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Nonprofit · EIN 31-1072162

WITHAM MEMORIAL HOSPITAL FOUNDATION INC

Tax-exempt · LEBANON, IN 46052

Financials

$364K$252K2023$375K$617K2024
Revenue Expenses · by fiscal year end
Financials of WITHAM MEMORIAL HOSPITAL FOUNDATION INC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
December 31, 2024990$374,783$616,739-$241,956$7,688,222$36,434$7,651,788
December 31, 2023990$363,533$252,365$111,168$7,393,629$18,751$7,374,878
Financial details: 990 for the year ended December 31, 2024

Revenue

Contributions, gifts and grants
$372,162
Membership dues
$59,854
Program service revenue
$0
Investment income
$72,286
Net income from fundraising events
-$71,080
Other revenue
-$69,665

Expenses

Grants and similar amounts paid
$477,418
Salaries, compensation and benefits (total)
$0
Professional fundraising fees
$0
Accounting fees
$23,250
Program services (functional)
$552,418
Management and general (functional)
$29,405
Fundraising (functional)
$34,916

Balance sheet and other

Total assets, start of year
$7,393,629
Total assets, end of year
$7,688,222
Total liabilities, end of year
$36,434
Net assets, end of year
$7,651,788
Publicly traded securities
$3,899,195
Net assets without donor restrictions
$6,518,454
Net assets with donor restrictions
$1,133,334
Gross receipts
$454,247
Employees
0
Volunteers
29
Year formed
1983
State of legal domicile
IN

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended December 31, 2024, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
DR MARK JANICKIVICE PRESIDENT
Trustee or director, Officer
2$0$240,395$34,313
MICHAEL HORNBECKER MDFORMER BOARD MEMBER
Former
2$0$211,379$0
CARI ANN GUENTHERFOUNDATION COORDINATOR
Officer
40$0$60,030$34,787
ARCH HAWKINSBOARD MEMBER
Trustee or director
2$0$6,000$0
BRETT BAYSTONBOARD MEMBER
Trustee or director
2$0$6,000$0
HONORABLE REBECCA MCCLUREPRESIDENT
Trustee or director, Officer
2$0$0$0
KELLY PETITTREASURER
Trustee or director, Officer
2$0$0$0
RUSSELL ROBERTSSECRETARY
Trustee or director, Officer
2$0$0$0
JOHN GARBER MDBOARD MEMBER
Trustee or director
2$0$0$0
ALLYSON GUTWEINBOARD MEMBER
Trustee or director
2$0$0$0
JOE LEPAGEBOARD MEMBER
Trustee or director
2$0$0$0
KRISTI REYNOLDSBOARD MEMBER
Trustee or director
2$0$0$0
ERIN BREWSTERBOARD MEMBER
Trustee or director
2$0$0$0
NEIL TAYLORBOARD MEMBER
Trustee or director
2$0$0$0
PT BUNTIN MDVICE PRESIDENT PARTIAL TERM
Trustee or director, Officer
2$0$0$0
3 more people on this return
NameTitleHours / weekCompensation
JACK JONESBOARD MEMBER PARTIAL TERM
Trustee or director
2$0
GARY LANPHERBOARD MEMBER PARTIAL TERM
Trustee or director
2$0
TODD BYRDBOARD MEMBER PARTIAL TERM
Trustee or director
2$0
990 for the year ended December 31, 2023: 15 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
MICHAEL HORNBECKER MDBOARD MEMBER
Trustee or director
2$0$378,059$0
DR MARK JANICKIBOARD MEMBER
Trustee or director
2$0$240,495$32,772
CARI ANN GUENTHERFOUNDATION COORDINATOR
Officer
40$0$56,362$21,082
HONORABLE REBECCA MCCLUREPRESIDENT
Trustee or director, Officer
2$0$0$0
PT BUNTIN MDVICE PRESIDENT
Trustee or director, Officer
2$0$0$0
KELLY PETITTREASURER
Trustee or director, Officer
2$0$0$0
RUSSELL ROBERTSSECRETARY
Trustee or director, Officer
2$0$0$0
TODD BYRDBOARD MEMBER
Trustee or director
2$0$0$0
JOHN GARBER MDBOARD MEMBER
Trustee or director
2$0$0$0
ALLYSON GUTWEINBOARD MEMBER
Trustee or director
2$0$0$0
ARCH HAWKINSBOARD MEMBER
Trustee or director
2$0$0$0
JACK JONESBOARD MEMBER
Trustee or director
2$0$0$0
GARY LANPHERBOARD MEMBER
Trustee or director
2$0$0$0
JOE LEPAGEBOARD MEMBER
Trustee or director
2$0$0$0
KRISTI REYNOLDSBOARD MEMBER
Trustee or director
2$0$0$0

