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← BAYSTATE WING HOSPITAL CORPORATION

Form 990 for tax year 2024

Filed by BAYSTATE WING HOSPITAL CORPORATION.

Totals

Total revenue
$100,015,015
Total expenses
$95,545,978
Contributions and grants received
$991,446
Grants paid
$3,856
Program service revenue
$96,769,153
Investment income
$467,093
Other revenue
$1,787,323
Total assets, end of year
$81,393,817
Total liabilities, end of year
$58,077,078
Net assets or fund balances, end of year
$23,316,739
Program services expenses (Part IX)
$88,033,648
Management and general expenses
$7,512,167
Fundraising expenses
$163
Program service expenses (Part III)
$88,033,648

Program services were 92.1% 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.

  • 1d · Related organizations

    $60,832

  • 1e · Government grants (contributions)

    $930,614

  • 2a · Program service revenue: INPATIENT REVENUE

    total $48,924,495 · related or exempt $48,924,495

  • 2b · Program service revenue: OUTPATIENT REVENUE

    total $47,544,826 · related or exempt $47,544,826

  • 2c · Program service revenue: INTERCOMPANY RENT

    total $299,832 · related or exempt $299,832

  • 3 · Investment income

    total $442,950 · excluded $442,950

  • 6a · Gross rents

    real property $247,037

  • 6b · Less rental expenses

    real property $256,175

  • 6c · Rental income or loss

    real property -$9,138

  • 6d · Net rental income or loss

    total -$9,138 · excluded -$9,138

  • 7a · Gross sales of assets other than inventory

    securities $7,620,000

  • 7b · Less cost or other basis and sales expenses

    securities $7,595,857

  • 7c · Gain or loss

    securities $24,143

  • 7d · Net gain or loss

    total $24,143 · excluded $24,143

  • 11a · Other revenue: MCD WAIVER SAFETY NET

    total $1,123,000 · related or exempt $1,123,000

  • 11b · Other revenue: CAFETERIA INCOME

    total $409,246 · excluded $409,246

  • 11c · Other revenue: INTERCOMPANY CHARGES

    total $153,942 · related or exempt $153,942

  • 11d · All other revenue

    total $110,273 · related or exempt $110,273

  • 11e · Other revenue, total

    $1,796,461

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,856 · program services $3,856

  • 5 · Compensation of officers, directors and key employees

    total $582,221 · management and general $582,221

  • 7 · Other salaries and wages

    total $36,856,544 · program services $36,079,057 · management and general $777,487

  • 8 · Pension plan contributions

    total $1,242,629 · program services $1,231,679 · management and general $10,950

  • 9 · Other employee benefits

    total $5,909,172 · program services $5,763,076 · management and general $146,096

  • 10 · Payroll taxes

    total $2,805,870 · program services $2,710,428 · management and general $95,442

  • 11a · Fees: management

    total $4,736,497 · program services $459,805 · management and general $4,276,692

  • 11b · Fees: legal

    total $2,456 · program services $2,456

  • 11c · Fees: accounting

    total $40,000 · management and general $40,000

  • 11d · Fees: lobbying

    total $19,411 · management and general $19,411

  • 11g · Fees: other

    total $14,195,755 · program services $13,732,907 · management and general $462,848

  • 13 · Office expenses

    total $10,827,759 · program services $9,788,330 · management and general $1,039,266 · fundraising $163

  • 14 · Information technology

    total $8,450,577 · program services $8,450,577

  • 16 · Occupancy

    total $1,578,080 · program services $1,576,080 · management and general $2,000

  • 17 · Travel

    total $27,645 · program services $27,616 · management and general $29

  • 19 · Conferences, conventions and meetings

    total $45,966 · program services $45,025 · management and general $941

  • 20 · Interest

    total $1,166,865 · program services $1,166,865

  • 22 · Depreciation, depletion and amortization

    total $4,302,872 · program services $4,302,872

  • 23 · Insurance

    total $297,824 · program services $260,358 · management and general $37,466

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,453,979 · program services $2,432,661 · management and general $21,318

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $7,989,737 · end of year $7,742,974

