Skip to content
Nonprofiteer
← COVENANT HEALTHCARE FOUNDTION

Form 990 for tax year 2023

Filed by COVENANT HEALTHCARE FOUNDTION.

Totals

Total revenue
$2,133,081
Total expenses
$831,704
Contributions and grants received
$1,002,092
Grants paid
$387,293
Program services expenses (Part IX)
$387,293
Management and general expenses
$444,411
Fundraising expenses
$0
Program service expenses (Part III)
$387,293

Program services were 46.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BETHANY CHARLTON

    PRESIDENT/CEO

    Total calculated
    $1,446,800
    From this org
    $0
    From related orgs
    $850,284
    Other
    $596,516
    Hours/week
    4 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $819,284 related
    Bonus
    $0 + $31,000 related
    Other
    $0
    Deferred
    $0 + $536,219 related
    Nontaxable benefits
    $0 + $60,297 related
    Filer's total
    $0 + $1,446,800 related

  • KEVIN ALBOSTA

    VP/CFO

    Total calculated
    $807,720
    From this org
    $0
    From related orgs
    $569,523
    Other
    $238,197
    Hours/week
    4 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $543,693 related
    Bonus
    $0 + $25,830 related
    Other
    $0
    Deferred
    $0 + $205,568 related
    Nontaxable benefits
    $0 + $32,629 related
    Filer's total
    $0 + $807,720 related

  • AMY BUBEN

    CHAIR - PART YEAR

    Total calculated
    $0
    Hours/week
    4

  • JANE HAGEN

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    4

  • DONALD J CARLYON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • LYLE G DAVIS JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • RICHARD J GARBER JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • BJ HUMPHREYS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • SHARON ROOD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • JACK RUMMEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • MOLLY SAPUTO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • JOHN W SHELTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    4

  • KATHI SPENCE

    FORMER PRESIDENT

    Total calculated
    $0
    Hours/week
    4

  • RYAN RATYNSKI

    INTERIM FOUNDATION DIRECTOR

    Total calculated
    $158,514
    From this org
    $0
    From related orgs
    $132,652
    Other
    $25,862
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $126,024 related
    Bonus
    $0 + $3,551 related
    Other
    $0 + $3,077 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $25,862 related
    Filer's total
    $0 + $158,514 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
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
COVENANT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
THE ORGANIZATION MAINTAINS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE PLAN (SERP) FOR CERTAIN OF ITS EXECUTIVES. THE SERP HAS BEEN ESTABLISHED FOR THESE EXECUTIVES BY THE ORGANIZATION, FOLLOWING APPROPRIATE BOARD LEVEL REVIEW IN A MANNER INTENDED TO COMPLY WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS PROVISION UNDER IRC SECTION 4958. SOME OF THE INDIVIDUALS LISTED IN PART VII RECEIVED A TAXABLE SERP PAYMENT IN FY24. ALL PAYMENTS WERE INCLUDED AS TAXABLE INCOME.
PART I, LINE 7
THE FILING ORGANIZATION RELIED ON COVENANT MEDICAL CENTER'S, A RELATED ORGANIZATION, METHODS FOR ESTABLISHING THE BONUSES OF THE FILING ORGANIZATION'S OFFICERS: THE BONUSES PAID TO ANY OFFICER LISTED IN SCHEDULE J PART II CAN BE DETERMINED BASED ON WHETHER FOUR ORGANIZATION SUCCESS SHARING TARGETS ARE MET; PATIENT SATISFACTION SCORES, QUALITY METRICS, EMPLOYEE ENGAGEMENT SCORES AND FINANCIAL PERFORMACE BASED ON A CUSTOM OPERATING MARGIN.

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
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202511359349306361

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.