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Nonprofiteer
← WHITE RIVER MEDICAL CENTER FOUNDATION INC

Form 990 for tax year 2022

Filed by WHITE RIVER MEDICAL CENTER FOUNDATION INC.

Totals

Total revenue
$1,364,639
Total expenses
$751,369
Contributions and grants received
$1,352,933
Grants paid
$564,364
Program service revenue
$0
Investment income
$15,598
Other revenue
-$3,892
Total assets, end of year
$3,533,617
Total liabilities, end of year
$4,644,173
Net assets or fund balances, end of year
-$1,110,556
Program services expenses (Part IX)
$643,132
Management and general expenses
$108,237
Fundraising expenses
$0
Program service expenses (Part III)
$643,132

Program services were 85.6% 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

    $96,604

  • 1f · All other contributions, gifts and grants

    $1,256,329

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $15,598 · excluded $15,598

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: gross income

    $34,081

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

    $96,604

  • 8b · Fundraising events: direct expenses

    $37,973

  • 8c · Net income from fundraising events

    total -$3,892 · excluded -$3,892

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $526,293 · program services $526,293

  • 2 · Grants to domestic individuals

    total $38,071 · program services $38,071

  • 7 · Other salaries and wages

    total $121,413 · program services $51,140 · management and general $70,273

  • 8 · Pension plan contributions

    total $2,217 · program services $934 · management and general $1,283

  • 9 · Other employee benefits

    total $246 · program services $104 · management and general $142

  • 10 · Payroll taxes

    total $9,020 · program services $3,799 · management and general $5,221

  • 11g · Fees: other

    total $30,742 · program services $12,949 · management and general $17,793 · fundraising $0

  • 12 · Advertising and promotion

    total $8,857 · program services $3,731 · management and general $5,126

  • 13 · Office expenses

    total $1,367 · program services $576 · management and general $791

  • 24a · Other expenses: OTHER EXPENSES

    total $4,605 · program services $1,939 · management and general $2,666

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $4,217 · program services $1,776 · management and general $2,441

  • 24c · Other expenses: FOOD

    total $2,163 · program services $911 · management and general $1,252

  • 24d · Other expenses: BANK CHARGES

    total $1,519 · program services $640 · management and general $879

  • 24e · All other expenses

    total $639 · program services $269 · management and general $370 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $32 · end of year $32

  • 2 · Savings and temporary cash investments

    beginning of year $1,911,286 · end of year $2,227,275

  • 3 · Pledges and grants receivable

    beginning of year $299,449 · end of year $884,592

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $900

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $900 · end of year $900

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $306,684 · end of year $420,818

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $4,443,129 · end of year $4,644,173

  • 27 · Net assets without donor restrictions

    beginning of year -$3,085,417 · end of year -$3,275,484

  • 28 · Net assets with donor restrictions

    beginning of year $1,160,639 · end of year $2,164,928

Mission and programs · 2022

Mission

WHITE RIVER HEALTH SYSTEM FOUNDATION, INC. WAS ESTABLISHED TO SUPPORT THE ACTIVITIES OF WRHS, INCLUDING SPONSORSHIP AND ASSISTANCE TO IMPROVE MEDICAL AND PATIENT CARE AT THE SYSTEM.

Activities or mission (Part I)

THE FOUNDATION WAS ESTABLISHED TO SUPPORT THE ACTIVITIES OF WRHS, INCLUDING SPONSORSHIP AND ASSISTANCE TO IMPROVE MEDICAL AND PATIENT CARE.

  • TO SUPPORT THE ACTIVITIES OF WRHS, INCLUDING SPONSORSHIP AND ASSISTANCE TO IMPROVE MEDICAL AND PATIENT CARE AT THE SYSTEM.

    Expenses $643,132 · Grants $564,364

As filed on the 2022 return.

Listed in Part VII

  • JANIE STARNES

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • JAY SHELL

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • STEVEN LEWIS

    SECERTARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • BETH CHRISTIAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CLARINDA FOOTE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAWN JEFFERY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DICK BERNARD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GENE CRAWFORD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JEFFREY FREIERT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JIM GOWEN JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JIM WANN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KAY SOUTHERLAND

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MICHELLE ATCHISON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TOM MARTIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GARY PAXSON

    PRESIDENT & CEO

    Total calculated
    $620,527
    From this org
    $0
    From related orgs
    $599,723
    Other
    $20,804
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $507,723 related
    Bonus
    $0 + $92,000 related
    Other
    $0
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $7,604 related
    Filer's total
    $0 + $620,527 related

  • JEFF REIFSTECK

    VP CHIEF INFORMATION OFFICER

    Total calculated
    $229,502
    From this org
    $0
    From related orgs
    $215,760
    Other
    $13,742
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $183,940 related
    Bonus
    $0 + $31,820 related
    Other
    $0
    Deferred
    $0 + $8,827 related
    Nontaxable benefits
    $0 + $4,915 related
    Filer's total
    $0 + $229,502 related

  • JOSEPH SMOTHERMAN

    EVP - CSO/COO SCMC

    Total calculated
    $274,829
    From this org
    $0
    From related orgs
    $256,278
    Other
    $18,551
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $212,879 related
    Bonus
    $0 + $43,399 related
    Other
    $0
    Deferred
    $0 + $10,570 related
    Nontaxable benefits
    $0 + $7,981 related
    Filer's total
    $0 + $274,829 related

  • LINDSEY CASTLEBERRY

    EVP - HR/LEGAL COUNCIL

    Total calculated
    $291,544
    From this org
    $0
    From related orgs
    $274,842
    Other
    $16,702
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $229,317 related
    Bonus
    $0 + $45,525 related
    Other
    $0
    Deferred
    $0 + $11,213 related
    Nontaxable benefits
    $0 + $5,489 related
    Filer's total
    $0 + $291,544 related

  • SHAWNA IVES

    CFO

    Total calculated
    $285,223
    From this org
    $0
    From related orgs
    $271,474
    Other
    $13,749
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $227,036 related
    Bonus
    $0 + $44,438 related
    Other
    $0
    Deferred
    $0 + $10,970 related
    Nontaxable benefits
    $0 + $2,779 related
    Filer's total
    $0 + $285,223 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, 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202432269349301523

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