Form 990 for tax year 2022
Filed by SHENANDOAH MEDICAL CENTER FOUNDATION.
Totals
- Total revenue
- $547,491
- Total expenses
- $476,359
- Contributions and grants received
- $551,465
- Grants paid
- $461,723
- Program service revenue
- $0
- Investment income
- $4,334
- Other revenue
- -$8,308
- Total assets, end of year
- $1,847,203
- Total liabilities, end of year
- $3,369
- Net assets or fund balances, end of year
- $1,843,834
- Program services expenses (Part IX)
- $465,593
- Management and general expenses
- $10,766
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $465,593
Program services were 97.7% 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
$57,093
-
1f · All other contributions, gifts and grants
$494,372
-
3 · Investment income
total $17,251 · excluded $17,251
-
7a · Gross sales of assets other than inventory
securities $186,477
-
7b · Less cost or other basis and sales expenses
securities $199,394
-
7c · Gain or loss
securities -$12,917
-
7d · Net gain or loss
total -$12,917 · excluded -$12,917
-
8a · Fundraising events: gross income
$21,034
-
8a · Fundraising events: contributions included on line 1c
$57,093
-
8b · Fundraising events: direct expenses
$29,342
-
8c · Net income from fundraising events
total -$8,308 · excluded -$8,308
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $461,723 · program services $461,723
-
11c · Fees: accounting
total $2,400 · management and general $2,400
-
11f · Fees: investment management
total $1,226 · management and general $1,226
-
11g · Fees: other
total $7,140 · management and general $7,140
-
13 · Office expenses
total $809 · program services $809
-
24a · Other expenses: SUPPLIES
total $2,238 · program services $2,238
-
24b · Other expenses: EDUCATION
total $694 · program services $694
-
24c · Other expenses: DUES AND SUBSCRIPTIONS
total $129 · program services $129
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,155,963 · end of year $1,226,374
-
2 · Savings and temporary cash investments
beginning of year $9,195 · end of year $9,518
-
3 · Pledges and grants receivable
beginning of year $391,258 · end of year $358,418
-
11 · Investments: publicly traded securities
beginning of year $286,849 · end of year $252,893
-
17 · Accounts payable and accrued expenses
beginning of year $35,130 · end of year $3,369
-
27 · Net assets without donor restrictions
beginning of year $1,889,830 · end of year $697,102
-
28 · Net assets with donor restrictions
beginning of year -$81,695 · end of year $1,146,732
Mission and programs · 2022
Mission
TO PROVIDE ASSISTANCE AND ENSURE THE LONG-TERM SUSTAINABILITY OF SHENANDOAH MEDICAL CENTER BY SECURING FINANCIAL RESOURCES, DONOR ENGAGEMENT, AND HEALTH CARE PROMOTION.
Activities or mission (Part I)
TO SUPPORT SHENANDOAH MEDICAL CENTER & COMMUNITY HEALTH.
-
TO SUPPORT SHENANDOAH MEDICAL CENTER & COMMUNITY HEALTH.
Expenses $465,593 · Grants $461,723
As filed on the 2022 return.
Listed in Part VII
-
Matthew SellsMATTHEW SELLS
DIRECTOR / HOSPITAL CEO
- Total calculated
- $380,811
- From this org
- $0
- From related orgs
- $338,358
- Other
- $42,453
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $266,092 related
- Bonus
- $0 + $66,000 related
- Other
- $0 + $6,266 related
- Deferred
- $0 + $16,899 related
- Nontaxable benefits
- $0 + $25,554 related
- Filer's total
- $0 + $380,811 related
-
Timothy Smith MDTIMOTHY SMITH MD
DIRECTOR
- Total calculated
- $282,322
- From this org
- $0
- From related orgs
- $244,258
- Other
- $38,064
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $231,109 related
- Bonus
- $0 + $7,000 related
- Other
- $0 + $6,149 related
- Deferred
- $0 + $11,063 related
- Nontaxable benefits
- $0 + $27,001 related
- Filer's total
- $0 + $282,322 related
-
Kaley NealKALEY NEAL
HOSPITAL CFO
- Total calculated
- $165,611
- From this org
- $0
- From related orgs
- $154,827
- Other
- $10,784
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $150,796 related
- Bonus
- $0
- Other
- $0 + $4,031 related
- Deferred
- $0 + $9,331 related
- Nontaxable benefits
- $0 + $1,453 related
- Filer's total
- $0 + $165,611 related
-
Craig HarrisCRAIG HARRIS
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
Jeannine LiljedahlJEANNINE LILJEDAHL
VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
Mims HenstorfMIMS HENSTORF
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Margo BatemanMARGO BATEMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Dennis GrebertDENNIS GREBERT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Matt LivingstonMATT LIVINGSTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kerra RatliffKERRA RATLIFF
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Dennis ChristiansenDENNIS CHRISTIANSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
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 CEO OF SHENANDOAH MEDICAL CENTER (SMC), A RELATED ORGANIZATION, AND THE TOP MANAGEMENT OFFICIAL OF THE FOUNDATION, IS COMPENSATED BY SMC. SMC USES THE FOLLOWING TO DETERMINE THE CEO'S COMPENSATION: FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
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
-
$461,723
GENERAL PURPOSES
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.
-
501(C)(3) · TO PROVIDE HEALTHCARE SERVICES TO THE PEOPLE OF SHENANDOAH · IA
Directly controlled by NONE
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349311640
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.