- 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.
-
FORT HEALTHCARE INC
EIN 39-0286215
-
FORT HEALTHCARE PARTNERS
EIN 39-1040145
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 WallaceMICHAEL 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 MDMICHAEL 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 NelsonJAMES 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 CichockiJEFF 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 BurrowsCAROL BURROWS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Thomas VinzTHOMAS VINZ
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
James Fitzpatrick PhDJAMES FITZPATRICK PHD
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Andy DidionANDY DIDION
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Mary Beck MetzgerMARY BECK METZGER
SECRETARY (TERM 12/24)
- Total calculated
- $0
- Hours/week
- 1 + 24 related
-
Roy BudlongROY BUDLONG
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Christi OttCHRISTI OTT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Donald Williams MDDONALD 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
-
$544,450
2024 HOSPITAL SUPPORT
-
$54,075
2022 HOSPITAL SUPPORT
-
$17,645
2023 HOSPITAL SUPPORT
Grants received
-
$10,500
2023 HEALTH, GENERAL
-
$10,000
2024 HEALTH, GENERAL
-
$10,000
2022 GENERAL OPERATING SUPPORT
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
-
501(C)(3) · HEALTH CARE · WI
Declared as related by
-
On its 2024 return as a controlled entity
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.