Civic Intelligence

Fort Memorial Hospital Foundation Inc

EIN 39-1397028 • 501(c)3 • Fort Atkinson, WI

Profile

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.

611 Sherman Avenue EastFort Atkinson, WI 53538-1998

n/a

Siviq Scores

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

Liabilities / Assets

26th percentile

0.03x

Higher debt load relative to assets than 26% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

78th percentile

0.86x

Higher debt load relative to revenue than 78% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

64th percentile

11%

Higher net margin than 64% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$862,598

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 195.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

84th percentile

22%

Faster asset growth than 84% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

79th percentile

32%

Faster revenue growth than 79% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets26th percentile

Assets

Up

$10,923,743

Up $1,944,422 (+22%) from 2023

Liabilities

Up

$378,141

Up $236,394 (+167%) from 2023

Net Assets

Up

$10,545,602

Up $1,708,028 (+19%) from 2023

Operations
Liabilities / Revenue78th percentileNet Margin64th percentile

Revenue

Up

$440,717

Up $106,711 (+32%) from 2023

Expenses

Up

$391,019

Up $254,117 (+186%) from 2023

Net Income

Down

$49,698

Down $147,406 (-75%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth84th percentile

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

$15M$10M$5.0M$0Assets 2010: $5,520,692Liabilities 2010: $137,776Net Assets 2010: $5,382,9162010Assets 2011: $5,487,041Liabilities 2011: $147,013Net Assets 2011: $5,340,0282011Assets 2012: $6,195,034Liabilities 2012: $230,231Net Assets 2012: $5,964,8032012Assets 2013: $6,682,212Liabilities 2013: $158,890Net Assets 2013: $6,523,3222013Assets 2014: $6,936,391Liabilities 2014: $153,609Net Assets 2014: $6,782,7822014Assets 2015: $6,550,095Liabilities 2015: $122,877Net Assets 2015: $6,427,2182015Assets 2016: $7,067,024Liabilities 2016: $108,627Net Assets 2016: $6,958,3972016Assets 2017: $7,612,916Liabilities 2017: $112,554Net Assets 2017: $7,500,3622017Assets 2018: $7,746,444Liabilities 2018: $107,406Net Assets 2018: $7,639,0382018Assets 2019: $7,610,383Liabilities 2019: $112,222Net Assets 2019: $7,498,1612019Assets 2020: $7,911,288Liabilities 2020: $91,007Net Assets 2020: $7,820,2812020Assets 2021: $9,421,249Liabilities 2021: $95,935Net Assets 2021: $9,325,3142021Assets 2022: $7,976,529Liabilities 2022: $125,637Net Assets 2022: $7,850,8922022Assets 2023: $8,979,321Liabilities 2023: $141,747Net Assets 2023: $8,837,5742023Assets 2024: $10,923,743Liabilities 2024: $378,141Net Assets 2024: $10,545,6022024

Highlighted filing

2024

Assets$10,923,743
Liabilities$378,141
Net Assets$10,545,602
Open 2024 Filing

Operations Trend

Revenue Growth79th percentile

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

$1.0M$500K$0-$500KExpenses 2010: $238,9212010Expenses 2011: $206,4062011Expenses 2012: $304,0912012Revenue 2013: $382,656Expenses 2013: $201,249Net Income 2013: $181,4072013Revenue 2014: $745,204Expenses 2014: $262,159Net Income 2014: $483,0452014Revenue 2015: $443,218Expenses 2015: $283,362Net Income 2015: $159,8562015Revenue 2016: $474,902Expenses 2016: $231,557Net Income 2016: $243,3452016Revenue 2017: $698,209Expenses 2017: $299,575Net Income 2017: $398,6342017Revenue 2018: $238,862Expenses 2018: $329,180Net Income 2018: -$90,3182018Revenue 2019: $585,044Expenses 2019: $369,290Net Income 2019: $215,7542019Revenue 2020: $177,242Expenses 2020: $232,079Net Income 2020: -$54,8372020Revenue 2021: $434,796Expenses 2021: $88,032Net Income 2021: $346,7642021Revenue 2022: $330,313Expenses 2022: $158,558Net Income 2022: $171,7552022Revenue 2023: $334,006Expenses 2023: $136,902Net Income 2023: $197,1042023Revenue 2024: $440,717Expenses 2024: $391,019Net Income 2024: $49,6982024

