Form 990 for tax year 2023
Filed by ADENA FAIRFIELD MEDICAL CENTER FOUNDATION.
Totals
- Total revenue
- $1,103,330
- Total expenses
- $1,675,075
- Contributions and grants received
- $741,994
- Grants paid
- $105,125
- Program service revenue
- $0
- Investment income
- $81,524
- Other revenue
- $279,812
- Total assets, end of year
- $2,998,157
- Total liabilities, end of year
- $50,897
- Net assets or fund balances, end of year
- $2,947,260
- Program services expenses (Part IX)
- $931,754
- Management and general expenses
- $356,246
- Fundraising expenses
- $387,075
- Program service expenses (Part III)
- $931,754
Program services were 55.6% 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
$3,009
-
1f · All other contributions, gifts and grants
$738,985
-
3 · Investment income
total $72,256 · excluded $72,256
-
7a · Gross sales of assets other than inventory
securities $9,268
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $9,268
-
7d · Net gain or loss
total $9,268 · excluded $9,268
-
8a · Fundraising events: gross income
$148,737
-
8a · Fundraising events: contributions included on line 1c
$3,009
-
8b · Fundraising events: direct expenses
$36,022
-
8c · Net income from fundraising events
total $112,715 · excluded $112,715
-
10a · Gross sales of inventory
$217,923
-
10b · Cost of goods sold
$50,826
-
10c · Net income from sales of inventory
total $167,097 · excluded $167,097
Functional expenses
Part IX, the statement of functional expenses.
-
2 · Grants to domestic individuals
total $105,125 · program services $105,125
-
7 · Other salaries and wages
total $263,026 · program services $113,101 · management and general $65,757 · fundraising $84,168
-
9 · Other employee benefits
total $27,379 · program services $11,773 · management and general $6,845 · fundraising $8,761
-
10 · Payroll taxes
total $15,069 · program services $6,480 · management and general $3,767 · fundraising $4,822
-
11g · Fees: other
total $397,341 · program services $397,341
-
13 · Office expenses
total $125,016 · program services $53,757 · management and general $31,254 · fundraising $40,005
-
17 · Travel
total $105 · program services $45 · management and general $26 · fundraising $34
-
22 · Depreciation, depletion and amortization
total $4,897 · program services $2,106 · management and general $1,224 · fundraising $1,567
-
24a · Other expenses: BAD DEBT EXPENSE
total $562,851 · program services $242,026 · management and general $140,713 · fundraising $180,112
-
24b · Other expenses: MISCELLANEOUS EXPENSE
total $153,683 · management and general $104,504 · fundraising $49,179
-
24c · Other expenses: PROGRAM EXPENSES
total $18,427 · fundraising $18,427
-
24d · Other expenses: DUES & SUB.
total $2,156 · management and general $2,156
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $286,555 · end of year $153,899
-
3 · Pledges and grants receivable
beginning of year $997,244 · end of year $295,000
-
10a · Land, buildings and equipment: cost or other basis
$122,015
-
10b · Land, buildings and equipment: accumulated depreciation
$63,290
-
10c · Land, buildings and equipment, net
beginning of year $63,622 · end of year $58,725
-
13 · Investments: program-related
beginning of year $1,963,120 · end of year $2,490,533
-
17 · Accounts payable and accrued expenses
beginning of year $37,841 · end of year $11,279
-
25 · Other liabilities
beginning of year $0 · end of year $39,618
-
27 · Net assets without donor restrictions
beginning of year $3,272,700 · end of year $2,947,260
Mission and programs · 2023
Mission
THE FAIRFIELD MEDICAL CENTER FOUNDATION'S MISSION IS TO SOLICIT AND MANAGE CONTRIBUTIONS IN ORDER TO PROVIDE GRANT ASSISTANCE TO FAIRFIELD MEDICAL CENTER TO ASSIST IN THEIR MISSION OF DELIVERING OUTSTANDING HEALTHCARE FOR THEIR PATIENTS AND FAMILIES, AND OUR COMMUNITIES.
