Civic Intelligence

Memorial Community Hospital Foundation Corp

EIN 11-3660156 • 501(c)3 • Blair, NE

Profile

The foundation aids memorial community hospital and health system, blair, nebraska by soliciting contributions for the use and benefit of the hospital's programs and services. The hospital provides acute preventive and clinical healthcare services to patients regardless of their ability to pay and does not limit its services or discriminate based on race, sex, national origin or religion.

810 North 22nd StreetBlair, NE 68008

www.mchhs.org/FOUNDATION

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

19th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

97th percentile

89%

Higher net margin than 97% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$319,039

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 312.8% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

67th percentile

10%

Faster asset growth than 67% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

7.0%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets19th percentile

Assets

Up

$1,665,402

Up $156,967 (+10%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$1,665,402

Up $156,967 (+10%) from 2023

Operations
Liabilities / Revenue20th percentileNet Margin97th percentile

Revenue

Up

$102,001

Up $6,703 (+7.0%) from 2023

Expenses

Down

$11,507

Down $61,007 (-84%) from 2023

Net Income

Up

$90,494

Up $67,710 (+297%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth67th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $476,421Liabilities 2010: $0Net Assets 2010: $476,4212010Assets 2011: $249,991Liabilities 2011: $0Net Assets 2011: $249,9912011Assets 2012: $1,371,417Liabilities 2012: $0Net Assets 2012: $1,371,4172012Assets 2013: $1,315,392Liabilities 2013: $0Net Assets 2013: $1,315,3922013Assets 2014: $1,353,477Liabilities 2014: $0Net Assets 2014: $1,353,4772014Assets 2015: $1,348,066Liabilities 2015: $0Net Assets 2015: $1,348,0662015Assets 2016: $1,420,224Liabilities 2016: $0Net Assets 2016: $1,420,2242016Assets 2017: $1,566,870Liabilities 2017: $200,000Net Assets 2017: $1,366,8702017Assets 2018: $1,328,780Liabilities 2018: $200,000Net Assets 2018: $1,128,7802018Assets 2019: $1,364,430Liabilities 2019: $0Net Assets 2019: $1,364,4302019Assets 2020: $1,500,212Liabilities 2020: $0Net Assets 2020: $1,500,2122020Assets 2021: $1,647,695Liabilities 2021: $0Net Assets 2021: $1,647,6952021Assets 2022: $1,442,227Liabilities 2022: $50,070Net Assets 2022: $1,392,1572022Assets 2023: $1,508,435Liabilities 2023: $0Net Assets 2023: $1,508,4352023Assets 2024: $1,665,402Liabilities 2024: $0Net Assets 2024: $1,665,4022024

Highlighted filing

2024

Assets$1,665,402
Liabilities$0
Net Assets$1,665,402
Open 2024 Filing

Operations Trend

Revenue Growth50th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500KExpenses 2010: $172,0072010Expenses 2011: $398,0472011Revenue 2012: $1,315,516Expenses 2012: $194,090Net Income 2012: $1,121,4262012Revenue 2013: $33,773Expenses 2013: $89,798Net Income 2013: -$56,0252013Revenue 2014: $100,774Expenses 2014: $72,332Net Income 2014: $28,4422014Revenue 2015: $32,006Expenses 2015: $11,029Net Income 2015: $20,9772015Revenue 2016: $49,985Expenses 2016: $12,952Net Income 2016: $37,0332016Revenue 2017: $118,134Expenses 2017: $268,167Net Income 2017: -$150,0332017Revenue 2018: $132,204Expenses 2018: $227,090Net Income 2018: -$94,8862018Revenue 2019: $76,720Expenses 2019: $382Net Income 2019: $76,3382019Revenue 2020: $49,993Expenses 2020: $17,586Net Income 2020: $32,4072020Revenue 2021: $153,797Expenses 2021: $74,264Net Income 2021: $79,5332021Revenue 2022: $71,777Expenses 2022: $81,357Net Income 2022: -$9,5802022Revenue 2023: $95,298Expenses 2023: $72,514Net Income 2023: $22,7842023Revenue 2024: $102,001Expenses 2024: $11,507Net Income 2024: $90,4942024

