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← MEMORIAL HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by MEMORIAL HOSPITAL FOUNDATION.

Totals

Total revenue
$2,224,754
Total expenses
$1,180,730
Contributions and grants received
$1,210,001
Grants paid
$778,917
Program services expenses (Part IX)
$976,836
Management and general expenses
$173,678
Fundraising expenses
$30,216
Program service expenses (Part III)
$976,836

Program services were 82.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • E KYLE BENNETT

    PRESIDENT

    Total calculated
    $624,902
    From this org
    $0
    From related orgs
    $592,000
    Other
    $32,902
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $586,000 related
    Bonus
    $0
    Other
    $0 + $6,000 related
    Deferred
    $0 + $6,100 related
    Nontaxable benefits
    $0 + $26,802 related
    Filer's total
    $0 + $624,902 related

  • CHAD HOFFMAN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MARK BUECHLEIN

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • ABBY SCHMITT

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • SISTER RENEE CUNNINGHAM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 30 related

  • RACHEL HULS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL KERN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SARAH LEONARD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN MANN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DR KRISTI NORD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KATHY SIGLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SONYA SEUFERT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TINA WEISMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEVE WIGAND

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DEIDRA CHURCH

    EXECUTIVE DIRECTOR

    Total calculated
    $100,468
    From this org
    $0
    From related orgs
    $89,820
    Other
    $10,648
    Hours/week
    40

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 — 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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
MEMORIAL HOSPITAL AND HEALTH CARE CENTER, A RELATED ORGANIZATION OF MEMORIAL HOSPITAL FOUNDATION, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
4B) A 457B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WAS AVAILABLE FOR ELIGIBLE INDIVIDUALS OF MEMORIAL HOSPITAL, A RELATED ORGANIZATION OF MEMORIAL HOSPITAL FOUNDATION, TO PARTICIPATE IN. NO CONTRIBUTIONS TO THE PLAN WERE PAID BY MEMORIAL HOSPITAL. INDIVIDUALS ELIGIBLE FOR THE PLAN INCLUDED PHYSICIANS EMPLOYED BY MEMORIAL HOSPITAL, PRESIDENT & CEO, EXECUTIVE VP & COO, VP & CFO, VP OF AMBULATORY SERVICES, VP AND CHIEF NURSING OFFICER, VP MEDICAL PRACTIVE MANAGEMENT AND SUPPORT SERVICES. NO PAYMENTS FROM THE PLAN WERE MADE TO ANY LISTED INDIVIDUALS IN 2021.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202431369349311228

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