Form 990 for tax year 2022
Filed by MEMORIAL HOSPITAL FOUNDATION AT NORTH CONWAY INC.
Totals
- Total revenue
- $476,226
- Total expenses
- $79,654
- Contributions and grants received
- $163,327
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $326,305
- Other revenue
- -$13,406
- Total assets, end of year
- $6,879,287
- Total liabilities, end of year
- $52,265
- Net assets or fund balances, end of year
- $6,827,022
- Program services expenses (Part IX)
- $79,654
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $79,654
Program services were 100.0% 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
$31,820
-
1f · All other contributions, gifts and grants
$131,507
-
3 · Investment income
total $112,617 · excluded $112,617
-
7a · Gross sales of assets other than inventory
securities $5,714,992
-
7b · Less cost or other basis and sales expenses
securities $5,501,304
-
7c · Gain or loss
securities $213,688
-
7d · Net gain or loss
total $213,688 · related or exempt $213,688
-
8a · Fundraising events: gross income
$21,586
-
8a · Fundraising events: contributions included on line 1c
$31,820
-
8b · Fundraising events: direct expenses
$34,992
-
8c · Net income from fundraising events
total -$13,406 · excluded -$13,406
Functional expenses
Part IX, the statement of functional expenses.
-
13 · Office expenses
total $56,788 · program services $56,788
-
17 · Travel
total $782 · program services $782
-
24a · Other expenses: Medical supplies
total $21,744 · program services $21,744
-
24b · Other expenses: Purchased services
total $190 · program services $190
-
24c · Other expenses: Resident programs
total $150 · program services $150
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $268,942 · end of year $291,272
-
2 · Savings and temporary cash investments
beginning of year $1,560,780 · end of year $1,618,994
-
11 · Investments: publicly traded securities
beginning of year $2,100,021 · end of year $2,727,310
-
12 · Investments: other securities
beginning of year $2,288,857 · end of year $2,227,741
-
15 · Other assets
beginning of year $3,712 · end of year $13,970
-
25 · Other liabilities
beginning of year $53,958 · end of year $52,265
-
27 · Net assets without donor restrictions
beginning of year $4,972,718 · end of year $5,611,594
-
28 · Net assets with donor restrictions
beginning of year $1,195,636 · end of year $1,215,428
Mission and programs · 2022
Mission
TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF ITS SUPPORTED ORGANIZATION, THE MEMORIAL HOSPITAL AT NORTH CONWAY, NH. TO HOLD AND MANAGE PROPERTY FOR THE TAX-EXEMPT USES IN DIRECT FURTHERANCE (CONTINUED ON SCHEDULE O)OF THE HOSPITAL'S PURPOSES, AND TO RAISE AND DISTRIBUTE FUNDS TO THE HOSPITAL IN SUPPORT OF ITS PROGRAMS AND SERVICES.
Activities or mission (Part I)
TO SUPPORT THE MEMORIAL HOSPITAL AT NORTH CONWAY, NH.
-
WITH OVER 100 YEARS OF HISTORY, MEMORIAL HOSPITAL IS A THRIVING, RURAL COMMUNITY HOSPITAL THAT PROVIDES AN EXTENSIVE ARRAY OF HEALTHCARE SERVICES FOR THE RESIDENTS OF MOUNT WASHINGTON VALLEY AND THE MILLIONS OF TOURISTS WHO VISIT OUR REGION EVERY YEAR. AS A NON-PROFIT ORGANIZATION, MEMORIAL HOSPITAL IS DEPENDENT UPON PHILANTHROPIC SUPPORT TO PROVIDE THE HIGHEST QUALITY OF HEALTHCARE AVAILABLE. THE MEMORIAL HOSPITAL FOUNDATION WAS CREATED IN 2013 AS THE FUNDRAISING VEHICLE FOR THE HOSPITAL. THE FOUNDATION REINVESTS INTO THE COMMUNITY WE SERVE BY SUPPORTING THE CAPITAL NEEDS AND SPECIAL PROJECTS OF THE HOSPITAL THROUGH PHILANTHROPY BY:-FOSTERING A CULTURE THAT PROVIDES AN EXPERIENCE THAT EXCEEDS EXPECTATIONS -BUILDING STRONG RELATIONSHIPS THAT IMPROVE COMMUNITY HEALTH PROGRAMS AND THE OVERALL STATUS OF HEALTH IN OUR COMMUNITY -ACHIEVING LONG-TERM VIABILITY BY SUPPORTING FINANCIAL NEEDS IN A RAPIDLY CHANGING HEALTHCARE ENVIRONMENT EVERY GIFT MADE TO THE MEMORIAL HOSPITAL FOUNDATION, NO MATTER HOW LARGE OR SMALL, IS HONORED AND WILL GO DIRECTLY TOWARD HELPING IMPROVE THE HEALTHCARE OF OUR COMMUNITY, FOR LOCALS AND GUESTS ALIKE. THE FOUNDATION STRIVES EQUALLY TO BE RELIABLE STEWARDS OF OUR DONORS' FINANCIAL COMMITMENTS TO US BY ADHERING TO PHILANTHROPY'S HIGHEST ETHICAL STANDARDS AND BEST KNOWN PRACTICES.
