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Nonprofiteer
← FAIRMONT COMMUNITY HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by FAIRMONT COMMUNITY HOSPITAL FOUNDATION.

Totals

Total revenue
$979,211
Total expenses
$474,875
Contributions and grants received
$827,811
Grants paid
$393,435
Program service revenue
$0
Investment income
$151,400
Other revenue
$0
Total assets, end of year
$5,832,802
Total liabilities, end of year
$368,740
Net assets or fund balances, end of year
$5,464,062
Program services expenses (Part IX)
$452,701
Management and general expenses
$14,973
Fundraising expenses
$7,201
Program service expenses (Part III)
$452,701

Program services were 95.3% 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

    $827,811

  • 3 · Investment income

    total $190,086 · related or exempt $190,086

  • 7a · Gross sales of assets other than inventory

    securities $202,137

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

    securities $240,823

  • 7c · Gain or loss

    securities -$38,686

  • 7d · Net gain or loss

    total -$38,686 · related or exempt -$38,686

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $372,935 · program services $372,935

  • 2 · Grants to domestic individuals

    total $20,500 · program services $20,500

  • 7 · Other salaries and wages

    total $45,187 · program services $36,150 · management and general $6,778 · fundraising $2,259

  • 10 · Payroll taxes

    total $3,539 · program services $2,831 · management and general $531 · fundraising $177

  • 11c · Fees: accounting

    total $18,035 · program services $14,428 · management and general $2,705 · fundraising $902

  • 11f · Fees: investment management

    total $3,861 · management and general $3,861

  • 11g · Fees: other

    total -$1,558 · program services -$1,246 · management and general -$234 · fundraising -$78

  • 12 · Advertising and promotion

    total $3,497 · fundraising $3,497

  • 13 · Office expenses

    total $1,512 · program services $1,209 · management and general $227 · fundraising $76

  • 23 · Insurance

    total $3,284 · program services $2,627 · management and general $493 · fundraising $164

  • 24a · Other expenses: DUES & SUBSCRIPTIONS

    total $3,476 · program services $2,781 · management and general $521 · fundraising $174

  • 24b · Other expenses: MISCELLANEOUS

    total $607 · program services $486 · management and general $91 · fundraising $30

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $72,898 · end of year $63,471

  • 3 · Pledges and grants receivable

    end of year $788,832

  • 11 · Investments: publicly traded securities

    beginning of year $4,671,879 · end of year $4,980,499

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,002 · end of year $14,491

  • 18 · Grants payable

    beginning of year $134,917 · end of year $343,352

  • 25 · Other liabilities

    beginning of year $15,219 · end of year $10,897

  • 27 · Net assets without donor restrictions

    beginning of year $4,398,122 · end of year $5,305,885

  • 28 · Net assets with donor restrictions

    beginning of year $184,517 · end of year $158,177

Mission and programs · 2023

Mission

THE FOUNDATION'S MISSION IS TO ENHANCE HEALTH CARE THROUGH CHARITABLE SUPPORT.

  • THE FOUNDATION ENHANCES HEALTH CARE BY PURCHASING EQUIPMENT AND SUPPLIES FOR USE BY FAIRMONT MEDICAL CENTER - MAYO HEALTH SYSTEM.

    Expenses $432,201 · Grants $372,935

  • THE FOUNDATION AWARDS SCHOLARSHIPS TO THIRD YEAR NURSING STUDENTS IN AN ACCREDITED NURSING PROGRAM.

    Expenses $20,500 · Grants $20,500

As filed on the 2023 return.

Listed in Part VII

  • Marilyn Forstrom

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Tim Miller

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Logan Peymann

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Ross Wohlhuter

    SECRETARY

    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

Provenance

Return type
form_990
Tax year
2023
Filed
30 July 2024
IRS schema version
2023v5.0
Source object
202412199349300716

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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