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← COVENANT HEALTHCARE FOUNDTION

Form 990 for tax year 2022

Filed by COVENANT HEALTHCARE FOUNDTION.

Totals

Total revenue
$3,212,722
Total expenses
$961,594
Contributions and grants received
$993,234
Grants paid
$449,343
Program services expenses (Part IX)
$449,343
Management and general expenses
$512,251
Fundraising expenses
$0
Program service expenses (Part III)
$449,343

Program services were 46.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BETHANY CHARLTON

    PRESIDENT/CEO

    Total calculated
    $1,510,638
    From this org
    $0
    From related orgs
    $812,741
    Other
    $697,897
    Hours/week
    4 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $769,241 related
    Bonus
    $0 + $43,500 related
    Other
    $0
    Deferred
    $0 + $639,037 related
    Nontaxable benefits
    $0 + $58,860 related
    Filer's total
    $0 + $1,510,638 related
  • KEVIN ALBOSTA

    VP/CFO

    Total calculated
    $940,556
    From this org
    $0
    From related orgs
    $551,926
    Other
    $388,630
    Hours/week
    4 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $517,486 related
    Bonus
    $0 + $34,440 related
    Other
    $0
    Deferred
    $0 + $355,957 related
    Nontaxable benefits
    $0 + $32,673 related
    Filer's total
    $0 + $940,556 related
  • AMY BUBEN

    CHAIR

    Total calculated
    $0
    Hours/week
    4
  • JANE HAGEN

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    4
  • RICHARD J GARBER JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • DONALD J CARLYON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • LYLE G DAVIS JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • BRENT GAERTNER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • BJ HUMPHREYS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • MOLLY SAPUTO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • JOHN W SHELTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • KATHI SPENCE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4
  • CAROL COTTRELL

    FOUNDATION DIRECTOR

    Total calculated
    $173,810
    From this org
    $167,157
    From related orgs
    $0
    Other
    $6,653
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,629
    Bonus
    $4,528
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $6,653
    Filer's total
    $173,810
  • EDWARD BRUFF

    FORMER PRESIDENT

    Total calculated
    $724,063
    From this org
    $0
    From related orgs
    $684,329
    Other
    $39,734
    Hours/week
    4 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $153,387 related
    Bonus
    $0
    Other
    $0 + $530,942 related
    Deferred
    $0 + $38,053 related
    Nontaxable benefits
    $0 + $1,681 related
    Filer's total
    $0 + $724,063 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 — 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
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
COVENANT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE PLAN (SERP) FOR CERTAIN OF ITS EXECUTIVES. THE SERP HAS BEEN ESTABLISHED FOR THESE EXECUTIVES BY THE ORGANIZATION, FOLLOWING APPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTION 4958. SOME OF THE INDIVIDUALS LISTED IN PART VII RECEIVED A TAXABLE SERP PAYMENT IN FY23. ALL PAYMENTS WERE INCLUDED AS TAXABLE INCOME.
PART I, LINE 7
THE FILING ORGANIZATION RELIED ON COVENANT MEDICAL CENTER'S, A RELATED ORGANIZATION, METHODS FOR ESTABLISHING THE BONUSES OF THE FILING ORGANIZATION'S OFFICERS: THE BONUSES PAID TO ANY OFFICER LISTED IN SCHEDULE J PART II CAN BE DETERMINED BASED ON WHETHER FOUR ORGANIZATION SUCCESS SHARING TARGETS ARE MET; PATIENT SATISFACTION SCORES, QUALITY METRICS, EMPLOYEE ENGAGEMENT SCORES AND FINANCIAL PERFORMACE BASED ON A CUSTOM OPERATING MARGIN.

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
9 May 2024
IRS schema version
2022v5.0
Source object
202411359349302591

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