Skip to content
Nonprofiteer
← PELLA HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by PELLA HOSPITAL FOUNDATION.

Totals

Total revenue
$1,064,445
Total expenses
$1,319,237
Contributions and grants received
$872,824
Grants paid
$1,267,460
Program service revenue
$0
Investment income
$208,380
Other revenue
-$16,759
Total assets, end of year
$8,013,384
Total liabilities, end of year
$1,003,338
Net assets or fund balances, end of year
$7,010,046
Program services expenses (Part IX)
$1,297,756
Management and general expenses
$21,481
Fundraising expenses
$0
Program service expenses (Part III)
$1,297,756

Program services were 98.4% 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.

  • 1c · Fundraising events

    $91,482

  • 1f · All other contributions, gifts and grants

    $781,342

  • 3 · Investment income

    total $187,036 · excluded $187,036

  • 7a · Gross sales of assets other than inventory

    securities $318,841

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

    securities $297,497

  • 7c · Gain or loss

    securities $21,344

  • 7d · Net gain or loss

    total $21,344 · excluded $21,344

  • 8a · Fundraising events: gross income

    $7,770

  • 8a · Fundraising events: contributions included on line 1c

    $91,482

  • 8b · Fundraising events: direct expenses

    $24,529

  • 8c · Net income from fundraising events

    total -$16,759 · excluded -$16,759

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,206,399 · program services $1,206,399

  • 2 · Grants to domestic individuals

    total $61,061 · program services $61,061

  • 11f · Fees: investment management

    total $21,362 · management and general $21,362

  • 13 · Office expenses

    total $70 · program services $70

  • 24a · Other expenses: PROFESSIONAL FEES

    total $24,000 · program services $24,000

  • 24b · Other expenses: DONOR RECOGNITION EXPEN

    total $6,226 · program services $6,226

  • 24c · Other expenses: BANK FEES

    total $119 · management and general $119

Balance sheet

Part X, book values.

  • 3 · Pledges and grants receivable

    beginning of year $44,222 · end of year $10,000

  • 11 · Investments: publicly traded securities

    beginning of year $5,097,096 · end of year $6,478,020

  • 15 · Other assets

    beginning of year $1,581,217 · end of year $1,525,364

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,073 · end of year $1,003,338

  • 27 · Net assets without donor restrictions

    beginning of year $1,320,370 · end of year $1,266,821

  • 28 · Net assets with donor restrictions

    beginning of year $5,399,092 · end of year $5,743,225

Mission and programs · 2023

Mission

TO SUPPORT PELLA REGIONAL HEALTH CENTER IN ITS MISSION TO PROVIDE HEALTHCARE AND HEALING SERVICES WITH CHRISTIAN COMPASSION

Activities or mission (Part I)

TO SUPPORT PELLA REGIONAL HEALTH CENTER IN ITS MISSION TO PROVIDE HEALTHCARE

  • THE PELLA HOSPITAL FOUNDATION WAS ESTABLISHED IN 1994 TO SUPPORT PELLA REGIONAL HEALTH CENTER IN ITS MISSION TO PROVIDE HEALTHCARE AND HEALING SERVICES WITH CHRISTIAN COMPASSION. WITH OUR STORIED HISTORY, THE STRENGTH AND STABILITY THAT WE HAVE BUILT ENSURES A BRIGHT AND PROMISING LONG-TERM FUTURE, NOT ONLY FOR THE FOUNDATION ITSELF, BUT ALSO FOR THE PEOPLE WE SERVE. FROM SENIORS WHO NEED A LITTLE HELP TO CONTINUE LIVING INDEPENDENTLY, TO NEWBORNS WHO ARE DEPENDENT ON MANY; FROM ADULTS BATTLING CHRONIC DISEASE, TO YOUNGSTERS BENEFITING FROM OUR EDUCATIONAL OFFERINGS, WE STRIVE TO REACH EVERY GENERATION IN EVERY COMMUNITY WE SERVE.SEE SCHEDULE O FOR MORE INFORMATION ABOUT THE LEGACY SOCIETY.THE LEGACY SOCIETY, A SELECT GROUP OF FRIENDS OF THE HOSPITAL, IS GROWING IN MEMBERS. BEGINNING IN 2006, A GROUP OF INDIVIDUALS WHO SHARED A VISION FOR THE HOSPITAL AND ACTIVELY PARTICIPATED FINANCIALLY IN ACHIEVING THIS GOAL WERE RECOGNIZED FOR THEIR SIGNIFICANT CONTRIBUTIONS. IT IS AN EXCITING TIME TO BECOME PART OF THE PELLA REGIONAL LEGACY THAT WILL IMPACT AND LEAD HEALTHCARE IN THE SURROUNDING AREAS FOR MANY YEARS TO COME.

    Expenses $1,297,756 · Grants $1,267,460

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Barb Braafhart

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2
  • Jim Brandl

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2 + 0.5 related
  • Joel Cornilsen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2
  • Kyle Edwards

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0.2
  • Mike Montgomery

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0.2
  • Marilee Sjaardema

    FORMER DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2
  • Larry Van Maanan

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    0.2
  • Mark Van Roekel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.2
  • Dr Elizabeth Wooster Pierson

    DIRECTOR

    Total calculated
    $353,911
    From this org
    $0
    From related orgs
    $301,089
    Other
    $52,822
    Hours/week
    0.2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,089 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $17,949 related
    Nontaxable benefits
    $0 + $34,873 related
    Filer's total
    $0 + $353,911 related
  • Robert Kroese

    CEO, PELLA REGIONAL HEALTH CENTER

    Total calculated
    $480,704
    From this org
    $0
    From related orgs
    $394,431
    Other
    $86,273
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,431 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $59,800 related
    Nontaxable benefits
    $0 + $26,473 related
    Filer's total
    $0 + $480,704 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 4B
THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2023 SPONSORED BY PELLA REGIONAL HEALTH CENTER (HEALTH CENTER), THE SOLE MEMBER OF PELLA HOSPITAL FOUNDATION: ROBERT KROESE. IN JANUARY 2023, A CONTRIBUTION OF $40,000 WAS MADE BY THE HEALTH CENTER ON BEHALF OF THE INDIVIDUAL TO THE PLAN AND IS INCLUDED IN REPORTABLE COMPENSATION IN PART VII AND SCHEDULE J.

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
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202423189349310297

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.