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Nonprofiteer
← PEMBINA COUNTY MEMORIAL HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by PEMBINA COUNTY MEMORIAL HOSPITAL FOUNDATION.

Totals

Total revenue
$145,566
Total expenses
$96,493
Contributions and grants received
$63,945
Grants paid
$88,987
Program service revenue
$0
Investment income
$2,423
Other revenue
$79,198
Total assets, end of year
$726,044
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$726,044
Program services expenses (Part IX)
$88,987
Management and general expenses
$2,550
Fundraising expenses
$4,956
Program service expenses (Part III)
$88,987

Program services were 92.2% 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

    $63,945

  • 3 · Investment income

    total $5,261 · unrelated business $0 · excluded $5,261

  • 7a · Gross sales of assets other than inventory

    securities $30,489

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

    securities $33,327

  • 7c · Gain or loss

    securities -$2,838

  • 7d · Net gain or loss

    total -$2,838 · related or exempt $0 · unrelated business $0 · excluded -$2,838

  • 8a · Fundraising events: gross income

    $89,796

  • 8b · Fundraising events: direct expenses

    $10,598

  • 8c · Net income from fundraising events

    total $79,198 · unrelated business $0 · excluded $79,198

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $82,987 · program services $82,987

  • 2 · Grants to domestic individuals

    total $6,000 · program services $6,000

  • 11b · Fees: legal

    total $520 · program services $0 · management and general $520 · fundraising $0

  • 11c · Fees: accounting

    total $450 · program services $0 · management and general $450 · fundraising $0

  • 12 · Advertising and promotion

    total $2,018 · program services $0 · management and general $0 · fundraising $2,018

  • 13 · Office expenses

    total $619 · program services $0 · management and general $619 · fundraising $0

  • 24a · Other expenses: DUES/FEES/SUBSCRIPTIONS

    total $2,903 · program services $0 · management and general $944 · fundraising $1,959

  • 24b · Other expenses: SUPPLIES

    total $996 · program services $0 · management and general $17 · fundraising $979

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $363,991 · end of year $413,951

  • 2 · Savings and temporary cash investments

    beginning of year $146,248 · end of year $159,924

  • 7 · Other notes and loans receivable

    beginning of year $69,779 · end of year $55,000

  • 11 · Investments: publicly traded securities

    beginning of year $114,314 · end of year $97,169

  • 27 · Net assets without donor restrictions

    beginning of year $694,332 · end of year $617,768

  • 28 · Net assets with donor restrictions

    end of year $108,276

Mission and programs · 2022

Mission

THE MAIN PURPOSE OF THE PEMBINA COUNTY MEMORIAL HOSPITAL FOUNDATION IS TO RAISE FUNDS FOR THE BENEFIT OF PEMBINA COUNTY MEMORIAL HOSPITAL AND WEDGEWOOD MANOR.

  • PEMBINA COUNTY MEMORIAL HOSPITAL FOUNDATION PURCHASES VARIOUS ITEMS TO BENEFIT PEMBINA COUNTY MEMORIAL HOSPITAL AND WEDGEWOOD MANOR. IN 2022, THE FOUNDATION ALSO PROVIDED FUNDS TO AREA AMBULANCE AND QUICK REPONSE TEAMS TO ENABLE THEM TO PURCHASE NEEDED ITEMS FOR PATIENT CARE.

    Expenses $82,987

  • THE FOUNDATION ALSO IN CHARGE OF GRANTING EDUCATIONAL SCHOLARSHIPS TO AREA STUDENTS PERSUING HEALTHCARE DEGREES THROUGH THE RUTH HOLLIS SCHOLARSHIP. IN 2022, THEY AWARDED SCHOLARSHIPS TO SIX INDIVIDUALS RANGING FROM $500 TO $2000 EACH

    Expenses $6,000 · Grants $6,000

As filed on the 2022 return.

Listed in Part VII

  • Kathleen Brooks

    PRESIDENT

    Total calculated
    $59,662
    From this org
    $0
    From related orgs
    $59,662
    Other
    $0
    Hours/week
    2

  • Toni Brown

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Chris Burgess

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Cindy Anderson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jessie Thebeau

    BOARD MEMBER

    Total calculated
    $57,326
    From this org
    $0
    From related orgs
    $57,326
    Other
    $0
    Hours/week
    1

  • Jeanne Chaput

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Patrick Swift

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lindsay Schulz

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lisa Letexier

    HOSPITAL CEO

    Total calculated
    $161,835
    From this org
    $0
    From related orgs
    $161,835
    Other
    $0
    Hours/week
    5

    Schedule J breakdown matched by us

    Base
    $161,835
    Bonus
    $0
    Other
    $0
    Deferred
    $20,500
    Nontaxable benefits
    $0
    Filer's total
    $182,335

  • Whitney Austfjord

    FOUNDATION DIRECTOR

    Total calculated
    $28,006
    From this org
    $0
    From related orgs
    $28,006
    Other
    $0
    Hours/week
    20

  • Kayce Schlittenhard

    FOUNDATION DIRECTOR

    Total calculated
    $17,479
    From this org
    $0
    From related orgs
    $17,479
    Other
    $0
    Hours/week
    20

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)

Other
PEMBINA COUNTY MEMORIAL HOSPITAL FOUNDATION DOES NOT PAY ANY WAGES,SALARIES, OR OTHER COMPENSATION. THE COMPENSATION REPORTED ON THIS TAX RETURN REPRESENTS LISA'S WAGES SHE EARNS AS HOSPITAL CEO.

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

Provenance

Return type
form_990
Tax year
2022
Filed
31 August 2023
IRS schema version
2022v5.0
Source object
202342509349300009

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