Civic Intelligence

Edgerton Hospital Capital Foundation Inc

EIN 20-3161048 • 501(c)3 • Edgerton, WI

Profile

To provide on-going financial support for new advancements in medicine and future efforts to maintain quality healthcare in the Edgerton, Milton and surrounding areas.

11101 North Sherman RdEdgerton, WI 53534

www.edgertonhospital.com

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

78th percentile

25%

Higher net margin than 78% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

99th percentile

$307,792

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 121.5% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

72nd percentile

15%

Faster asset growth than 72% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

27th percentile

-31%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Up

$490,457

Up $64,172 (+15%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$490,457

Up $64,172 (+15%) from 2023

Revenue

Down

$253,430

Down $111,698 (-31%) from 2023

Expenses

Down

$189,258

Down $19,048 (-9.1%) from 2023

Net Income

Down

$64,172

Down $92,650 (-59%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.0M$500K$0Assets 2010: $678,793Liabilities 2010: $0Net Assets 2010: $678,7932010Assets 2011: $836,270Liabilities 2011: $0Net Assets 2011: $836,2702011Assets 2012: $522,894Liabilities 2012: $0Net Assets 2012: $522,8942012Assets 2013: $509,399Liabilities 2013: $0Net Assets 2013: $509,3992013Assets 2014: $594,277Liabilities 2014: $0Net Assets 2014: $594,2772014Assets 2015: $500,754Liabilities 2015: $0Net Assets 2015: $500,7542015Assets 2016: $348,161Liabilities 2016: $0Net Assets 2016: $348,1612016Assets 2017: $270,469Liabilities 2017: $0Net Assets 2017: $270,4692017Assets 2018: $373,422Liabilities 2018: $0Net Assets 2018: $373,4222018Assets 2019: $252,527Liabilities 2019: $0Net Assets 2019: $252,5272019Assets 2020: $628,005Liabilities 2020: $0Net Assets 2020: $628,0052020Assets 2021: $411,742Liabilities 2021: $0Net Assets 2021: $411,7422021Assets 2022: $269,463Liabilities 2022: $0Net Assets 2022: $269,4632022Assets 2023: $426,285Liabilities 2023: $0Net Assets 2023: $426,2852023Assets 2024: $490,457Liabilities 2024: $0Net Assets 2024: $490,4572024

Highlighted filing

2024

Assets$490,457
Liabilities$0
Net Assets$490,457

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $393,4352010Expenses 2011: $231,1432011Revenue 2012: $284,728Expenses 2012: $609,852Net Income 2012: -$325,1242012Revenue 2013: $254,642Expenses 2013: $268,137Net Income 2013: -$13,4952013Revenue 2014: $331,480Expenses 2014: $246,602Net Income 2014: $84,8782014Revenue 2015: $335,045Expenses 2015: $428,568Net Income 2015: -$93,5232015Revenue 2016: $113,753Expenses 2016: $266,346Net Income 2016: -$152,5932016Revenue 2017: $188,689Expenses 2017: $266,381Net Income 2017: -$77,6922017Revenue 2018: $147,146Expenses 2018: $42,552Net Income 2018: $104,5942018Revenue 2019: $280,722Expenses 2019: $401,617Net Income 2019: -$120,8952019Revenue 2020: $456,638Expenses 2020: $81,160Net Income 2020: $375,4782020Revenue 2021: $289,955Expenses 2021: $506,218Net Income 2021: -$216,2632021Revenue 2022: $231,421Expenses 2022: $333,183Net Income 2022: -$101,7622022Revenue 2023: $365,128Expenses 2023: $208,306Net Income 2023: $156,8222023Revenue 2024: $253,430Expenses 2024: $189,258Net Income 2024: $64,1722024

Highlighted filing

2024

Revenue$253,430
Expenses$189,258
Net Income$64,172

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.90$0.00$4.90$2.53$1.89$0.64
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.26$0.00$4.26$3.65$2.08$1.57
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.69$0.00$2.69$2.31$3.33$1.02
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.12$0.00$4.12$2.90$5.06$2.16
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.28$0.00$6.28$4.57$0.81$3.75
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.53$0.00$2.53$2.81$4.02$1.21
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.73$0.00$3.73$1.47$0.43$1.05
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.70$0.00$2.70$1.89$2.66$0.78
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.48$0.00$3.48$1.14$2.66$1.53
2015Detailed filing. Detailed filing data is available for this year.$5.01$0.00$5.01$3.35$4.29$0.94
2014Detailed filing. Detailed filing data is available for this year.$5.94$0.00$5.94$3.31$2.47$0.85
2013Detailed filing. Detailed filing data is available for this year.$5.09$0.00$5.09$2.55$2.68$0.13
2012Summary only. Only limited summary data is available for this year.$5.23$0.00$5.23$2.85$6.10$3.25
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.36$0.00$8.36$2.31
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.79$0.00$6.79$3.93
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$231,421
Mission and Program Overview

