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Nonprofiteer
← NORTHWEST COMMUNITY HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by NORTHWEST COMMUNITY HOSPITAL FOUNDATION.

Totals

Total revenue
$11,091,521
Total expenses
$4,778,858
Contributions and grants received
$9,270,879
Grants paid
$3,369,810
Program service revenue
$0
Investment income
$1,408,587
Other revenue
$412,055
Total assets, end of year
$41,076,590
Total liabilities, end of year
$275,003
Net assets or fund balances, end of year
$40,801,587
Program services expenses (Part IX)
$3,369,810
Management and general expenses
$126,362
Fundraising expenses
$1,282,686
Program service expenses (Part III)
$3,369,810

Program services were 70.5% 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

    $231,354

  • 1f · All other contributions, gifts and grants

    $9,039,525

  • 1g · Noncash contributions included above

    $51,470

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $732,378 · excluded $732,378

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $2,779,247

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

    securities $2,103,038

  • 7c · Gain or loss

    securities $676,209 · other assets $0

  • 7d · Net gain or loss

    total $676,209 · excluded $676,209

  • 8a · Fundraising events: gross income

    $643,409

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

    $231,354

  • 8b · Fundraising events: direct expenses

    $231,354

  • 8c · Net income from fundraising events

    total $412,055 · excluded $412,055

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,369,810 · program services $3,369,810

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 11a · Fees: management

    total $5,004 · management and general $5,004

  • 11f · Fees: investment management

    total $121,358 · management and general $121,358

  • 11g · Fees: other

    total $242,716 · program services $0 · management and general $0 · fundraising $242,716

  • 12 · Advertising and promotion

    total $79,862 · fundraising $79,862

  • 13 · Office expenses

    total $6,881 · fundraising $6,881

  • 17 · Travel

    total $7,281 · fundraising $7,281

  • 24a · Other expenses: LEASED EMPLOYEES - SALARY

    total $817,105 · fundraising $817,105

  • 24b · Other expenses: LEASED EMPLOYEES - PAYROLL T

    total $54,563 · fundraising $54,563

  • 24c · Other expenses: LEASED EMPLOYEES - Pension Plan Contributions

    total $30,897 · fundraising $30,897

  • 24d · Other expenses: LEASED EMPLOYEES - Benefits

    total $29,731 · fundraising $29,731

  • 24e · All other expenses

    total $13,650 · program services $0 · management and general $0 · fundraising $13,650

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $6,558,155 · end of year $12,240,520

  • 3 · Pledges and grants receivable

    beginning of year $3,123,638 · end of year $1,839,940

  • 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

  • 9 · Prepaid expenses and deferred charges

    beginning of year $48,060 · end of year $83,748

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $25,990,929 · end of year $22,211,764

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $3,198,988 · end of year $4,700,618

  • 17 · Accounts payable and accrued expenses

    beginning of year $137,245 · end of year $110,873

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $164,130

  • 27 · Net assets without donor restrictions

    beginning of year $290,743 · end of year $15,972,050

  • 28 · Net assets with donor restrictions

    beginning of year $38,491,782 · end of year $24,829,537

Listed in Part VII

  • CHRISTINE E ERDMANN

    CFO/TREASURER (AS OF 1/31/22)

    Total calculated
    $414,526
    From this org
    $0
    From related orgs
    $403,978
    Other
    $10,548
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $306,274 related
    Bonus
    $0 + $95,500 related
    Other
    $0 + $2,204 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,548 related
    Filer's total
    $0 + $414,526 related

  • DAVID K UNGUREAN

    EXECUTIVE DIRECTOR

    Total calculated
    $255,742
    From this org
    $0
    From related orgs
    $213,827
    Other
    $41,915
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $211,827 related
    Bonus
    $0 + $250 related
    Other
    $0 + $1,750 related
    Deferred
    $0 + $7,849 related
    Nontaxable benefits
    $0 + $34,066 related
    Filer's total
    $0 + $255,742 related

  • DIANE G HILL

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JOHN L SKEANS

    CFO/TREASURER (TERM 1/31/22)

