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Nonprofiteer
← ST MARYS HOSPITAL MEMORIAL FOUNDATION

Form 990 for tax year 2022

Filed by ST MARYS HOSPITAL MEMORIAL FOUNDATION.

Totals

Total revenue
$1,326,605
Total expenses
$1,633,861
Contributions and grants received
$1,079,189
Grants paid
$1,155,038
Program services expenses (Part IX)
$1,192,984
Management and general expenses
$65,054
Fundraising expenses
$375,823
Program service expenses (Part III)
$1,192,984

Program services were 73.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • KEN HAYNIE

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • OTHA WARREN

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • SARAH HARDY

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • ALLISON R MELTON MD

    DIRECTOR

    Total calculated
    $561,785
    From this org
    $0
    From related orgs
    $527,927
    Other
    $33,858
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,333 related
    Bonus
    $0 + $35,080 related
    Other
    $0 + $2,514 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $14,033 related
    Filer's total
    $0 + $561,785 related
  • AMBER SHEFFER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • JUSTIN SODERLUND

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • LANE YOUNG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • LORI SUTTON

    DIRECTOR (END 2/2023)

    Total calculated
    $0
    Hours/week
    1
  • MARK D BROWNING MD

    DIRECTOR

    Total calculated
    $1,100,098
    From this org
    $0
    From related orgs
    $1,061,122
    Other
    $38,976
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $671,652 related
    Bonus
    $0 + $389,470 related
    Other
    $0
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $23,726 related
    Filer's total
    $0 + $1,100,098 related
  • PATRICK GRIFFIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • PAUL WALLACE

    DIRECTOR (END 7/2022)

    Total calculated
    $0
    Hours/week
    1
  • RINA HARRIS

    DIRECTOR (END 11/2022)

    Total calculated
    $0
    Hours/week
    1
  • SCOTT EVERNHAM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • SHAY PHILLIPS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • TAYLOR PAYNE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • ROBERT ALLAN HENSON

    EXECUTIVE DIRECTOR

    Total calculated
    $125,504
    From this org
    $0
    From related orgs
    $107,282
    Other
    $18,222
    Hours/week
    0 + 50 related
  • ZACH ZIRKELBACH

    VP, FINANCE

    Total calculated
    $337,652
    From this org
    $0
    From related orgs
    $289,442
    Other
    $48,210
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,969 related
    Bonus
    $0 + $69,768 related
    Other
    $0 + $705 related
    Deferred
    $0 + $16,672 related
    Nontaxable benefits
    $0 + $31,538 related
    Filer's total
    $0 + $337,652 related
  • DANIEL A PAROD

    FORMER OFFICER (END 12/2021)

    Total calculated
    $973,050
    From this org
    $0
    From related orgs
    $924,461
    Other
    $48,589
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $536,684 related
    Bonus
    $0 + $266,280 related
    Other
    $0 + $121,497 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $31,814 related
    Filer's total
    $0 + $973,050 related
  • JOHN S GREANEY

    FORMER OFFICER (END 4/2022)

    Total calculated
    $333,479
    From this org
    $0
    From related orgs
    $289,491
    Other
    $43,988
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $238,150 related
    Bonus
    $0 + $49,431 related
    Other
    $0 + $1,910 related
    Deferred
    $0 + $17,885 related
    Nontaxable benefits
    $0 + $26,103 related
    Filer's total
    $0 + $333,479 related
  • PARVEEN CHAND

    FORMER OFFICER (END 6/2022)

    Total calculated
    $575,121
    From this org
    $0
    From related orgs
    $536,859
    Other
    $38,262
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,004 related
    Bonus
    $0 + $106,250 related
    Other
    $0 + $23,605 related
    Deferred
    $0 + $10,554 related
    Nontaxable benefits
    $0 + $27,708 related
    Filer's total
    $0 + $575,121 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 — 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202441299349302999

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