Highlighted filing

2024

Revenue$102,001
Expenses$11,507
Net Income$90,494
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,665,402
Liabilities
$0
Net assets
$1,665,402
Revenue
$102,001
Expenses
$11,507
Net income
$90,494
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.67$0.00$1.67$0.10$0.01$0.09
2023Detailed filing. Detailed filing data is available for this year.$1.51$0.00$1.51$0.10$0.07$0.02
2022Detailed filing. Detailed filing data is available for this year.$1.44$0.05$1.39$0.07$0.08$0.01
2021Detailed filing. Detailed filing data is available for this year.$1.65$0.00$1.65$0.15$0.07$0.08
2020Detailed filing. Detailed filing data is available for this year.$1.50$0.00$1.50$0.05$0.02$0.03
2019Detailed filing. Detailed filing data is available for this year.$1.36$0.00$1.36$0.08$0.00$0.08
2018Detailed filing. Detailed filing data is available for this year.$1.33$0.20$1.13$0.13$0.23$0.09
2017Detailed filing. Detailed filing data is available for this year.$1.57$0.20$1.37$0.12$0.27$0.15
2016Detailed filing. Detailed filing data is available for this year.$1.42$0.00$1.42$0.05$0.01$0.04
2015Detailed filing. Detailed filing data is available for this year.$1.35$0.00$1.35$0.03$0.01$0.02
2014Detailed filing. Detailed filing data is available for this year.$1.35$0.00$1.35$0.10$0.07$0.03
2013Detailed filing. Detailed filing data is available for this year.$1.32$0.00$1.32$0.03$0.09$0.06
2012Summary only. Only limited summary data is available for this year.$1.37$0.00$1.37$1.32$0.19$1.12
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.25$0.00$0.25$0.40
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.48$0.00$0.48$0.17
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$102,001
Mission and Program Overview

Mission

The foundation aids memorial community hospital and health system, blair, nebraska by soliciting contributions for the use and benefit of the hospital's programs and services. The hospital provides acute preventive and clinical healthcare services to patients regardless of their ability to pay and does not limit its services or discriminate based on race, sex, national origin or religion.

Carry out the health care mission of memorial community hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,252,474$1,393,554▲ $141,080
Cash and Non-Interest-Bearing Accounts$255,961$271,848▲ $15,887
Total Assets$1,508,435$1,665,402▲ $156,967
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,415,109$1,555,430▲ $140,321
Net Assets With Donor Restrictions$93,326$109,972▲ $16,646
Total Net Assets Fund Balance$1,508,435$1,665,402▲ $156,967
Total Liabilities and Net Assets / Fund Balance$1,508,435$1,665,402▲ $156,967

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$64,121$23,820--$87,941
2023$38,939$25,182--$64,121
2022$19,349$19,590--$38,939
2021$18,349$19,566--$19,349
2020$16,378$19,189--$18,349
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeOtherTotal
Molly DahlgrenFoundation Executive Director (thru 06/24)FT$52,597$52,597
Coartney DigiorgioFoundation Executive Director (beg 08/24)-$28,076$28,076

Board Members and Trustees

NameTitle
Tawnya RobertsPresident/chair
Jim SandvoldVice President
Alicia KoziolBoard Member
Carl FalkBoard Member
Dr John SimonsonBoard Member
Jonna BranzBoard Member
Kyle AcreBoard Member
Manuela BannerCEO
Jan QuistMch Auxiliary Rep (beg 02/24)
Pat RogersMch Auxiliary Rep (end 02/24)
Annette ClarkTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$26,737
Program Service Revenue
$0
Investment Income
$75,264
Other Revenue
$0
All Other Contributions
$26,737
Change in Net Assets
$90,494
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$9,745
Grants and Similar Amounts Paid$1,762
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$6,267--$6,267
Office Expenses$3,478--$3,478
Grants to Domestic Orgs$1,762--$1,762
Total Functional Expenses$11,507$0$0$11,507
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“Compensation of the ceo and cfo of memorial community hospital foundation (foundation) and ceo and cfo of memorial community hospital (hospital) is provided by chi health. The ceo and cfo are employees of chi health and the hospital reimburses chi health for the ceo's and cfo's compensation and benefits. The hospital pays chi health a management fee equal to the direct cost of the ceo's and cfo's compensation and benefits plus 10% of the hospital's earnings before interest, depreciation, and amortization or a maximum of $500,000 for chi health's support.”

Form 990, Part VI, Section A, Line 6

“Memorial community hospital foundation ("foundation") has one member - memorial community health system, inc. ("mchs").”