Mission

To provide on-going financial support for new advancements in medicine and future efforts to maintain quality healthcare in the Edgerton, Milton and surrounding areas.

Provide financial support for Edgerton Hospital and Health Services

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$411,742$269,463▼ $142,279
Total Assets$411,742$269,463▼ $142,279
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$400,711$236,872▼ $163,839
Net Assets With Donor Restrictions$11,031$32,591▲ $21,560
Total Net Assets Fund Balance$411,742$269,463▼ $142,279
Total Liabilities and Net Assets / Fund Balance$411,742$269,463▼ $142,279
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Ann HeidenExecutive DirectorFT$105,666$105,666

Board Members and Trustees

NameTitle
Rose Mary BiceChair
Marc AugsburgerPresident
Fred FalkVice Chair
Jeff RoetheDirector
Sam WilcoxDirector
Vicki MorrisDirector
Jim LitzlerDirector (thru Mar)
Claudia UnderhillDirector - Auxiliary Rep
Karen GreeneEHHS Board Designee
Vannesa PaulsonSecretary/Treasurer
Shellie YahnkeSecretary/Treasurer (thru Feb)
Revenue and Support

Revenue Composition

Contributions and Grants
$231,421
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$228,056
Change in Net Assets
$-101,762
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$329,098
Other Expenses$4,085
Total Fundraising Expense$3,365
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$329,098--$329,098
Office Expenses--$3,365$3,365
Other Expenses-$720-$720
Total Functional Expenses$329,098$720$3,365$333,183
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Edgerton Hospital and Health Services IncEdgerton, WI501(c)(3)Donation for the purchase of property and equipment$329,098
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
No
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
No
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 1A

The Executive Committee of the Board is a standing committee consisting of the President, Chair, Vice Chair, Secretary and Treasurer. The Executive Committee has all duties and responsibilities of the Board and is authorized to act on behalf of the Board between its regular or special meetings. Any action of the Executive Committee is binding upon the board and reported to the Board at its next meeting. The Committee will meet upon call of its Chair or a majority of its members.

Form 990, Part VI, Section A, line 2

Marc Augsburger and Ann Heiden have a business relationship.

Form 990, Part VI, Section A, line 6

Edgerton Hospital and Health Services, Inc. is sole member of the organization.

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

Edgerton Hospital and Health Services, Inc. may appoint, from nominees recommended by the Board of Directors, and remove the Directors of the Corporation.

Form 990, Part VI, Section A, line 7B

Edgerton Hospital & Health Services, Inc., sole member, has the following exclusive powers after review of the recommendations of the Foundation Board: (a) Establish policies for fundraising, spending and investment by the Foundation; (b) Approve unbudgeted expenditures by the Foundation in excess of the corporate spending limit; (c) Accept contributions that impose a material obligation on the Foundation; (d) Select independent auditors, legal counsel and/or other major consultants for the Foundation; (e) Adopt and amend statements of mission, philosophy or purpose; (f) Amend the Foundation's Articles of Incorporation and Bylaws; (g) Appoint, from nominees recommended by the Foundation Board of Directors, and remove, with or without cause, the Directors of the Foundation as provided in Article III; and (h) Appoint, review and remove the President of the Foundation. The President of the Foundation occupies the position of CEO of Edgerton Hospital and Health Services, Inc. After being reviewed and adopted by the Foundation Board of Directors, the following matters must be submitted to the sole member for approval. These actions are not authorized unless approved by the sole member. (a) Capital and operating budgets of the Foundation; (b) Purchases, sales and leases of property by the Foundation in excess of the corporate spending limit; (c) Borrowing by the Foundation in a principal amount in excess of the corporate spending limit, or for a stated term in excess of one year or which is secured by a mortgage of real property; (d) Any major change in the programs and services rendered by the Foundation, including any creation of new or discontinuation of existing programs and services; and (e) Any resolution regarding dissolution, merger or consolidation of the Foundation or the sale, lease, mortgage or transfer of the Foundation's real property, or of all or substantially all of the Foundation's assets.

