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← OLIVIA HOSPITAL & CLINIC FOUNDATION

Form 990 for tax year 2024

Filed by OLIVIA HOSPITAL & CLINIC FOUNDATION.

Totals

Total revenue
$179,202
Total expenses
$221,153
Contributions and grants received
$99,846
Grants paid
$212,598
Program service revenue
$0
Investment income
$82,000
Other revenue
-$2,644
Total assets, end of year
$2,560,870
Total liabilities, end of year
$26,201
Net assets or fund balances, end of year
$2,534,669
Program services expenses (Part IX)
$221,153
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$221,153

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.

  • 1c · Fundraising events

    $21,433

  • 1d · Related organizations

    $3,475

  • 1f · All other contributions, gifts and grants

    $74,938

  • 1g · Noncash contributions included above

    $7,384

  • 3 · Investment income

    total $82,000 · excluded $82,000

  • 8a · Fundraising events: gross income

    $2,904

  • 8a · Fundraising events: contributions included on line 1c

    $21,433

  • 8b · Fundraising events: direct expenses

    $5,548

  • 8c · Net income from fundraising events

    total -$2,644 · excluded -$2,644

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $202,008 · program services $202,008

  • 2 · Grants to domestic individuals

    total $10,590 · program services $10,590

  • 11g · Fees: other

    total $3,370 · program services $3,370

  • 12 · Advertising and promotion

    total $2,823 · program services $2,823

  • 17 · Travel

    total $458 · program services $458

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,256 · program services $1,256

  • 24b · Other expenses: MISCELLANEOUS EXPENSE

    total $648 · program services $648

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $512,882 · end of year $362,717

  • 3 · Pledges and grants receivable

    beginning of year $35,114 · end of year $1,816

  • 11 · Investments: publicly traded securities

    beginning of year $2,092,883 · end of year $2,196,337

  • 17 · Accounts payable and accrued expenses

    beginning of year $80,740 · end of year $26,201

  • 27 · Net assets without donor restrictions

    beginning of year $1,702,740 · end of year $1,736,411

  • 28 · Net assets with donor restrictions

    beginning of year $857,399 · end of year $798,258

Mission and programs · 2024

Mission

THE FOUNDATION IS ORGANIZED TO SUPPORT HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC, IN DELIVERING ACCESSIBLE AND QUALITY HEALTH CARE FOR RESIDENTS OF THE COMMUNITIES IT SERVES.

Activities or mission (Part I)

TO SUPPORT HEALTHPARTNERS RC-OLIVIA HOSPITAL & CLINIC IN DELIVERING ACCESSIBLE AND QUALITY HEALTH CARE.

  • SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS

    Expenses $221,153 · Grants $212,598

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

Listed in Part VII

  • SARA BENSON

    DIRECTOR & TREASURER

    Total calculated
    $0
    Hours/week
    1

  • AMY DEWANE

    DIRECTOR

    Total calculated
    $536,020
    From this org
    $0
    From related orgs
    $463,655
    Other
    $72,365
    Hours/week
    1 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $351,349 related
    Bonus
    $0 + $99,114 related
    Other
    $0 + $13,192 related
    Deferred
    $0 + $25,875 related
    Nontaxable benefits
    $0 + $46,490 related
    Filer's total
    $0 + $536,020 related

  • AMY HOLLAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • HEATHER JESERITZ

    DIRECTOR & SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • TOM KROES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BARBARA MELBERG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JAN SIMONSEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BECCA THIESSE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHANE WOHLMAN

    DIRECTOR & CHAIR (DEC)

    Total calculated
    $0
    Hours/week
    1

  • JENNIFER MACIK

    INTERIM PRES(DEC), CHAIR(JAN-NOV)

    Total calculated
    $249,291
    From this org
    $0
    From related orgs
    $201,609
    Other
    $47,682
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $164,722 related
    Bonus
    $0 + $32,887 related
    Other
    $0 + $4,000 related
    Deferred
    $0 + $10,635 related
    Nontaxable benefits
    $0 + $37,047 related
    Filer's total
    $0 + $249,291 related

  • JACKIE EDWARDS

    DIRECTOR & COMM RELATIONS

    Total calculated
    $147,545
    From this org
    $0
    From related orgs
    $109,459
    Other
    $38,086
    Hours/week
    1 + 40 related

  • PAM LARSON

    CFO

    Total calculated
    $327,582
    From this org
    $0
    From related orgs
    $279,426
    Other
    $48,156
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $232,981 related
    Bonus
    $0 + $45,540 related
    Other
    $0 + $905 related
    Deferred
    $0 + $14,517 related
    Nontaxable benefits
    $0 + $33,639 related
    Filer's total
    $0 + $327,582 related

  • NATHAN PULSCHER

    PRESIDENT (JAN - NOV)

    Total calculated
    $431,896
    From this org
    $0
    From related orgs
    $359,790
    Other
    $72,106
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,395 related
    Bonus
    $0 + $73,399 related
    Other
    $0 + $8,996 related
    Deferred
    $0 + $31,598 related
    Nontaxable benefits
    $0 + $40,508 related
    Filer's total
    $0 + $431,896 related

  • NATHAN BLAD

    FORMER PRESIDENT

    Total calculated
    $269,183
    From this org
    $0
    From related orgs
    $220,734
    Other
    $48,449
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $219,768 related
    Bonus
    $0
    Other
    $0 + $966 related
    Deferred
    $0 + $25,859 related
    Nontaxable benefits
    $0 + $22,590 related
    Filer's total
    $0 + $269,183 related

  • NANCY A ANDERSON

    FORMER CFO

    Total calculated
    $265,232
    From this org
    $0
    From related orgs
    $220,276
    Other
    $44,956
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $154,035 related
    Bonus
    $0 + $35,095 related
    Other
    $0 + $31,146 related
    Deferred
    $0 + $10,427 related
    Nontaxable benefits
    $0 + $34,529 related
    Filer's total
    $0 + $265,232 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
OLIVIA HOSPITAL & CLINIC FOUNDATION HAS NO EMPLOYEES AND DOES NOT PAY COMPENSATION. ALL OFFICERS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH, INC OR BY PARK NICOLLET HEALTH SERVICES OR HEALTHPARTNERS RC, RELATED ORGANIZATIONS. ANY COMPENSATION IS DETERMINED SOLELY BY THE RELATED ORGANIZATIONS.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
14 November 2025
IRS schema version
2024v5.2
Source object
202533189349311033

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