Highlighted filing

2024

Revenue$440,717
Expenses$391,019
Net Income$49,698
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
$10,923,743
Liabilities
$378,141
Net assets
$10,545,602
Revenue
$440,717
Expenses
$391,019
Net income
$49,698
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.9$0.38$10.5$0.44$0.39$0.05
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.98$0.14$8.84$0.33$0.14$0.20
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.98$0.13$7.85$0.33$0.16$0.17
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.42$0.10$9.33$0.43$0.09$0.35
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.91$0.09$7.82$0.18$0.23$0.05
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.61$0.11$7.50$0.59$0.37$0.22
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.75$0.11$7.64$0.24$0.33$0.09
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.61$0.11$7.50$0.70$0.30$0.40
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.07$0.11$6.96$0.47$0.23$0.24
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.55$0.12$6.43$0.44$0.28$0.16
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$6.94$0.15$6.78$0.75$0.26$0.48
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.68$0.16$6.52$0.38$0.20$0.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.20$0.23$5.96$0.30
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.49$0.15$5.34$0.21
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.52$0.14$5.38$0.24
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$1,567,012
Mission and Program Overview

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$8,616,890$10,531,061▲ $1,914,171
Cash and Non-Interest-Bearing Accounts$362,431$392,682▲ $30,251
Total Assets$8,979,321$10,923,743▲ $1,944,422
Liabilities
Accounts Payable and Accrued Expenses$68,189$304,584▲ $236,395
Other Liabilities$73,558$73,557▼ $1
Total Liabilities$141,747$378,141▲ $236,394
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,504,644$10,164,825▲ $1,660,181
Net Assets With Donor Restrictions$332,930$380,777▲ $47,847
Total Net Assets Fund Balance$8,837,574$10,545,602▲ $1,708,028
Total Liabilities and Net Assets / Fund Balance$8,979,321$10,923,743▲ $1,944,422
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleOtherTotal
Mary Beck MetzgerSecretary$83,493$83,493
Donald Williams MdBoard Member$37,639$37,639

Board Members and Trustees

NameTitle
Carol BurrowsPresident
Andy DidionBoard Member
Christi OttBoard Member
James Fitzpatrick PhdBoard Member
Michael Anderson MdBoard Member
Michael WallaceBoard Member
Roy BudlongBoard Member
Thomas VinzBoard Member
James NelsonAssistant Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$140,950
Program Service Revenue
$0
Investment Income
$299,767
Other Revenue
$0
All Other Contributions
$140,950
Change in Net Assets
$49,698

Audited Revenue Reconciliation

Revenue per Audited Statements
$440,717
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,658,330
Total Revenue per Audited Statements
$2,099,047
Total Revenue per Form 990
$440,717
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$313,374
Total Fundraising Expense$313,374
Grants and Similar Amounts Paid$77,645
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other--$298,148$298,148
Grants to Domestic Individuals$60,000--$60,000
Grants to Domestic Orgs$17,645--$17,645
All Other Expenses--$13,876$13,876
Interest--$1,350$1,350
Total Functional Expenses$77,645$0$313,374$391,019

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$391,019
Total Expenses per Audited Statements$391,019
Total Expenses per Form 990$391,019
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Fort Healthcare IncFort Atkinson, WI501 (c)(3)Hospital Support$17,645
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Gift Annuity Donor Reserves$73,557
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
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
No
Management duties delegated
No

Governance Explanations

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

“The form 990 is reviewed by the organization's accounting manager and cfo. A copy of the form 990 is provided to the board of directors for review and approval prior to filing with the internal revenue service.”

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

“Each board member of the entity and related entities annually complete a conflict of interest questionnaire disclosing their conflicts of interest. A summary of conflicts are distributed to the chairman of the board and to administrative support personnel. Board members are coached on how to manage their conflicts. Board members with a conflict of interest abstain from voting on the matters.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Fort Memorial Hospital Foundation Inc
EIN
39-1397028
Phone
9205685000
Address
611 SHERMAN AVENUE EAST, FORT ATKINSON, WI 53538-1998

Signing Officer

Name
James Nelson
Title
Assistant Treasurer
Phone
9205685000
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Nelson
Formed
1981
Legal Domicile
Wi
Voting Board Members
10
Independent Board Members
6
Employees
0
Volunteers
11

Preparer

Firm
Wipfli Llp
Address
170 N RADNOR-CHESTER RD SUITE 200, RADNOR, PA 19087
Preparer
Solomon Mardakhaev
Phone
6105653930
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Administrative purchased services: program service expenses 0. Management and general expenses 0. Fundraising expenses 298,148. Total expenses 298,148.”