Expenses $79,654 · Revenue $213,688
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Andrew Mueller
CEO, MH/Trustee
- Total calculated
- $1,844,911
- From this org
- $0
- From related orgs
- $1,792,868
- Other
- $52,043
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $1,278,238 related
- Bonus
- $0 + $442,969 related
- Other
- $0 + $71,661 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $39,843 related
- Filer's total
- $0 + $1,844,911 related
-
Kelly Elkins
COO, MH/Frmr Trustee
- Total calculated
- $1,129,790
- From this org
- $0
- From related orgs
- $1,100,614
- Other
- $29,176
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $734,790 related
- Bonus
- $0 + $174,375 related
- Other
- $0 + $191,449 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $16,976 related
- Filer's total
- $0 + $1,129,790 related
-
Art Mathisen
Frmr President/Frmr Trustee
- Total calculated
- $478,186
- From this org
- $0
- From related orgs
- $461,421
- Other
- $16,765
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $293,420 related
- Bonus
- $0 + $80,295 related
- Other
- $0 + $87,706 related
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $7,615 related
- Filer's total
- $0 + $478,186 related
-
Diana McLaughlin
Chief Financial Officer
- Total calculated
- $330,754
- From this org
- $0
- From related orgs
- $274,403
- Other
- $56,351
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $215,309 related
- Bonus
- $0 + $37,160 related
- Other
- $0 + $21,934 related
- Deferred
- $0 + $22,788 related
- Nontaxable benefits
- $0 + $33,563 related
- Filer's total
- $0 + $330,754 related
-
David Hoeft
Physician/Trustee
- Total calculated
- $307,724
- From this org
- $0
- From related orgs
- $262,634
- Other
- $45,090
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $232,084 related
- Bonus
- $0
- Other
- $0 + $30,550 related
- Deferred
- $0 + $8,295 related
- Nontaxable benefits
- $0 + $36,795 related
- Filer's total
- $0 + $307,724 related
-
Mary Vigeant
Nurse Practitioner/Trustee
- Total calculated
- $242,523
- From this org
- $0
- From related orgs
- $217,344
- Other
- $25,179
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $178,096 related
- Bonus
- $0 + $4,125 related
- Other
- $0 + $35,123 related
- Deferred
- $0 + $6,620 related
- Nontaxable benefits
- $0 + $18,559 related
- Filer's total
- $0 + $242,523 related
-
John Cox
Former Regional CFO
- Total calculated
- $151,341
- From this org
- $0
- From related orgs
- $134,314
- Other
- $17,027
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $103,504 related
- Bonus
- $0 + $16,400 related
- Other
- $0 + $14,410 related
- Deferred
- $0 + $10,849 related
- Nontaxable benefits
- $0 + $6,178 related
- Filer's total
- $0 + $151,341 related
-
Steve Boyle
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Mary DeVeau
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Greg Frizzell
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Tim Scott
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Alec Tarberry
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Jill Berry Bowen
Interim President/Trustee
- Total calculated
- $0
- Hours/week
- 1 + 50 related
-
Michelle O'Donnell
Board Chair
- Total calculated
- $0
- Hours/week
- 1
-
Chris Perley
Board Vice Chair
- Total calculated
- $0
- Hours/week
- 1
-
Linda Terry
Board Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Corinne Ray
Board 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. 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
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
No itemized grants to organizations 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.
-
501(c)(3) · Hospital · NH
Directly controlled by MaineHealth Services
-
501(c)(3) · Healthcare · ME
-
Memorial Elder Health Services
501(c)(3) · Nursing Home · NH
Directly controlled by The Memorial Hospital
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 31 July 2024
- IRS schema version
- 2022v5.0
- Source object
- 202432279349302133
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