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Nonprofiteer
← CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION

Form 990 for tax year 2022

Filed by CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$1,038,463
Total expenses
$4,996,901
Contributions and grants received
$425,960
Grants paid
$137,403
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$4,793,487
Management and general expenses
$69,301
Fundraising expenses
$134,113
Program service expenses (Part III)
$4,793,487

Program services were 95.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CATHY PICHE

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • WILLIAM A FLYNN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • MARCIA L LEMAY ESQ

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • COURTNEY BLOODOUGH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • SHERIN C CUNNINGHAM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • MARY EDWARDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • NICHOLE KENNEDY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • DARLENE LISCUM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • RICARDO LUNDI DPM

    BOARD MEMBER

    Total calculated
    $149,921
    From this org
    $0
    From related orgs
    $133,069
    Other
    $16,852
    Hours/week
    1
  • PATRICIA MAHONEY DMD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • JANE MCGRATH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • MICHAEL OAKLEY

    BOARD MEMBER

    Total calculated
    $679,481
    From this org
    $0
    From related orgs
    $642,667
    Other
    $36,814
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $642,667 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $27,664 related
    Filer's total
    $0 + $679,481 related
  • ANDREA SMITH

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • RICHARD TACCHINO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • DONALD TEBO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • AMANDA A HITTERMAN

    EXECUTIVE DIRECTOR

    Total calculated
    $139,803
    From this org
    $0
    From related orgs
    $114,770
    Other
    $25,033
    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. 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, LINE 3
THE EXECUTIVE DIRECTOR OF THE FOUNDATION IS AN EMPLOYEE OF CLAXTON-HEPBURN MEDICAL CENTER. THE EXECUTIVE DIRECTOR'S COMPENSATION IS ESTABLISHED AS PART OF THE MEDICAL CENTER'S ANNUAL BUDGET PROCESS. THE COMPENSATION IS BASED ON COMPARABLE POSITIONS AT SIMILAR SIZE ORGANIZATIONS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313189349314186

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