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← ST CHARLES HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by ST CHARLES HOSPITAL FOUNDATION.

Totals

Total revenue
$602,458
Total expenses
$259,760
Contributions and grants received
$568,366
Grants paid
$38,834
Program service revenue
$0
Investment income
$1,955
Other revenue
$32,137
Total assets, end of year
$4,589,390
Total liabilities, end of year
$230,296
Net assets or fund balances, end of year
$4,359,094
Program services expenses (Part IX)
$105,786
Management and general expenses
$116,701
Fundraising expenses
$37,273
Program service expenses (Part III)
$105,786

Program services were 40.7% 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

    $178,948

  • 1f · All other contributions, gifts and grants

    $389,418

  • 3 · Investment income

    total $1,955 · excluded $1,955

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $32,137

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

    $178,948

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $32,137 · excluded $32,137

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $38,834 · program services $38,834

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $5,658 · program services $5,658

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: PURCHASED SERV-SALARIES

    total $134,501 · program services $45,730 · management and general $88,771 · fundraising $0

  • 24b · Other expenses: PURCHASED SERV-BENEFITS

    total $42,318 · program services $14,388 · management and general $27,930

  • 24c · Other expenses: PURCHASED SERV-OTHER

    total $38,449 · program services $1,176 · management and general $0 · fundraising $37,273

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,594,282 · end of year $3,209,930

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $37,179 · end of year $35,793

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $12,695 · end of year $75,722

  • 10a · Land, buildings and equipment: cost or other basis

    $9,518

  • 10b · Land, buildings and equipment: accumulated depreciation

    $9,518

  • 11 · Investments: publicly traded securities

    beginning of year $300,675 · end of year $300,243

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $1,141,676 · end of year $967,702

  • 17 · Accounts payable and accrued expenses

    beginning of year $13,857 · end of year $6,795

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $54,333 · end of year $223,501

  • 27 · Net assets without donor restrictions

    beginning of year $1,730,593 · end of year $1,815,252

  • 28 · Net assets with donor restrictions

    beginning of year $2,287,724 · end of year $2,543,842

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

WE, AT CH, HUMBLY JOIN TOGETHER TO BRING CHRIST'S HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES.

  • SOLICITING CONTRIBUTIONS, BEQUESTS, AND GRANTS SOLELY FOR ST. CHARLES HOSPITAL (PORT JEFFERSON, NY). ST. CHARLES HOSPITAL PROVIDES A FULL RANGE OF HEALTH CARE SERVICES.

    Expenses $105,786 · Grants $38,834

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

Listed in Part VII

  • JAMES O'CONNOR

    PRESIDENT/CAO

    Total calculated
    $1,431,597
    From this org
    $0
    From related orgs
    $1,260,286
    Other
    $171,311
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $687,282 related
    Bonus
    $0 + $185,000 related
    Other
    $0 + $388,004 related
    Deferred
    $0 + $134,875 related
    Nontaxable benefits
    $0 + $36,436 related
    Filer's total
    $0 + $1,431,597 related

  • DANIEL DEBARBA

    EVP & CFO THRU 8/5/2022

    Total calculated
    $1,411,216
    From this org
    $0
    From related orgs
    $1,103,144
    Other
    $308,072
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $626,446 related
    Bonus
    $0 + $350,000 related
    Other
    $0 + $126,698 related
    Deferred
    $0 + $274,411 related
    Nontaxable benefits
    $0 + $33,661 related
    Filer's total
    $0 + $1,411,216 related

  • PATRICK MINICUS

    EVP & CFO AS OF 12/12/2022

    Total calculated
    $875,086
    From this org
    $0
    From related orgs
    $805,216
    Other
    $69,870
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $607,424 related
    Bonus
    $0 + $180,000 related
    Other
    $0 + $17,792 related
    Deferred
    $0 + $21,411 related
    Nontaxable benefits
    $0 + $48,459 related
    Filer's total
    $0 + $875,086 related

  • MARGARET MAHER

    SVP&CHIEF DEVELOPMENT OFFICER

    Total calculated
    $496,942
    From this org
    $0
    From related orgs
    $473,197
    Other
    $23,745
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $397,391 related
    Bonus
    $0 + $74,000 related
    Other
    $0 + $1,806 related
    Deferred
    $0 + $19,978 related
    Nontaxable benefits
    $0 + $3,767 related
    Filer's total
    $0 + $496,942 related

  • JOHN FITZPATRICK

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • JAMES BUZZETTA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • DOUGLAS CASIMIR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • RUTH GOLD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • THOMAS SHERIDAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • BRIAN O'LEARY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • RICHARD SCHMIDT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • HOLLY CURRY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Karen Breen

    TRUSTEE AS OF

    Total calculated
    $0
    Hours/week
    2

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

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)

PART I, LINE 3 - METHODS TO ESTABLISH COMPENSATION BY RELATED ORGANIZATION
The following methods are used by a related organization to establish compensation of the CEO/Executive Director: A compensation committee, Independent Compensation Consultant, Written employment contract, Compensation survey or study, Form 990 of other organizations, and approval by the Board or Compensation Committee.
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
The following individuals participated in the supplemental non-qualified retirement plan. The amounts below are included on Schedule J, Part II, Column C. DANIEL DEBARBA $253,000 Participation in the plan James O'Connor $112,000 Participation in the plan The deferred compensation in column C for these individuals includes both qualified and non-qualified retirement plans. THE FOLLOWING INDIVIDUALS VESTED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III). THESE AMOUNTS INCLUDE A TAX GROSS UP. JAMES O'CONNOR $338,060 VESTED IN PLAN THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5 AS TAXABLE WAGES BECAUSE THEY ARE VESTED, BUT ARE NOT DISTRIBUTED UNTIL RETIREMENT.

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 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
202333179349309733

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