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ANDERSON HOSPITAL FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ANDERSON HOSPITAL FOUNDATION (EIN 27-4548522)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202433199349316013
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T16:47:09-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1475 REGENCY PARK SUITE 175AddressLine1Txt
CityOFALLONCityNm
State AbbreviationILStateAbbreviationCd
ZIP62269ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274548522EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANDEBusinessNameControlTxt
Phone6183916400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16800 STATE ROUTE 162AddressLine1Txt
CityMARYVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP62062ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPATRICK J GARVEY CPAPersonNm
Person TitleCFOPersonTitleTxt
Phone6183916421PhoneNum
Signature2024-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF PARKERPreparerPersonNm
PTINP00970069PTIN
Phone6182331200PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEITH PAGEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16800 STATE ROUTE 162AddressLine1Txt
CityMARYVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP62062ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$794,994GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ANDERSONHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE FOUNDATION ESTABLISHES LONGEVITY OF A DONOR GIFT THROUGH DONATIONS FOR INVESTMENTS, PLANNED GIVING, GRANTS, MEMORIALS, BEQUESTS, NAMING RIGHTS, AND CAMPAIGNSActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$392,135PYContributionsGrantsAmt
CY Contributions Grants$483,060CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$152,879PYInvestmentIncomeAmt
CY Investment Income$249,468CYInvestmentIncomeAmt
PY Other Revenue-$80,086PYOtherRevenueAmt
CY Other Revenue-$104,061CYOtherRevenueAmt
PY Total Revenue$464,928PYTotalRevenueAmt
CY Total Revenue$628,467CYTotalRevenueAmt
PY Grants And Similar Paid$333,333PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$150,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$117,096PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$109,969CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$150,677CYTotalFundraisingExpenseAmt
PY Other Expenses$90,072PYOtherExpensesAmt
CY Other Expenses$41,003CYOtherExpensesAmt
PY Total Expenses$540,501PYTotalExpensesAmt
CY Total Expenses$300,972CYTotalExpensesAmt
PY Revenues Less Expenses-$75,573PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$327,495CYRevenuesLessExpensesAmt
Total Assets BOY$7,167,356TotalAssetsBOYAmt
Total Assets EOY$8,347,676TotalAssetsEOYAmt
Total Liabilities BOY$51,684TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,066TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,115,672NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,281,610NetAssetsOrFundBalancesEOYAmt
MissionANDERSON HOSPITAL FOUNDATION PROVIDES FUNDING FOR ANDERSON HOSPITAL CAPITAL IMPROVEMENTS TO ADDRESS EXCELLENCE IN HEALTHCARE AND WELLNESS SERVICES IN PARTNERSHIP WITH THE COMMUNITIES IT SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$150,000ExpenseAmt
Grant$150,000GrantAmt
Revenue$0RevenueAmt
DescTHE ORGANIZATION UNDERTAKES VARIOUS FUNDRAISING CAMPAIGNS AND SPECIAL EVENTS TO RAISE FUNDS TO SUPPORT THE HEALTH CARE ACTIVITIES OF ANDERSON HOSPITAL.Desc
Total Program Service Expenses$150,000TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATRICK J GARVEY CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6183916421PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16800 STATE ROUTE 162AddressLine1Txt
CityMARYVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP62062ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KEITH PAGE
DIRECTOR5.0038.75Yes (X)$0$560,441$110,100
MICHAEL MARSHALL
TREASURER5.0038.75Yes (X)$0$327,905$52,419Yes (X)
MAX EAKIN
CO-CHAIR4.000.25Yes (X)$0$0$0Yes (X)
JASON WEISS
CO-CHAIR4.000.00Yes (X)$0$0$0Yes (X)
JOANN BARTON
DIRECTOR4.000.00Yes (X)$0$0$0
CORY DARR
DIRECTOR (FROM 11/2023)4.000.00Yes (X)$0$0$0
JASON GEMINN
DIRECTOR4.000.00Yes (X)$0$0$0
NANCY SANDERS LEAVAULT
DIRECTOR4.000.00Yes (X)$0$0$0
JOSEPH NEWMAN
DIRECTOR4.000.00Yes (X)$0$0$0
LENDELL PHELPS
DIRECTOR4.000.25Yes (X)$0$0$0
MARK SHASHEK
SECRETARY4.001.00Yes (X)$0$0$0Yes (X)
JEFF WESTERHOLD
DIRECTOR4.000.00Yes (X)$0$0$0
PATRICK GARVEY
ANDERSON HEALTHCARE CFO0.2538.75$0$103,223$5,991Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$991,569TotReportableCompRltdOrgAmt
Total Other Compensation$168,510TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$253,733FundraisingAmt
All Other Contributions$229,327AllOtherContributionsAmt
Total Contributions$483,060TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,269TotalRevenueColumnAmt
Exclusion$184,269ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$65,199SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$65,199SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,199TotalRevenueColumnAmt
Exclusion$65,199ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$62,466FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$253,733ContriRptFundraisingEventAmt
Fundraising Direct Expenses$166,527FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$104,061TotalRevenueColumnAmt
Exclusion-$104,061ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$628,467TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$145,407ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$150,000TotalAmt
Program Services$150,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$88,673TotalAmt
Fundraising$88,673FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,296TotalAmt
Fundraising$21,296FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$20,296TotalAmt
