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← ALLEGIANCE HEALTH FOUNDATION

Form 990 for tax year 2024

Filed by ALLEGIANCE HEALTH FOUNDATION.

Totals

Total revenue
$0
Total expenses
$0
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$165,916
Net assets or fund balances, end of year
-$165,916
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Listed in Part VII

  • SARAH ERMATINGER

    DIRECTOR-CHAIR

    Total calculated
    $0
    Hours/week
    2

  • SHEILA EVERTS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CARRIE GLICK

    DIRECTOR-SECRETARY/TREASUR

    Total calculated
    $0
    Hours/week
    2

  • JAMIE GRACE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BRIAN KIMMD

    DIRECTOR

    Total calculated
    $6,100
    From this org
    $6,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • TERRY LANGSTON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JORDAN LEVY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • FRANK LUSEBRINK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MUMTAZ MEMON MD

    DIRECTOR

    Total calculated
    $774,829
    From this org
    $0
    From related orgs
    $734,663
    Other
    $40,166
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $464,220 related
    Bonus
    $0 + $187,416 related
    Other
    $0 + $83,027 related
    Deferred
    $0 + $6,038 related
    Nontaxable benefits
    $0 + $34,128 related
    Filer's total
    $0 + $774,829 related

  • MARY SHIRKEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHERYL SIMONETTI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHAWNA TELLO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN WALDRON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JAY ZIEMBA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • EMILY S MOORHEAD

    DIRECTOR-PRESIDENT

    Total calculated
    $692,439
    From this org
    $0
    From related orgs
    $632,666
    Other
    $59,773
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $442,308 related
    Bonus
    $0 + $190,358 related
    Other
    $0
    Deferred
    $0 + $58,378 related
    Nontaxable benefits
    $0 + $1,395 related
    Filer's total
    $0 + $692,439 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

  • 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 4B
CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND/OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2024 CONTR. 2024 CONTR. TAX GROSS-UP W-2 AMOUNTS MUMTAZ MEMON, M.D. 17,575 5,425 131 23,131 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 EMILY MOORHEAD - - 52,341 -

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.

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
2024
Filed
16 November 2025
IRS schema version
2024v5.2
Source object
202533209349301503

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