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← ACMC FOUNDATION

Form 990 for tax year 2022

Filed by ACMC FOUNDATION.

Totals

Total revenue
$263,654
Total expenses
$363,047
Contributions and grants received
$63,225
Grants paid
$0
Program service revenue
$0
Investment income
$165,227
Other revenue
$35,202
Total assets, end of year
$6,404,775
Total liabilities, end of year
$596,138
Net assets or fund balances, end of year
$5,808,637
Program services expenses (Part IX)
$141,252
Management and general expenses
$221,795
Fundraising expenses
$0
Program service expenses (Part III)
$141,252

Program services were 38.9% 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

    $63,225

  • 3 · Investment income

    total $110,685 · excluded $110,685

  • 7a · Gross sales of assets other than inventory

    securities $1,478,640

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

    securities $1,424,098

  • 7c · Gain or loss

    securities $54,542

  • 7d · Net gain or loss

    total $54,542 · excluded $54,542

  • 8a · Fundraising events: gross income

    $15,322

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

    $63,225

  • 8b · Fundraising events: direct expenses

    $27,998

  • 8c · Net income from fundraising events

    total -$12,676 · excluded -$12,676

  • 9a · Gaming: gross income

    $2,800

  • 9b · Gaming: direct expenses

    $2,972

  • 9c · Net income from gaming

    total -$172 · excluded -$172

  • 11a · Other revenue: OTHER INCOME

    total $48,050 · excluded $48,050

  • 11e · Other revenue, total

    $48,050

Functional expenses

Part IX, the statement of functional expenses.

  • 11a · Fees: management

    total $213,091 · management and general $213,091

  • 11c · Fees: accounting

    total $1,500 · management and general $1,500

  • 11f · Fees: investment management

    total $7,204 · management and general $7,204

  • 11g · Fees: other

    total $21,578 · program services $21,578

  • 13 · Office expenses

    total $70,633 · program services $70,633

  • 17 · Travel

    total $938 · program services $938

  • 23 · Insurance

    total $87 · program services $87

  • 24a · Other expenses: PROGRAM COSTS

    total $32,097 · program services $32,097

  • 24b · Other expenses: MISCELLANEOUS

    total $10,992 · program services $10,992

  • 24c · Other expenses: EQUIPMENT MAINTENANCE

    total $4,287 · program services $4,287

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $640 · program services $640

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $92,200 · end of year $51,008

  • 2 · Savings and temporary cash investments

    beginning of year $833,122 · end of year $1,021,291

  • 4 · Accounts receivable

    beginning of year $3,228 · end of year $6,358

  • 11 · Investments: publicly traded securities

    beginning of year $6,473,159 · end of year $5,326,118

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,394 · end of year $118,111

  • 25 · Other liabilities

    beginning of year $463,443 · end of year $478,027

  • 27 · Net assets without donor restrictions

    beginning of year $6,135,908 · end of year $4,852,171

  • 28 · Net assets with donor restrictions

    beginning of year $796,964 · end of year $956,466

Mission and programs · 2022

Mission

THE ACMC FOUNDATION IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION ESTABLISHED TO RAISE, RECEIVE AND ADMINISTER CHARITABLE GIFTS IN SUPPORT OF ASHTABULA COUNTY MEDICAL CENTER. TO DO THIS, THE FOUNDATION HOLDS SPECIAL EVENTS, CULTIVATES AND SOLICITS INDIVIDUAL DONORS AND CORPORATE DONORS, AND SECURES GRANT FUNDING; AND ALIGNS ITS WORK WITH THE INITIATIVES AND PRIORITIES OF ACMC.

Activities or mission (Part I)

RAISE AND ADMINISTER CHARITABLE GIFTS THAT SUPPORT THE MISSION OF ASHTABULA COUNTY MEDICAL CENTER.

