Form 990 for tax year 2022
Filed by PANA COMMUNITY HOSPITAL FOUNDATION.
Totals
- Total revenue
- $214,755
- Total expenses
- $58,709
- Contributions and grants received
- $97,443
- Grants paid
- $14,661
- Program service revenue
- $0
- Investment income
- $108,870
- Other revenue
- $8,442
- Total assets, end of year
- $5,891,607
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $5,891,607
- Program services expenses (Part IX)
- $14,661
- Management and general expenses
- $43,069
- Fundraising expenses
- $979
- Program service expenses (Part III)
- $14,661
Program services were 25.0% 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.
-
1c · Fundraising events
$23,539
-
1f · All other contributions, gifts and grants
$73,904
-
3 · Investment income
total $108,870 · excluded $108,870
-
8a · Fundraising events: gross income
$18,070
-
8a · Fundraising events: contributions included on line 1c
$23,539
-
8b · Fundraising events: direct expenses
$10,598
-
8c · Net income from fundraising events
total $7,472 · excluded $7,472
-
9a · Gaming: gross income
$2,248
-
9b · Gaming: direct expenses
$500
-
9c · Net income from gaming
total $1,748 · excluded $1,748
-
10a · Gross sales of inventory
$509
-
10b · Cost of goods sold
$1,307
-
10c · Net income from sales of inventory
total -$798 · excluded -$798
-
11a · Other revenue: MEMBERSHIP DUES
total $20 · excluded $20
-
11e · Other revenue, total
$20
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $9,661 · program services $9,661
-
2 · Grants to domestic individuals
total $5,000 · program services $5,000
-
11b · Fees: legal
total $7,354 · management and general $7,354
-
11f · Fees: investment management
total $19,565 · management and general $19,565
-
13 · Office expenses
total $9,394 · management and general $9,394
-
22 · Depreciation, depletion and amortization
total $3,812 · management and general $3,812
-
23 · Insurance
total $2,035 · management and general $2,035
-
24a · Other expenses: OTHER TAXES
total $747 · management and general $747
-
24b · Other expenses: WELLNESS/REHAB CAMP
total $722 · fundraising $722
-
24c · Other expenses: DONOR RECOGNITION
total $257 · fundraising $257
-
24d · Other expenses: MISCELLANEOUS
total $155 · management and general $155
-
24e · All other expenses
total $7 · management and general $7
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $39,146 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $1,642,368 · end of year $1,785,018
-
3 · Pledges and grants receivable
beginning of year $43,007 · end of year $13,355
-
9 · Prepaid expenses and deferred charges
beginning of year $1,591 · end of year $1,762
-
10a · Land, buildings and equipment: cost or other basis
$81,796
-
10b · Land, buildings and equipment: accumulated depreciation
$50,980
-
10c · Land, buildings and equipment, net
beginning of year $34,628 · end of year $30,816
-
11 · Investments: publicly traded securities
beginning of year $4,126,806 · end of year $3,152,958
-
12 · Investments: other securities
beginning of year $783,567 · end of year $907,698
-
27 · Net assets without donor restrictions
beginning of year $5,111,905 · end of year $4,075,279
-
28 · Net assets with donor restrictions
beginning of year $1,559,208 · end of year $1,816,328
Mission and programs · 2022
Mission
TO SUPPORT OUR COMMUNITY'S HEALTH CARE BY PROVIDING FOR THE CONTINUED ADVANCEMENT OF PANA COMMUNITY HOSPITAL'S HEALTH CARE DELIVERY SERVICES.
Activities or mission (Part I)
TO PROVIDE SUPPORT FOR OUR COMMUNITY'S HEALTH CARE.
