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← SAINT ALPHONSUS MEDICAL CENTER - NAMPA HEALTH FOUNDATION INC

Form 990 for tax year 2022

Filed by SAINT ALPHONSUS MEDICAL CENTER - NAMPA HEALTH FOUNDATION INC.

Totals

Total revenue
$317,603
Total expenses
$1,420,302
Contributions and grants received
$231,833
Grants paid
$1,413,488
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$1,413,488
Management and general expenses
$4,074
Fundraising expenses
$2,740
Program service expenses (Part III)
$1,413,488

Program services were 99.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • B LANNIE CHECKETTS

    SAHS CFO

    Total calculated
    $624,450
    From this org
    $0
    From related orgs
    $557,478
    Other
    $66,972
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,010 related
    Bonus
    $0 + $97,958 related
    Other
    $0 + $76,510 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $44,097 related
    Filer's total
    $0 + $624,450 related

  • TRAVIS LEACH

    TRUSTEE & SAMC-NAMPA PRES THR 5/23

    Total calculated
    $480,633
    From this org
    $0
    From related orgs
    $381,590
    Other
    $99,043
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,435 related
    Bonus
    $0 + $70,000 related
    Other
    $0 + $47,155 related
    Deferred
    $0 + $63,188 related
    Nontaxable benefits
    $0 + $35,855 related
    Filer's total
    $0 + $480,633 related

  • CLINTON CHILD

    TRUSTEE; SAMC-NAMPA PRES AS OF 5/23

    Total calculated
    $321,205
    From this org
    $0
    From related orgs
    $272,805
    Other
    $48,400
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,178 related
    Bonus
    $0 + $32,748 related
    Other
    $0 + $879 related
    Deferred
    $0 + $16,874 related
    Nontaxable benefits
    $0 + $31,526 related
    Filer's total
    $0 + $321,205 related

  • JAMES GARDNER MD

    TRUSTEE AS OF 7/22

    Total calculated
    $317,861
    From this org
    $0
    From related orgs
    $282,340
    Other
    $35,521
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,171 related
    Bonus
    $0
    Other
    $0 + $1,169 related
    Deferred
    $0 + $17,121 related
    Nontaxable benefits
    $0 + $18,400 related
    Filer's total
    $0 + $317,861 related

  • MARCIE HARPER

    FORMER OFFICER; SARMC VP OF FINANCE

    Total calculated
    $284,704
    From this org
    $0
    From related orgs
    $236,024
    Other
    $48,680
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $203,576 related
    Bonus
    $0 + $32,267 related
    Other
    $0 + $181 related
    Deferred
    $0 + $14,902 related
    Nontaxable benefits
    $0 + $33,778 related
    Filer's total
    $0 + $284,704 related

  • ROBIN NAVERT

    DEVELOPMENT OFFICER

    Total calculated
    $117,066
    From this org
    $0
    From related orgs
    $101,181
    Other
    $15,885
    Hours/week
    40

  • LYNDA CAMPBELL CLARK

    TRUSTEE; GRANT WRITER

    Total calculated
    $2,895
    From this org
    $0
    From related orgs
    $2,895
    Other
    $0
    Hours/week
    1

  • WALLY SANCHEZ

    TRUSTEE;CHAIR AT 1/23; VCHR THR12/22

    Total calculated
    $0
    Hours/week
    1

  • JIM REAMES

    TRUSTEE; CHAIR THROUGH 12/22

    Total calculated
    $0
    Hours/week
    1

  • MARK MICHELS

    TRUSTEE; VCHR AT 1/23; SEC THR 12/22

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER JENSEN

    TRUSTEE; SECRETARY AS OF 1/23

    Total calculated
    $0
    Hours/week
    1

  • JANET ALLCOTT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CHRISTOPHER BATT

    TRUSTEE AS OF 1/23

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM BLACK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • TERESA COINER

    TRUSTEE AS OF 1/23

    Total calculated
    $0
    Hours/week
    1

  • TERRY COLLINS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DAVID FERDINAND

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ERICA HERNANDEZ

    TRUSTEE AS OF 1/23

    Total calculated
    $0
    Hours/week
    1

  • JARED HUNT

    TRUSTEE AS OF 1/23

    Total calculated
    $0
    Hours/week
    1

  • MAT KOSTY

    TRUSTEE AS OF 1/23

    Total calculated
    $0
    Hours/week
    1

  • STAR NIEVES

    TRUSTEE THROUGH 8/22

    Total calculated
    $0
    Hours/week
    1

  • SAMUEL SUMMERS MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BRYAN TAYLOR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ROBERT TIERNEY

    TRUSTEE THROUGH 12/22

    Total calculated
    $0
    Hours/week
    1

  • MARISELA TREJO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RACHEL WALSH

    TRUSTEE

    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

  • 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
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION (THE FOUNDATION) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. THE FOUNDATION'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: B. LANNIE CHECKETTS - $60,838 TRAVIS LEACH - $39,288 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2022 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: TRAVIS LEACH - $44,888

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349306307

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