    Total calculated
    $813,183
    From this org
    $0
    From related orgs
    $768,646
    Other
    $44,537
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,523 related
    Bonus
    $0 + $303,000 related
    Other
    $0 + $5,123 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $30,812 related
    Filer's total
    $0 + $813,183 related

  • STEPHEN O SCOGNA

    CEO/PRES/SECRETARY

    Total calculated
    $1,593,537
    From this org
    $0
    From related orgs
    $1,547,134
    Other
    $46,403
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $952,129 related
    Bonus
    $0 + $587,479 related
    Other
    $0 + $7,526 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $32,678 related
    Filer's total
    $0 + $1,593,537 related

  • ANDY REIMINK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ANURADHA TRIPATHI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CATHERINE KANE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DEAN MAROUSIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GREGORY P GUARRINE ED D

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • HENRY DOMINICIS MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JANET E BOYLE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARY CAY CHISHOLM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL C HARTKE

    DIRECTOR

    Total calculated
    $998,557
    From this org
    $0
    From related orgs
    $951,411
    Other
    $47,146
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $578,063 related
    Bonus
    $0 + $370,448 related
    Other
    $0 + $2,900 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $33,421 related
    Filer's total
    $0 + $998,557 related

  • MICHAEL CANNING

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PATRICK DOMINICK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SUSAN CAMPBELL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DOUGLAS D WELDAY

    SYSTEM TREASURER AND CHIEF FINANCIAL OFFICER

    Total calculated
    $1,643,351
    From this org
    $0
    From related orgs
    $1,217,510
    Other
    $425,841
    Hours/week
    3 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $837,005 related
    Bonus
    $0
    Other
    $0 + $380,505 related
    Deferred
    $0 + $392,300 related
    Nontaxable benefits
    $0 + $33,541 related
    Filer's total
    $0 + $1,643,351 related

  • GERALD P GALLAGHER

    NS PRES/CEO/DIRECTOR

    Total calculated
    $4,759,273
    From this org
    $0
    From related orgs
    $3,655,300
    Other
    $1,103,973
    Hours/week
    3 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,588,674 related
    Bonus
    $0
    Other
    $0 + $2,066,626 related
    Deferred
    $0 + $1,068,475 related
    Nontaxable benefits
    $0 + $35,498 related
    Filer's total
    $0 + $4,759,273 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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with NS-EE Holdings' Board-retained legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the NS-EE Holdings Compensation Committee, in session with legal counsel present, in advance of implementation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
A SERP PLAN WAS CREATED AND WAS EFFECTIVE ON JANUARY 1, 2014. BENEFITS UNDER THE SERP VEST IN THE AMOUNT CREDITED TO HIS OR HER ACCOUNT BALANCE ON JANUARY 1 OF THE FIFTH PLAN YEAR FOLLOWING THE YEAR FOR WHICH A CONTRIBUTION WAS CREDITED TO THE PARTICIPANT'S ACCOUNT. HOWEVER, PARTICIPANT WILL AUTOMATICALLY VEST IN HIS OR HER ACCOUNT BALANCE IN THE EVENT OF INVOLUNTARY SEPARATION FROM SERVICE OR HIS OR HER ATTAINMENT OF AGE 65 WHILE STILL EMPLOYED BY NCH. PARTICIPANTS WHO VOLUNTARILY RESIGN OR ARE TERMINATED WITH CAUSE BEFORE THE VESTING PERIOD ARE NO LONGER ELIGIBLE FOR THE AMOUNT ACCRUED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SERP AND EARNED UNVESTED BENEFITS DURING 2022 WHICH ARE REPORTED IN COLUMN (C): STEPHEN O. SCOGNA, $186,210 MICHAEL C. HARTKE $68,390 JOHN L. SKEANS $54,832 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH NORTHSHORE AND BELOW ARE THE INCREASES OR DECREASES TO THE PLAN BALANCES DURING 2022: GERALD P GALLAGHER $400,558 DOUGLAS D WELDAY $109,254 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN REPORTED AS TAXABLE COMPENSATION: GERALD P GALLAGHER $2,057,902 DOUGLAS D WELDAY $360,309

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
15 November 2023
IRS schema version
2022v5.0
Source object
202313199349307091

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