Form 990 for tax year 2022
Filed by ST JOHNS LUTHERAN HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $550,115
- Total expenses
- $180,701
- Contributions and grants received
- $484,283
- Grants paid
- $165,911
- Program service revenue
- $0
- Investment income
- $77,553
- Other revenue
- -$11,721
- Total assets, end of year
- $2,686,472
- Total liabilities, end of year
- $41,694
- Net assets or fund balances, end of year
- $2,644,778
- Program services expenses (Part IX)
- $169,627
- Management and general expenses
- $11,074
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $169,627
Program services were 93.9% 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
$86,526
-
1f · All other contributions, gifts and grants
$397,757
-
3 · Investment income
total $69,064 · excluded $69,064
-
7a · Gross sales of assets other than inventory
securities $8,489
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $8,489
-
7d · Net gain or loss
total $8,489 · excluded $8,489
-
8a · Fundraising events: gross income
$3,667
-
8a · Fundraising events: contributions included on line 1c
$86,526
-
8b · Fundraising events: direct expenses
$15,388
-
8c · Net income from fundraising events
total -$11,721 · excluded -$11,721
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $164,911 · program services $164,911
-
2 · Grants to domestic individuals
total $1,000 · program services $1,000
-
11a · Fees: management
total $11,074 · management and general $11,074
-
24a · Other expenses: Paint it Pink
total $3,716 · program services $3,716
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $44,955 · end of year $284,410
-
11 · Investments: publicly traded securities
beginning of year $2,448,045 · end of year $2,377,671
-
15 · Other assets
beginning of year $28,068 · end of year $24,391
-
25 · Other liabilities
beginning of year $41,694 · end of year $41,694
-
27 · Net assets without donor restrictions
beginning of year $1,519,002 · end of year $1,698,522
-
28 · Net assets with donor restrictions
beginning of year $960,372 · end of year $946,256
Mission and programs · 2022
Mission
The mission of St. John's Lutheran Hospital Foundation is to support Cabinet Peaks Medical Center in its mission to provide quality, compassionate care through the development of public support and the expansion of fundraising efforts.
Activities or mission (Part I)
Support the development of Cabinet Peaks Medical Center.
-
The Foundation granted 164,911 to the Cabinet Peaks Medical Center to purchase equipment. Fundraising efforts for the Foundation, other than events, resulted in received gifts in the amount of $397,757.
Expenses $164,911 · Grants $164,911
-
Through the Foundation's Paint It Pink program, the Foundation will pay for uninsured individuals in our service area to received mammograms and breast ultrasounds, and also for the detection and treatment of breast cancer for the people of Lincoln County. In FY'23, $11,980 was raised for the program. As a note, no money is gifted to individuals who receive free mammograms, rather, the hospital bill is sent to the Foundation, and the Foundation pays the hospital directly for services rendered
Expenses $3,716
-
Support Cabinet Peaks Medical Center healthcare field scholarships for graduating high school seniors from Libby and Troy, Montana.
Expenses $1,000 · Grants $1,000
As filed on the 2022 return.
Listed in Part VII
-
Tadd Greenfield
CPMC CEO
- Total calculated
- $188,426
- From this org
- $0
- From related orgs
- $183,862
- Other
- $4,564
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $176,643 related
- Bonus
- $0 + $7,219 related
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $4,564 related
- Filer's total
- $0 + $188,426 related
-
Tony Rebo
President
- Total calculated
- $108,333
- From this org
- $0
- From related orgs
- $98,882
- Other
- $9,451
- Hours/week
- 3 + 40 related
-
Frank Votapka
Vice President
- Total calculated
- $0
- Hours/week
- 3
-
Kim Sichting
Secretary (thru June 2022)
- Total calculated
- $0
- Hours/week
- 2
-
Lorna Shea
Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Zach Sherbo
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Bernadette Place
Director
- Total calculated
- $0
- Hours/week
- 1
-
Sue Kulbeck
Director
- Total calculated
- $0
- Hours/week
- 1
-
Molly Woodruff
Director (thru June 2022)
- Total calculated
- $0
- Hours/week
- 1
-
Ace Olsen
Director
- Total calculated
- $0
- Hours/week
- 1
-
LaRona Rebo
Director
- Total calculated
- $0
- Hours/week
- 1
-
Tyler Boswell
Director
- Total calculated
- $0
- Hours/week
- 1
-
Tracy Bache
Director
- Total calculated
- $0
- Hours/week
- 1
-
Jess Ames
Director
- Total calculated
- $0
- Hours/week
- 1
-
Kent Gustin
Director
- Total calculated
- $208,740
- From this org
- $0
- From related orgs
- $194,043
- Other
- $14,697
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $192,626 related
- Bonus
- $0 + $1,417 related
- Other
- $0
- Deferred
- $0 + $7,024 related
- Nontaxable benefits
- $0 + $7,672 related
- Filer's total
- $0 + $208,739 related
-
Devenne Leiss
Director
- Total calculated
- $89,509
- From this org
- $0
- From related orgs
- $85,584
- Other
- $3,925
- Hours/week
- 1 + 40 related
-
Donna Nicely
Executive Director
- Total calculated
- $1,947
- From this org
- $0
- From related orgs
- $1,947
- Other
- $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)
- Schedule J, Part I, Line 3:
- Tadd Greenfield, CEO, is compensated by Cabinet Peaks Medical Center, a related organization. Cabinet Peaks Medical Center uses some of the methods on Part I, Line 3 to establish compensation for Tadd.
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
-
$164,911
Purchase equipment
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.
-
St John's Lutheran Hospital Inc
501(c)(3) · Hospital · MT
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 February 2024
- IRS schema version
- 2022v5.0
- Source object
- 202430449349301203
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