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Nonprofiteer
← COVENANT FOUNDATION INC

Form 990 for tax year 2022

Filed by COVENANT FOUNDATION INC.

Totals

Total revenue
$829,989
Total expenses
$583,564
Contributions and grants received
$483,142
Grants paid
$291,774
Program service revenue
$0
Investment income
$321,913
Other revenue
$24,934
Total assets, end of year
$6,511,961
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$6,511,961
Program services expenses (Part IX)
$291,774
Management and general expenses
$102,807
Fundraising expenses
$188,983
Program service expenses (Part III)
$291,774

Program services were 50.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JACK DUSENBERY

    DIR & PRES, MERCYONE NE IA THR 4/23

    Total calculated
    $750,828
    From this org
    $0
    From related orgs
    $705,049
    Other
    $45,779
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $569,178 related
    Bonus
    $0 + $120,621 related
    Other
    $0 + $15,250 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $27,479 related
    Filer's total
    $0 + $750,828 related
  • BRIAN SIMS DO

    DIRECTOR; SECRETARY; PHYSICIAN

    Total calculated
    $579,263
    From this org
    $0
    From related orgs
    $516,081
    Other
    $63,182
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $513,557 related
    Bonus
    $0
    Other
    $0 + $2,524 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $40,307 related
    Filer's total
    $0 + $579,263 related
  • TIMOTHY HUBER

    VP OF FINANCE

    Total calculated
    $348,273
    From this org
    $0
    From related orgs
    $288,515
    Other
    $59,758
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $247,137 related
    Bonus
    $0 + $36,164 related
    Other
    $0 + $5,214 related
    Deferred
    $0 + $22,697 related
    Nontaxable benefits
    $0 + $37,061 related
    Filer's total
    $0 + $348,273 related
  • RYAN MEYER

    DIRECTOR; VP SITE ADMINISTRATOR

    Total calculated
    $233,473
    From this org
    $0
    From related orgs
    $197,415
    Other
    $36,058
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $172,505 related
    Bonus
    $0 + $24,770 related
    Other
    $0 + $140 related
    Deferred
    $0 + $8,711 related
    Nontaxable benefits
    $0 + $27,347 related
    Filer's total
    $0 + $233,473 related
  • CHRIS BRADY

    DIRECTOR; ADMIN DIR - OPERATIONS

    Total calculated
    $139,069
    From this org
    $0
    From related orgs
    $118,394
    Other
    $20,675
    Hours/week
    0.5 + 39.5 related
  • JEWELL JONES

    DIRECTOR; MGR, PATIENT CARE

    Total calculated
    $128,060
    From this org
    $0
    From related orgs
    $98,069
    Other
    $29,991
    Hours/week
    0.5 + 39.5 related
  • NANCY WEBER

    DIR; V CHAIR THR 12/22; CHAIR-1/23

    Total calculated
    $119
    From this org
    $0
    From related orgs
    $119
    Other
    $0
    Hours/week
    0.5
  • DAN KEAGLE

    DIRECTOR; CHAIR THROUGH 12/22

    Total calculated
    $0
    Hours/week
    0.5
  • BRIAN SAYER

    DIR; TREAS THR 12/22; V CHAIR-1/23

    Total calculated
    $0
    Hours/week
    0.5
  • DAVE BOWLING

    DIRECTOR; TREASURER AS OF 1/23

    Total calculated
    $0
    Hours/week
    0.5
  • TAMMY BEDARD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • GABE BERGER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • JIM COLOFF

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • SARAH DOBES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • SHIRLEY DUNLAP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 2.5 related
  • KIM FETTKETHER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • STACY FOLKERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • LISA GATES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • WILLIAM KASTEN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • BECKY MUDD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • DAWN PILIPCHUK-KRUTH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • AMBER SCHUCHMANN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • DON TEMEYER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • TONY THOMPSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • MILLISA TIERNEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

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
COVENANT FOUNDATION'S PRESIDENT IS PAID DIRECTLY BY A RELATED ENTITY, COVENANT MEDICAL CENTER. COVENANT MEDICAL CENTER USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF COVENANT FOUNDATION'S PRESIDENT: - INDEPENDENT COMPENSATION CONSULTANT - 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

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
13 May 2024
IRS schema version
2022v5.0
Source object
202441349349306929

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