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Nonprofiteer
← ST ANDREWS HOSPITAL AND NURSING HOME FOUNDATION INC

Form 990 for tax year 2022

Filed by ST ANDREWS HOSPITAL AND NURSING HOME FOUNDATION INC.

Totals

Total revenue
$194,433
Total expenses
$147,022
Contributions and grants received
$163,887
Grants paid
$97,246
Program service revenue
$0
Investment income
$38,731
Other revenue
-$8,185
Total assets, end of year
$970,896
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$970,896
Program services expenses (Part IX)
$97,246
Management and general expenses
$0
Fundraising expenses
$49,776
Program service expenses (Part III)
$97,246

Program services were 66.1% 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

    $74,733

  • 1f · All other contributions, gifts and grants

    $89,154

  • 3 · Investment income

    total $38,731 · excluded $38,731

  • 8a · Fundraising events: gross income

    $5,160

  • 8a · Fundraising events: contributions included on line 1c

    $74,733

  • 8b · Fundraising events: direct expenses

    $13,891

  • 8c · Net income from fundraising events

    total -$8,731 · excluded -$8,731

  • 9a · Gaming: gross income

    $2,070

  • 9b · Gaming: direct expenses

    $175

  • 9c · Net income from gaming

    total $1,895 · excluded $1,895

  • 10a · Gross sales of inventory

    $7,240

  • 10b · Cost of goods sold

    $8,589

  • 10c · Net income from sales of inventory

    total -$1,349 · excluded -$1,349

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $97,246 · program services $97,246

  • 7 · Other salaries and wages

    total $33,237 · fundraising $33,237

  • 10 · Payroll taxes

    total $2,543 · fundraising $2,543

  • 13 · Office expenses

    total $8,061 · fundraising $8,061

  • 24a · Other expenses: Education Event

    total $4,460 · fundraising $4,460

  • 24b · Other expenses: Fundraising Expense

    total $327 · fundraising $327

  • 24e · All other expenses

    total $1,148 · fundraising $1,148

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $213,524 · end of year $224,271

  • 12 · Investments: other securities

    beginning of year $663,882 · end of year $746,625

  • 27 · Net assets without donor restrictions

    beginning of year $782,406 · end of year $875,896

  • 28 · Net assets with donor restrictions

    beginning of year $95,000 · end of year $95,000

Mission and programs · 2022

Mission

To secure the financial stability of SMP Health - St. Andrew's.

Activities or mission (Part I)

To support and benefit SMP Health - St. Andrew's and the community it serves.

  • St. Andrew's Hospital Foundation dba SMP Health - St. Andrew's Foundation, Inc. operates exclusively for the benefit of SMP Health - St. Andrew's. The Foundation assists SMP Health - St. Andrew's in fundraising and fund management, making grants, gifts and other distributions to further the Hospital's exempt purpose.

    Expenses $97,246 · Grants $97,246

As filed on the 2022 return.

Listed in Part VII

  • Christopher Albertson

    President and CEO

    Total calculated
    $382,850
    From this org
    $0
    From related orgs
    $327,832
    Other
    $55,018
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $278,723 related
    Bonus
    $0 + $27,563 related
    Other
    $0 + $21,546 related
    Deferred
    $0 + $21,026 related
    Nontaxable benefits
    $0 + $36,636 related
    Filer's total
    $0 + $385,494 related

  • Alfred Sams

    Former CEO

    Total calculated
    $379,561
    From this org
    $0
    From related orgs
    $323,652
    Other
    $55,909
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $294,443 related
    Bonus
    $0 + $22,785 related
    Other
    $0 + $6,424 related
    Deferred
    $0 + $24,551 related
    Nontaxable benefits
    $0 + $33,809 related
    Filer's total
    $0 + $382,012 related

  • Courtney Vandal

    CFO

    Total calculated
    $153,407
    From this org
    $0
    From related orgs
    $115,991
    Other
    $37,416
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $108,800 related
    Bonus
    $0 + $7,000 related
    Other
    $0 + $191 related
    Deferred
    $0 + $6,520 related
    Nontaxable benefits
    $0 + $32,080 related
    Filer's total
    $0 + $154,591 related

  • Jennifer Patterson-Vice Chair

    until 3/23, then Chairperson

    Total calculated
    $0
    Hours/week
    0.2

  • James Chisholm

    Chairperson until 3/23

    Total calculated
    $0
    Hours/week
    0.2

  • Pat Kippen-Director 1222-323

    then Vice Chairperson

    Total calculated
    $0
    Hours/week
    0.2

  • Dianna Bullinger

    Director

    Total calculated
    $0
    Hours/week
    0.2

  • Brent Christenson

    Director

    Total calculated
    $0
    Hours/week
    0.2

  • Darci Fix

    Director

    Total calculated
    $0
    Hours/week
    0.2

  • Tiffany Weatherford

    Director as of 12/22

    Total calculated
    $0
    Hours/week
    0.2

  • Melinda Hahn

    Director as of 12/22

    Total calculated
    $0
    Hours/week
    0.2

  • Stephanie Hardy

    Director as of 7/23

    Total calculated
    $0
    Hours/week
    0.2

  • Laurie Brown

    Director as of 7/23

    Total calculated
    $0
    Hours/week
    0.2

  • Cindy Lagasse

    Director until 6/23

    Total calculated
    $0
    Hours/week
    0.2

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

  • 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 3
St. Andrew's Hospital, a related organization, does not pay compensation to the President & CEO. This individual is compensated by Sisters of Mary of the Presentation Health System, a related organization, for services to the Hospital. Sisters of Mary of the Presentation Health System uses one or more of the methods in Part I, Question 3 to determine compensation.
Part I, Line 4b
SMP Health, a related organization, has a nonqualified deferred compensation plan that complies with Section 409A of the IRC. SMP Health begins contributions into the plan after the employee's first year of service. The employee is vested based on a 20 year vesting schedule or becomes fully vested in the event of death, disability or reaching the age of 65. Employee name and amounts included on Schedule J are as follows: Name Part II, column B (iii) Part II, column C Alfred Sams 424 2,076 Courtney Vandal 191 1,309 Christopher Albertson 15,546

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SMP Enterprises

    C · Collection Agency · ND

  • Valley Health Enterprises Inc

    C · Home medical equipment · IL

  • Illinois Valley Health Services Inc

    C · Inactive · IL

  • Health Care Building Corp

    C · Inactive · IL

  • IVCH General Professional Liability Loss Fund

    T · Inactive · IL

Provenance

Return type
form_990
Tax year
2022
Filed
9 August 2024
IRS schema version
2022v5.0
Source object
202432259349302223

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