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← KSB HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by KSB HOSPITAL FOUNDATION.

Totals

Total revenue
$458,327
Total expenses
$237,865
Contributions and grants received
$375,958
Grants paid
$99,145
Program service revenue
$100
Investment income
$11,989
Other revenue
$70,280
Total assets, end of year
$809,454
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$809,454
Program services expenses (Part IX)
$188,163
Management and general expenses
$49,702
Fundraising expenses
$0
Program service expenses (Part III)
$188,163

Program services were 79.1% 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.

  • 1c · Fundraising events

    $91,892

  • 1f · All other contributions, gifts and grants

    $284,066

  • 2a · Program service revenue: EARLY LEARNING LITERAC

    total $100 · related or exempt $100

  • 3 · Investment income

    total $11,989 · excluded $11,989

  • 8a · Fundraising events: gross income

    $154,252

  • 8a · Fundraising events: contributions included on line 1c

    $91,892

  • 8b · Fundraising events: direct expenses

    $83,972

  • 8c · Net income from fundraising events

    total $70,280 · excluded $70,280

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $82,107 · program services $82,107

  • 2 · Grants to domestic individuals

    total $17,038 · program services $17,038

  • 7 · Other salaries and wages

    total $65,388 · program services $65,388

  • 9 · Other employee benefits

    total $14,612 · program services $14,612

  • 10 · Payroll taxes

    total $5,004 · program services $5,004

  • 11c · Fees: accounting

    total $5,027 · management and general $5,027

  • 12 · Advertising and promotion

    total $4,014 · program services $4,014

  • 13 · Office expenses

    total $30,225 · management and general $30,225

  • 17 · Travel

    total $497 · management and general $497

  • 24a · Other expenses: SUBSCRIPTIONS

    total $13,953 · management and general $13,953

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $553,992 · end of year $172,399

  • 2 · Savings and temporary cash investments

    end of year $558,176

  • 4 · Accounts receivable

    beginning of year $35,000

  • 15 · Other assets

    beginning of year $0 · end of year $78,879

  • 27 · Net assets without donor restrictions

    beginning of year $588,992 · end of year $809,454

Mission and programs · 2023

Mission

TO RAISE FUNDS TO SUPPORT KSB HOSPITAL'S MISSION TO RESTORE, MAINTAIN AND ENHANCE HEALTH BY PROVIDING SUPERIOR CARE NOW AND IN THE FUTURE.

  • EARLY LEARNING LITERACY PROGRAM: INITIATIVE TO IMPROVE KINDERGARTEN READINESS IN OUR COMMUNITIES BY PROVIDING PARENTS EDUCATION IN UNDERSTANDING THE POWER OF LANGUAGE AND INTERACTION IN THE FIRST THREE YEARS OF A CHILD'S LIFE.

    Expenses $14,158 · Grants $14,158 · Revenue $100

  • TO RAISE FUNDS TO SUPPORT KSB'S MISSION TO RESTORE, MAINTAIN AND ENHANCE HEALTH BY PROVIDING SUPERIOR CARE NOW AND IN THE FUTURE.

    Expenses $174,005 · Grants $84,987

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • David Schreiner

    PRESIDENT/CEO

    Total calculated
    $1,085,021
    From this org
    $0
    From related orgs
    $1,049,137
    Other
    $35,884
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $785,283 related
    Bonus
    $0 + $475 related
    Other
    $0 + $263,379 related
    Deferred
    $0 + $1,620 related
    Nontaxable benefits
    $0 + $34,264 related
    Filer's total
    $0 + $1,085,021 related
  • David Hellmich MD

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 1.3 related
  • Rick Curia

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 0.9 related
  • Ryan Miller

    FDTN SECRETARY/HOSPITAL VP

    Total calculated
    $260,400
    From this org
    $0
    From related orgs
    $234,820
    Other
    $25,580
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $234,345 related
    Bonus
    $0 + $475 related
    Other
    $0
    Deferred
    $0 + $843 related
    Nontaxable benefits
    $0 + $24,737 related
    Filer's total
    $0 + $260,400 related
  • Austin Frazier

    HOSPITAL CFO

    Total calculated
    $398,095
    From this org
    $0
    From related orgs
    $352,455
    Other
    $45,640
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,980 related
    Bonus
    $0 + $15,475 related
    Other
    $0
    Deferred
    $0 + $1,350 related
    Nontaxable benefits
    $0 + $44,290 related
    Filer's total
    $0 + $398,095 related
  • Emily Kruger

    DIRECTOR/HOSPITAL EE

    Total calculated
    $59,296
    From this org
    $0
    From related orgs
    $46,059
    Other
    $13,237
    Hours/week
    1 + 40 related
  • Ray Neisewander III

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 0.9 related
  • Peter Shaw

    FOUNDATION DIRECTOR

    Total calculated
    $112,562
    From this org
    $0
    From related orgs
    $88,196
    Other
    $24,366
    Hours/week
    20

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
KATHERINE SHAW BETHEA HOSPITAL, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

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.

Related corporations and trusts

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

  • KSB VENTURES INC

    C · HOLD PARTNERSHIP INVESTMENT · IL

Provenance

Return type
form_990
Tax year
2023
Filed
17 October 2024
IRS schema version
2023v5.1
Source object
202412979349300446

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