Skip to content
Nonprofiteer
← TRI-STATE HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by TRI-STATE HOSPITAL FOUNDATION.

Totals

Total revenue
$1,684,904
Total expenses
$1,219,917
Contributions and grants received
$1,167,241
Grants paid
$0
Program service revenue
$0
Investment income
$175,654
Other revenue
$342,009
Total assets, end of year
$6,589,153
Total liabilities, end of year
$287,461
Net assets or fund balances, end of year
$6,301,692
Program services expenses (Part IX)
$1,204,527
Management and general expenses
$15,390
Fundraising expenses
$0
Program service expenses (Part III)
$1,204,527

Program services were 98.7% 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

    $1,167,241

  • 1g · Noncash contributions included above

    $28,126

  • 3 · Investment income

    total $220,551 · excluded $220,551

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    real property $13,300

  • 6b · Less rental expenses

    real property $21,404

  • 6c · Rental income or loss

    real property -$8,104

  • 6d · Net rental income or loss

    total -$8,104 · unrelated business -$8,104

  • 7a · Gross sales of assets other than inventory

    other assets $420,000

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

    other assets $464,897

  • 7c · Gain or loss

    other assets -$44,897

  • 7d · Net gain or loss

    total -$44,897 · related or exempt -$44,897

  • 8a · Fundraising events: gross income

    $350,113

  • 8c · Net income from fundraising events

    total $350,113

  • 9c · Net income from gaming

    total $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 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 $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $199,466 · management and general $199,466

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $54,445 · management and general $54,445

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $28,126 · management and general $28,126

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $3,450 · management and general $3,450

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $24,100 · management and general $24,100

  • 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: PROGRAM EXPENSES-HOSPITAL

    total $1,204,527 · program services $1,204,527

  • 24b · Other expenses: EVENT EXPENSE

    total $187,023 · management and general $187,023

  • 24c · Other expenses: MARKETING EXPENSE

    total $35,900 · management and general $35,900

  • 24d · Other expenses: OTHER OPERATING EXPENSES

    total $28,079 · management and general $28,079

  • 24e · All other expenses

    total -$545,199 · management and general -$545,199

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,550,470 · end of year $923,429

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $879,236 · end of year $648,041

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

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

    $36,029

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

    $36,029

  • 10c · Land, buildings and equipment, net

    beginning of year $440,000 · end of year $0

  • 11 · Investments: publicly traded securities

    end of year $0

  • 12 · Investments: other securities

    beginning of year $6,093,055 · end of year $5,017,683

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,820 · end of year $5,820

  • 18 · Grants payable

    beginning of year $2,783,063 · end of year $269,979

  • 25 · Other liabilities

    beginning of year $17,483 · end of year $11,662

  • 27 · Net assets without donor restrictions

    beginning of year $5,457,719 · end of year $5,457,719

  • 28 · Net assets with donor restrictions

    beginning of year $1,698,676 · end of year $843,973

Mission and programs · 2022

Mission

TO ENSURE QUALITY, LOCAL HEALTH CARE ACCESS FOR THE COMMUNITY BY RAISING FUNDS TO SUPPORT THE PROGRAMS AND SERVICES OF TRI-STATE MEMORIAL HOSPITAL.

  • TRI-STATE MEMORIAL HOSPITAL - PAYMENTS TO TRI-STATE MEMORIAL HOSPITAL FOR VARIOUS HOSPITAL PROJECTS, AND FOUNDATION PROGRAM EXPENSES PERTAINING TO PROVIDING FUNDING FOR THOSE PROJECTS

    Expenses $1,204,527

As filed on the 2022 return.

Listed in Part VII

  • Tammi Hernandez

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Brook Brown

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Darcy Nelly

    President

    Total calculated
    $0
    Hours/week
    2
  • Kimberly Casey

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Trevor Arnone

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Heidi Copeland

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Thaynan Knowlton

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Joyce Keefer

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • David McCann

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Becca Dugger

    Treasurer

    Total calculated
    $0
    Hours/week
    5
  • Corey Flerchinger

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Michelle Beehler

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Fredrick Chilson

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Michelle Garrison

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Cathy Gibbons

    Vice President

    Total calculated
    $0
    Hours/week
    1
  • Roberta Jose-Bisbee

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Michael Henze

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Stephanie Morscheck

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Karrie Hughes-Kay

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Diane Turnbow

    past president

    Total calculated
    $0
    Hours/week
    1
  • Dennis Hanikowski

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Tammi Hernandez

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Heather Marshall

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Eric Thomas

    Trustee

    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

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
22 August 2023
IRS schema version
2022v5.0
Source object
202312359349301716

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.