Skip to content
Nonprofiteer
← MORRIS HOSITAL AUXILIARY

Form 990 for tax year 2023

Filed by MORRIS HOSITAL AUXILIARY.

Totals

Total revenue
$222,711
Total expenses
$220,084
Contributions and grants received
$179,431
Grants paid
$210,000
Program service revenue
$0
Investment income
$0
Other revenue
$43,280
Total assets, end of year
$73,835
Total liabilities, end of year
$3,154
Net assets or fund balances, end of year
$70,681
Program services expenses (Part IX)
$210,000
Management and general expenses
$10,084
Fundraising expenses
$0
Program service expenses (Part III)
$210,000

Program services were 95.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CATHY BERGSTROM

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • RODNEY ENGSTROM

    VICE PRESIDENT/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • ANN MARIE STRUCK

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DEBBIE BOLS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RUTH BRISCOE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DIANE D'ARCY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PETER FLEMING

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TAYLOR NARVICK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MICHELLE PRUIM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MIKE PFAFF

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR JOHN B ROTH JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KATHLEEN STOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CHERYL TESDAL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DEAN WOLFER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • THOMAS DOHM

    PRESIDENT/CEO

    Total calculated
    $691,914
    From this org
    $0
    From related orgs
    $641,907
    Other
    $50,007
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $440,040 related
    Bonus
    $0 + $87,031 related
    Other
    $0 + $114,836 related
    Deferred
    $0 + $14,770 related
    Nontaxable benefits
    $0 + $35,237 related
    Filer's total
    $0 + $691,914 related

  • MICHAEL LAWRENCE

    CFO

    Total calculated
    $468,660
    From this org
    $0
    From related orgs
    $435,437
    Other
    $33,223
    Hours/week
    0.5 + 40.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,368 related
    Bonus
    $0 + $46,763 related
    Other
    $0 + $71,306 related
    Deferred
    $0 + $6,961 related
    Nontaxable benefits
    $0 + $26,262 related
    Filer's total
    $0 + $468,660 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 3
ALL THE AUXILIARY PERSONNEL ARE EMPLOYEES OF A RELATED ORGANIZATION, MORRIS HOSPITAL. THE COMPENSATION POLICIES AND PROCEDURES FOR AUXILIARY PERSONNEL ARE DETERMINED BY MORRIS HOSPITAL. SEE MORRIS HOSPITAL 990 SCHEDULE J FOR MORE INFORMATION.
PART I, LINE 4B
MORRIS HOSPITAL PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR CERTAIN EXECUTIVES AND PHYSICIANS. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN: - THOMAS DOHM - MICHAEL LAWRENCE

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
202413199349313981

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.