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FORT MEMORIAL HOSPITAL FOUNDATION INC

EIN 39-1397028 FORT ATKINSON, WI

Largest nonprofits in Wisconsin

Revenue 2024
$777,317
Expenses 2024
$598,336

Program services were 96.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

As filed

Subsection
03
NTEE code
E22I
Classification
1000
Street
611 SHERMAN AVE E

These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).

Other organizations at this address

2 other organizations in the IRS Business Master File list the same street address. matched by us

We match the street line and ZIP code as the IRS gives them, ignoring case and outer spaces and nothing else, so "AVE" and "AVENUE" count as different streets and this list can miss some. A shared address can mean related organizations or a shared office, but it can also be a registered agent, a mail drop or a service provider holding mail for unrelated clients. It is not, by itself, evidence that two organizations are connected.

Mission and programs · 2024

Mission

THE FOUNDATION IS ORGANIZED AND SHALL BE OPERATED SOLELY FOR CHARITABLE PURPOSES EXCLUSIVELY FOR THE BENEFIT OF FORT ATKINSON MEMORIAL HOSPITAL, THE HOSPITAL OPERATED BY FORT HEALTHCARE, INC., AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, INCLUDING THE CARRYING ON OF SUCH PROGRAMS AS THE BOARD OF DIRECTORS OF THIS CORPORATION FROM TIME TO TIME DEEMS TO BE SUITABLE AND APPROPRIATE.

  • ADVANCING CAREERS IN HEALTHCARE INCLUDES SCHOLARSHIPS AND TRAINING FOR EMPLOYEES.

    Expenses $34,140 · Grants $34,140

  • FORT MEMORIAL HOSPITAL FOUNDATION WAS CREATED FOR THE SOLE BENEFIT OF FORT HEALTHCARE. FOUR AREAS OF STRATEGIC FOCUS GUIDE OUR FUNDRAISING AND GRANTING PROCESS. BENEVOLENT CARE INCLUDES PROGRAM FUNDING TO ASSIST PATIENTS WHO CANNOT AFFORD CARE. PROVIDING EXCEPTIONAL CARE INCLUDES FUNDING FOR EQUIPMENT, TECHNOLOGY AND SERVICES THAT ENHANCE THE QUALITY OF CARE AND PATIENT SATISFACTION. LIVING HEALTHIER INCLUDES SERVICES FOCUSED ON COMMUNITY WELLNESS INITIATIVES.

    Expenses $544,450 · Grants $544,450

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Officers and directors · 2024

As listed in Part VII of the 2024 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.

  • Michael Wallace

    BOARD MEMBER

    Total calculated
    $1,038,716
    From this org
    $0
    From related orgs
    $1,025,323
    Other
    $13,393
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $66,239 related
    Bonus
    $0 + $958,547 related
    Other
    $0 + $537 related
    Deferred
    $0 + $12,220 related
    Nontaxable benefits
    $0 + $1,173 related
    Filer's total
    $0 + $1,038,716 related
  • Michael Anderson MD

    BOARD MEMBER

    Total calculated
    $1,029,843
    From this org
    $0
    From related orgs
    $973,643
    Other
    $56,200
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $762,716 related
    Bonus
    $0 + $196,405 related
    Other
    $0 + $14,522 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $42,400 related
    Filer's total
    $0 + $1,029,843 related
  • James Nelson

    ASSISTANT TREASURER

    Total calculated
    $423,507
    From this org
    $0
    From related orgs
    $364,961
    Other
    $58,546
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $286,206 related
    Bonus
    $0 + $72,116 related
    Other
    $0 + $6,639 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $44,746 related
    Filer's total
    $0 + $423,507 related
  • Jeff Cichocki

    BOARD MEMBER

    Total calculated
    $360,393
    From this org
    $0
    From related orgs
    $332,433
    Other
    $27,960
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $292,059 related
    Bonus
    $0 + $35,214 related
    Other
    $0 + $5,160 related
    Deferred
    $0 + $8,291 related
    Nontaxable benefits
    $0 + $19,669 related
    Filer's total
    $0 + $360,393 related
  • Carol Burrows

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Thomas Vinz

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • James Fitzpatrick PhD

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Andy Didion

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Mary Beck Metzger

    SECRETARY (TERM 12/24)

    Total calculated
    $0
    Hours/week
    1 + 24 related
  • Roy Budlong

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Christi Ott

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Donald Williams MD

    BOARD MEMBER

    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. Earlier years are each on their own filing page.

Filings

  • 2024
    Revenue
    $777,317
    Expenses
    $598,336
    Contributions
    $154,105
    Grants paid
    $578,590
  • 2023
    Revenue
    $440,717
    Expenses
    $391,019
    Contributions
    $140,950
    Grants paid
    $77,645
  • 2022
    Revenue
    $334,006
    Expenses
    $136,902
    Contributions
    $97,185
    Grants paid
    $83,575

The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.

Other returns filed

  • 2021 · 990

    Revenue
    $330,313
    Expenses
    $158,558
    Assets (EOY)
    $7,976,529
  • 2020 · 990

    Revenue
    $434,796
    Expenses
    $88,032
    Assets (EOY)
    $9,421,249
  • 2019 · 990

    Revenue
    $177,242
    Expenses
    $232,079
    Assets (EOY)
    $7,911,288
  • 2018 · 990

    Revenue
    $585,044
    Expenses
    $369,290
    Assets (EOY)
    $7,610,383
  • 2017 · 990

    Revenue
    $238,862
    Expenses
    $329,180
    Assets (EOY)
    $7,746,444
  • 2016 · 990

    Revenue
    $698,209
    Expenses
    $299,575
    Assets (EOY)
    $7,612,916
  • 2015 · 990

    Revenue
    $474,902
    Expenses
    $231,557
    Assets (EOY)
    $7,067,024
  • 2014 · 990

    Revenue
    $443,218
    Expenses
    $283,362
    Assets (EOY)
    $6,550,095
  • 2013 · 990

    Revenue
    $745,204
    Expenses
    $262,159
    Assets (EOY)
    $6,936,391
  • 2012 · 990

    Revenue
    not reported
    Expenses
    $201,249
    Assets (EOY)
    $6,682,212

Nonprofiteer parses Forms 990, 990-EZ and 990-PF, in a window of recent tax years. These returns are recorded from the IRS e-file index, so their figures were extracted by that index rather than read from the return here — treat them as a different source from the filings above, not as more of the same record. A dash means the index carries no figure; Form 990-T listings carry none at all. Showing the 10 most recent; the API carries the rest.

Grants made

Where these grants went next →

Grants received

Related organizations

From Schedule R Part II, where a filer lists the tax-exempt organizations it is related to by control. It does not record shared board members or money.

Declared on its 2024 return

Declared as related by

Taxable family

From Schedule R Parts I, III and IV: entities that legally are the filer, and taxable partnerships, corporations and trusts it is related to. These record ownership and control, not shared board members or money.

Disregarded entities on its 2022 return

  • PAIN CENTERS OF WISCONSIN - FORT ATKINSON LLC

    HEALTH CARE SERVICES · WI · income $445,366 · assets $938,957

Related corporations and trusts on its 2022 return

  • FORTCARE INC

    C · PREFERRED PROVIDER ORGANIZATION · WI · controlled entity

Other IRS files

Auto-Revocation List

Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.

Publication 78

Listed as of 13 October 2026, under deductibility SOUNK.

These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.

What this page reflects

The registration facts above come from the IRS Business Master File published 13 October 2026 and read 1 November 2026, for every organization at once. Returns through tax year 2024, the newest we have parsed for this organization.