-
TO PROVIDE FUNDING FOR THE MEDICAL AND HEALTHCARE NEEDS OF PANA COMMUNITY HOSPITAL AND THE PEOPLE IT SERVES AND TO ESTABLISH AND MAINTAIN A PERMANENT ENDOWMENT FUND IN SUPPORT OF THE HOSPITAL.WE ARE COMMITTED TO IMPROVING THE RESOURCES AVAILABLE TO THE CITIZENS OF PANA AND SURROUNDING COMMUNITIES BY CULTIVATING RELATIONSHIPS WITHIN THE COMMUNITY THAT WILL INSPIRE A GREATER NETWORK OF SUPPORTERS; BY CREATING FUNDRAISING PROGRAMS THAT ARE COMPLEMENTARY TO THE VALUES OF THE FOUNDATION, THE HOSPITAL AND THE COMMUNITY AND BY WORKING SIDE BY SIDE WITH PANA COMMUNITY HOSPITAL TO FULFILL THEIR MISSION OF BEING A LEADING PARTNER IN ASSURING COMMUNITY-BASED, QUALITY HEALTH CARE.
Expenses $14,661 · Grants $14,661
As filed on the 2022 return.
Listed in Part VII
-
BRIAN SIMS
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1.5
-
GAYLE MCROBERTS
VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1.5
-
MARY KIRKBRIDE
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1.5
-
CHUCK BANNING
DIRECTOR (TERM ENDED)
- Total calculated
- $0
- Hours/week
- 1.5
-
DON BILYEU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
ED CHAUSSE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
DWAIN MCAFEE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
DR MARLON MUNESES
DIRECTOR, HOSPITAL EMPLOYEE
- Total calculated
- $332,667
- From this org
- $0
- From related orgs
- $290,432
- Other
- $42,235
- Hours/week
- 1.5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $290,432 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $10,410 related
- Nontaxable benefits
- $0 + $31,825 related
- Filer's total
- $0 + $332,667 related
-
SELENA REED
DIRECTOR, HOSPITAL EMPLOYEE
- Total calculated
- $70,423
- From this org
- $0
- From related orgs
- $46,332
- Other
- $24,091
- Hours/week
- 1.5 + 40 related
-
LUANN FUNK
DIRECTOR, HOSPITAL EMPLOYEE
- Total calculated
- $15,735
- From this org
- $0
- From related orgs
- $15,735
- Other
- $0
- Hours/week
- 1.5 + 20 related
-
CHERYL SWENNY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
GARY BOWKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
BRENDA PARKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
TOM ROLAND
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1.5
-
KATRINA CASNER
PRESIDENT & CEO
- Total calculated
- $241,760
- From this org
- $0
- From related orgs
- $224,729
- Other
- $17,031
- Hours/week
- 1.5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $202,734 related
- Bonus
- $0 + $21,995 related
- Other
- $0
- Deferred
- $0 + $10,049 related
- Nontaxable benefits
- $0 + $6,982 related
- Filer's total
- $0 + $241,760 related
-
JAMES MOON
CFO
- Total calculated
- $160,972
- From this org
- $0
- From related orgs
- $142,125
- Other
- $18,847
- Hours/week
- 1.5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $132,113 related
- Bonus
- $0 + $10,012 related
- Other
- $0
- Deferred
- $0 + $5,981 related
- Nontaxable benefits
- $0 + $12,866 related
- Filer's total
- $0 + $160,972 related
-
DEREK ADE
EXECUTIVE DIRECTOR
- Total calculated
- $73,975
- From this org
- $0
- From related orgs
- $53,303
- Other
- $20,672
- Hours/week
- 40
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
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
The filer's explanations (Part III)
- PART I, LINE 3
- DR. MARLAN MUNESES, MD IS COMPENSATED BY A RELATED ORGANIZATION, PANA COMMUNITY HOSPITAL ASSOCIATION. OUR EMPLOYED PHYSICIANS ARE COMPENSATED USING A BASE SALARY PLUS PRODUCTIVITY COMPENSATION. THE PRODUCTIVITY COMPENSATION IS CALCULATED BASED UPON MINIMUM LEVELS OF RECEIPTS GENERATED BY EACH PHYSICIAN. PANA COMMUNITY HOSPITAL ASSOCIATION USES A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES, FORM 990 OF OTHER ORGANIZATIONS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION.
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
-
SUPPORT FOR MEDICAL CARE
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.
-
PANA COMMUNITY HOSPITAL ASSOCIATION
501(C)(3) · ACUTE CARE · IL
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 corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
QUAD COUNTY HOME MEDICAL SUPPLIES & EQUIPMENT
C · DME RETAILER · IL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202302219349300015
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