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← MARTHA JEFFERSON HEALTH SERVICES CORPORATION

Form 990 for tax year 2022

Filed by MARTHA JEFFERSON HEALTH SERVICES CORPORATION.

Totals

Total revenue
$30,035
Total expenses
$30,035
Contributions and grants received
$30,035
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$522,341
Total liabilities, end of year
$522,341
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$30,035
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • GREGORY DOULL MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DAVID BALABAN MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JOSH FISCHER MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LILLIAN BEVIER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RAY MURPHY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RICHARD HOWARD SMITH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LARRY MARTIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RICHARD GILLIAM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JOHN LIGUSH MD

    CHAIR, BOARD MEMBER

    Total calculated
    $520,494
    From this org
    $0
    From related orgs
    $480,405
    Other
    $40,089
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $0 + $450,402 related
    Bonus
    $0 + $26,225 related
    Other
    $0 + $3,778 related
    Deferred
    $0 + $1,895 related
    Nontaxable benefits
    $0 + $38,194 related
    Filer's total
    $0 + $520,494 related

  • KEVIN SCHUYLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • DANA HARRIS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • CAROL HURT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • AMELIA BLACK

    PRESIDENT

    Total calculated
    $518,462
    From this org
    $0
    From related orgs
    $448,444
    Other
    $70,018
    Hours/week
    1 + 65 related

    Schedule J breakdown matched by us

    Base
    $0 + $316,420 related
    Bonus
    $0 + $126,985 related
    Other
    $0 + $5,039 related
    Deferred
    $0 + $37,358 related
    Nontaxable benefits
    $0 + $32,660 related
    Filer's total
    $0 + $518,462 related

  • DEBORAH THEXTON

    TREASURER./SECRETARY

    Total calculated
    $270,003
    From this org
    $0
    From related orgs
    $226,372
    Other
    $43,631
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $0 + $196,843 related
    Bonus
    $0 + $28,346 related
    Other
    $0 + $1,183 related
    Deferred
    $0 + $24,304 related
    Nontaxable benefits
    $0 + $19,327 related
    Filer's total
    $0 + $270,003 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
SENTARA MARTHA JEFFERSON HOSPITAL, THE 501(C)(3) SUPPORTED ORGANIZATION USE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPORVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR.

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 partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202313189349314451

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