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Nonprofiteer
← ST AGNES HOSPITAL FOUNDATION INC

Form 990 for tax year 2022

Filed by ST AGNES HOSPITAL FOUNDATION INC.

Totals

Total revenue
$2,332,572
Total expenses
$2,038,364
Contributions and grants received
$1,714,726
Grants paid
$1,068,043
Program service revenue
$0
Investment income
$617,846
Other revenue
$0
Total assets, end of year
$25,252,434
Total liabilities, end of year
$62,273
Net assets or fund balances, end of year
$25,190,161
Program services expenses (Part IX)
$1,128,189
Management and general expenses
$216,046
Fundraising expenses
$694,129
Program service expenses (Part III)
$1,128,189

Program services were 55.3% 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.

  • 1d · Related organizations

    $857,165

  • 1f · All other contributions, gifts and grants

    $857,561

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $370,879 · excluded $370,879

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $3,105,153

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

    securities $2,858,186

  • 7c · Gain or loss

    securities $246,967 · other assets $0

  • 7d · Net gain or loss

    total $246,967 · excluded $246,967

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,068,043 · program services $1,068,043

  • 11d · Fees: lobbying

    total $20,700 · management and general $20,700

  • 11f · Fees: investment management

    total $161,891 · management and general $161,891

  • 11g · Fees: other

    total $67,269 · program services $0 · management and general $0 · fundraising $67,269

  • 12 · Advertising and promotion

    total $86,497 · fundraising $86,497

  • 13 · Office expenses

    total $15,311 · program services $294 · management and general $1,697 · fundraising $13,320

  • 17 · Travel

    total $13,572 · fundraising $13,572

  • 19 · Conferences, conventions and meetings

    total $1,350 · management and general $1,350

  • 22 · Depreciation, depletion and amortization

    total $5,403 · program services $540 · management and general $270 · fundraising $4,593

  • 24a · Other expenses: WAGE & BENEFIT ALLOCATION

    total $591,129 · program services $59,113 · management and general $29,556 · fundraising $502,460

  • 24b · Other expenses: FUNDRAISING ACTIVITIES

    total $4,728 · fundraising $4,728

  • 24c · Other expenses: OTHER NON MEDICAL SUPPLIES

    total $1,452 · program services $145 · management and general $73 · fundraising $1,234

  • 24d · Other expenses: BOOKS & SUBSCRIPTIONS

    total $537 · program services $54 · management and general $27 · fundraising $456

  • 24e · All other expenses

    total $482 · program services $0 · management and general $482 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $2,799,802 · end of year $2,314,089

  • 3 · Pledges and grants receivable

    beginning of year $102,986 · end of year $221,157

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

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

    $65,658

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

    $29,268

  • 10c · Land, buildings and equipment, net

    beginning of year $41,793 · end of year $36,390

  • 11 · Investments: publicly traded securities

    beginning of year $20,013,420 · end of year $22,533,895

  • 12 · Investments: other securities

    beginning of year $1,361,093

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $182,098 · end of year $146,903

  • 17 · Accounts payable and accrued expenses

    beginning of year $127,757 · end of year $62,273

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $19,594,709 · end of year $20,525,241

  • 28 · Net assets with donor restrictions

    beginning of year $4,778,726 · end of year $4,664,920

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

THE ASCENSION ST. AGNES FOUNDATION IS IN LOCK STEP WITH THE ASCENSION HEALTH'S OVERALL MISSION: ROOTED IN THE LOVING MINISTRY OF JESUS AS A HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE LIVING IN POVERTY AND THE VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. THE FOUNDATION ENSURES THIS MISSION IS MET EACH AND EVERY DAY THROUGH THE SUPPORT OF VARIOUS PHILANTHROPIC PARTNERS.

Activities or mission (Part I)

TO ACTIVELY SEEK AND INVEST CHARITABLE SUPPORT FOR ST. AGNES HEALTHCARE, SO THAT THEY MAY IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES THEY SERVE.

  • THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. WITH THE SUPPORT OF GENEROUS PHILANTHROPIC PARTNERS, WHETHER A GRATEFUL PATIENT, BOARD MEMBER, CLINICIAN, OR EMPLOYEE, ASCENSION SAINT AGNES WILL CONTINUE TO CHANGE THE LIVES OF THOSE WE SERVE BECAUSE OF YOUR SUPPORT. IN PARTNERSHIP WITH OUR PHILANTHROPIC INVESTORS, THE ASCENSION SAINT AGNES FOUNDATION PROVIDED FUNDING TO SUPPORT VARIOUS INITIATIVES WITHIN SUCH AS CREATING A MOBILE UNIT CARE DELIVERY SYSTEM TO PROVIDE HEALTH SERVICES TO THE MOST VULNERABLE IN OUR COMMUNITY WHO HAVE NO OR LIMITED ACCESS TO CARE. IN ADDITION, THE FOUNDATION FUNDS PATIENT NAVIGATIONAL SERVICES, COMMUNITY-BASED SERVICES AND PROGRAMS, CLINICAL TRAINING, AND ROBUST PERFORMANCE IMPROVEMENT, FACILITIES AND EQUIPMENT EFFORTS TO INCLUDE THE BUILD OUT OF A BRAND NEW FAMILY BIRTHING CENTER THAT WILL BEGIN TO SEE PATIENTS IN 2026. UNDERSTANDING THE MANY ASPECTS OF LIFE THAT IMPACT ONE'S HEALTH, SAINT AGNES AND THE FOUNDATION ARE COMMITTED TO IMPROVING THE OVERALL WELL-BEING OF THE COMMUNITIES AND PEOPLE WE ARE SO PRIVILEGED TO SERVE.

    Expenses $1,128,189 · Grants $1,068,043

As filed on the 2022 return.

Listed in Part VII

  • EDWARD R LOVERN

    EX-OFFICIO/PRESIDENT & CEO, ASCENSION SAINT AGNES HEALTHCARE (END 5/2023)

    Total calculated
    $825,787
    From this org
    $0
    From related orgs
    $779,035
    Other
    $46,752
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $549,622 related
    Bonus
    $0 + $165,000 related
    Other
    $0 + $64,413 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $28,452 related
    Filer's total
    $0 + $825,787 related

  • MARY BEHRENS MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MITCHELL G LOMAX

    CFO, MINISTRY MARKET

    Total calculated
    $441,354
    From this org
    $0
    From related orgs
    $394,082
    Other
    $47,272
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,708 related
    Bonus
    $0 + $91,800 related
    Other
    $0 + $1,574 related
    Deferred
    $0 + $18,725 related
    Nontaxable benefits
    $0 + $28,547 related
    Filer's total
    $0 + $441,354 related

  • PATRICK V TROTTA CPA CHC

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • RALPH SAPIA ESQ

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM B HIGGINBOTHAM

    INTERIM MINISTRY MARKET PRESIDENT (START 5/2023)

    Total calculated
    $430,586
    From this org
    $0
    From related orgs
    $385,142
    Other
    $45,444
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $318,477 related
    Bonus
    $0 + $65,000 related
    Other
    $0 + $1,665 related
    Deferred
    $0 + $18,475 related
    Nontaxable benefits
    $0 + $26,969 related
    Filer's total
    $0 + $430,586 related

  • CASSANDRA STEVENSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • EUGENE DELARA PHARMD MBA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GREGORY KIRBY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN SINGER MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KATIE COUNSELMAN CAPLE CPCU ARM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KRISTEN FERNANDEZ MD

    DIRECTOR

    Total calculated
    $454,533
    From this org
    $0
    From related orgs
    $416,886
    Other
    $37,647
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $413,115 related
    Bonus
    $0
    Other
    $0 + $3,771 related
    Deferred
    $0 + $7,625 related
    Nontaxable benefits
    $0 + $30,022 related
    Filer's total
    $0 + $454,533 related

  • SAM SYDNEY MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN M SCHAEFER ESQ

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TABITHA ATKINS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SCOTT M FURNISS

    FORMER OFFICER (END 1/2020)

    Total calculated
    $465,588
    From this org
    $0
    From related orgs
    $420,701
    Other
    $44,887
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,301 related
    Bonus
    $0 + $97,500 related
    Other
    $0 + $5,900 related
    Deferred
    $0 + $17,747 related
    Nontaxable benefits
    $0 + $27,140 related
    Filer's total
    $0 + $465,588 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
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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 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
8 May 2024
IRS schema version
2022v5.0
Source object
202411299349302886

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