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← IRA DAVENPORT MEMORIAL HOSPITAL INC

Form 990 for tax year 2022

Filed by IRA DAVENPORT MEMORIAL HOSPITAL INC.

Totals

Total revenue
$23,586,296
Total expenses
$30,601,995
Contributions and grants received
$3,925,148
Grants paid
$0
Program service revenue
$19,439,720
Investment income
$1,541
Other revenue
$219,887
Total assets, end of year
$17,380,790
Total liabilities, end of year
$13,078,108
Net assets or fund balances, end of year
$4,302,682
Program services expenses (Part IX)
$22,459,218
Management and general expenses
$8,142,777
Fundraising expenses
$0
Program service expenses (Part III)
$22,459,218

Program services were 73.4% 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
    $906,735
    From this org
    $0
    From related orgs
    $860,630
    Other
    $46,105
    Hours/week
    10 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $731,734 related
    Bonus
    $0 + $128,896 related
    Other
    $0
    Deferred
    $0 + $10,462 related
    Nontaxable benefits
    $0 + $35,644 related
    Filer's total
    $0 + $906,736 related

  • Stephen Kenney

    Senior VP/CFO

    Total calculated
    $240,604
    From this org
    $0
    From related orgs
    $219,756
    Other
    $20,848
    Hours/week
    45 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $219,756 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,848 related
    Filer's total
    $0 + $240,604 related

  • Elizabeth J Weir

    Site Administrator/VP of Nursing IDMH

    Total calculated
    $228,476
    From this org
    $0
    From related orgs
    $185,962
    Other
    $42,514
    Hours/week
    45 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $185,962 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,379 related
    Nontaxable benefits
    $0 + $36,136 related
    Filer's total
    $0 + $228,477 related

  • April Beasley

    Licensed Practical Nurse

    Total calculated
    $150,704
    From this org
    $150,704
    From related orgs
    $0
    Other
    $0
    Hours/week
    45 + 45 related

    Schedule J breakdown matched by us

    Base
    $154,536
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $38,389
    Filer's total
    $192,925

  • Amy Blum

    Supervising Pharmacist/Site Manager

    Total calculated
    $133,994
    From this org
    $133,994
    From related orgs
    $0
    Other
    $0
    Hours/week
    50 + 50 related

  • Connie Smith-Kearns

    Licensed Practical Nurse

    Total calculated
    $114,395
    From this org
    $114,395
    From related orgs
    $0
    Other
    $0
    Hours/week
    45 + 45 related

  • Heather Capluzzi

    Quality Improvement Coordinator

    Total calculated
    $114,049
    From this org
    $114,049
    From related orgs
    $0
    Other
    $0
    Hours/week
    45 + 45 related

  • Donna Saltsman

    Clinical Coordinator

    Total calculated
    $113,218
    From this org
    $113,218
    From related orgs
    $0
    Other
    $0
    Hours/week
    45 + 45 related

  • Patricia Baroody

    Chair

    Total calculated
    $0
    Hours/week
    1

  • Werner Brammer MD

    Vice 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 + 1 related

  • Belinda Hoad

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jack Wheeler

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Dennis OConnor

    Medical Director

    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, 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

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 corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202333139349301903

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