Form 990 for tax year 2022
Filed by OSCEOLA COMMUNITY HEALTH FOUNDATION INC.
Totals
- Total revenue
- $594,374
- Total expenses
- $466,391
- Contributions and grants received
- $552,702
- Grants paid
- $459,755
- Program service revenue
- $0
- Investment income
- $7,347
- Other revenue
- $34,325
- Total assets, end of year
- $709,451
- Total liabilities, end of year
- $111,291
- Net assets or fund balances, end of year
- $598,160
- Program services expenses (Part IX)
- $459,755
- Management and general expenses
- $6,636
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $459,755
Program services were 98.6% 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
$26,350
-
1f · All other contributions, gifts and grants
$526,352
-
1g · Noncash contributions included above
$40,051
-
3 · Investment income
total $7,347 · excluded $7,347
-
8a · Fundraising events: gross income
$105,073
-
8a · Fundraising events: contributions included on line 1c
$26,350
-
8b · Fundraising events: direct expenses
$70,748
-
8c · Net income from fundraising events
total $34,325 · excluded $34,325
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $458,755 · program services $458,755
-
2 · Grants to domestic individuals
total $1,000 · program services $1,000
-
13 · Office expenses
total $6,636 · management and general $6,636
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $609,886 · end of year $599,690
-
4 · Accounts receivable
end of year $109,761
-
17 · Accounts payable and accrued expenses
beginning of year $41,139 · end of year $111,291
-
18 · Grants payable
beginning of year $35,000 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $533,747 · end of year $598,160
Mission and programs · 2022
Mission
THE GOAL OF THE OSCEOLA COMMUNITY HEALTH FOUNDATION IS TO BUILD HEALTHY COMMUNITIES BY FOSTERING CHARITABLE SUPPORT FOR THE OSCEOLA MEDICAL CENTER AND THE HEALTH-RELATED NEEDS OF THE PEOPLE IN THE UPPER ST. CROIX VALLEY.
Activities or mission (Part I)
THE FOUNDATION WORKS TO IDENTIFY NEEDS AND PROVIDE HEALTH RELATED SERVICES TO RESIDENTS OF OUR COMMUNITY. USING PHILANTHROPIC ASSISTANCE, WE STRIVE TO SUPPORT THE MEDICAL CENTER AND IMPLEMENT HEALTH RELATED PROGRAMS THAT BENEFIT ALL AGE GROUPS.
-
TO ACCUMULATE, MANAGE, AND EXPEND FUNDS FOR THE BENEFIT AND ADVANCEMENT OF THE OSCEOLA MEDICAL CENTER AND OTHER COMMUNITY HEALTH ACTIVITIES.FIVE EVENTS WERE HELD TO RAISE DOLLARS TO SUPPORT OMC WITH VARIOUS PROJECTS AND PROGRAMS. OTHER DOLLARS WERE GRANTED BACK TO NONPROFIT ORGANIZATION'S IN THE COMMUNITY WITH A HEALTH RELATED MISSION.
Expenses $459,755 · Grants $459,755
As filed on the 2022 return.
Listed in Part VII
-
KIMBERLY ERICSON
CFO
- Total calculated
- $226,406
- From this org
- $0
- From related orgs
- $209,077
- Other
- $17,329
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $208,377 related
- Bonus
- $0 + $700 related
- Other
- $0
- Deferred
- $0 + $6,494 related
- Nontaxable benefits
- $0 + $10,835 related
- Filer's total
- $0 + $226,406 related
-
MISTY CHARLIER
CAO
- Total calculated
- $212,930
- From this org
- $0
- From related orgs
- $172,850
- Other
- $40,080
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $172,150 related
- Bonus
- $0 + $700 related
- Other
- $0
- Deferred
- $0 + $5,436 related
- Nontaxable benefits
- $0 + $34,644 related
- Filer's total
- $0 + $212,930 related
-
MATTHEW FORGE
CEO (THRU JULY 2022)
- Total calculated
- $173,022
- From this org
- $0
- From related orgs
- $162,303
- Other
- $10,719
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $162,303 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $4,673 related
- Nontaxable benefits
- $0 + $6,046 related
- Filer's total
- $0 + $173,022 related
-
JILL LEAHY
FOUNDATION DIRECTOR
- Total calculated
- $100,104
- From this org
- $0
- From related orgs
- $96,471
- Other
- $3,633
- Hours/week
- 40
-
KELLY MACKEN-MARBLE
CEO (FROM SEP 2022)
- Total calculated
- $76,785
- From this org
- $0
- From related orgs
- $73,963
- Other
- $2,822
- Hours/week
- 1 + 40 related
-
TIM PAULEY
CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
TOM TINKHAM
VICE CHAIR/TREASURER
- Total calculated
- $0
- Hours/week
- 0.5
-
MARY HAZZARD
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.5
-
JARED CUTTS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
CHRISTINA DELONG
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
LALA GRAF
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
KIERSTEN JUSTINGER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1 related
-
MARK LUEBKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
JEN MAGNELSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
BONNIE MCKINNEY
DIRECTOR (TERMED)
- Total calculated
- $0
- Hours/week
- 0.5
-
RENE PELLETIER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
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)
- SCHEDULE J, PART II
- THE SALARY REPORTED FOR MATTHEW FORGE, KELLY MACHEN-MARBLE, AND MISTY CHARLIER ARE FOR SERVICES RENDERED TO LADD MEMORIAL HOSPITAL, INC. D/B/A OSCEOLA MEDICAL CENTER IN THEIR POSITION, NOT FOR SERVICES PERFORMED FOR OSCEOLA COMMUNITY HEALTH FOUNDATION. LADD MEMORIAL HOSPITAL, INC. USES THE FOLLOWING TO ESTABLISH COMPENSATION OF THE CEO AND CAO. -COMPENSATION COMMITTEE -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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
-
$371,025
TO SUPPORT THE ACTIVITIES OF THE HOSPITAL
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.
-
LADD MEMORIAL HOSPITAL INC DBA OSCEOLA MEDICAL CENTER
501(C)(3) · HOSPITAL · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343199349319709
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