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Nonprofiteer
← ST MARYS HOSPITAL FOUNDATION

Form 990 for tax year 2024

Filed by ST MARYS HOSPITAL FOUNDATION.

Totals

Total revenue
$373,349
Total expenses
$472,159
Contributions and grants received
$188,120
Grants paid
$363,437
Program service revenue
$110,031
Investment income
$74,229
Other revenue
$969
Total assets, end of year
$1,067,527
Total liabilities, end of year
$35,001
Net assets or fund balances, end of year
$1,032,526
Program services expenses (Part IX)
$363,437
Management and general expenses
$0
Fundraising expenses
$108,722
Program service expenses (Part III)
$363,437

Program services were 77.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAMON HARBISON

    TRUSTEE & HOSPITAL PRESIDENT

    Total calculated
    $796,069
    From this org
    $0
    From related orgs
    $575,496
    Other
    $220,573
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,997 related
    Bonus
    $0 + $122,672 related
    Other
    $0 + $31,827 related
    Deferred
    $0 + $166,694 related
    Nontaxable benefits
    $0 + $53,879 related
    Filer's total
    $0 + $796,069 related

  • MARYANN LANGENFELD MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RAJENDRA SHROFF MD

    TRUSTEE & PHYSICIAN

    Total calculated
    $179,648
    From this org
    $0
    From related orgs
    $139,833
    Other
    $39,815
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $139,645 related
    Bonus
    $0
    Other
    $0 + $188 related
    Deferred
    $0 + $8,702 related
    Nontaxable benefits
    $0 + $31,113 related
    Filer's total
    $0 + $179,648 related

  • GREGG WINN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JACK GRAHAM

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • KEITH KESSLER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • KIM MCMILLAN

    TRUSTEE & CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • PATTY WILLIAMS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • REV RON JOHNSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • SUSAN ROBBINS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • WES MONKEN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JEREMY FOTHERINGHAM

    TRUSTEE & REGIONAL PRESIDENT

    Total calculated
    $1,940,338
    From this org
    $0
    From related orgs
    $1,310,180
    Other
    $630,158
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $837,601 related
    Bonus
    $0 + $470,869 related
    Other
    $0 + $1,710 related
    Deferred
    $0 + $589,116 related
    Nontaxable benefits
    $0 + $41,042 related
    Filer's total
    $0 + $1,940,338 related

  • DOUGLAS LONG

    ASST SECRETARY & GENERAL COUNSEL

    Total calculated
    $2,287,921
    From this org
    $0
    From related orgs
    $1,587,150
    Other
    $700,771
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $813,979 related
    Bonus
    $0 + $583,198 related
    Other
    $0 + $189,973 related
    Deferred
    $0 + $676,547 related
    Nontaxable benefits
    $0 + $24,224 related
    Filer's total
    $0 + $2,287,921 related

  • JOHN SNODSMITH

    REGIONAL VP FINANCE

    Total calculated
    $410,246
    From this org
    $0
    From related orgs
    $320,127
    Other
    $90,119
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,636 related
    Bonus
    $0 + $40,328 related
    Other
    $0 + $15,163 related
    Deferred
    $0 + $59,973 related
    Nontaxable benefits
    $0 + $30,146 related
    Filer's total
    $0 + $410,246 related

  • KATHLEEN ZIBBY-DAMRON

    EXECUTIVE DIRECTOR

    Total calculated
    $206,888
    From this org
    $0
    From related orgs
    $168,593
    Other
    $38,295
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $152,824 related
    Bonus
    $0 + $15,073 related
    Other
    $0 + $696 related
    Deferred
    $0 + $21,365 related
    Nontaxable benefits
    $0 + $16,930 related
    Filer's total
    $0 + $206,888 related

  • KAREN REWERTS

    FORMER OFFICER & SYSTEM VP FINANCE

    Total calculated
    $1,080,323
    From this org
    $0
    From related orgs
    $845,480
    Other
    $234,843
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $601,026 related
    Bonus
    $0 + $176,014 related
    Other
    $0 + $68,440 related
    Deferred
    $0 + $198,391 related
    Nontaxable benefits
    $0 + $36,452 related
    Filer's total
    $0 + $1,080,323 related

  • MATT KINSELLA

    FORMER OFFICER

    Total calculated
    $736,408
    From this org
    $0
    From related orgs
    $561,331
    Other
    $175,077
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $417,285 related
    Bonus
    $0 + $101,437 related
    Other
    $0 + $42,609 related
    Deferred
    $0 + $132,986 related
    Nontaxable benefits
    $0 + $42,091 related
    Filer's total
    $0 + $736,408 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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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 1A
AN INDIVIDUAL LISTED ON PART VII OF THE FORM 990 RECEIVED A TAX INDEMNIFICATION/GROSS-UP PAYMENT IN 2024. THE PAYMENT WAS INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 3
THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, (EXECUTIVE DIRECTOR), IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4B
PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2024. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2024. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR WERE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION. DAMON HARBISON $30,371 JOHN SNODSMITH $14,284 MATT KINSELLA $41,165 KAREN REWERTS $60,917

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
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202523219349325957

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