Raw XML AppendixShowing 400 of 507 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
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IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE 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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt086641
IRS990/NetUnrelatedBusTxblIncmAmt00
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IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt010164825
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
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IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JAMES NELSON
IRS990/ProfessionalFundraisingInd00
IRS990/ProgSrvcAccomActy2Grp/Desc0FORT 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.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt017645
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IRS990/ProgSrvcAccomActy2Grp/RevenueAmt00
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IRS990/PYProgramServiceRevenueAmt00
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0334006
IRS990/QuidProQuoContributionsInd00
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IRS990/ReportLandBuildingEquipmentInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
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IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt017645
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0FORT HEALTHCARE INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt017645
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990/ScheduleBRequiredInd01
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IRS990ScheduleD/ExpensesSubtotalAmt0391019
IRS990ScheduleD/NetUnrealizedGainsInvstAmt01658330
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt073557
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0GIFT ANNUITY DONOR RESERVES
IRS990ScheduleD/RevenueNotReportedAmt01658330
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0440717
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0391019
IRS990ScheduleD/TotalLiabilityAmt073557
IRS990ScheduleD/TotalRevenuePerForm990Amt0440717
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02099047
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0391019
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt060000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt062
IRS990ScheduleI/RecipientTable/CashGrantAmt017645
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501 (C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0HOSPITAL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0FORT HEALTHCARE INC
IRS990ScheduleI/RecipientTable/RecipientEIN0390286215
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0611 SHERMAN AVENUE EAST
IRS990ScheduleI/RecipientTable/USAddress/CityNm0FORT ATKINSON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd053538
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE FORT MEMORIAL HOSPITAL FOUNDATION (FMHF) PROVIDES PHILANTHROPIC FUNDING TO FORT HEALTHCARE (FHC) TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. FMHF GRANTS ARE ALIGNED WITH FHC'S STRATEGIC GOALS, SUPPORT OPERATIONAL EXCELLENCE AND HELP FHC ADOPT INNOVATIVE TECHNOLOGY AND PATIENT CARE PRACTICES. THE FOUNDATION HAS CHOSEN FOUR PRIORITIES FOR FUNDING. PROPOSALS FOR FUNDING MUST FIT WITHIN ONE OF THESE FOCUS AREAS; BENEVOLENT CARE, KEEPING YOUR FAMILY HEALTHY, PROVIDE THE BEST HEALTH CARE POSSIBLE, EDUCATE PEOPLE FOR CAREERS IN HEALTHCARE. DEPARTMENTS RECEIVING GRANTS ARE RESPONSIBLE TO REPORT THE USE OF FUNDS, OUTCOMES AND ANECDOTAL STORIES THAT ILLUSTRATE THE IMPACT OF THE GRANT. REPORTING REQUIREMENTS WILL BE DETERMINED COLLABORATIVELY PRIOR TO A FINAL FUNDING DECISION. THE SCHOLARSHIP CRITERIA ARE DETERMINED BY AGREEMENT WITH THE DONOR AT THE TIME OF THEIR CONTRIBUTION. THE FOUNDATION HAS TWO CATEGORIES OF DOCUMENTATION FOR THE SCHOLARSHIPS: 1) SCHOLARSHIPS ESTABLISHED THROUGH A TRUST OR ESTATE DOCUMENT; 2) SCHOLARSHIPS ESTABLISHED BY LIVING DONORS FOR WHICH THERE IS WRITTEN GUIDANCE.
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
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt040000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1391961
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt270031
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0764441
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1246348
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2279993
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt213200
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MICHAEL ANDERSON MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1MICHAEL WALLACE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JAMES NELSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2ASSISTANT TREASURER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY FORT HEALTHCARE, INC., A RELATED ORGANIZATION OF FORT MEMORIAL HOSPITAL FOUNDATION, INC. FORT HEALTHCARE, INC. ESTABLISHED THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL USING THE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE METHODS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING MANAGER AND CFO. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH BOARD MEMBER OF THE ENTITY AND RELATED ENTITIES ANNUALLY COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE DISCLOSING THEIR CONFLICTS OF INTEREST. A SUMMARY OF CONFLICTS ARE DISTRIBUTED TO THE CHAIRMAN OF THE BOARD AND TO ADMINISTRATIVE SUPPORT PERSONNEL. BOARD MEMBERS ARE COACHED ON HOW TO MANAGE THEIR CONFLICTS. BOARD MEMBERS WITH A CONFLICT OF INTEREST ABSTAIN FROM VOTING ON THE MATTERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ADMINISTRATIVE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 298,148. TOTAL EXPENSES 298,148.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00

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