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

The Form 990 is provided to the governing body before it is filed. The return is reviewed by the Accounting Manager and the CFO of Edgerton Hospital and Health Services, a related organization.

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

Board members and officers of the Board are required to sign a conflict of interest policy annually. The Board Chair and CEO review the potential conflicts of Board members. Board members with conflicts are restricted from voting on such matters.

Form 990, Part VI, Section B, line 15

The Organization's top management official is compensated by Edgerton Hospital & Health Services, Inc., a related organization. Edgerton Hospital and Health Services uses these methods to determine compensation for that individual. The Foundation Director's compensation is determined by an annual evaluation conducted through the Hospital's CEO. The process is documented in the Foundation Director's personnel file.

Form 990, Part VI, Section C, line 19

The governing documents, conflict of interest policy, and financial statements are available upon written request.

Filing and Contact Details

Filer

Filer Name
Edgerton Hospital Capital
EIN
20-3161048
Phone
6088841401
Address
11101 North Sherman Rd, Edgerton, WI 53534

Signing Officer

Name
Ann Heiden
Title
Executive Director
Phone
6088841401
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ann Heiden
Formed
2006
Legal Domicile
Wi
Voting Board Members
9
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Raw XML AppendixShowing 400 of 472 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
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IRS990/AllOtherContributionsAmt0228056
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IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Ann Heiden
IRS990/BooksInCareOfDetail/PhoneNum06088841401
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt011101 North Sherman Road
IRS990/BooksInCareOfDetail/USAddress/CityNm0Edgerton
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WI
IRS990/BooksInCareOfDetail/USAddress/ZIPCd053534
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IRS990/CYOtherExpensesAmt04085
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IRS990/CYRevenuesLessExpensesAmt0-101762
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IRS990/Desc0The Edgerton Hospital Capital Foundation, Inc. exists to provide on-going financial support for Edgerton Hospital and Health Services so they can continue to provide quality health care in the Edgerton, Milton and surrounding areas. All funds raised by the Edgerton Hospital Capital Foundation will be used to support the Hospital and its mission.As Edgerton Hospital's fundraising arm, the Capital Foundation's purpose is to secure donations for the funding of special projects, medical equipment, and programs. The Edgerton Capital Foundation, on behalf of the Edgerton Hospital submitted a grant application and secured a $3.8 million Wisconsin Healthcare Infrastructure Grant that funded the new clinic in downtown Edgerton, Senior Life Solutions (a senior-focused counseling center), and upgrades and improvements to Radiology.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Marc Augsburger
IRS990/Form990PartVIISectionAGrp/PersonNm1Ann Heiden
IRS990/Form990PartVIISectionAGrp/PersonNm2Rose Mary Bice
IRS990/Form990PartVIISectionAGrp/PersonNm3Fred Falk
IRS990/Form990PartVIISectionAGrp/PersonNm4Vannesa Paulson
IRS990/Form990PartVIISectionAGrp/PersonNm5Shellie Yahnke
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IRS990/Form990PartVIISectionAGrp/PersonNm7Jeff Roethe
IRS990/Form990PartVIISectionAGrp/PersonNm8Sam Wilcox
IRS990/Form990PartVIISectionAGrp/PersonNm9Vicki Morris
IRS990/Form990PartVIISectionAGrp/PersonNm10Claudia Underhill
IRS990/Form990PartVIISectionAGrp/PersonNm11Jim Litzler
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Executive Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt3Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Secretary/Treasurer (thru Feb)
IRS990/Form990PartVIISectionAGrp/TitleTxt6EHHS Board Designee
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director - Auxiliary Rep
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director (thru Mar)
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IRS990/InvestmentsPubTradedSecGrp/EOYAmt0269463
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0WI
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0To provide on-going financial support for new advancements in medicine and future efforts to maintain quality healthcare in the Edgerton, Milton and surrounding areas.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0411742
IRS990/NetAssetsOrFundBalancesEOYAmt0269463
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-40517
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0400711
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0236872
IRS990/NoncashContributionsAmt03365
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/FundraisingAmt03365
IRS990/OfficeExpensesGrp/TotalAmt03365
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0Bank Fees
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0720
IRS990/OtherExpensesGrp/TotalAmt0720
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Ann Heiden
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0259958
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0491537
IRS990/PYInvestmentIncomeAmt029997
IRS990/PYOtherExpensesAmt014681
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-216263
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0506218
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0289955
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-101762
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt03365
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0390919992
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0329098
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Edgerton Hospital and Health Services
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt0329098
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0329098
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Donation for the purchase of property and equipment
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Edgerton Hospital and Health Services Inc
IRS990ScheduleI/RecipientTable/RecipientEIN0390819992
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt011101 North Sherman Road
