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← BENEFIS HEALTH SYSTEM FOUNDATION INC

Form 990 for tax year 2022

Filed by BENEFIS HEALTH SYSTEM FOUNDATION INC.

Totals

Total revenue
$7,367,479
Total expenses
$2,948,902
Contributions and grants received
$4,975,555
Grants paid
$2,198,379
Program service revenue
$0
Investment income
$2,304,824
Other revenue
$87,100
Total assets, end of year
$43,455,290
Total liabilities, end of year
$1,078,527
Net assets or fund balances, end of year
$42,376,763
Program services expenses (Part IX)
$2,201,606
Management and general expenses
$490,791
Fundraising expenses
$256,505
Program service expenses (Part III)
$2,201,606

Program services were 74.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JERRY L LEHMAN

    CHAIR

    Total calculated
    $0
    Hours/week
    3

  • DEBRA J AMMONDSON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    3 + 2 related

  • RANDY BOYSUN

    TREASURER

    Total calculated
    $0
    Hours/week
    3

  • SANDI R WILSON

    SECRETARY

    Total calculated
    $0
    Hours/week
    3

  • JARED BROWN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • RICHARD BLEVINS MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JAMES SIMMONS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • STEPHEN L'HEUREUX

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DEAN NELSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JOAN TIERNEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KASSIE LONGFELLOW

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JON MCCARTY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • ERIN TOWNSEND

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • FORREST EHLINGER

    DIRECTOR

    Total calculated
    $818,040
    From this org
    $0
    From related orgs
    $648,517
    Other
    $169,523
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $513,850 related
    Bonus
    $0 + $16,167 related
    Other
    $0 + $118,500 related
    Deferred
    $0 + $148,018 related
    Nontaxable benefits
    $0 + $21,505 related
    Filer's total
    $0 + $818,040 related

  • SHANNON HOILAND

    SYSTEM BOARD LIAISON

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • JAMI WALD

    CHIEF OPERATING OFFICER (FROM 5/22)

    Total calculated
    $105,076
    From this org
    $75,053
    From related orgs
    $0
    Other
    $30,023
    Hours/week
    50

  • MARILYN PARKER

    EXECUTIVE DIRECTOR/COO (THRU 5/22)

    Total calculated
    $106,524
    From this org
    $94,394
    From related orgs
    $0
    Other
    $12,130
    Hours/week
    50

  • HANNAH DEAN

    FINANCE DIRECTOR (FROM 4/22)

    Total calculated
    $49,148
    From this org
    $42,746
    From related orgs
    $0
    Other
    $6,402
    Hours/week
    50

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
  • 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
THE COMPENSATION OF THE SENIOR EXECUTIVE TEAM OF BENEFIS HEALTH SYSTEM FOUNDATION, INC. WAS SET BY THE INDEPENDENT COMPENSATION COMMITTEE OF BENEFIS HEALTH SYSTEM, INC., WHICH IS CHARGED WITH ADMINISTERING THE SYSTEM'S EXECUTIVE COMPENSATION PHILOSOPHY, POLICIES AND PROGRAMS IN THE MANNER SET FORTH IN THE COMMITTEE'S WRITTEN CHARTER. THE COMMITTEE'S RESPONSIBILITIES INCLUDE (I) DETERMINING APPROPRIATE COMPENSATION FOR ALL EXECUTIVES, (II) EVALUATING AND ADOPTING EXECUTIVE COMPENSATION PLANS, POLICIES AND PROGRAMS, (III) REVIEWING AND APPROVING EXECUTIVE BENEFIT PLANS, AND (IV) VERIFYING THAT COMPENSATION IS APPROPRIATELY AND FULLY DISCLOSED AND REPORTED. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ASSIST IN ENSURING THAT AMOUNTS PAID TO THE SYSTEM'S EXECUTIVES ARE CONSISTENT WITH REASONABLE, FAIR MARKET LEVELS. THE PROCESS FOLLOWED BY THE COMMITTEE, INCLUDING THE DATA RELIED UPON AND THE COMMITTEE'S DECISIONS, WAS THOROUGHLY AND TIMELY DOCUMENTED. THIS PROCESS IS COMPLETED ON AN ANNUAL BASIS.
PART I, LINE 4B
LINE 4B: BENEFIS HEALTH SYSTEM, INC. PROVIDES A SECTION 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR MR. EHLINGER WHO MEETS THE REQUIREMENTS. MR. EHLINGER RECEIVED A PAYOUT FROM THE PLAN IN 2022.
PART I, LINE 7
BENEFIS HEALTH SYSTEM, INC. AND ITS AFFILIATES (INCLUDING THE ORGANIZATION) MAINTAIN AN INCENTIVE COMPENSATION PLAN THAT INCORPORATES BOTH SHARED AND INDIVIDUAL GOALS FOR MEMBERS OF THE EXECUTIVE AND MANAGEMENT LEADERSHIP TEAMS. PAYMENTS PURSUANT TO THE INCENTIVE PLAN ARE SUBJECT TO A PRECONDITION THAT THE SYSTEM MUST ACHIEVE BUDGETED OPERATING PERFORMANCE. THE SYSTEM HAS ADOPTED SHARED PERFORMANCE OBJECTIVES INCLUDING SYSTEM GROWTH AS WELL AS MEASURES TIED TO WORKFORCE, PATIENT EXPERIENCE, PATIENT SAFETY, CLINICAL QUALITY, AND FINANCE/OPERATIONS. THE INDIVIDUAL PERFORMANCE OBJECTIVES ADOPTED ARE BASED ON AN ARRAY OF QUALITY, FINANCIAL, OPERATIONAL AND STRATEGIC INITIATIVES. INCENTIVE OPPORTUNITY LEVELS ARE CALCULATED BASED ON PREDETERMINED PERCENTAGES OF THE EXECUTIVE'S AND DIRECTOR'S BASE SALARY, AND VARY BASED ON THE ACHIEVEMENT OF THRESHOLD, TARGET OR STRETCH LEVELS AS TO EACH PERFORMANCE OBJECTIVE. THE SYSTEM ALSO MAINTAINS A LONG-TERM INCENTIVE PLAN DIRECTED AT RECRUITING AND RETAINING EXECUTIVE LEADERSHIP. PAYMENTS UNDER THE LONG-TERM INCENTIVE PLAN ARE CONDITIONED ON THE EXECUTIVE REMAINING EMPLOYED BY THE SYSTEM AND MAINTAINING SATISFACTORY OVERALL PERFORMANCE. INCENTIVE OPPORTUNITIES UNDER THE LONG-TERM PLAN ARE APPROVED IN ADVANCE BY THE BENEFIS HEALTH SYSTEM, INC. COMPENSATION COMMITTEE, WITH LATER PAYOUTS APPROVED BY THE COMMITTEE BASED ON ACTUAL PERFORMANCE RESULTS.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

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
10 November 2023
IRS schema version
2022v5.0
Source object
202303189349317880

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