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Nonprofiteer
← IRA DAVENPORT MEMORIAL HOSPITAL INC

Form 990 for tax year 2023

Filed by IRA DAVENPORT MEMORIAL HOSPITAL INC.

Totals

Total revenue
$22,357,523
Total expenses
$30,475,950
Contributions and grants received
$753,443
Grants paid
$0
Program services expenses (Part IX)
$22,099,457
Management and general expenses
$8,376,493
Fundraising expenses
$0
Program service expenses (Part III)
$22,099,457

Program services were 72.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Jonathan I Lawrence

    President & CEO

    Total calculated
    $1,001,234
    From this org
    $0
    From related orgs
    $964,293
    Other
    $36,941
    Hours/week
    10 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $800,001 related
    Bonus
    $0 + $175,000 related
    Other
    $0
    Deferred
    $0 + $11,319 related
    Nontaxable benefits
    $0 + $24,427 related
    Filer's total
    $0 + $1,010,747 related

  • Elizabeth J Weir

    Site Administrator/VP of Nursing IDMH

    Total calculated
    $213,104
    From this org
    $0
    From related orgs
    $177,435
    Other
    $35,669
    Hours/week
    45 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $183,706 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,301 related
    Nontaxable benefits
    $0 + $29,368 related
    Filer's total
    $0 + $219,375 related

  • April Beasley

    Licensed Practical Nurse

    Total calculated
    $144,874
    From this org
    $144,874
    From related orgs
    $0
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $148,476
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $27,406
    Filer's total
    $175,882

  • Amy Blum

    Supervising Pharmacist/Site Manager

    Total calculated
    $142,192
    From this org
    $142,192
    From related orgs
    $0
    Other
    $0
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $144,548
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,125
    Filer's total
    $159,673

  • Bianca Daudelin

    Med Surg Unit Dir.

    Total calculated
    $137,936
    From this org
    $137,936
    From related orgs
    $0
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $123,936
    Bonus
    $14,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $137,936

  • Blythe DeClerck

    Emergency Room RN

    Total calculated
    $124,628
    From this org
    $124,628
    From related orgs
    $0
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $115,665
    Bonus
    $14,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $43,288
    Filer's total
    $172,953

  • Connie Smith-Kearns

    Licensed Practical Nurse

    Total calculated
    $122,956
    From this org
    $122,956
    From related orgs
    $0
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $124,049
    Bonus
    $1,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,373
    Filer's total
    $142,922

  • Werner Brammer MD

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Joseph Meade III

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • John Mallia

    Interim CFO

    Total calculated
    $0
    Hours/week
    10 + 40 related

  • Jo Miller

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Kathryn Muller

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jeffrey Streeter

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Belinda Hoad

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Jack Wheeler

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Bernard Burns

    Secretary

    Total calculated
    $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 — 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

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.

Provenance

Return type
form_990
Tax year
2023
Filed
15 October 2024
IRS schema version
2023v5.0
Source object
202423059349300117

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