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Nonprofiteer
← MEMORIAL COMMUNITY HOSPITAL FOUNDATION CORPORATION

Form 990 for tax year 2024

Filed by MEMORIAL COMMUNITY HOSPITAL FOUNDATION CORPORATION.

Totals

Total revenue
$102,001
Total expenses
$11,507
Contributions and grants received
$26,737
Grants paid
$1,762
Program service revenue
$0
Investment income
$75,264
Other revenue
$0
Total assets, end of year
$1,665,402
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$1,665,402
Program services expenses (Part IX)
$11,507
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$11,507

Program services were 100.0% 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.

  • 1f · All other contributions, gifts and grants

    $26,737

  • 3 · Investment income

    total $75,264 · excluded $75,264

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,762 · program services $1,762

  • 13 · Office expenses

    total $3,478 · program services $3,478

  • 24a · Other expenses: SOLICITATION CAMPAIGN

    total $6,267 · program services $6,267

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $255,961 · end of year $271,848

  • 2 · Savings and temporary cash investments

    beginning of year $1,252,474 · end of year $1,393,554

  • 27 · Net assets without donor restrictions

    beginning of year $1,415,109 · end of year $1,555,430

  • 28 · Net assets with donor restrictions

    beginning of year $93,326 · end of year $109,972

Mission and programs · 2024

Mission

THE FOUNDATION AIDS MEMORIAL COMMUNITY HOSPITAL AND HEALTH SYSTEM, BLAIR, NEBRASKA BY SOLICITING CONTRIBUTIONS FOR THE USE AND BENEFIT OF THE HOSPITAL'S PROGRAMS AND SERVICES. THE HOSPITAL PROVIDES ACUTE PREVENTIVE AND CLINICAL HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND DOES NOT LIMIT ITS SERVICES OR DISCRIMINATE BASED ON RACE, SEX, NATIONAL ORIGIN OR RELIGION.

Activities or mission (Part I)

CARRY OUT THE HEALTH CARE MISSION OF MEMORIAL COMMUNITY HOSPITAL.

  • FUNDRAISING FOR THE CAPITAL EQUIPMENT AND OTHER SPECIAL PROGRAM NEEDS OF MEMORIAL COMMUNITY HOSPITAL. THIS WILL BE CARRIED OUT THROUGH COMMUNITY FUNDRAISING DRIVES TO THE BUSINESSES AND INDIVIDUALS OF BLAIR, NEBRASKA, AND OTHER SURROUNDING COMMUNITIES. THESE FUNDRAISING EFFORTS WILL BE CARRIED OUT BY VOLUNTEERS OF THE FOUNDATION AND COMMUNITY.

    Expenses $11,507 · Grants $1,762

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Tawnya Roberts

    PRESIDENT/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Jim Sandvold

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Annette Clark

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jonna Branz

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Alicia Koziol

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Carl Falk

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Dr John Simonson

    BOARD MEMBER

    Total calculated
    $319,039
    From this org
    $0
    From related orgs
    $310,193
    Other
    $8,846
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $225,327 related
    Bonus
    $0 + $84,866 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $8,846 related
    Filer's total
    $0 + $319,039 related

  • Kyle Acre

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Pat Rogers

    MCH AUXILIARY REP (END 02/24)

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Jan Quist

    MCH AUXILIARY REP (BEG 02/24)

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Manuela Banner

    CEO

    Total calculated
    $0
    Hours/week
    1 + 40 related

  • Molly Dahlgren

    FOUNDATION EXECUTIVE DIRECTOR (THRU 06/24)

    Total calculated
    $52,597
    From this org
    $0
    From related orgs
    $52,597
    Other
    $0
    Hours/week
    40 + 1 related

  • Coartney Digiorgio

    FOUNDATION EXECUTIVE DIRECTOR (BEG 08/24)

    Total calculated
    $28,076
    From this org
    $0
    From related orgs
    $28,076
    Other
    $0
    Hours/week
    1 + 40 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
DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CHI HEALTH, AN UNRELATED ORGANIZATION. CHI HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION SURVEY OR STUDY, (2) INDEPENDENT COMPENSATION CONSULTANT, AND (3) 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.

Provenance

Return type
form_990
Tax year
2024
Filed
14 November 2025
IRS schema version
2024v5.2
Source object
202503189349311960

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