Form 990, Part VI, Section A, Line 7A

“Mchs is a 501(c)(3) organization responsible for appointing all board members of the foundation.”

Form 990, Part VI, Section B, Line 11B

“No review was or will be conducted.”

Form 990, Part VI, Section B, Line 12C

“Each board member annually signs a conflict of interest statement and is given a copy of the conflict of interest policy. The chairman of the board reviews these statements and ensures that board members excuse themselves from discussions at board meetings on topics where they have a conflict of interest.”

Form 990, Part VI, Section B, Line 15

“The officers of the board are not compensated for their duties; they are volunteers. The officers of the corporation (the executives) are compensated based on recommendations of the compensation committee of the board. The compensation committee of the hospital looks at comparative industry salary information in setting base salaries, and reviews and approves the individual goals proposed by the executive team for incentive compensation.”

Form 990, Part VI, Section C, Line 19

“Memorial community hospital foundation's audit report is made available to the public. The conflict of interest policy and governing documents are not available to the public.”

Form 990, Part VII, Section A, Line 1A

“Manuela banner is the ceo of memorial community hospital and is paid by chi health. Memorial community hospital paid chi health for her services provided. Therefore, manuela banner shows $0 reportable compensation from the filing organization and from any related organization as they were directly paid by chi health.”

Filing and Contact Details

Filer

Filer Name
Memorial Community Hospital Foundation
EIN
11-3660156
Phone
4024262182
Address
810 NORTH 22ND STREET, BLAIR, NE 68008

Signing Officer

Name
Tim Schnack
Title
Executive Director
Phone
4024262182
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Coartney Digiorgio
Formed
2000
Legal Domicile
Ne
Voting Board Members
9
Independent Board Members
8
Employees
0
Volunteers
9

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Heather Adkins
Phone
3032989100
Supplemental Narrative

Financial Statement Notes

PART V, LINE 4:

“The organization's endowment funds are used for the capital equipment and other special program needs of memorial community hospital.”

PART X, LINE 2:

“In accordance with fasb interpretation no. 48, accounting for uncertainty in income taxes, included in fasb asc subtopic 741-10 - income taxes: the foundation recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. In 2024 and 2023, management determined that there are no income tax positions requiring recognition in the consolidated financial statements.”

