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Nonprofiteer
← PUNXSUTAWNEY AREA HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by PUNXSUTAWNEY AREA HOSPITAL FOUNDATION.

Totals

Total revenue
$379,152
Total expenses
$20,734
Contributions and grants received
$378,105
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$1,047
Total assets, end of year
$234,822
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$234,822
Program services expenses (Part IX)
$9,914
Management and general expenses
$2,787
Fundraising expenses
$8,033
Program service expenses (Part III)
$9,914

Program services were 47.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TIMOTHY CLARK SIMPSON MD

    CHAIR

    Total calculated
    $584,291
    From this org
    $0
    From related orgs
    $561,062
    Other
    $23,229
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $519,957 related
    Bonus
    $0 + $18,605 related
    Other
    $0 + $22,500 related
    Deferred
    $0 + $1,917 related
    Nontaxable benefits
    $0 + $21,312 related
    Filer's total
    $0 + $584,291 related

  • JON JOHNSTON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JOHN G SISK

    SECRETARY/TREASURER

    Total calculated
    $321,803
    From this org
    $0
    From related orgs
    $299,789
    Other
    $22,014
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $255,723 related
    Bonus
    $0 + $21,566 related
    Other
    $0 + $22,500 related
    Deferred
    $0 + $2,195 related
    Nontaxable benefits
    $0 + $19,819 related
    Filer's total
    $0 + $321,803 related

  • FRANK ROBERTS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SAM SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • COURTNEY GRUBE PHAR MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JIM CURTIS CLU

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN A WOLFE

    CEO

    Total calculated
    $933,558
    From this org
    $0
    From related orgs
    $886,903
    Other
    $46,655
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $615,927 related
    Bonus
    $0 + $88,595 related
    Other
    $0 + $182,381 related
    Deferred
    $0 + $26,677 related
    Nontaxable benefits
    $0 + $19,978 related
    Filer's total
    $0 + $933,558 related

  • MICHAEL F ICKOWSKI

    CHIEF FINANCIAL OFFICER

    Total calculated
    $193,547
    From this org
    $0
    From related orgs
    $193,547
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $182,891 related
    Bonus
    $0
    Other
    $0 + $10,656 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $193,547 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
THE CEO'S COMPENSATION IS PAID BY INDIANA REGIONAL MEDICAL CENTER. INDIANA REGIONAL MEDICAL CENTER USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
INDIANA REGIONAL MEDICAL CENTER HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR PRESIDENT & CEO, STEPHEN A. WOLFE. PAY OUTS TO HIM WERE $138,553, AND CONTRIBUTIONS TO THE PLAN WERE $94,502 DURING CALENDAR YEAR 2023. PUNXSUTAWNEY AREA HOSPITAL HAS A SUPPLEMENTAL, NONQUALIFIED RETIREMENT PLAN UNDER IRC SECTION 457(F) FOR DR. KHABBAZ. DURING 2023, $30,000 WAS CONTRIBUTED TO THE PLAN.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
16 April 2025
IRS schema version
2023v6.0
Source object
202521259349301292

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