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← ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F

Form 990 for tax year 2023

Filed by ST FRANCIS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F.

Totals

Total revenue
$65,077,004
Total expenses
$52,460,774
Contributions and grants received
$164,291
Grants paid
$0
Program services expenses (Part IX)
$42,377,721
Management and general expenses
$10,083,053
Fundraising expenses
$0
Program service expenses (Part III)
$42,377,721

Program services were 80.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • James Timpe

    President/CEO (Until 5/31/24)

    Total calculated
    $392,888
    From this org
    $301,700
    From related orgs
    $0
    Other
    $91,188
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $249,572
    Bonus
    $48,244
    Other
    $3,884
    Deferred
    $66,645
    Nontaxable benefits
    $24,543
    Filer's total
    $392,888
  • Jane Martin

    Vice Chair

    Total calculated
    $0
    Hours/week
    1
  • Marchelle Kassebaum

    Secretary (Until 10/31/23)

    Total calculated
    $0
    Hours/week
    1
  • MATT FRY

    PRESIDENT/CEO (BEGAN NOV 2023)

    Total calculated
    $539,642
    From this org
    $0
    From related orgs
    $444,498
    Other
    $95,144
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $401,278 related
    Bonus
    $0 + $41,517 related
    Other
    $0 + $1,703 related
    Deferred
    $0 + $61,634 related
    Nontaxable benefits
    $0 + $33,510 related
    Filer's total
    $0 + $539,642 related
  • Steve Bryant

    Chair

    Total calculated
    $0
    Hours/week
    1
  • Elisa Feldmann

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Gerald Williams

    Board Member (Until 10/31/23)

    Total calculated
    $0
    Hours/week
    1
  • JENNIFER REID BAUGHER

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Jerome Epplin MD

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • John Winans

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Kevin Niemann

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • SR RITAMARY BROWN

    Board Member/HSHS SISTER (Until 12/31/23)

    Total calculated
    $0
    Hours/week
    1
  • Thomas Baker

    Board Member (Until 10/31/23)

    Total calculated
    $0
    Hours/week
    1
  • WILLIAM MONTGOMERY

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Michael Scialdone

    Treasurer / HSHS SVP & CFO (began 01/08/24)

    Total calculated
    $0
    Hours/week
    0.3 + 59.7 related
  • Paige Toth

    Secretary (began 11/1/23)

    Total calculated
    $372,277
    From this org
    $0
    From related orgs
    $306,108
    Other
    $66,169
    Hours/week
    4.3 + 55.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $283,016 related
    Bonus
    $0 + $23,092 related
    Other
    $0
    Deferred
    $0 + $33,609 related
    Nontaxable benefits
    $0 + $32,560 related
    Filer's total
    $0 + $372,277 related
  • PATRICIA ALLEN

    CFO - CARE DELIVERY

    Total calculated
    $773,133
    From this org
    $0
    From related orgs
    $649,506
    Other
    $123,627
    Hours/week
    3 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,772 related
    Bonus
    $0 + $53,821 related
    Other
    $0 + $96,913 related
    Deferred
    $0 + $99,475 related
    Nontaxable benefits
    $0 + $24,152 related
    Filer's total
    $0 + $773,133 related
  • TODD Smart

    Treasurer (UNTIL 5/3/24)

    Total calculated
    $382,133
    From this org
    $0
    From related orgs
    $315,606
    Other
    $66,527
    Hours/week
    0.3 + 59.7 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,819 related
    Bonus
    $0 + $37,512 related
    Other
    $0 + $2,275 related
    Deferred
    $0 + $46,882 related
    Nontaxable benefits
    $0 + $19,645 related
    Filer's total
    $0 + $382,133 related
  • Brian Strader

    Director-Pharmacy

    Total calculated
    $187,337
    From this org
    $181,853
    From related orgs
    $0
    Other
    $5,484
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,803
    Bonus
    $0
    Other
    $50
    Deferred
    -$6,487
    Nontaxable benefits
    $11,971
    Filer's total
    $187,337
  • JILL MOUTRIA