  • 2 · Savings and temporary cash investments

    beginning of year $6,258,322 · end of year $4,322,138

  • 3 · Pledges and grants receivable

    beginning of year $61,305 · end of year $61,305

  • 4 · Accounts receivable

    beginning of year $11,952,083 · end of year $11,849,140

  • 8 · Inventories for sale or use

    beginning of year $1,079,699 · end of year $899,976

  • 9 · Prepaid expenses and deferred charges

    beginning of year $508,667 · end of year $790,407

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

    $126,232,913

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

    $75,445,662

  • 10c · Land, buildings and equipment, net

    beginning of year $52,175,213 · end of year $50,787,251

  • 15 · Other assets

    beginning of year $6,389,716 · end of year $4,940,626

  • 17 · Accounts payable and accrued expenses

    beginning of year $13,355,471 · end of year $10,873,465

  • 19 · Deferred revenue

    beginning of year $100,803 · end of year $394,220

  • 24 · Unsecured notes and loans payable

    beginning of year $21,784,818 · end of year $20,735,165

  • 25 · Other liabilities

    beginning of year $31,168,946 · end of year $26,074,228

  • 27 · Net assets without donor restrictions

    beginning of year $14,535,244 · end of year $19,446,801

  • 28 · Net assets with donor restrictions

    beginning of year $5,469,460 · end of year $3,869,938

Mission and programs · 2024

Mission

THE MISSION OF THE ORGANIZATION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION.

  • INPATIENT HEALTHCARE SERVICES - PROVIDING INPATIENT COMMUNITY-BASED MEDICINE AND TERTIARY CARE TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY25, BAYSTATE WING HOSPITAL CORPORATION PROVIDED 14,567 PATIENT DAYS OF INPATIENTS SERVICES, WITH 3,762 DISCHARGES.

    Expenses $34,263,173 · Grants $3,856 · Revenue $36,816,632

  • OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT CLINICAL SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY25, BAYSTATE WING HOSPITAL CORPORATION HAD 72,175 OUTPATIENT VISITS.

    Expenses $36,929,645 · Revenue $31,710,653

  • EMERGENCY DEPARTMENT SERVICES - PROVIDING EMERGENCY DEPARTMENT SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY25, BAYSTATE WING HOSPITAL CORPORATION HAD 38,721 EMERGENCY DEPARTMENT VISITS.

    Expenses $14,167,455 · Revenue $23,570,191

  • PROVIDING PHARMACY AND SUPPORT SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.

    Expenses $2,673,375 · Revenue $6,058,892

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • PETER D BANKO

    TRUSTEE/PRESIDENT & CEO - BH

    Total calculated
    $1,747,717
    From this org
    $0
    From related orgs
    $1,514,715
    Other
    $233,002
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $988,761 related
    Bonus
    $0 + $514,000 related
    Other
    $0 + $11,954 related
    Deferred
    $0 + $214,052 related
    Nontaxable benefits
    $0 + $18,950 related
    Filer's total
    $0 + $1,747,717 related

  • NICOLAS JABBOUR MD

    TRUSTEE/CHAIR DEPT. OF SURGERY

    Total calculated
    $1,117,486
    From this org
    $1,055,742
    From related orgs
    $0
    Other
    $61,744
    Hours/week
    1 + 5 related

    Schedule J breakdown matched by us

    Base
    $792,778
    Bonus
    $172,092
    Other
    $90,872
    Deferred
    $22,425
    Nontaxable benefits
    $39,319
    Filer's total
    $1,117,486

  • KELLY GALSTER DO

    TRUSTEE/SURGEON (THRU 12/31/24)

    Total calculated
    $479,345
    From this org
    $433,274
    From related orgs
    $0
    Other
    $46,071
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $353,637
    Bonus
    $51,399
    Other
    $28,238
    Deferred
    $22,425
    Nontaxable benefits
    $23,646
    Filer's total
    $479,345

  • ANDREW CHENG DO

    TRUSTEE (AS OF 1/1/25)/INTERNIST CHMP

    Total calculated
    $270,857
    From this org
    $241,637
    From related orgs
    $0
    Other
    $29,220
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $196,131
    Bonus
    $18,261
    Other
    $27,245
    Deferred
    $14,616
    Nontaxable benefits
    $14,604
    Filer's total
    $270,857

  • AKINYELE K LOVELACE DO

    VICE CHAIR (AS OF 1/1/25)/TTEE

    Total calculated
    $93,908
    From this org
    $92,520
    From related orgs
    $0
    Other
    $1,388
    Hours/week
    1 + 6 related

    Schedule J breakdown matched by us

    Base
    $92,520
    Bonus
    $0
    Other
    $0
    Deferred
    $1,388
    Nontaxable benefits
    $0
    Filer's total
    $93,908

