Totals
- Total revenue
- $358,000
- Total expenses
- $31,117
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $349,616
- Other revenue
- $8,384
- Total assets, end of year
- $12,952,939
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $12,952,939
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $31,117
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% 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.
-
3 · Investment income
total $312,466 · excluded $312,466
-
7a · Gross sales of assets other than inventory
securities $607,452
-
7b · Less cost or other basis and sales expenses
securities $570,302
-
7c · Gain or loss
securities $37,150
-
7d · Net gain or loss
total $37,150 · excluded $37,150
-
11a · Other revenue: FERRELLGAS PARTNERS K-
total $8,384 · unrelated business $8,384
-
11e · Other revenue, total
$8,384
Functional expenses
Part IX, the statement of functional expenses.
-
11f · Fees: investment management
total $31,117 · management and general $31,117
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $30,498 · end of year $41,180
-
11 · Investments: publicly traded securities
beginning of year $11,485,840 · end of year $12,904,843
-
15 · Other assets
beginning of year $6,930 · end of year $6,916
-
27 · Net assets without donor restrictions
beginning of year $11,523,268 · end of year $12,952,939
Mission and programs · 2022
Mission
TO RECEIVE FUNDS AND MAKE DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER CODE SECTION 501(C)(3) AND TO PROMOTE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES SERVED BY THE ELY-BLOOMENSON COMMUNITY HOSPITAL, A MINNESOTA NONPROFIT CORPORATION.
-
TO RECEIVE FUNDS AND MAKE DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER CODE SECTION 501(C)(3), AND TO PROMOTE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES SERVED BY THE ELY-BLOOMENSON COMMUNITY HOSPITAL, A MINNESOTA NONPROFIT CORPORATION.
As filed on the 2022 return.
Listed in Part VII
-
JO LANGAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
MARY ANN SMITH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
BARB SODERBERG
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
SCOTT KELLERMAN
DIRECTOR UNTIL 12/31/22
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
JOHN SAW
DIRECTOR BEG. 1/1/23
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
MIKE PECHEK
TREAS. TIL 12/31/22-DIR. TIL 1/31/23
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
TODD HEIMAN
DIR. TIL 12/31/22-TREAS. BEG. 1/1/23
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
KELLY KLUN
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
DEVON LUTHENS
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.1 + 1.1 related
-
TIM RILEY
PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.1 + 1.6 related
-
PATTI BANKS
CEO
- Total calculated
- $259,283
- From this org
- $0
- From related orgs
- $247,560
- Other
- $11,723
- Hours/week
- 0.15 + 39.85 related
Schedule J breakdown matched by us
- Base
- $0 + $247,560 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $7,565 related
- Nontaxable benefits
- $0 + $4,158 related
- Filer's total
- $0 + $259,283 related
-
CURTIS BACH
CFO UNTIL 10/31/22
- Total calculated
- $158,910
- From this org
- $0
- From related orgs
- $139,815
- Other
- $19,095
- Hours/week
- 0.15 + 39.85 related
Schedule J breakdown matched by us
- Base
- $0 + $139,815 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $4,283 related
- Nontaxable benefits
- $0 + $14,812 related
- Filer's total
- $0 + $158,910 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
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
- ELY HEALTH AND HOSPITAL FUND DOES NOT COMPENSATE ANY EMPLOYEES. THE CEO IS COMPENSATED BY THE ELY-BLOOMENSON COMMUNITY HOSPITAL, A RELATED ORGANIZATION. THE COMPENSATION IS ESTABLISHED USING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVERY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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
No itemized grants to organizations 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.
-
ELY-BLOOMENSON COMMUNITY HOSPITAL
501(C)(3) · TO PROVIDE HEALTHCARE TO THE RESIDENTS AND VISITORS TO THE ELY, MN AREA · MN
Directly controlled by ELY HEALTH AND HOSPITAL FOUNDATION
-
ELY HEALTH & HOSPITAL FOUNDATION
501(C)(3) · TO PROVIDE SUPPORT TO ELY-BLOOMENSON COMMUNITY HOSPITAL FOR HEALTHCARE · MN
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 June 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441649349301004
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.