Fundraising$20,296FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,968TotalAmt
Fundraising$9,968FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$295TotalAmt
Management And General$295ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,324TotalAmt
Fundraising$2,324FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
OTHER EXPENSES$7,377$7,377
DUES & SUBSCRIPTIONS$743$743

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$300,972TotalAmt
Program Services$150,000ProgramServicesAmt
Management And General$295ManagementAndGeneralAmt
Fundraising$150,677FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,987BOYAmt
EOY$173,013EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,781BOYAmt
EOY$1,180EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,107,588BOYAmt
EOY$8,173,483EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,167,356BOYAmt
EOY$8,347,676EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,574BOYAmt
EOY$22,011EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,110BOYAmt
EOY$44,055EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,684BOYAmt
EOY$66,066EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,115,672BOYAmt
EOY$8,281,610EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,115,672BOYAmt
EOY$8,281,610EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,167,356BOYAmt
EOY$8,347,676EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$327,495ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$838,443NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$347,649CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$230,104CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$386,748CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$392,135CurrentTaxYearMinus1YearAmt
Current Tax Year$483,060CurrentTaxYearAmt
Total$1,839,696TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$347,649CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$230,104CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$386,748CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$392,135CurrentTaxYearMinus1YearAmt
Current Tax Year$483,060CurrentTaxYearAmt
Total$1,839,696TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$299,186SubstantialContributorsTotAmt
Public Support Total170$1,540,510PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163,597CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$140,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$146,124CurrentTaxYearMinus1YearAmt
Current Tax Year$184,269CurrentTaxYearAmt
Total$761,267TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$112,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,539CurrentTaxYearMinus3YearsAmt
Total$142,655TotalAmt
FieldValueIRS element (for citing)
Total Support$2,743,618TotalSupportAmt
Gross Receipts Rltd Activities$62,466GrossReceiptsRltdActivitiesAmt
Public Support CY1700.56150PublicSupportCY170Pct
Public Support PY1700.48810PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO ANDERSON HOSPITALDesc
Amt$44,055Amt
FieldValueIRS element (for citing)
Total Liability$44,055TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$200,969GrossReceiptsEvent1Amt
Charitable Contri Event1$171,977CharitableContriEvent1Amt
Gross Revenue Event1$28,992GrossRevenueEvent1Amt
Rent Facility Costs Event1$77,011RentFacilityCostsEvent1Amt
Food And Beverage Event1$3,635FoodAndBeverageEvent1Amt
Entertainment Event1$18,200EntertainmentEvent1Amt
Other Direct Expenses Event1$24,826OtherDirectExpensesEvent1Amt
Event2TRAPEvent2Nm
Gross Receipts Event2$70,295GrossReceiptsEvent2Amt
Charitable Contri Event2$52,595CharitableContriEvent2Amt
Gross Revenue Event2$17,700GrossRevenueEvent2Amt
Non Cash Prizes Event2$2,980NonCashPrizesEvent2Amt
Rent Facility Costs Event2$14,255RentFacilityCostsEvent2Amt
Food And Beverage Event2$48FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$703OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$44,935GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$29,161CharitableContriOtherEventsAmt
Gross Revenue Other Events$15,774GrossRevenueOtherEventsAmt
Cash Prizes Other Events$3,025CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$3,584NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$6,800RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$10,825FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$635OthDirectExpnssOtherEventsAmt
Gross Receipts Total$316,199GrossReceiptsTotalAmt
Charitable Contributions Tot$253,733CharitableContributionsTotAmt
Gross Revenue Total Events$62,466GrossRevenueTotalEventsAmt
Cash Prizes Total Events$3,025CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$6,564NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$98,066RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,508FoodAndBeverageTotalEventsAmt
Entertainment Total Events$18,200EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$26,164OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$166,527DirectExpenseSummaryEventsAmt
Net Income Summary-$104,061NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16800 STATE ROUTE 162AddressLine1Txt
CityMARYVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP62062ZIPCd
FieldValueIRS element (for citing)
Recipient EIN370662561RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$150,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantHEALTHCARE PROGRAMSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ONLY MAKES GRANTS TO A RELATED ORGANIZATION FOR PRE-APPROVED HEALTHCARE PROGRAMS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEITH PAGE
DIRECTOR$0$552,284$0$0$0$8,157$0$89,703$0$20,397$0$670,541$0$0
MICHAEL MARSHALL
TREASURER$0$322,019$0$0$0$5,886$0$23,000$0$29,419$0$380,324$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY ANDERSON HOSPITAL, A RELATED ENTITY.