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Edgerton
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd053534
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Edgerton Hospital Capital Foundation, Inc. gives support to Edgerton Hospital & Health Services, Inc., a related organization. The Foundation was established to support the Hospital as indicated by the governing documents. The Board determines the funding based on the need presented by the organization. Documentation of the use of the funds is provided to the Foundation to confirm the funds were used appropriately.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0258595
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt06213
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt025674
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Marc Augsburger
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0President
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0290482
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0The Organization relied on Edgerton Hospital and Health Services, a related organization, which used one or more of the methods on Part I, Line 3 to establish the President's compensation.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Executive Committee of the Board is a standing committee consisting of the President, Chair, Vice Chair, Secretary and Treasurer. The Executive Committee has all duties and responsibilities of the Board and is authorized to act on behalf of the Board between its regular or special meetings. Any action of the Executive Committee is binding upon the board and reported to the Board at its next meeting. The Committee will meet upon call of its Chair or a majority of its members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Marc Augsburger and Ann Heiden have a business relationship.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Edgerton Hospital and Health Services, Inc. is sole member of the organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Edgerton Hospital and Health Services, Inc. may appoint, from nominees recommended by the Board of Directors, and remove the Directors of the Corporation.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Edgerton Hospital & Health Services, Inc., sole member, has the following exclusive powers after review of the recommendations of the Foundation Board: (a) Establish policies for fundraising, spending and investment by the Foundation; (b) Approve unbudgeted expenditures by the Foundation in excess of the corporate spending limit; (c) Accept contributions that impose a material obligation on the Foundation; (d) Select independent auditors, legal counsel and/or other major consultants for the Foundation; (e) Adopt and amend statements of mission, philosophy or purpose; (f) Amend the Foundation's Articles of Incorporation and Bylaws; (g) Appoint, from nominees recommended by the Foundation Board of Directors, and remove, with or without cause, the Directors of the Foundation as provided in Article III; and (h) Appoint, review and remove the President of the Foundation. The President of the Foundation occupies the position of CEO of Edgerton Hospital and Health Services, Inc. After being reviewed and adopted by the Foundation Board of Directors, the following matters must be submitted to the sole member for approval. These actions are not authorized unless approved by the sole member. (a) Capital and operating budgets of the Foundation; (b) Purchases, sales and leases of property by the Foundation in excess of the corporate spending limit; (c) Borrowing by the Foundation in a principal amount in excess of the corporate spending limit, or for a stated term in excess of one year or which is secured by a mortgage of real property; (d) Any major change in the programs and services rendered by the Foundation, including any creation of new or discontinuation of existing programs and services; and (e) Any resolution regarding dissolution, merger or consolidation of the Foundation or the sale, lease, mortgage or transfer of the Foundation's real property, or of all or substantially all of the Foundation's assets.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The Form 990 is provided to the governing body before it is filed. The return is reviewed by the Accounting Manager and the CFO of Edgerton Hospital and Health Services, a related organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Board members and officers of the Board are required to sign a conflict of interest policy annually. The Board Chair and CEO review the potential conflicts of Board members. Board members with conflicts are restricted from voting on such matters.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7The Organization's top management official is compensated by Edgerton Hospital & Health Services, Inc., a related organization. Edgerton Hospital and Health Services uses these methods to determine compensation for that individual. The Foundation Director's compensation is determined by an annual evaluation conducted through the Hospital's CEO. The process is documented in the Foundation Director's personnel file.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8The governing documents, conflict of interest policy, and financial statements are available upon written request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 1a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section A, line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Section B, line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part VI, Section C, line 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0Edgerton Hospital and Health Services Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0390819992
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(c)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0Provision of health care services
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0Line 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt011101 North Sherman Road
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Edgerton
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd053534
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd01
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd01
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0411742
IRS990/TotalAssetsEOYAmt0269463
IRS990/TotalAssetsGrp/BOYAmt0411742
IRS990/TotalAssetsGrp/EOYAmt0269463

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