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← NORTHWEST MEDICAL CENTER FOUNDATION INC

Form 990 for tax year 2023

Filed by NORTHWEST MEDICAL CENTER FOUNDATION INC.

Totals

Total revenue
$184,532
Total expenses
$435,623
Contributions and grants received
$11,019
Grants paid
$314,768
Program service revenue
$0
Investment income
$173,513
Other revenue
$0
Total assets, end of year
$10,335,822
Total liabilities, end of year
$4,811
Net assets or fund balances, end of year
$10,331,011
Program services expenses (Part IX)
$435,623
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$435,623

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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $10,519

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $500

  • 1g · Noncash contributions included above

    $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $173,513 · excluded $173,513

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $314,768 · program services $314,768

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $12,565 · program services $12,565

  • 22 · Depreciation, depletion and amortization

    total $108,290 · program services $108,290

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $30,963 · end of year $5,901

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $2,732,467 · end of year $2,561,304

  • 10a · Land, buildings and equipment: cost or other basis

    $3,918,580

  • 10b · Land, buildings and equipment: accumulated depreciation

    $990,246

  • 10c · Land, buildings and equipment, net

    beginning of year $3,036,624 · end of year $2,928,334

  • 11 · Investments: publicly traded securities

    beginning of year $872,212 · end of year $974,242

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $3,866,041 · end of year $3,866,041

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,810 · end of year $4,811

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $6,544,532 · end of year $6,332,205

  • 28 · Net assets with donor restrictions

    beginning of year $3,978,965 · end of year $3,998,806

Mission and programs · 2023

Mission

Through acquisition and wise stewardship of assets, the Northwest Medical Center Foundation will ensure that quality medical services are a hallmark of the Northwest Medical Center service area. The Foundation will support the facility and program needs of Northwest Medical Center, seek to improve the health and wellness of area citizens and ensure a perpetually strong organizational foundation for the provision of care.

Activities or mission (Part I)

NORTHWEST MEDICAL CENTER FOUNDATION'S MISSION IS TO ATTRACT AND PROVIDE EXCELLENT PEOPLE, PROGRAMS, SERVICES, AND FACILITIES TO PROMOTE HEALTH, WELLNESS AND SUPERIOR QUALITY OF LIFE.

  • NORTHWEST MEDICAL CENTER FOUNDATION, INC. WILL SUPPORT THE FACILITY AND PROGRAM NEEDS OF THE NORTHWEST MEDICAL CENTER ASSOCIATION, INC., SEEK TO IMPROVE THE HEALTH AND WELLNESS OF AREA CITIZENS AND ENSURE A PERPETUALLY STRONG ORGANIZATIONAL FOUNDATION FOR THE PROVISION OF CARE.

    Expenses $435,623 · Grants $314,768

As filed on the 2023 return.

Listed in Part VII

  • Joann Gibbany

    Director/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Alisa Ridge

    Director

    Total calculated
    $0
    Hours/week
    1

  • Angelia Martin MD

    Director

    Total calculated
    $313,577
    From this org
    $0
    From related orgs
    $275,921
    Other
    $37,656
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,350 related
    Bonus
    $0 + $2,000 related
    Other
    $0 + $2,571 related
    Deferred
    $0 + $5,595 related
    Nontaxable benefits
    $0 + $32,061 related
    Filer's total
    $0 + $313,577 related

  • Craig Thompson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Kent Peterson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Kimberly Findley DC

    Director/Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Serena Naylor

    Director/Chair

    Total calculated
    $2,500
    From this org
    $0
    From related orgs
    $2,500
    Other
    $0
    Hours/week
    1 + 4 related

  • Jill Clair

    Former Secretary

    Total calculated
    $88,646
    From this org
    $0
    From related orgs
    $58,298
    Other
    $30,348
    Hours/week
    0

  • Kaitlyn Watson

    Secretary

    Total calculated
    $7,108
    From this org
    $0
    From related orgs
    $6,380
    Other
    $728
    Hours/week
    1 + 39 related

  • Katie Dias DO

    President/CEO

    Total calculated
    $319,629
    From this org
    $0
    From related orgs
    $295,975
    Other
    $23,654
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $263,107 related
    Bonus
    $0 + $32,136 related
    Other
    $0 + $732 related
    Deferred
    $0 + $4,588 related
    Nontaxable benefits
    $0 + $19,066 related
    Filer's total
    $0 + $319,629 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION IS ESTABLISHED BY MOSAIC HEALTH SYSTEM, a related tax-exempt organization, USING THE FOLLOWING: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. COMPENSATION SURVEYS OR STUDIES 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
KATIE DIAS, D.O. - VESTED $0; ACCRUED $20,085 THOSE LISTED ABOVE HAVE SIGNED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHICH RECOGNIZES THE VALUE OF THE INDIVIDUAL AND THE MUTUAL BENEFIT OF CONTINUED EMPLOYMENT FOR AN EXTENDED PERIOD OF TIME BY ESTABLISHING A 457F PLAN. THE FOLLOWING ARE THE GENERAL STIPULATIONS OF THE AGREEMENT: 1. THE PLAN IS FUNDED YEARLY AS THE RESULT OF A CALCULATION DESCRIBED IN THE AGREEMENT, WHICH WILL REWARD THE INDIVIDUAL WITH 100% VESTING BASED ON A 5-YEAR CLIFF VESTING SCHEDULE. 2. FOR SERP PARTICIPANTS PRIOR TO 2019, DISTRIBUTION WILL OCCUR UPON DEATH OR UPON SEPARATION FROM SERVICE DUE TO DISABILITY OR UPON INVOLUNTARY SEPARATION FROM SERVICE WITHOUT CAUSE. THEN A LUMP SUM PAYMENT WILL BE DISBURSED WITHIN 90 DAYS OF EACH SITUATION TAKING INTO CONSIDERATION A NON-COMPETE COVENANT. 3. FOR SERP PARTICIPANTES AFTER 2019, DISTRIBUTION WILL OCCUR UPON DEATH OR UPON SEPARATION FROM SERVICE DUE TO DISABILITY OR UPON INVOLUNTARY SEPARATION FROM SERVICE WITHOUT CAUSE. THEN A LUMP SUM PAYMENT DISTRIBUTES WITHIN 60 DAYS AND DOESN'T TAKE INTO ACCOUNT NONCOMPETE COVENANT. 4. SEPARATION WITH CAUSE MAKES THE SUPPLEMENTAL EXECUTIVE RETIREMENT AGREEMENT NULL AND VOID.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Midwestern Health Management Inc

    C Corporation · Healthcare · MO · controlled entity

    Directly controlled by NA

  • HHS Properties Inc

    C Corporation · Investment · MO · controlled entity

    Directly controlled by NA

  • Uptown Housing Inc

    C Corporation · Redevelopment · MO · controlled entity

    Directly controlled by NA

  • Uptown St Joseph Redevelopment Corp

    C Corporation · Redevelopment · MO · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202521329349302492

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