Form 990 for tax year 2022
Filed by MILE BLUFF MEDICAL CENTER FOUNDATION INC.
Totals
- Total revenue
- $1,065,230
- Total expenses
- $269,694
- Contributions and grants received
- $1,048,026
- Grants paid
- $115,349
- Program service revenue
- $0
- Investment income
- $19,585
- Other revenue
- -$2,381
- Total assets, end of year
- $1,305,362
- Total liabilities, end of year
- $11,455
- Net assets or fund balances, end of year
- $1,293,907
- Program services expenses (Part IX)
- $134,049
- Management and general expenses
- $0
- Fundraising expenses
- $135,645
- Program service expenses (Part III)
- $134,049
Program services were 49.7% 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
$33,035
-
1f · All other contributions, gifts and grants
$1,014,991
-
3 · Investment income
total $19,585 · excluded $19,585
-
8a · Fundraising events: gross income
$15,750
-
8a · Fundraising events: contributions included on line 1c
$33,035
-
8b · Fundraising events: direct expenses
$18,131
-
8c · Net income from fundraising events
total -$2,381 · excluded -$2,381
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $115,349 · program services $115,349
-
11e · Fees: professional fundraising services
total $52,330 · fundraising $52,330
-
11g · Fees: other
total $9,855 · fundraising $9,855
-
12 · Advertising and promotion
total $66,057 · fundraising $66,057
-
13 · Office expenses
total $1,001 · fundraising $1,001
-
17 · Travel
total $242 · fundraising $242
-
24a · Other expenses: Employee Assistance
total $18,700 · program services $18,700
-
24b · Other expenses: Dues & Subscriptions
total $3,575 · fundraising $3,575
-
24c · Other expenses: Food for staff
total $1,005 · fundraising $1,005
-
24d · Other expenses: Women's Night Out Expen
total $68 · fundraising $68
-
24e · All other expenses
total $1,512 · fundraising $1,512
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $484,944 · end of year $559,981
-
3 · Pledges and grants receivable
beginning of year $8,005 · end of year $11,562
-
12 · Investments: other securities
beginning of year $5,493 · end of year $733,819
-
17 · Accounts payable and accrued expenses
beginning of year $350 · end of year $9,633
-
25 · Other liabilities
beginning of year $6,047 · end of year $1,822
-
27 · Net assets without donor restrictions
beginning of year $322,169 · end of year $251,220
-
28 · Net assets with donor restrictions
beginning of year $169,876 · end of year $1,042,687
Mission and programs · 2022
Mission
Mile Bluff Medical Center Foundation provides philanthropic opportunities and support to Mile Bluff Medical Center and assists it in fulfilling its mission, adhering to its core values and pursuing its vision to provide the community with exceptional, personalized health care services.
Activities or mission (Part I)
Give individuals and businesses the opportunity to take an active role to impact local healthcare.
-
Mile Bluff Medical Center Foundation was established in 2010. The Foundation fosters charitable giving that supports the vision of Mile Bluff Medical Center and provides sound stewardship of contributions to the organization. The Foundation also strives to impact the health of the community through education and events.Contributions directly impact the care that is provided at the Medical Center and impacts the health of the community for all generations. Gifts provide patients access to exceptional local healthcare services - today and always. Statement continued on Schedule O.Mile Bluff Medical Center Foundation puts 100-percent of its contributions towards supporting its mission in the community. Contributions make it possible to:Supply and install state-of-the-art medical equipmentProvide scholarships, education and training for healthcare workersHold community classes, events, and programmingHelp the Medical Center go above and beyond its mission
Expenses $134,049 · Grants $115,349
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Dara Bartels
President & CEO
- Total calculated
- $477,928
- From this org
- $0
- From related orgs
- $428,090
- Other
- $49,838
- Hours/week
- 0.3 + 40.5 related
Schedule J breakdown matched by us
- Base
- $0 + $419,463 related
- Bonus
- $0 + $7,150 related
- Other
- $0 + $1,477 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $34,588 related
- Filer's total
- $0 + $477,928 related
-
Rebecca Oetzman
CFO until Feb 2023
- Total calculated
- $214,717
- From this org
- $0
- From related orgs
- $184,227
- Other
- $30,490
- Hours/week
- 0.3 + 40.5 related
Schedule J breakdown matched by us
- Base
- $0 + $180,136 related
- Bonus
- $0 + $3,735 related
- Other
- $0 + $356 related
- Deferred
- $0 + $9,269 related
- Nontaxable benefits
- $0 + $21,221 related
- Filer's total
- $0 + $214,717 related
-
Barbara Jo Wolff
CFO as of May 2023
- Total calculated
- $0
- Hours/week
- 0.3 + 40.5 related
-
Lynn Erickson
Chair as of Aug 2023
- Total calculated
- $0
- Hours/week
- 0.1
-
Linda Walker
Secretary as of Aug 2023
- Total calculated
- $0
- Hours/week
- 0.1
-
Katie Nuttall-Executive Dir
Secretary until Aug 2023
- Total calculated
- $101,037
- From this org
- $0
- From related orgs
- $62,584
- Other
- $38,453
- Hours/week
- 40
-
April Griffis
Treasurer as of Aug 2023
- Total calculated
- $0
- Hours/week
- 0.1
-
Molly Scully
Director as of Aug 2023
- Total calculated
- $0
- Hours/week
- 0.1
-
Melissa Herek
Director as of Aug 2023
- Total calculated
- $0
- Hours/week
- 0.1
-
James O'Keefe
Former CEO Medical Ctr
- Total calculated
- $185,980
- From this org
- $0
- From related orgs
- $163,930
- Other
- $22,050
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $152,740 related
- Bonus
- $0
- Other
- $0 + $11,190 related
- Deferred
- $0 + $8,140 related
- Nontaxable benefits
- $0 + $13,910 related
- Filer's total
- $0 + $185,980 related
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 I, Line 3:
- The President/CEO is compensated by Mile Bluff Medical Center, a related organization, for services provided to the Medical Center. Mile Bluff Medical Center has processes in place to determine compensation.
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
-
$115,349
General Operations
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) · Provision of health care services · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442289349301779
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