Form 990 for tax year 2022
Filed by FRIENDS OF SANTA ROSA FOUNDATION.
Totals
- Total revenue
- $2,469,394
- Total expenses
- $1,820,276
- Contributions and grants received
- $2,186,121
- Grants paid
- $1,067,001
- Program services expenses (Part IX)
- $1,138,532
- Management and general expenses
- $2,151
- Fundraising expenses
- $679,593
- Program service expenses (Part III)
- $1,138,532
Program services were 62.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
DEAN ALEXANDER
Ex-officio (THRU 12/2021)
- Total calculated
- $1,398,870
- From this org
- $0
- From related orgs
- $925,611
- Other
- $473,259
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $383,286 related
- Bonus
- not reported
- Other
- not reported + $542,325 related
- Deferred
- not reported + $378,016 related
- Nontaxable benefits
- not reported + $95,243 related
- Filer's total
- not reported + $1,398,870 related
-
STEPHANIE PARKER
CEO & EX-OFFIC.
- Total calculated
- $852,686
- From this org
- $0
- From related orgs
- $730,317
- Other
- $122,369
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- not reported + $479,509 related
- Bonus
- not reported + $236,844 related
- Other
- not reported + $13,964 related
- Deferred
- not reported + $107,086 related
- Nontaxable benefits
- not reported + $15,283 related
- Filer's total
- not reported + $852,686 related
-
IAN THOMPSON JR MD
EX-OFFICIO
- Total calculated
- $631,926
- From this org
- $0
- From related orgs
- $563,808
- Other
- $68,118
- Hours/week
- 12 + 28 related
Schedule J breakdown matched by us
- Base
- not reported + $377,411 related
- Bonus
- not reported + $133,093 related
- Other
- not reported + $53,304 related
- Deferred
- not reported + $57,480 related
- Nontaxable benefits
- not reported + $10,638 related
- Filer's total
- not reported + $631,926 related
-
TERRY KYLE
EX-OFFICIO
- Total calculated
- $440,108
- From this org
- $0
- From related orgs
- $401,169
- Other
- $38,939
- Hours/week
- 12 + 28 related
Schedule J breakdown matched by us
- Base
- not reported + $294,191 related
- Bonus
- not reported + $106,328 related
- Other
- not reported + $650 related
- Deferred
- not reported + $32,700 related
- Nontaxable benefits
- not reported + $6,239 related
- Filer's total
- not reported + $440,108 related
-
Sister Germaine Corbin CCVI
Board Secretary
- Total calculated
- $0
- Hours/week
- 12
-
Kenneth McClure
Vice Chair
- Total calculated
- $0
- Hours/week
- 12
-
Mark Wittig
Director
- Total calculated
- $0
- Hours/week
- 12
-
Justin Sheedy
Director (THRU 6/2023)
- Total calculated
- $0
- Hours/week
- 12
-
Chad Jones
Director (THRU 6/2023)
- Total calculated
- $0
- Hours/week
- 12
-
Judy Rettinger
Director
- Total calculated
- $0
- Hours/week
- 12
-
Rene Escobedo
Director/Chair
- Total calculated
- $0
- Hours/week
- 12
-
Tim Musgrave
Director/TREASURER
- Total calculated
- $0
- Hours/week
- 12
-
CHRIS CHEEVER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 12
-
RYAN BERG
EXECUTIVE
- Total calculated
- $0
- Hours/week
- 12
-
KARL HITTLE
EXECUTIVE
- Total calculated
- $0
- Hours/week
- 12
-
GREG KOWALSKI
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 12
-
STEVE D TAYLOR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 12
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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 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)
- SUPPLEMENTAL COMPENSATION INFORMATION
- FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL ALSO SERVES CHRISTUS SANTA ROSA HEALTH CARE CORPORATION AND SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION. ALL COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING TOP MANAGEMENT OFFICIAL COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY.
- SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
- FORM 990, SCHEDULE J, PART I, LINE 4B DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RENTENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNING WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RENTENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET. .
- SUPPLEMENTAL COMPENSATION INFORMATION
- FORM 990, SCHEDULE J, PART VII, 1A DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
- SUPPLEMENTAL COMPENSATION INFORMATION
- FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.
- SEVERANCE PAYMENTS
- FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL(S) RECEIVED A SEVERANCE PAYMENT: DEAN ALEXANDER - $520,400
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
-
CHRISTUS Santa Rosa Health Care Corp
$1,067,001
PROGRAM SUPPORT
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) · SUPT HLTH SVC · TX
Directly controlled by NA
-
CHRISTUS SANTA ROSA HLTH CARE CORP
501(C)(3) · HLTHCARE SVC · TX
Directly controlled by CH
-
501(C)(3) · HLTHCARE SVC · TX · controlled entity
Directly controlled by CSRHCC
-
Christus Santa Rosa Medical Center Aux
501(C)(3) · Supt Hlth Svc · TX · controlled entity
Directly controlled by CSRHCC
-
Santa Rosa General Hospital Auxiliary
501(C)(3) · Supt Hlth Svc · TX · controlled entity
Directly controlled by CSRHCC
-
SANTA ROSA CHILDREN'S HOSPITAL FDN
501(C)(3) · FUNDRAISING · TX · controlled entity
Directly controlled by CSRHCC
-
CHRISTUS PEDIATRIC PHYSICIAN GROUP
501(C)(3) · HLTHCARE SVCS · TX · controlled entity
Directly controlled by CH
-
SPECIALTY PHYSICIANS OF CENTRAL TEXAS
501(C)(3) · TX · controlled entity
Directly controlled by CSRHCC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 6 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202431299349302428
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