Form 990 for tax year 2022
Filed by CARLINVILLE AREA HOSPITAL FOUNDATION.
Totals
- Total revenue
- $213,565
- Total expenses
- $133,758
- Contributions and grants received
- $27,322
- Grants paid
- $100,000
- Program service revenue
- $0
- Investment income
- $171,130
- Other revenue
- $15,113
- Total assets, end of year
- $1,658,645
- Total liabilities, end of year
- $7,632
- Net assets or fund balances, end of year
- $1,651,013
- Program services expenses (Part IX)
- $100,000
- Management and general expenses
- $1,182
- Fundraising expenses
- $32,576
- Program service expenses (Part III)
- $100,000
Program services were 74.8% 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
$10,900
-
1f · All other contributions, gifts and grants
$16,422
-
3 · Investment income
total $171,130 · excluded $171,130
-
8a · Fundraising events: gross income
$5,400
-
8a · Fundraising events: contributions included on line 1c
$10,900
-
8b · Fundraising events: direct expenses
$8,210
-
8c · Net income from fundraising events
total -$2,810 · excluded -$2,810
-
10a · Gross sales of inventory
$24,424
-
10b · Cost of goods sold
$6,501
-
10c · Net income from sales of inventory
total $17,923 · related or exempt $17,923
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $75,000 · program services $75,000
-
2 · Grants to domestic individuals
total $25,000 · program services $25,000
-
11f · Fees: investment management
total $1,182 · management and general $1,182
-
24a · Other expenses: Fundraising expenses
total $16,585 · fundraising $16,585
-
24b · Other expenses: Donor relations
total $15,991 · fundraising $15,991
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $255,736 · end of year $273,135
-
11 · Investments: publicly traded securities
beginning of year $1,342,761 · end of year $1,385,510
-
15 · Other assets
beginning of year $1,806 · end of year $0
-
25 · Other liabilities
beginning of year $0 · end of year $7,632
-
27 · Net assets without donor restrictions
beginning of year $1,413,771 · end of year $1,464,481
-
28 · Net assets with donor restrictions
beginning of year $186,532 · end of year $186,532
Mission and programs · 2022
Mission
The purpose of the Foundation is to help support the availability of primary and emergency health care services for those persons living in the Carlinville area.
Activities or mission (Part I)
Support primary and emergency health care services for persons living in the Carlinville area
-
Carlinville Area Hospital Foundation was established to support persons living in the Carlinville Area. Many small and rural communities face the threat of losing access to health care due to cuts in payment, especially through government programs such as Medicare and Medicaid. The residents of the communities served by Carlinville Area Hospital deserve the availability of a hospital which can meet as many of their needs as possible in a quality, cost-effective and convenient manner.
Expenses $100,000 · Grants $100,000 · Revenue $17,923
As filed on the 2022 return.
Listed in Part VII
-
Brian Burnside
CEO Carlinville Hospital
- Total calculated
- $0
- Hours/week
- 1 + 40.3 related
-
Paul Courtney
CFO Carlinville Hospital
- Total calculated
- $0
- Hours/week
- 1 + 40.3 related
-
Richard Walden
Chairman
- Total calculated
- $0
- Hours/week
- 0.5
-
James Ashworth
Vice Chairman until 1/1/23
- Total calculated
- $0
- Hours/week
- 0.5
-
Mary Jo Reichmann
Secretary
- Total calculated
- $0
- Hours/week
- 0.5
-
Tammy Dugan
Treasurer
- Total calculated
- $0
- Hours/week
- 0.5
-
Greg Boente
Director
- Total calculated
- $0
- Hours/week
- 0.3
-
Brent Davis
Director
- Total calculated
- $0
- Hours/week
- 0.3
-
Heather DeNeve
Director
- Total calculated
- $0
- Hours/week
- 0.3 + 1.3 related
-
Michelle Dyer
Director
- Total calculated
- $0
- Hours/week
- 0.3
-
Katie Goodman-Thomas OD
Director
- Total calculated
- $0
- Hours/week
- 0.3 + 1 related
-
John Lanzerotte
Director
- Total calculated
- $0
- Hours/week
- 0.3
-
Susan LeVora
Director
- Total calculated
- $0
- Hours/week
- 0.3
-
Ralph March
Director
- Total calculated
- $0
- Hours/week
- 0.3 + 1.3 related
-
Dennis Pickrel
Director
- Total calculated
- $0
- Hours/week
- 0.3 + 1.3 related
-
J Richard Schien
Director
- Total calculated
- $0
- Hours/week
- 0.3
-
Steven Boente DMD
Director
- Total calculated
- $0
- Hours/week
- 0.3 + 1.3 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, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
Grants on this return
-
Equipment and facility upgrades
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.
-
Carlinville Area Hospital Association
501(c)(3) · Provision of health care services · IL
Directly controlled by Middle Macoupin Healthcare Systems
-
Middle Macoupin Healthcare Systems
501(c)(3) · Provide support and benefit Carlinville Area Hospital Association · IL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 28 March 2024
- IRS schema version
- 2022v5.0
- Source object
- 202400959349301450
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