Raw XML AppendixShowing 400 of 492 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/DecisionsSubjectToApprovaInd00
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IRS990/DeductibleNonCashContriInd00
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IRS990/Desc0FUNDRAISING FOR THE CAPITAL EQUIPMENT AND OTHER SPECIAL PROGRAM NEEDS OF MEMORIAL COMMUNITY HOSPITAL. THIS WILL BE CARRIED OUT THROUGH COMMUNITY FUNDRAISING DRIVES TO THE BUSINESSES AND INDIVIDUALS OF BLAIR, NEBRASKA, AND OTHER SURROUNDING COMMUNITIES. THESE FUNDRAISING EFFORTS WILL BE CARRIED OUT BY VOLUNTEERS OF THE FOUNDATION AND COMMUNITY.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT/CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8MCH AUXILIARY REP (END 02/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt9MCH AUXILIARY REP (BEG 02/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt10CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11FOUNDATION EXECUTIVE DIRECTOR (THRU 06/24)
IRS990/Form990PartVIISectionAGrp/TitleTxt12FOUNDATION EXECUTIVE DIRECTOR (BEG 08/24)
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IRS990/MissionDesc0THE FOUNDATION AIDS MEMORIAL COMMUNITY HOSPITAL AND HEALTH SYSTEM, BLAIR, NEBRASKA BY SOLICITING CONTRIBUTIONS FOR THE USE AND BENEFIT OF THE HOSPITAL'S PROGRAMS AND SERVICES. THE HOSPITAL PROVIDES ACUTE PREVENTIVE AND CLINICAL HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND DOES NOT LIMIT ITS SERVICES OR DISCRIMINATE BASED ON RACE, SEX, NATIONAL ORIGIN OR RELIGION.
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IRS990/PartialLiquidationInd00
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IRS990/PrincipalOfficerNm0COARTNEY DIGIORGIO
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt067719
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt024356
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IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt025638
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IRS990ScheduleA/TotalSupportAmt0472659
IRS990/ScheduleBRequiredInd00
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IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt023820
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt087941
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IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt025182
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt064121
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt019349
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt019590
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt038939
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt018349
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt019566
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt019349
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt018566
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt016378
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt019189
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt018349
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt017218
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED FOR THE CAPITAL EQUIPMENT AND OTHER SPECIAL PROGRAM NEEDS OF MEMORIAL COMMUNITY HOSPITAL.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1IN ACCORDANCE WITH FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, INCLUDED IN FASB ASC SUBTOPIC 741-10 - INCOME TAXES: THE FOUNDATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. IN 2024 AND 2023, MANAGEMENT DETERMINED THAT THERE ARE NO INCOME TAX POSITIONS REQUIRING RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/TermEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt084866
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0225327
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DR JOHN SIMONSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0319039
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0DURING THE CALENDAR YEAR 2024, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CHI HEALTH, AN UNRELATED ORGANIZATION. CHI HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION SURVEY OR STUDY, (2) INDEPENDENT COMPENSATION CONSULTANT, AND (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0COMPENSATION OF THE CEO AND CFO OF MEMORIAL COMMUNITY HOSPITAL FOUNDATION (FOUNDATION) AND CEO AND CFO OF MEMORIAL COMMUNITY HOSPITAL (HOSPITAL) IS PROVIDED BY CHI HEALTH. THE CEO AND CFO ARE EMPLOYEES OF CHI HEALTH AND THE HOSPITAL REIMBURSES CHI HEALTH FOR THE CEO'S AND CFO'S COMPENSATION AND BENEFITS. THE HOSPITAL PAYS CHI HEALTH A MANAGEMENT FEE EQUAL TO THE DIRECT COST OF THE CEO'S AND CFO'S COMPENSATION AND BENEFITS PLUS 10% OF THE HOSPITAL'S EARNINGS BEFORE INTEREST, DEPRECIATION, AND AMORTIZATION OR A MAXIMUM OF $500,000 FOR CHI HEALTH'S SUPPORT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMORIAL COMMUNITY HOSPITAL FOUNDATION ("FOUNDATION") HAS ONE MEMBER - MEMORIAL COMMUNITY HEALTH SYSTEM, INC. ("MCHS").
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MCHS IS A 501(C)(3) ORGANIZATION RESPONSIBLE FOR APPOINTING ALL BOARD MEMBERS OF THE FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EACH BOARD MEMBER ANNUALLY SIGNS A CONFLICT OF INTEREST STATEMENT AND IS GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY. THE CHAIRMAN OF THE BOARD REVIEWS THESE STATEMENTS AND ENSURES THAT BOARD MEMBERS EXCUSE THEMSELVES FROM DISCUSSIONS AT BOARD MEETINGS ON TOPICS WHERE THEY HAVE A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE OFFICERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR DUTIES; THEY ARE VOLUNTEERS. THE OFFICERS OF THE CORPORATION (THE EXECUTIVES) ARE COMPENSATED BASED ON RECOMMENDATIONS OF THE COMPENSATION COMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE OF THE HOSPITAL LOOKS AT COMPARATIVE INDUSTRY SALARY INFORMATION IN SETTING BASE SALARIES, AND REVIEWS AND APPROVES THE INDIVIDUAL GOALS PROPOSED BY THE EXECUTIVE TEAM FOR INCENTIVE COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6MEMORIAL COMMUNITY HOSPITAL FOUNDATION'S AUDIT REPORT IS MADE AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7MANUELA BANNER IS THE CEO OF MEMORIAL COMMUNITY HOSPITAL AND IS PAID BY CHI HEALTH. MEMORIAL COMMUNITY HOSPITAL PAID CHI HEALTH FOR HER SERVICES PROVIDED. THEREFORE, MANUELA BANNER SHOWS $0 REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND FROM ANY RELATED ORGANIZATION AS THEY WERE DIRECTLY PAID BY CHI HEALTH.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VII, SECTION A, LINE 1A
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd2N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0MEMORIAL COMMUNITY HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1MEMORIAL COMMUNITY HEALTH SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2MCH AUXILIARY THRIFT SHOP
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0470426285
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1470718840
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2470748162
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HEALTH SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2AUXILIARY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt2LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0810 N 22ND STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt1810 N 22ND STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt2810 N 22ND STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0BLAIR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1BLAIR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2BLAIR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2NE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd068008
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd168008
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd268008

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