  • SARA ROURKE MD

    TRUSTEE/PER DIEM URGENT CARE PHYS

    Total calculated
    $31,592
    From this org
    $31,125
    From related orgs
    $0
    Other
    $467
    Hours/week
    1 + 5 related

    Schedule J breakdown matched by us

    Base
    $31,125
    Bonus
    $0
    Other
    $0
    Deferred
    $467
    Nontaxable benefits
    $0
    Filer's total
    $31,592

  • COLLEEN W HOLMES VICE CHAIR

    (TO 1/1/25)/CHAIR (AS OF 1/1/25)/TTEE

    Total calculated
    $0
    Hours/week
    1 + 7 related

  • JULIE QUINK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • ANTONIO E DOS SANTOS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • CLAUDIA R COPLEIN DO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • DENISE R JORDAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • HARRIET A DEVERRY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 7 related

  • IRENE RODRIGUEZ-MARTIN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • KEITH NESBITT

    TRUSTEE (AS OF 1/1/25)

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • LINDA THOMPSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • MADELINE LANDRAU

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MARIA P GONCALVES

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MARK A O'CONNELL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • PAUL C PICKNELLY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • RICHARD BOSSIE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • ROBERT J BACON

    TRUSTEE (THRU 12/31/24)

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • RUTH H CONSTANTINE

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • WILLIAM R WEBBER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • RAYMOND MCCARTHY

    SVP, CFO & TREAS BH (THRU 4/22/25)

    Total calculated
    $1,335,635
    From this org
    $0
    From related orgs
    $1,279,577
    Other
    $56,058
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $719,349 related
    Bonus
    $0 + $309,758 related
    Other
    $0 + $250,470 related
    Deferred
    $0 + $29,325 related
    Nontaxable benefits
    $0 + $26,733 related
    Filer's total
    $0 + $1,335,635 related

  • LAURIE MARTIN

    CFO & TREASURER - BH (AS OF 4/22/25)

    Total calculated
    $442,605
    From this org
    $0
    From related orgs
    $387,373
    Other
    $55,232
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $320,152 related
    Bonus
    $0 + $58,696 related
    Other
    $0 + $8,525 related
    Deferred
    $0 + $28,947 related
    Nontaxable benefits
    $0 + $26,285 related
    Filer's total
    $0 + $442,605 related

  • KARLI BARRETT

    PRESIDENT & COO - BWH (AS OF 10/1/24)

    Total calculated
    $312,878
    From this org
    $265,794
    From related orgs
    $0
    Other
    $47,084
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $226,022
    Bonus
    $39,147
    Other
    $625
    Deferred
    $17,681
    Nontaxable benefits
    $29,403
    Filer's total
    $312,878

  • KRISTIN R DELANEY

    CLERK/DIRECTOR STRATEGY

    Total calculated
    $210,033
    From this org
    $0
    From related orgs
    $181,047
    Other
    $28,986
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,278 related
    Bonus
    $0 + $14,257 related
    Other
    $0 + $1,512 related
    Deferred
    $0 + $12,100 related
    Nontaxable benefits
    $0 + $16,886 related
    Filer's total
    $0 + $210,033 related

  • NANCY REMILLARD

    ASST. CLERK OF THE CORP

    Total calculated
    $76,850
    From this org
    $0
    From related orgs
    $62,538
    Other
    $14,312
    Hours/week
    1 + 49 related

  • JANICE MAYFORTH

    CFO - COMMUNITY HOSP. (THRU 1/3/25)

    Total calculated
    $269,343
    From this org
    $227,166
    From related orgs
    $0
    Other
    $42,177
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $177,466
    Bonus
    $26,212
    Other
    $23,488
    Deferred
    $14,741
    Nontaxable benefits
    $27,436
    Filer's total
    $269,343

  • LORI J REED PUFF

    CNO - COMMUNITY HOSPITAL

    Total calculated
    $224,414
    From this org
    $196,810
    From related orgs
    $0
    Other
    $27,604
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $178,730
    Bonus
    $15,366
    Other
    $2,714
    Deferred
    $6,932
    Nontaxable benefits
    $20,672
    Filer's total
    $224,414

  • TINA PAULSON-GOLDSCHMIDT

    MANAGER, NURSING (THRU 11/29/24)

    Total calculated
    $210,421
    From this org
    $177,154
    From related orgs
    $0
    Other
    $33,267
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $135,250
    Bonus
    $0
    Other
    $41,904
    Deferred
    $12,067
    Nontaxable benefits
    $21,200
    Filer's total
    $210,421

