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← ADENA FAIRFIELD MEDICAL CENTER FOUNDATION

Form 990 for tax year 2022

Filed by ADENA FAIRFIELD MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$956,684
Total expenses
$611,765
Contributions and grants received
$633,620
Grants paid
$134,366
Program service revenue
$0
Investment income
$239,377
Other revenue
$83,687
Total assets, end of year
$3,310,541
Total liabilities, end of year
$37,841
Net assets or fund balances, end of year
$3,272,700
Program services expenses (Part IX)
$298,497
Management and general expenses
$118,127
Fundraising expenses
$195,141
Program service expenses (Part III)
$298,497

Program services were 48.8% 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

    $47,853

  • 1d · Related organizations

    $180,519

  • 1f · All other contributions, gifts and grants

    $405,248

  • 3 · Investment income

    total $105,850 · excluded $105,850

  • 7a · Gross sales of assets other than inventory

    securities $133,527

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

    securities $0

  • 7c · Gain or loss

    securities $133,527

  • 7d · Net gain or loss

    total $133,527 · excluded $133,527

  • 8a · Fundraising events: gross income

    $17,475

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

    $47,853

  • 8b · Fundraising events: direct expenses

    $25,213

  • 8c · Net income from fundraising events

    total -$7,738 · excluded -$7,738

  • 10a · Gross sales of inventory

    $162,860

  • 10b · Cost of goods sold

    $84,651

  • 10c · Net income from sales of inventory

    total $78,209 · excluded $78,209

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $13,216 · related or exempt $13,216

  • 11e · Other revenue, total

    $13,216

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $134,366 · program services $134,366

  • 5 · Compensation of officers, directors and key employees

    total $89,385 · program services $38,436 · management and general $22,346 · fundraising $28,603

  • 7 · Other salaries and wages

    total $195,656 · program services $84,132 · management and general $48,914 · fundraising $62,610

  • 9 · Other employee benefits

    total $29,556 · program services $12,709 · management and general $7,389 · fundraising $9,458

  • 10 · Payroll taxes

    total $16,324 · program services $7,019 · management and general $4,081 · fundraising $5,224

  • 11f · Fees: investment management

    total $5,202 · program services $5,202

  • 12 · Advertising and promotion

    total $528 · management and general $528

  • 13 · Office expenses

    total $31,495 · program services $13,543 · management and general $7,874 · fundraising $10,078

  • 14 · Information technology

    total $2,658 · program services $1,143 · management and general $665 · fundraising $850

  • 22 · Depreciation, depletion and amortization

    total $4,528 · program services $1,947 · management and general $1,132 · fundraising $1,449

  • 24a · Other expenses: PROGRAM EXPENSES

    total $52,776 · fundraising $52,776

  • 24b · Other expenses: GIFT SHOP

    total $16,285 · management and general $4,071 · fundraising $12,214

  • 24c · Other expenses: DONOR RELATIONS/TWIG RE

    total $7,571 · management and general $1,893 · fundraising $5,678

  • 24d · Other expenses: DUES & SUB.

    total $6,057 · management and general $6,057

  • 24e · All other expenses

    total $19,378 · management and general $13,177 · fundraising $6,201

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $173,648 · end of year $286,555

  • 3 · Pledges and grants receivable

    beginning of year $997,244 · end of year $997,244

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

    $122,015

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

    $58,393

  • 10c · Land, buildings and equipment, net

    beginning of year $67,630 · end of year $63,622

  • 13 · Investments: program-related

    beginning of year $2,337,696 · end of year $1,963,120

  • 17 · Accounts payable and accrued expenses

    beginning of year $41,483 · end of year $37,841

  • 27 · Net assets without donor restrictions

    beginning of year $3,534,735 · end of year $3,272,700

Mission and programs · 2022

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 $53,821 · Grants $134,366

  • 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 $25,621

  • 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 $219,055

As filed on the 2022 return.

Listed in Part VII

  • Jamie Culver

    CHAIR

    Total calculated
    $0
    Hours/week
    1.25

  • Becky Baker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Dr Shashi Gogate

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Josh Gordon

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Dr Jessi Hanna

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Maris Mahler

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Temple Custer Montenez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Christa Moody

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Travis Markwood

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Sharon Scruggs

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Brenda Shamblin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Craig Vandervoort

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Penny Wasem

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.4

  • Brad Roach

    DIRECTOR PARTIAL TERM

    Total calculated
    $0
    Hours/week
    0.4

  • Tracy Kelly

    EXECUTIVE DIRECTOR

    Total calculated
    $89,385
    From this org
    $75,660
    From related orgs
    $0
    Other
    $13,725
    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.

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
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349303594

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