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 BraafhartBARB BRAAFHART
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.2
-
Jim BrandlJIM BRANDL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.2 + 0.5 related
-
Joel CornilsenJOEL CORNILSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.2
-
Kyle EdwardsKYLE EDWARDS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.2
-
Mike MontgomeryMIKE MONTGOMERY
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.2
-
Marilee SjaardemaMARILEE SJAARDEMA
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.2
-
Larry Van MaananLARRY VAN MAANAN
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.2
-
Mark Van RoekelMARK VAN ROEKEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.2
-
Dr Elizabeth Wooster PiersonDR 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 KroeseROBERT 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
-
$1,176,397
FACILITY IMPROVEMENTS
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.
-
501(C)(3) · HEALTHCARE SERVICES · IA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 12 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423189349310297
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