Activities or mission (Part I)
THE FAIRFIELD MEDICAL CENTER FOUNDATION'S MISSION IS TO SOLICIT AND MANAGE CONTRIBUTIONS IN ORDER TO PROVIDE GRANT ASSISTANCE TO FAIRFIELD MEDICAL CENTER FOR NEEDED ITEMS OR PROGRAMS.
-
FMC FOUNDATION AWARDS VARIOUS SCHOLARSHIPS BY WAY OF AN INDEPENDENT SCHOLARSHIP COMMITTEE TO THOSE WHO ARE PURSUING FURTHER EDUCATION IN THE MEDICAL FIELD. THE SCHOLARSHIPS ARE AWARDED BY AN INDEPENDENT COMMITTEE, BASED ON THE APPLICATIONS RECEIVED.
Expenses $194,735 · Grants $33,673
-
THE FOUNDATION HELPS VARIOUS INDIVIDUALS WHO ARE AT OR BELOW THE 200% POVERTY LEVEL WITH ASSISTANCE TOWARD CANCER CARE, MAMMOGRAMS AND CARDIAC REHAB. IT ALSO PROVIDES THE SALARY FOR AN ADMINISTRATOR OF THE SCRIPT ASSIST PROGRAM WHICH HELPS THOSE WHO ARE AT OR BELOW THE 200% POVERTY LEVEL OBTAIN PRESCRIPTIONS FROM DRUG COMPANIES AT A REDUCED COST. THIS PROGRAM HAS HELPED MANY WHO OTHERWISE WOULD NOT HAVE BEEN ABLE TO PAY FOR THE PRESCRIPTIONS, OR FOR WHOM IT WOULD HAVE BEEN AN EXTREME HARDSHIP TO DO SO.
Expenses $168,549 · Grants $29,145
-
FAIRFIELD MEDICAL CENTER FOUNDATION PROGRAM MISCELLANEOUS GRANTS FOR NEED NOT COVERED BY EQUIPMENT GRANTS, CANCER CARE, AND CARDIAC CARE, SUCH AS THE TRANQUILITY GARDEN FOR PATIENTS AND VISITORS OF FMC TO ENJOY, SPECIALTY SOAP FOR INFECTION CONTROL, AS WELL AS VARIOUS OTHER NEEDS.
Expenses $568,470 · Grants $42,307
As filed on the 2023 return.
Listed in Part VII
-
Craig VandervoortCRAIG VANDERVOORT
CHAIR
- Total calculated
- $0
- Hours/week
- 1.25
-
Becky BakerBECKY BAKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Dr Shashi GogateDR SHASHI GOGATE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Josh GordonJOSH GORDON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Dr Jessi HannaDR JESSI HANNA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Phil SettecasePHIL SETTECASE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Temple Custer MontenezTEMPLE CUSTER MONTENEZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Christa MoodyCHRISTA MOODY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Travis MarkwoodTRAVIS MARKWOOD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Sharon ScruggsSHARON SCRUGGS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Denise BauerDENISE BAUER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Penny WasemPENNY WASEM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Jamie CulverJAMIE CULVER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.4
-
Maris MahlerMARIS MAHLER
DIRECTOR PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 0.4
-
Brenda ShamblinBRENDA SHAMBLIN
DIRECTOR PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 0.4
-
Tracy KellyTRACY KELLY
EXECUTIVE DIRECTOR
- Total calculated
- $91,821
- From this org
- $0
- From related orgs
- $76,500
- Other
- $15,321
- 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, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
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.
-
FAIRFIELD HEALTHCARE PROFESSIONALS INC
501(C)(3) · PHYSICIAN PRACTICES · OH
Directly controlled by FAIRFIELD MEDICAL CENTER
-
FAIRFIELD MEDICAL CENTER TWIG II
501(C)(3) · SUPPORT FAIRFIELD MEDICAL CENTER · OH
-
501(C)(3) · HOSPITAL · OH
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.
-
ZANE PROPERTIES CORPORATION
C · HOLDING COMPANY · OH
-
OHIO PHYSICAL MEDICINE & REHAB INC
S · PHYSIATRISTS · OH
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 14 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202443199349309159
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