Form 990 for tax year 2024
Filed by WITHAM MEMORIAL HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $374,783
- Total expenses
- $616,739
- Contributions and grants received
- $372,162
- Grants paid
- $477,418
- Program service revenue
- $0
- Investment income
- $72,286
- Other revenue
- -$69,665
- Total assets, end of year
- $7,688,222
- Total liabilities, end of year
- $36,434
- Net assets or fund balances, end of year
- $7,651,788
- Program services expenses (Part IX)
- $552,418
- Management and general expenses
- $29,405
- Fundraising expenses
- $34,916
- Program service expenses (Part III)
- $552,418
Program services were 89.6% 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.
-
1b · Membership dues
$59,854
-
1c · Fundraising events
$227,148
-
1f · All other contributions, gifts and grants
$85,160
-
3 · Investment income
total $72,286 · excluded $72,286
-
8a · Fundraising events: gross income
$8,384
-
8a · Fundraising events: contributions included on line 1c
$227,148
-
8b · Fundraising events: direct expenses
$79,464
-
8c · Net income from fundraising events
total -$71,080 · excluded -$71,080
-
11a · Other revenue: OTHER REVENUE
total $1,415 · related or exempt $1,415
-
11e · Other revenue, total
$1,415
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $452,110 · program services $452,110
-
2 · Grants to domestic individuals
total $25,308 · program services $25,308
-
11c · Fees: accounting
total $23,250 · fundraising $23,250
-
11f · Fees: investment management
total $25,116 · management and general $25,116
-
11g · Fees: other
total $83,669 · program services $75,000 · management and general $378 · fundraising $8,291
-
13 · Office expenses
total $3,375 · fundraising $3,375
-
24a · Other expenses: OTHER EXPENSE
total $3,911 · management and general $3,911
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,265,464 · end of year $984,392
-
2 · Savings and temporary cash investments
beginning of year $2,678,211 · end of year $2,746,397
-
7 · Other notes and loans receivable
beginning of year $42,569 · end of year $53,134
-
9 · Prepaid expenses and deferred charges
beginning of year $5,429 · end of year $5,104
-
11 · Investments: publicly traded securities
beginning of year $3,401,956 · end of year $3,899,195
-
17 · Accounts payable and accrued expenses
beginning of year $18,751 · end of year $36,434
-
27 · Net assets without donor restrictions
beginning of year $6,138,454 · end of year $6,518,454
-
28 · Net assets with donor restrictions
beginning of year $1,236,424 · end of year $1,133,334
Mission and programs · 2024
Mission
WITHAM HEALTH SERVICES FOUNDATION IS DEDICATED TO THE HOSPITAL'S QUEST FOR QUALITY CARE. THROUGH FUND DEVELOPMENT, AMBASSADORSHIP AND EDUCATION, WE WILL ASSIST THE HOSPITAL IN MAINTAINING ITS FINANCIAL GROWTH.
Activities or mission (Part I)
TO SUPPORT WITHAM HEALTH SERVICES, INC.
-
SUPPORT PROVIDED FOR PROGRAMS AT WITHAM HEALTH SERVICES.
Expenses $527,110 · Grants $452,110
-
MEDICAL AND NONMEDICAL PROFESSIONAL LOANS AND SCHOLARSHIPS
Expenses $25,308 · Grants $25,308
As filed on the 2024 return.
Listed in Part VII
-
Honorable Rebecca McClureHONORABLE REBECCA MCCLURE
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Dr Mark JanickiDR MARK JANICKI
VICE PRESIDENT
- Total calculated
- $274,708
- From this org
- $0
- From related orgs
- $240,395
- Other
- $34,313
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $214,451 related
- Bonus
- $0 + $20,000 related
- Other
- $0 + $5,944 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $34,313 related
- Filer's total
- $0 + $274,708 related
-
Kelly PetitKELLY PETIT
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Russell RobertsRUSSELL ROBERTS
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
John Garber MDJOHN GARBER MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Allyson GutweinALLYSON GUTWEIN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Arch HawkinsARCH HAWKINS
BOARD MEMBER
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 4 related
-
Joe LepageJOE LEPAGE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Kristi ReynoldsKRISTI REYNOLDS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Brett BaystonBRETT BAYSTON
BOARD MEMBER
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 4 related
-
Erin BrewsterERIN BREWSTER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Neil TaylorNEIL TAYLOR
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Pt Buntin MDPT BUNTIN MD
VICE PRESIDENT PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 2
-
Jack JonesJACK JONES
BOARD MEMBER PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 2 + 4 related
-
Gary LanpherGARY LANPHER
BOARD MEMBER PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 2
-
Todd ByrdTODD BYRD
BOARD MEMBER PARTIAL TERM
- Total calculated
- $0
- Hours/week
- 2
-
Cari Ann GuentherCARI ANN GUENTHER
FOUNDATION COORDINATOR
- Total calculated
- $94,817
- From this org
- $0
- From related orgs
- $60,030
- Other
- $34,787
- Hours/week
- 40
-
Michael Hornbecker MDMICHAEL HORNBECKER MD
FORMER BOARD MEMBER
- Total calculated
- $211,379
- From this org
- $0
- From related orgs
- $211,379
- Other
- $0
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $80,830 related
- Bonus
- $0 + $130,361 related
- Other
- $0 + $188 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $211,379 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
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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 AND PART II, RELATED PARTY COMPENSATION:
- ALL COMPENSATION REPORTED ON SCHEDULE J WAS PAID BY RELATED ORGANIZATION, WITHAM HEALTH SERVICES, INC. ALL POLICIES RELATING TO THE COMPENSATION FOR INDIVIDUALS LISTED ON SCHEDULE J ARE POLICIES OF THE RELATED ORGANIZATION AND NOT WITHAM HEALTH SERVICES FOUNDATION, THE FILING ORGANIZATION. LINE 1A: THE FILING ORGANIZATION DID NOT PROVIDE ANY ITEMS LISTED IN PART I, LINE 1A. LINE 1B AND 2: NOT APPLICABLE. LINE 3: THE ORGANIZATION'S METHOD FOR ESTABLISHING COMPENSATION IS DETERMINED BY APPROVAL FROM THE BOARD OF DIRECTORS, WHICH IS COMPLETED BY THE RELATED ORGANIZATION, WITHAM HEALTH SERVICES. PART II, LINE (1), COLUMN (B) AND (D): THE COMPENSATION REPORTED DURING THE CURRENT YEAR DOES NOT RELATE TO SERVING AS A BOARD MEMBER FOR WITAHM HEALTH SERVICES FOUNDATION.
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
-
$452,110
OPERATING EXPENSES AND COMPLETION OF THE HOPE CENTER
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.
-
GOV'T HOSPITAL · HOSPITAL · IN
-
CENTRAL INDIANA HEALTH ASSOCIATION INC
501(C)(3) · HEALTHCARE SERVICES · IN
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 17 October 2025
- IRS schema version
- 2024v5.2
- Source object
- 202542909349301754
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