  • ASHTABULA COUNTY MEDICAL CENTER (ACMC) IS A NON-PROFIT COMMUNITY HOSPITAL, THE ONLY FULL-SERVICE HOSPITAL IN ASHTABULA COUNTY, AND IS THE COUNTY'S LARGEST EMPLOYER. THE ACMC FOUNDATION HELPS TO ENSURE THAT THE HIGH-QUALITY CARE ALL PATIENTS DESERVE IS AVAILABLE WHEN THE COMMUNITY NEEDS IT.ACMC FOUNDATION SUPPORTS THE HOSPITAL BY FUNDING CAPITAL AND EQUIPMENT PURCHASES, FACILITY RENOVATIONS, STAFF SUPPORT AND EDUCATION AND OTHER PROGRAM SUPPORT. WITH MORE THAN A DOZEN DESIGNATED-USE AND UNRESTRICTED FUNDS, ACMC FOUNDATION ADMINISTERS CONTRIBUTIONS THAT ALIGN WITH DONORS' INTERESTS AND THE PRIORITIES AND NEEDS OF ACMC. EXAMPLES OF RECENT CAPITAL SUPPORT INCLUDE IMAGING EQUIPMENT, PATIENT MONITORS, INTENSIVE CARE UNIT EQUIPMENT AND TECHNOLOGY, INFRARED VEIN FINDERS, AND VARIOUS BUILDING AND FACILITY RENOVATIONS. ACMC FOUNDATION SUPPORTS ACMC THROUGH VARIOUS PROGRAMS. ACMC FOUNDATION ADMINISTERS AND FUNDS THE ACMC ACADEMY PROGRAM, A SUMMER INTERNSHIP AND SCHOLARSHIP PROGRAM FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTHCARE CAREERS. THE FOUNDATION FUNDS PROGRAMS TO PROVIDE ITEMS OF COMFORT TO PEDIATRIC PATIENTS IN OUTPATIENT LABS AND EMERGENCY DEPARTMENT, AND ASSISTANCE TO PATIENTS TO HELP MEET TEMPORARY URGENT NEEDS THAT HAVE A DIRECT IMPACT ON PATIENTS' HEALTH OUTCOMES, SUCH AS MEDICAL SUPPLIES NOT COVERED BY INSURANCE, TRANSPORTATION EXPENSES RELATED TO MEDICAL CARE, AND SHORT TERM MEDICATIONS.

    Expenses $141,252

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

Listed in Part VII

  • Sandi Kanicki

    CHAIR

    Total calculated
    $0
    Hours/week
    0.3

  • Dr Catherine Bishop

    VICE CHAIR

    Total calculated
    $242,219
    From this org
    $0
    From related orgs
    $221,040
    Other
    $21,179
    Hours/week
    0.3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,852 related
    Bonus
    $0
    Other
    $0 + $1,188 related
    Deferred
    $0 + $8,543 related
    Nontaxable benefits
    $0 + $12,636 related
    Filer's total
    $0 + $242,219 related

  • Michael Habowski

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    0.3 + 40.3 related

  • Tami Netkowicz

    EXECUTIVE DIRECTOR (THRU 10/22)

    Total calculated
    $111,427
    From this org
    $0
    From related orgs
    $75,834
    Other
    $35,593
    Hours/week
    40

  • Donny Chaplin

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Bret Cimorell

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Mike Fedler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Todd Gray

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Thomas Hough

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Andrea Singer

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Gary Seech

    TRUSTEE; CEO GLENBEIGH

    Total calculated
    $244,372
    From this org
    $0
    From related orgs
    $208,877
    Other
    $35,495
    Hours/week
    0.3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $206,629 related
    Bonus
    $0
    Other
    $0 + $2,248 related
    Deferred
    $0 + $6,623 related
    Nontaxable benefits
    $0 + $28,872 related
    Filer's total
    $0 + $244,372 related

  • Nancy Kister

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.3

  • Tina Stasiewski

    INTERIM EXECUTIVE DIRECTOR (AS OF 10/22)

    Total calculated
    $115,395
    From this org
    $0
    From related orgs
    $111,347
    Other
    $4,048
    Hours/week
    40

  • Don Kepner

    VP FINANCE/CFO

    Total calculated
    $0
    Hours/week
    0.3 + 40.3 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

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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202323199349302877

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