  • MICHELLE KURILOVA

    PROFESSIONAL NURSE ADVANCED

    Total calculated
    $198,943
    From this org
    $172,635
    From related orgs
    $0
    Other
    $26,308
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $171,611
    Bonus
    $500
    Other
    $524
    Deferred
    $10,497
    Nontaxable benefits
    $15,811
    Filer's total
    $198,943

  • SUSAN KEENAN

    PROFESSIONAL NURSE ADVANCED

    Total calculated
    $193,757
    From this org
    $163,167
    From related orgs
    $0
    Other
    $30,590
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $162,467
    Bonus
    $0
    Other
    $700
    Deferred
    $10,951
    Nontaxable benefits
    $19,639
    Filer's total
    $193,757

  • CHRISTINE BIGELOW

    REGISTERED NURSE

    Total calculated
    $187,294
    From this org
    $174,159
    From related orgs
    $0
    Other
    $13,135
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $168,990
    Bonus
    $1,000
    Other
    $4,169
    Deferred
    $8,832
    Nontaxable benefits
    $4,303
    Filer's total
    $187,294

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) HAS BEEN APPOINTED THROUGH BOARD RESOLUTION AS THE HUMAN RESOURCES COMMITTEE OF THE FILING ORGANIZATION. THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF THE FILING ORGANIZATION. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY.
PART I, LINE 6
BAYSTATE MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN SENIOR LEADERS THAT INCLUDES A PERFORMANCE-BASED COMPONENT TIED IN PART TO ORGANIZATIONAL MARGIN. THE PROGRAM IS ADMINISTERED UNDER AN ESTABLISHED FORMULA THAT IS APPLIED CONSISTENTLY TO DETERMINE AWARDS. ALTHOUGH THE COMPENSATION ARRANGEMENT IS NOT SET FORTH IN INDIVIDUAL EMPLOYMENT CONTRACTS, THE VARIABLE COMPENSATION IS CONTINGENT UPON ACHIEVEMENT OF SPECIFIED PERFORMANCE OBJECTIVES, INCLUDING MARGIN-RELATED TARGETS, AND IS DETERMINED IN WHOLE OR IN PART BY THE NET EARNINGS OF THE ORGANIZATION.
PART I, LINE 7
BAYSTATE PROVIDES VARIABLE COMPENSATION TO CERTAIN LISTED PERSONS UNDER AN ESTABLISHED COMPENSATION PROGRAM. THE AMOUNT OF VARIABLE COMPENSATION IS DETERMINED USING PRE-ESTABLISHED FORMULAS AND PERFORMANCE CRITERIA APPLIED CONSISTENTLY BY THE ORGANIZATION; HOWEVER, THE COMPENSATION ARRANGEMENTS ARE GENERALLY NOT SET FORTH IN INDIVIDUAL EMPLOYMENT CONTRACTS.
PART I, LINE 4A:
A SEVERANCE AGREEMENT WAS IN PLACE BETWEEN BAYSTATE WING HOSPITAL CORPORATION (BWH) AND EMPLOYEES STATING THAT UNDER CERTAIN CIRCUMSTANCES THE EMPLOYEES WOULD RECEIVE COMPENSATION. TINA L. PAULSON-GOLDSCHMIDT WAS A HIGHEST COMPENSATED EMPLOYEE OF BWH AND RECEIVED $12,490 IN SEVERANCE PAYMENTS IN 2024.
PART I, LINE 4B:
PETER D. BANKO - SUPPLEMENTAL RETIREMENT OF $196,802 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. KARLI BARRETT - SUPPLEMENTAL RETIREMENT OF $3,536 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED AND PAID IN 2024. ANDREW CHENG, MD - SUPPLEMENTAL RETIREMENT OF $3,373 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED AND PAID IN 2024. KELLY GALSTER, MD - SUPPLEMENTAL RETIREMENT OF $6,793 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. NICHOLAS JABBOUR, MD - SUPPLEMENTAL RETIREMENT OF 49,500 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. LAURIE MARTIN - SUPPLEMENTAL RETIREMENT OF $5,108 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $194,402 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $190,052 EARNED AND PAID IN 2024 AND $4,350 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024.

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

No itemized grants to organizations 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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
11 August 2026
IRS schema version
2024v5.5
Source object
202602249349300800

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