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Nonprofiteer
← FAIRMONT COMMUNITY HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by FAIRMONT COMMUNITY HOSPITAL FOUNDATION.

Totals

Total revenue
$297,666
Total expenses
$226,811
Contributions and grants received
$49,685
Grants paid
$145,777
Program service revenue
$0
Investment income
$247,981
Other revenue
$0
Total assets, end of year
$4,744,777
Total liabilities, end of year
$162,138
Net assets or fund balances, end of year
$4,582,639
Program services expenses (Part IX)
$199,043
Management and general expenses
$13,997
Fundraising expenses
$13,771
Program service expenses (Part III)
$199,043

Program services were 87.8% 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.

  • 1f · All other contributions, gifts and grants

    $49,685

  • 3 · Investment income

    total $172,119 · related or exempt $172,119

  • 7a · Gross sales of assets other than inventory

    securities $871,526 · other assets $15,168

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

    securities $810,832

  • 7c · Gain or loss

    securities $60,694 · other assets $15,168

  • 7d · Net gain or loss

    total $75,862 · related or exempt $75,862

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $116,277 · program services $116,277

  • 2 · Grants to domestic individuals

    total $29,500 · program services $29,500

  • 7 · Other salaries and wages

    total $43,094 · program services $34,475 · management and general $6,464 · fundraising $2,155

  • 10 · Payroll taxes

    total $3,765 · program services $3,012 · management and general $565 · fundraising $188

  • 11c · Fees: accounting

    total $8,080 · program services $6,464 · management and general $1,212 · fundraising $404

  • 11f · Fees: investment management

    total $4,010 · management and general $4,010

  • 11g · Fees: other

    total $2,033 · program services $1,626 · management and general $305 · fundraising $102

  • 12 · Advertising and promotion

    total $10,442 · fundraising $10,442

  • 13 · Office expenses

    total $1,056 · program services $845 · management and general $158 · fundraising $53

  • 23 · Insurance

    total $3,170 · program services $2,536 · management and general $476 · fundraising $158

  • 24a · Other expenses: DUES & SUBSCRIPTIONS

    total $3,275 · program services $2,620 · management and general $491 · fundraising $164

  • 24b · Other expenses: MISCELLANEOUS

    total $2,109 · program services $1,688 · management and general $316 · fundraising $105

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $225,888 · end of year $72,898

  • 11 · Investments: publicly traded securities

    beginning of year $5,397,803 · end of year $4,671,879

  • 17 · Accounts payable and accrued expenses

    beginning of year $415 · end of year $12,002

  • 18 · Grants payable

    beginning of year $154,789 · end of year $134,917

  • 25 · Other liabilities

    beginning of year $14,427 · end of year $15,219

  • 27 · Net assets without donor restrictions

    beginning of year $5,201,788 · end of year $4,398,122

  • 28 · Net assets with donor restrictions

    beginning of year $252,272 · end of year $184,517

Mission and programs · 2022

Mission

THE FOUNDATION'S MISSION IS TO ENHANCE HEALTH CARE THROUGH CHARITABLE SUPPORT.

  • THE FOUNDATION ENHANCES HEALTH CARE BY PURCHASING EQUIPMENT AND SUPPLIES FOR USE BY FAIRMONT MEDICAL CENTER - MAYO HEALTH SYSTEM.

    Expenses $169,543 · Grants $116,277

  • THE FOUNDATION AWARDS SCHOLARSHIPS TO THIRD YEAR NURSING STUDENTS IN AN ACCREDITED NURSING PROGRAM.

    Expenses $29,500 · Grants $29,500

As filed on the 2022 return.

Listed in Part VII

  • Marilyn Forstrom

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Tim Miller

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Logan Peymann

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Ross Wohlhuter

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

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.

Grants on this return

Provenance

Return type
form_990
Tax year
2022
Filed
25 September 2023
IRS schema version
2022v5.0
Source object
202342689349300929

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

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