP & CCO

    Total calculated
    $0
    Hours/week
    40

  • B JACKSON - SEE SCH O

    VP & CAO

    Total calculated
    $0
    Hours/week
    40 + 2 related

  • J JEFFERY - SEE SCH O

    SVP & CFO

    Total calculated
    $0
    Hours/week
    40

  • M Powell - SEE SCH O

    VP & CNO

    Total calculated
    $0
    Hours/week
    40

  • G BIRK - SEE SCH O

    PHYSICIAN

    Total calculated
    $0
    Hours/week
    40

  • R BURRELL - SEE SCH O

    PHYSICIAN

    Total calculated
    $0
    Hours/week
    40

  • J FAKOURI - SEE SCH O

    Physician

    Total calculated
    $0
    Hours/week
    40

  • J Shah - SEE SCH O

    Physician

    Total calculated
    $0
    Hours/week
    40

  • T Simon - SEE SCH O

    Physician

    Total calculated
    $0
    Hours/week
    40

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.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 1b · Written policy on the line-1a expenses
  • 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)

SCHEDULE J, PART I, LINE 1A
DESCRIPTION OF BENEFITS: THE FOLLOWING BENEFITS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE RECIPIENTS. - TAX GROSS-UP PAYMENTS ARE INCLUDED IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IDENTIFIED BELOW. - COUNTRY CLUB MEMBERSHIPS ARE MAINTAINED BY THE ORGANIZATION FOR THE USE OF SPECIFIC EMPLOYEES AS DESIGNATED BY THE BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 1B
WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT: THERE IS NO WRITTEN POLICY REGARDING PROVISION OF COUNTRY CLUB MEMBERSHIPS. THE BOARD OF DIRECTORS DESIGNATES WHICH EMPLOYEES MAY USE MEMBERSHIPS MAINTAINED BY THE ORGANIZATION.
SCHEDULE J, PART I, LINE 7
NON-FIXED PAYMENTS: THE ORGANIZATION PROVIDES DEFINED MEMBERS OF MANAGEMENT A NON-FIXED PERFORMANCE BASED INCENTIVE PLAN. THE PLAN'S COMPONENTS ARE ESTABLISHED AND EVALUATED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
SCHEDULE J, PART I, LINE 4B
PARTICIPANTS IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: PARTICIPANTS IN SERP PLAN REPORTED IN W-2 DEFERRED COMPENSATION --------------------------- ----------------- ---------------------- PETER AUSTIN $38,443 $43,882 LOUISE HICKMAN $97,300 NONE BRYAN JACKSON $86,329 NONE JEREMY JEFFERY $59,721 $9,165 BRIAN THOMAS $281,721 NONE
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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202441319349303819

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