Form 990 for tax year 2022
Filed by MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC.
Totals
- Total revenue
- $112,701
- Total expenses
- $191,865
- Contributions and grants received
- $84,959
- Grants paid
- $179,914
- Program service revenue
- $0
- Investment income
- $25,629
- Other revenue
- $2,113
- Total assets, end of year
- $726,541
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $726,541
- Program services expenses (Part IX)
- $179,914
- Management and general expenses
- $11,951
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $179,914
Program services were 93.8% 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
$14,614
-
1f · All other contributions, gifts and grants
$70,345
-
3 · Investment income
total $11,648 · excluded $11,648
-
7a · Gross sales of assets other than inventory
securities $13,981
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $13,981
-
7d · Net gain or loss
total $13,981 · excluded $13,981
-
8a · Fundraising events: gross income
$4,871
-
8a · Fundraising events: contributions included on line 1c
$14,614
-
8b · Fundraising events: direct expenses
$2,758
-
8c · Net income from fundraising events
total $2,113 · excluded $2,113
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $179,914 · program services $179,914
-
11f · Fees: investment management
total $5,585 · management and general $5,585
-
11g · Fees: other
total $537 · management and general $537
-
13 · Office expenses
total $5,776 · management and general $5,776
-
24e · All other expenses
total $53 · management and general $53
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $245,621 · end of year $148,763
-
11 · Investments: publicly traded securities
beginning of year $666,780 · end of year $577,778
-
27 · Net assets without donor restrictions
beginning of year $867,715 · end of year $683,352
-
28 · Net assets with donor restrictions
beginning of year $44,686 · end of year $43,189
Mission and programs · 2022
Mission
BOSCOBEL AREA HOSPITAL AND CLINICS FOUNDATION EXISTS TO INSPIRE DONOR SUPPORT FOR GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS AND ENSURE GIFTS ARE USED EFFECTIVELY AND RESPONSIBLY TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.
Activities or mission (Part I)
THE MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION, INC. WAS ESTABLISHED FOR THE SOLE PURPOSE OF SUPPORTING THE PROGRAMS AND SERVICES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS. THE MISSION IS TO SECURE AND MANAGE GIFT SUPPORT TO ASSIST THE HOSPITAL TO MEET THE NEEDS OF THE COMMUNITY BY FUNDING FACILITIES AND EQUIPMENT, STAFF DEVELOPMENT, AND AN ENDOWMENT.
-
THE FOUNDATION SUPPORTS THE PROMOTION, DEVELOPMENT, AND IMPROVEMENT OF THE QUALITY AND DELIVERY OF HEALTH PRESERVATION AND HEALTH CARE SERVICES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS (WHICH PROVIDES SERVICES TO PATIENTS THROUGH A CRITICAL ACCESS HOSPITAL AND SEVERAL CLINICS), AND THE MAKING OF DISTRIBUTIONS TO OR FOR THE BENEFIT OF THE HOSPITAL THROUGH THE RAISING OF FUNDS BY MEANS OF SOLICITING AND ACCEPTING GIFTS, GRANTS, AND CONTRIBUTIONS.
Expenses $179,914 · Grants $179,914
As filed on the 2022 return.
Listed in Part VII
-
Jerry BergeJERRY BERGE
PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.3
-
Karen WackerKAREN WACKER
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 0.3
-
Brennen ClarkBRENNEN CLARK
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 0.3
-
Theresa BraudtTHERESA BRAUDT
DIRECTOR/ADMINISTRATOR
- Total calculated
- $0
- Hours/week
- 0.3
-
Glenn GriswoldGLENN GRISWOLD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
Michelle FarrellMICHELLE FARRELL
DIRECTOR (THRU DEC)
- Total calculated
- $0
- Hours/week
- 0.3
-
Chuck SchwabCHUCK SCHWAB
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
Danelle SchmidDANELLE SCHMID
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
Dan SwensonDAN SWENSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
Natalie TollefsonNATALIE TOLLEFSON
FOUNDATION DIRECTOR/MANAGER BUS OPS
- Total calculated
- $0
- Hours/week
- 12
-
Sally WaltzSALLY WALTZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
-
Ben WoodBEN WOOD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.3
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
-
$179,914
GENERAL SUPPORT
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 27 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343149349300519
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