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Nonprofiteer
← CALUMET AREA COMMUNITY HEALTH FOUNDATION INC

Form 990 for tax year 2022

Filed by CALUMET AREA COMMUNITY HEALTH FOUNDATION INC.

Totals

Total revenue
$96,511
Total expenses
$159,955
Contributions and grants received
$11,101
Grants paid
$75,700
Program service revenue
$0
Investment income
$84,810
Other revenue
$600
Total assets, end of year
$5,904,088
Total liabilities, end of year
$57,844
Net assets or fund balances, end of year
$5,846,244
Program services expenses (Part IX)
$75,700
Management and general expenses
$84,255
Fundraising expenses
$0
Program service expenses (Part III)
$75,700

Program services were 47.3% 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

    $11,101

  • 3 · Investment income

    total $126,774

  • 6a · Gross rents

    real property $600

  • 6c · Rental income or loss

    real property $600

  • 6d · Net rental income or loss

    total $600

  • 7a · Gross sales of assets other than inventory

    securities $1,540,057

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

    securities $1,582,021

  • 7c · Gain or loss

    securities -$41,964

  • 7d · Net gain or loss

    total -$41,964

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $75,700 · program services $75,700

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $18,975 · management and general $18,975

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $1,452 · management and general $1,452

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $10,720 · management and general $10,720

  • 11d · Fees: lobbying

    total $0

  • 11f · Fees: investment management

    total $46,181 · management and general $46,181

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $1,172 · management and general $1,172

  • 13 · Office expenses

    total $1,856 · management and general $1,856

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $1 · management and general $1

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: Insurance

    total $2,302 · management and general $2,302

  • 24b · Other expenses: License Permits

    total $10 · management and general $10

  • 24c · Other expenses: Telephone

    total $1,586 · management and general $1,586

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $149,332 · end of year $168,069

  • 2 · Savings and temporary cash investments

    beginning of year $21,570 · end of year $227,533

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,146 · end of year $1,161

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

    $249,328

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

    $13,120

  • 10c · Land, buildings and equipment, net

    beginning of year $236,208 · end of year $236,208

  • 11 · Investments: publicly traded securities

    beginning of year $4,995,708 · end of year $5,271,117

  • 17 · Accounts payable and accrued expenses

    beginning of year $900 · end of year $960

  • 18 · Grants payable

    end of year $54,000

  • 25 · Other liabilities

    beginning of year $3,557 · end of year $2,884

  • 27 · Net assets without donor restrictions

    beginning of year $5,377,388 · end of year $5,823,895

  • 28 · Net assets with donor restrictions

    beginning of year $22,119 · end of year $22,349

Mission and programs · 2022

Mission

To promote the health, welfare and health related education which directly or indirectly support and benefit Calumet Medical Center and the health of citizens residing within the Chilton, New Holstein, Kiel, Hilbert, Potter, Stockbridge and Brillion zip codes.

  • See Annual Report for Program Achievements

    Expenses $75,700

As filed on the 2022 return.

Listed in Part VII

  • Glen Calnin

    President

    Total calculated
    $18,975
    From this org
    $18,975
    From related orgs
    $0
    Other
    $0
    Hours/week
    10 + 10 related

  • Andy King

    Director

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Kim Reitbrock

    Director

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Jenny Derks

    Director

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Tony Sweere

    Director

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Judith Strodthoff

    Director

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • TJ Friederichs

    Vice President

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Joe Mathes

    Treasurer

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Gene Tipler MD

    Secretary

    Total calculated
    $0
    Hours/week
    2 + 2 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.

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
2022
Filed
29 January 2024
IRS schema version
2022v5.0
Source object
202440299349301739

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