Fort Memorial Hospital Foundation Inc
- Assets
- $9.4m
- Revenue
- $434.8k
- Investments
- $0.0
- Employees
- 0
- Location
- Fort Atkinson, WI
- Founding
- 09/1983
- Data as of
- 09/2021
- EIN
- 39-1397028
Organization Overview
Fort Memorial Hospital Foundation Inc is located in Fort Atkinson, WI. The organization was established in 1983. According to its NTEE Classification (E22) the organization is classified as: General Hospitals, under the broad grouping of Health Care and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Fort Memorial Hospital Foundation Inc is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
For the year ending 09/2021, Fort Memorial Hospital Foundation Inc generated $434.8k in total revenue. The organization has seen a slow decline revenue. Over the past 6 years, revenues have fallen by an average of (1.5%) each year. All expenses for the organization totaled $88.0k during the year ending 09/2021. As we would expect to see with falling revenues, expenses have declined by (14.9%) per year over the past 6 years. You can explore the organizations financials more deeply in the financial statements section below.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2021
Describe the Organization's Mission:
Part 3 - Line 1
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.
Describe the Organization's Program Activity:
Part 3 - Line 4a
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.
ADVANCING CAREERS IN HEALTHCARE INCLUDES SCHOLARSHIPS AND TRAINING FOR EMPLOYEES.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Carol Burrows President | OfficerTrustee | 1 | $0 |
Mary Beck Metzger Secretary | OfficerTrustee | 1 | $0 |
James Nelson Assistant Treasurer | Officer | 1 | $0 |
Roy Budlong Board Member | Trustee | 1 | $0 |
James Fitzpatrick PHD Board Member | Trustee | 1 | $0 |
Thomas Vinz Board Member | Trustee | 1 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $87,615 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $87,615 |
| Total Program Service Revenue | $0 |
| Investment income | $115,696 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $231,485 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $434,796 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $10,371 |
| Grants and other assistance to domestic individuals. | $30,000 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $42,896 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $4,140 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $88,032 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $329,015 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $9,092,234 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $9,421,249 |
| Accounts payable and accrued expenses | $22,377 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $73,558 |
| Total liabilities | $95,935 |
| Net assets without donor restrictions | $8,918,485 |
| Net assets with donor restrictions | $406,829 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $9,421,249 |
Grants Recieved
Over the last fiscal year, we have identified 1 grants that Fort Memorial Hospital Foundation Inc has recieved totaling $1,000.
| Awarding Organization | Amount |
|---|---|
Albert H Stahmer Foundation Inc Golden, CO PURPOSE: GENERAL FUND | $1,000 |
Peer Organizations
| Organization Name | Assets | Revenue |
|---|---|---|
Graceville Health Center Graceville, MN | $5,039,622 | $9,748,613 |
Central Community Hospital Elkader, IA | $12,041,952 | $10,933,825 |
Deckerville Community Hospital Inc Deckerville, MI | $5,907,147 | $9,135,528 |
Oakwood United Hospitals Inc Southfield, MI | $94,030,590 | $0 |
Baum-Harmon Mercy Hospital Primghar, IA | $3,813,635 | $7,818,885 |
Mchc-Chicago Hospital Council Naperville, IL | $2,539,865 | $6,795,617 |
Northern Lights Services Inc Washburn, WI | $7,344,645 | $7,186,727 |
Masonic Family Health Services Inc Chicago, IL | $126,881 | $5,180,840 |
Covered Bridge Healthcare Of St Joseph County Inc Centreville, MI | $3,463,539 | $4,929,382 |
Northwestern Memorial Healthcare Chicago, IL | $9,612,740 | $3,098,945 |
Minnesota Association Of Community Health Centers Minneapolis, MN | $1,802,009 | $3,740,232 |
Service Employees International Union Detroit, MI | $688,721 | $3,586,374 |