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Nonprofiteer
← SIH FOUNDATION NFP

Form 990 for tax year 2022

Filed by SIH FOUNDATION NFP.

Totals

Total revenue
$575,247
Total expenses
$572,384
Contributions and grants received
$593,533
Grants paid
$570,632
Program services expenses (Part IX)
$570,632
Management and general expenses
$1,752
Fundraising expenses
$0
Program service expenses (Part III)
$570,632

Program services were 99.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Daniel Booth

    Vice Chair

    Total calculated
    $300
    From this org
    $0
    From related orgs
    $300
    Other
    $0
    Hours/week
    1 + 2 related

  • George Sheffer

    Chair

    Total calculated
    $0
    Hours/week
    1

  • John Antes

    President/CEO (Start Date 12/12/22)

    Total calculated
    $175,786
    From this org
    $0
    From related orgs
    $175,786
    Other
    $0
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $30,770 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $70,016 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $175,786 related

  • Rex Budde

    President/CEO (Partial Year)

    Total calculated
    $1,132,889
    From this org
    $0
    From related orgs
    $1,088,874
    Other
    $44,015
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $737,329 related
    Bonus
    $0
    Other
    $0 + $351,545 related
    Deferred
    $0 + $11,975 related
    Nontaxable benefits
    $0 + $32,040 related
    Filer's total
    $0 + $1,132,889 related

  • Steve Falat

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • Dr Terrence Glennon

    Trustee (Partial Year)

    Total calculated
    $350
    From this org
    $0
    From related orgs
    $350
    Other
    $0
    Hours/week
    1 + 2 related

  • Gary Greener

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Jamie Green

    Trustee (Partial Year)

    Total calculated
    $0
    Hours/week
    1

  • Janice Payne

    Trustee (Partial Year)

    Total calculated
    $0
    Hours/week
    1

  • Jeff Speith

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • John Brewster

    Trustee (Partial Year)

    Total calculated
    $0
    Hours/week
    1

  • John Dosier

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Mary Moreland

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Mike Monchino

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • John Daly

    Assistant Secretary

    Total calculated
    $455,194
    From this org
    $0
    From related orgs
    $415,387
    Other
    $39,807
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,471 related
    Bonus
    $0
    Other
    $0 + $70,916 related
    Deferred
    $0 + $35,695 related
    Nontaxable benefits
    $0 + $4,112 related
    Filer's total
    $0 + $455,194 related

  • Warren Ladner

    Sr VP/CFO/Treasurer

    Total calculated
    $585,238
    From this org
    $0
    From related orgs
    $530,314
    Other
    $54,924
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,636 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $79,678 related
    Deferred
    $0 + $35,750 related
    Nontaxable benefits
    $0 + $19,174 related
    Filer's total
    $0 + $585,238 related

  • Mike Kasser

    Former Treasurer

    Total calculated
    $379,336
    From this org
    $0
    From related orgs
    $356,806
    Other
    $22,530
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $173,267 related
    Bonus
    $0
    Other
    $0 + $183,539 related
    Deferred
    $0 + $9,332 related
    Nontaxable benefits
    $0 + $13,198 related
    Filer's total
    $0 + $379,336 related

  • William Sherwood

    Former Officer

    Total calculated
    $164,949
    From this org
    $0
    From related orgs
    $132,807
    Other
    $32,142
    Hours/week
    0 + 24 related

    Schedule J breakdown matched by us

    Base
    $0 + $45,227 related
    Bonus
    $0
    Other
    $0 + $87,580 related
    Deferred
    $0 + $4,327 related
    Nontaxable benefits
    $0 + $27,815 related
    Filer's total
    $0 + $164,949 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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION FOR THE ORGANIZATION'S PRESIDENT IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. SIHS USES THE FOLLOWING METHODS TO DETERMINE THE PRESIDENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Compensation for the organization's officers is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS made the following supplemental nonqualified retirement plan payments/contributions: Rex Budde - $306,685 payment received; No deferred compensation John Antes - No payment received; No deferred compensation Warren Ladner - No payment received; $35,750 deferred compensation John Daly - $37,318 payment received; $31,345 deferred compensation Certain executives participated in a split-dollar life insurance plan paid by Southern Illinois Hospital Services. Premiums paid on behalf of the executives were treated as loans. These policies were terminated and distributed in the year ended March 31, 2023:

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
13 February 2024
IRS schema version
2022v5.0
Source object
202400449349301525

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