Totals
- Total revenue
- $34,213,395
- Total expenses
- $53,197,290
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $44,954,091
- Management and general expenses
- $8,243,199
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $44,954,091
Program services were 84.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
EDMUNDO RODRIGUEZ-FRIAS
PHYSICIAN
- Total calculated
- $914,727
- From this org
- $875,215
- From related orgs
- $0
- Other
- $39,512
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $875,215
- Bonus
- not reported
- Other
- not reported
- Deferred
- $7,600
- Nontaxable benefits
- $31,912
- Filer's total
- $914,727
-
RAFE HENG
PHYSICIAN
- Total calculated
- $868,006
- From this org
- $828,673
- From related orgs
- $0
- Other
- $39,333
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $808,173
- Bonus
- not reported
- Other
- $20,500
- Deferred
- $7,371
- Nontaxable benefits
- $31,962
- Filer's total
- $868,006
-
KEITH PAGE
PRESIDENT/CEO
- Total calculated
- $667,999
- From this org
- $512,953
- From related orgs
- $0
- Other
- $155,046
- Hours/week
- 8 + 32 related
Schedule J breakdown matched by us
- Base
- $509,480
- Bonus
- not reported
- Other
- $3,473
- Deferred
- $134,263
- Nontaxable benefits
- $20,783
- Filer's total
- $667,999
-
TIBOR KOPJAS
PHYSICIAN
- Total calculated
- $665,325
- From this org
- $660,844
- From related orgs
- $0
- Other
- $4,481
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $659,101
- Bonus
- not reported
- Other
- $1,743
- Deferred
- $4,481
- Nontaxable benefits
- not reported
- Filer's total
- $665,325
-
RONALD GOULD
PHYSICIAN
- Total calculated
- $625,902
- From this org
- $623,302
- From related orgs
- $0
- Other
- $2,600
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $603,802
- Bonus
- not reported
- Other
- $19,500
- Deferred
- not reported
- Nontaxable benefits
- $2,600
- Filer's total
- $625,902
-
JOEL FRANCO
PHYSICIAN
- Total calculated
- $616,434
- From this org
- $603,753
- From related orgs
- $0
- Other
- $12,681
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $603,753
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $12,681
- Filer's total
- $616,434
-
MICHAEL MARSHALL
VICE PRESIDENT/CFO
- Total calculated
- $348,383
- From this org
- $296,500
- From related orgs
- $0
- Other
- $51,883
- Hours/week
- 8 + 32 related
Schedule J breakdown matched by us
- Base
- $295,098
- Bonus
- not reported
- Other
- $1,402
- Deferred
- $21,931
- Nontaxable benefits
- $29,952
- Filer's total
- $348,383
-
THOMAS HULSEN
BOARD MEMBER
- Total calculated
- $15,000
- From this org
- $0
- From related orgs
- $15,000
- Other
- $0
- Hours/week
- 0.24 + 0.53 related
-
LAURA BERNAIX PHD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.33 + 0.26 related
-
GREG COFFEY
VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 0.33 + 0.18 related
-
FRANK FLANIGAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.34 + 0.33 related
-
JOSEPH HAGERTY
TREASURER
- Total calculated
- $0
- Hours/week
- 0.37 + 0.22 related
-
DON KASUBKE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.25
-
MARK SHASHEK
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0.37 + 4.33 related
-
JOSEPH SMITH
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.37 + 0.26 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
- 3 · Compensation committee
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 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)
- Part 1, Line 4b
- KEITH PAGE PARTICIPATES IN A SEC. 457(F) PLAN. A CONTRIBUTION IN THE AMOUNT OF $20,488 WAS ACCRUED FOR 2022.
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.
-
501(C)(3) · HOSPITAL · IL · controlled entity
Directly controlled by ANDERSON HC
-
AUXILIARY OF ANDERSON HOSPITAL
501(C)(3) · SUPPORT ORG · IL
Directly controlled by NA
-
501(C)(3) · SUPPORT ORG · IL · controlled entity
Directly controlled by ANDERSON HSP
-
COMMUNITY HOSPITAL OF STAUNTON
501(C)(3) · HOSPITAL · IL · controlled entity
Directly controlled by ANDERSON HC
-
FRIENDS OF COMMUNITY MEMORIAL HOSPITAL
501(C)(3) · FUNDRAISING · IL · controlled entity
Directly controlled by CHS
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333179349304023
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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