PART I, LINE 4BNAME: KEITH PAGE, DESCRIPTION: 2023 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $9,515. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION NAME: MICHAEL MARSHALL, DESCRIPTION: 2023 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $12,975. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE BYLAWS OF THE ORGANIZATION WERE AMENDED ON MARCH 15, 2018, TO NAME ANDERSON HOSPITAL AS THE SOLE MEMBER OF THE FOUNDATION. ANDERSON HOSPITAL APPOINTS THE DIRECTORS OF THE ORGANIZATION AND APPROVES SIGNIFICANT DECISIONS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7AANDERSON HOSPITAL HAS THE RIGHT TO APPOINT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AND TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO ANDERSON HOSPITAL, THE SOLE CORPORATE MEMBER: REVISIONS TO THE MISSION AND VALUES OF THE FOUNDATION; AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE FOUNDATION, AND ORGANIZING DOCUMENTS OF ANY AFFILIATE OF THE FOUNDATION; APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; APPROVAL OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES; APPROVAL OF ALL BUDGETS; APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF $25,000; APPROVAL OF THE ASSIGNMENT, TRANSFER OR SALE OF ANY ASSETS IN EXCESS OF $25,000; APPROVAL OF THE LEASE ON ANY OF THE ASSETS OF THE FOUNDATION IN EXCESS OF $25,000; AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT, GRANT OF SECURITY, INTEREST, ENCUMBRANCES OR COVENANTS; APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION; APPROVAL OF THE AFFILIATION WITH ANOTHER HOSPIAL OR HEALTH CARE FACILITY OR SYSTEM; APPRIVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF ANOTHER ORGANIZATION; APPROVAL OF DECISIONS TO INDEMNIFY AN INDIVIDUAL.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE CEO AND THE CFO OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE COMPLIANCE OFFICER REVIEWS AND MONITORS THE POLICY ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COMMUNITY HOSPITAL OF STAUNTON
400 N CALDWELLSTAUNTONIL62088370624255HEALTHCAREIL501(C)(3)LINE 3ANDERSON HEALTHCARE0
ANDERSON HOSPITAL
ILLINOIS ROUTE 162MARYVILLEIL62062370662561HEALTHCAREIL501(C)(3)LINE 3ANDERSON HEALTHCARE0
ANDERSON HEALTHCARE
6800 STATE ROUTE 162MARYVILLEIL62062843965822HEALTHCAREIL501(C)(3)LINE 12C, III-FI0N/A
FRIENDS OF COMMUNITY MEMORIAL HOSPITAL
400 N CALDWELLSTAUNTONIL62088363913722FUNDRAISINGIL501(C)(3)LINE 10COMMUNITY HOSPITAL OF STAUNTON0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ANDERSON SURGERY CENTER LLC 83
6800 STATE ROUTE 162MARYVILLEIL62062834200085SURGERYILANDERSON HOSPITALN/A00
ANDERSON REHABILITATION INSTITUTE LLC
6800 STATE ROUTE 162MARYVILLEIL62062832844780REHABILANDERSON HOSPITALN/A00
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd