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Nonprofiteer
← ILLINOIS VALLEY COMMUNITY HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by ILLINOIS VALLEY COMMUNITY HOSPITAL FOUNDATION.

Totals

Total revenue
$153,354
Total expenses
$3,001,920
Contributions and grants received
$21,025
Grants paid
$2,999,388
Program service revenue
$0
Investment income
$132,329
Other revenue
$0
Total assets, end of year
$313,782
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$313,782
Program services expenses (Part IX)
$2,999,388
Management and general expenses
$2,532
Fundraising expenses
$0
Program service expenses (Part III)
$2,999,388

Program services were 99.9% 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.

  • 1f · All other contributions, gifts and grants

    $21,025

  • 3 · Investment income

    total $35,699 · excluded $35,699

  • 7a · Gross sales of assets other than inventory

    securities $96,630

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $96,630

  • 7d · Net gain or loss

    total $96,630 · excluded $96,630

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,999,388 · program services $2,999,388

  • 11c · Fees: accounting

    total $2,500 · management and general $2,500

  • 24e · All other expenses

    total $32 · management and general $32

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $120,125 · end of year $44,282

  • 10a · Land, buildings and equipment: cost or other basis

    $25,459

  • 10b · Land, buildings and equipment: accumulated depreciation

    $25,459

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $2,995,384 · end of year $269,500

  • 25 · Other liabilities

    beginning of year $89,755 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $2,292,889 · end of year $33,532

  • 28 · Net assets with donor restrictions

    beginning of year $732,865 · end of year $280,250

Mission and programs · 2022

Mission

None

Activities or mission (Part I)

Provide financial support for St. Margaret's Health - Peru and its related health services.

  • The Illinois Valley Community Hospital Foundation's goal is to raise funds where they're needed most. Gifts create a lasting impact for the community by helping to continually improve St. Margaret's Health - Peru's hospital and clinics, as well as provide the dedicated physicians and nurses with progressive technology and equipment needed to continually deliver extraordinary care. The Foundation also helps reimburse for some of the hundreds of thousands of dollars of uncompensated medical care the hospital delivers each year.

    Expenses $2,999,388 · Grants $2,999,388

As filed on the 2022 return.

Listed in Part VII

  • Timothy A Muntz

    Chair/President & CEO

    Total calculated
    $631,246
    From this org
    $0
    From related orgs
    $575,673
    Other
    $55,573
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $484,000 related
    Bonus
    $0 + $48,258 related
    Other
    $0 + $43,415 related
    Deferred
    $0 + $30,499 related
    Nontaxable benefits
    $0 + $27,405 related
    Filer's total
    $0 + $633,577 related

  • Lisa Lynch

    VP Finance

    Total calculated
    $263,676
    From this org
    $0
    From related orgs
    $237,738
    Other
    $25,938
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $237,738 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $9,030 related
    Nontaxable benefits
    $0 + $21,581 related
    Filer's total
    $0 + $268,349 related

  • Kim Santman

    Director

    Total calculated
    $139,452
    From this org
    $0
    From related orgs
    $132,575
    Other
    $6,877
    Hours/week
    1

  • Tommy Hobbs

    Former VP Operations

    Total calculated
    $332,060
    From this org
    $0
    From related orgs
    $284,242
    Other
    $47,818
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $246,742 related
    Bonus
    $0 + $31,500 related
    Other
    $0 + $6,000 related
    Deferred
    $0 + $25,020 related
    Nontaxable benefits
    $0 + $24,342 related
    Filer's total
    $0 + $333,604 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)

Part I, Line 3
Illinois Valley Community Hospital Foundation does not pay compensation to the President & CEO. This individual is compensated by Sisters of Mary of the Presentation Health System, a related organization, for services to a related hospital. Sisters of Mary of the Presentation Health System uses one or more of the methods on Part I, question 3 to determine compensation.
Part I, Line 4b
SMP Health has a nonqualified deferred compensation plan that complies with Section 409A of the IRC. SMP Health begins contributions into the plan after the employee's first year of service. The employee is vested based on a 20 year vesting schedule or becomes fully vested in the event of death, disability or reaching the age of 65. Employee name and amounts included on Schedule J are as follows: Name Part II, column B (iii) Part II, column (c) Timothy A. Muntz 37,415 Tommy Hobbs 11,298

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

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.

  • Valley Health Enterprises Inc

    C · Home medical equipment · IL

  • SMP Enterprises

    C · Collection Agency · ND

  • Illinois Valley Health Services Inc

    C · Inative · IL

  • IVCH General Professional Liab Loss Fund

    T · Inactive · IL

  • Health Care Building Corp

    C · Inactive · IL

Provenance

Return type
form_990
Tax year
2022
Filed
9 July 2024
IRS schema version
2022v5.0
Source object
202411999349300006

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