Address and contacts

Address (IRS master file)
2705 NORTH LEBANON STREET, LEBANON, IN 46052-8621
Principal officer (990 for 2024)
CARI ANN GUENTHER, 2705 NORTH LEBANON STREET, LEBANON, IN 460523005
Signed the 990
CARI ANN GUENTHER, FOUNDATION COORDINATOR
Phone
(765) 485-8100
Return prepared by
BLUE & CO LLC

Mission

WITHAM HEALTH SERVICES FOUNDATION IS DEDICATED TO THE HOSPITAL'S QUEST FOR QUALITY CARE. THROUGH FUND DEVELOPMENT, AMBASSADORSHIP AND EDUCATION, WE WILL ASSIST THE HOSPITAL IN MAINTAINING ITS FINANCIAL GROWTH.

990 for the year ended December 31, 2024

Program accomplishments

  • SUPPORT PROVIDED FOR PROGRAMS AT WITHAM HEALTH SERVICES.
    Expenses $527,110 · grants $452,110
  • MEDICAL AND NONMEDICAL PROFESSIONAL LOANS AND SCHOLARSHIPS
    Expenses $25,308 · grants $25,308

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025December 31, 2025May 15, 2026Not on file
2024December 31, 2024May 15, 2025990 on file
2023December 31, 2023May 15, 2024990 on file

IRS record

EIN
31-1072162
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Supporting organization (509(a)(3))
Donations deductible (Pub 78)
Supporting organization of unknown type
Exempt since
1983
Accounting year ends
December
Files
Form 990 or 990-EZ
Assets (IRS master file)
$7,688,222
Income (IRS master file)
$454,247

Filing history

FormYear endedRevenueExpensesAssetsReturn
990December 2024$374,783$616,739$7,688,222IRS
990December 2023$363,533$252,365$7,393,629XML
990December 2022$265,867$186,806$6,735,479IRS
990December 2021–––IRS
990December 2020–––IRS
990December 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 31-1072162).

Questions about WITHAM MEMORIAL HOSPITAL FOUNDATION INC

What is the EIN of WITHAM MEMORIAL HOSPITAL FOUNDATION INC?
The employer identification number (EIN) of WITHAM MEMORIAL HOSPITAL FOUNDATION INC is 31-1072162.
Is WITHAM MEMORIAL HOSPITAL FOUNDATION INC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1983.
Are donations to WITHAM MEMORIAL HOSPITAL FOUNDATION INC tax-deductible?
Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
Which annual return does WITHAM MEMORIAL HOSPITAL FOUNDATION INC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of WITHAM MEMORIAL HOSPITAL FOUNDATION INC due?
The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did WITHAM MEMORIAL HOSPITAL FOUNDATION INC last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended December 2024.
Who is the principal officer of WITHAM MEMORIAL HOSPITAL FOUNDATION INC?
The 990 for the year ended December 31, 2024 names CARI ANN GUENTHER.
Who are the officers and directors of WITHAM MEMORIAL HOSPITAL FOUNDATION INC?
The 990 for the year ended December 31, 2024 lists 18 people; 0 received compensation from the organization.
How much revenue does WITHAM MEMORIAL HOSPITAL FOUNDATION INC have?
On its 990 for the year ended December 31, 2024 it reported revenue of $374,783, expenses of $616,739 and total assets of $7,688,222 at year end.

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