    Pharmacist

    Total calculated
    $138,684
    From this org
    $153,445
    From related orgs
    $0
    Other
    -$14,761
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,445
    Bonus
    $0
    Other
    $0
    Deferred
    -$26,338
    Nontaxable benefits
    $11,577
    Filer's total
    $138,684
  • Kerri A Smith

    Advanced Practice RN

    Total calculated
    $150,673
    From this org
    $125,273
    From related orgs
    $0
    Other
    $25,400
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $125,273
    Bonus
    $0
    Other
    $0
    Deferred
    $6,100
    Nontaxable benefits
    $19,300
    Filer's total
    $150,673
  • Susan Elizabeth Stewart

    Advanced Practice RN

    Total calculated
    $185,782
    From this org
    $143,884
    From related orgs
    $0
    Other
    $41,898
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,307
    Bonus
    $0
    Other
    $2,577
    Deferred
    $39,879
    Nontaxable benefits
    $2,019
    Filer's total
    $185,782
  • Tammy Keiser-Donoho

    Registered Nurse - Critical Care

    Total calculated
    $163,547
    From this org
    $122,395
    From related orgs
    $0
    Other
    $41,152
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $114,395
    Bonus
    $8,000
    Other
    $0
    Deferred
    $12,201
    Nontaxable benefits
    $28,951
    Filer's total
    $163,547
  • Aaron Puchbauer

    FORMER INTERIM CEO

    Total calculated
    $419,038
    From this org
    $0
    From related orgs
    $356,839
    Other
    $62,199
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $234,808 related
    Bonus
    $0 + $56,608 related
    Other
    $0 + $65,423 related
    Deferred
    $0 + $30,617 related
    Nontaxable benefits
    $0 + $31,582 related
    Filer's total
    $0 + $419,038 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 — 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
PLEASE SEE RESPONSE TO FORM 990, PART VI, LINE 15A IN SCHEDULE O.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
HSHS EXECUTIVES ELIGIBLE TO PARTICIPATE IN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ARE DEFINED IN THE SERP PLAN DOCUMENTS. THE SERP WAS ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO ENSURE REASONABLE MARKET COMPETITIVE BENEFITS IN ACCORDANCE WITH THE HSHS EXECUTIVE COMPENSATION PHILOSOPHY ESTABLISHED BY THE HSHS COMPENSATION COMMITTEE. THE PLAN PROVIDES A DEFINED RETIREMENT CONTRIBUTION TO PARTICIPANTS COMMENCING ON JANUARY 1, 2008, EQUAL TO A PERCENTAGE OF COMPENSATION AS DEFINED IN THE SERP PLAN DOCUENTS FOR THE PLAN YEAR. PARTICIPANTS CONSTRUCTIVELY RECEIVE A DISTRIBUTION FROM THE PLAN NO LATER THAN MARCH 15TH OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH AN AMOUNT IS VESTED AND TAXABLE PURSUANT TO A VESTING SCHEDULE AS SPECIFIED IN THE PLAN DOCUMENT. THE ACTUAL DISTRIBUTION OF THE VESTED BENEFIT UNDER THE PLAN IS PAID IN A SINGLE LUMP SUM TO THE PARTICIPANT OR THE PARTICIPANT'S BENEFICIARY UPON THE EARLIER OF THE PARTICIPANT'S TERMINATION OF EMPLOYMENT, DEATH, OR TOTAL AND PERMANENT DISABILITY. THE FOLLOWING INTERESTED PERSONS CONSTRUCTIVELY RECEIVED DEFERRALS TO THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE DEFERRALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). PATRICIA ALLEN -- $44,695 MATT FRY -- $45,134 AARON PUCHBAUER -- $30,148 JAMES TIMPE -- $30,651 TODD SMART -- $25,441 PAIGE TOTH -- $14,542 THE FOLLOWING INTERESTED PERSONS RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023; THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F), AS APPLICABLE. PATRICIA ALLEN -- $34,179 AARON PUCHBAUER -- $22,341

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
2023
Filed
8 May 2025
IRS schema version
2023v6.0
Source object
202501289349302865

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