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Nonprofiteer
← HARRISBURG MEDICAL CENTER FOUNDATION

Form 990 for tax year 2022

Filed by HARRISBURG MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$36,931
Total expenses
$16,214
Contributions and grants received
$48,548
Grants paid
$0
Program service revenue
$0
Investment income
$500
Other revenue
-$12,117
Total assets, end of year
$154,624
Total liabilities, end of year
$26,756
Net assets or fund balances, end of year
$127,868
Program services expenses (Part IX)
$14,550
Management and general expenses
$1,664
Fundraising expenses
$0
Program service expenses (Part III)
$14,550

Program services were 89.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Angela Rowe

    Board Chair

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Gloria Tison

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • J Cody Sandusky

    Vice-Chair

    Total calculated
    $204,371
    From this org
    $0
    From related orgs
    $196,669
    Other
    $7,702
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,469 related
    Bonus
    $0 + $1,900 related
    Other
    $0 + $13,300 related
    Deferred
    $0 + $486 related
    Nontaxable benefits
    $0 + $7,216 related
    Filer's total
    $0 + $204,371 related

  • Luke O'Neal

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Camden Schiff

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Cameron Newbold

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Charlie Holland

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Dana Hull

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Denise Kennedy

    Board Member

    Total calculated
    $118,516
    From this org
    $0
    From related orgs
    $97,078
    Other
    $21,438
    Hours/week
    1 + 40 related

  • Fred Huff

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Lindsay Atkins

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Rona Bramlet

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Tricia Overturf

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • John Antes

    President/CEO (Start Date 12/12/22)

    Total calculated
    $175,786
    From this org
    $0
    From related orgs
    $175,786
    Other
    $0
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $30,770 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $70,016 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $175,786 related

  • John Daly

    VP/General Counsel

    Total calculated
    $455,194
    From this org
    $0
    From related orgs
    $415,387
    Other
    $39,807
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,471 related
    Bonus
    $0
    Other
    $0 + $70,916 related
    Deferred
    $0 + $35,695 related
    Nontaxable benefits
    $0 + $4,112 related
    Filer's total
    $0 + $455,194 related

  • Rex Budde

    President/CEO (Partial Year)

    Total calculated
    $1,132,889
    From this org
    $0
    From related orgs
    $1,088,874
    Other
    $44,015
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $737,329 related
    Bonus
    $0
    Other
    $0 + $351,545 related
    Deferred
    $0 + $11,975 related
    Nontaxable benefits
    $0 + $32,040 related
    Filer's total
    $0 + $1,132,889 related

  • Warren Ladner

    Sr VP/CFO/Treasurer

    Total calculated
    $585,238
    From this org
    $0
    From related orgs
    $530,314
    Other
    $54,924
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,636 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $79,678 related
    Deferred
    $0 + $35,750 related
    Nontaxable benefits
    $0 + $19,174 related
    Filer's total
    $0 + $585,238 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. 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

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION FOR THE ORGANIZATION'S PRESIDENT IS PAID BY SOUTHERN ILLINOIS HOSPITAL SERVICES, INC (SIHS), A RELATED TAX-EXEMPT ORGANIZATION. SIHS USES THE FOLLOWING METHODS TO DETERMINE THE PRESIDENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Compensation for the organization's officers is paid by Southern Illinois Hospital Services, Inc. (SIHS), a related tax-exempt organization. SIHS made the following supplemental nonqualified retirement plan payments/contributions: Rex Budde - $306,685 payment received; No deferred compensation John Antes - No payment received; No deferred compensation Warren Ladner - No payment received; $35,750 deferred compensation John Daly - $37,318 payment received; $31,345 deferred compensation

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
2022
Filed
13 February 2024
IRS schema version
2022v5.0
Source object
202440449349301634

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