Tri-County Memorial Foundation INC FY2020 filing

Tax-deductible

Whitehall, WI501(c)(3)Since 2001Health CareEIN 30-0093022Revenue $38K in FY2020

On file with the IRSgundersenhealth.org/tri-county/foundation18601 Lincoln St, 54773-8605 · Whitehall, WITax-exempt since Sep 2002Supporting organization — 509(a)(3)

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Tri-County Memorial Foundation, INC. Provides support Tri-County Memorial hospital, INC., community organizations, and individuals to further the purpose of health and educational needs. Tri-County Memorial hospital, INC. Provides health services to their local areas. The service area is about a 25-mile radius around the facility and includes about 15,000 individuals. Tri-County Memorial Foundation, INC. Provides support to Tri-County hospital, clinics, and assisted living. At times, equipment is purchased to support the hospital, clinics, and assisted living. During the period october 1, 2024 through september 30, 2025, $4,200 in scholarships were granted to students in the area pursuing careers in medical fields.

501(c)(3) charity; gifts are tax-deductible.
100¢ of each $1 spent went to programs.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX

Before you give

FY2020 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
4 of 4
filings with a surplus
Average surplus $113K a year · 74% of revenue · last 4 filings
Looks good: a surplus in 4 of the last 4 filings.
Pt I · Ln 19 · 4 filings
Spent on programs
100%
of spending
Looks good: 100% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Cash reserves
410 mo
of spending, in cash
Looks good: 410.2 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $25K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$363K
43% of total assets
Looks good: liabilities are 43% of assets; 50% or less.
Pt X · Ln 26
Independent board members
7
of 7 voting members
Looks good: 7 of 7 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$38K
Spent
$25K
To programs
100%
Net assets
$475K
By yearFY2020–FY2024
Revenue
$38K
FY2020
Tap a bar for its year
Revenue by fiscal year
FY2020$38K
FY2021$301K
FY2022$90K
FY2024$178K
FY2024$108K
Expenses
$25K
FY2020
Tap a bar for its year
Expenses by fiscal year
FY2020$25K
FY2021$36K
FY2022$23K
FY2024$74K
FY2024$23K
Net assets
$475K
FY2020
Tap a bar for its year
Net assets by fiscal year
FY2020$475K
FY2021$739K
FY2022$807K
FY2024$1.1M
FY2024$1.1M

From the FY2020 Form 990 · see the original

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You’re viewing the FY2020 filing — not the latest on file. See the latest (FY2024) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Sep 2002.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

100 cents of each dollar spent went to programs.

Program services 100% · $25K

Form 990 Part IX, line 25. Every line is in By the numbers.

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Who runs it and what they're paid

8 people listed on the 990.

Part VII, Section A · reportable compensation
Finance Administrator
$0Pt VII · Sec A
Chairperson
$0Pt VII · Sec A
Vice-Chairperson
$0Pt VII · Sec A
$0Pt VII · Sec A
$0Pt VII · Sec A
$0Pt VII · Sec A
Trustee
$0Pt VII · Sec A
$0Pt VII · Sec A
See Tri-County Memorial Foundation INC executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Supports hospital patient care, education, and community health improvement.

Questions for Tri-County Memorial Foundation INC

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Provided by the organization

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1 program · $25K · in their own filed words · FY2020
01

Tri-county memorial foundation, inc. Provides support to tri-county memorial hospital, inc., community organizations, and individuals to further the purpose of health and educational needs. Tri-county memorial hospital, inc. Provides health services to their local areas.

$25Kprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2022
Total grants receivedfrom 1 funder$25K
Grants paid · 3 grants · $22K · 2020–2021
Unitemized GrantFY2020$6,200
Unitemized GrantFY2020$5,804

By the numbers

The FY2020 990, line by line.

1The main four
Money inPt VIII
$38K
Ln 12
Gifts and grantsLn 1h$26K
Other incomeLn 4–11$7K
Investment incomeLn 3$5K
Money outPt IX
$25K
Ln 25
Programscol B$25K
Owns and owesPt X
$475K
net assets · Ln 32
Cash and savingsLn 1–2$838K
Total assetsLn 16$838K
LiabilitiesLn 26$363K
PeoplePt VI, VII
8
listed · VII A
PaidVII A0
Voting boardVI 1a7
IndependentVI 1b7
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$26K
Investment incomeLn 3$5K
Other incomeLn 4–11$7K
Gains on assetsLn 7$0
Total revenueLn 12$38K
Assets in detailPt X, end of year
CashLn 1$0
SavingsLn 2$838K
Cash and savings togetherLn 1–2$838K
InvestmentsLn 11–13$0
Land, buildings, equipmentLn 10c$0
Other assetsLn 15$0
Total assetsLn 16$838K
LiabilitiesLn 26$363K
Net assetsLn 32$475K
OperationsPt I, VI
EmployeesI 50
VolunteersI 620
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13No
Records policyVI 14No
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY20End FY20
Cash and savingsLn 1–2$820K$838K
InvestmentsLn 11–13$0$0
Land, buildings, equipmentLn 10c$0$0
Total assetsLn 16$820K$838K
LiabilitiesLn 26$359K$363K
Net assetsLn 32$461K$475K
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$8K$8K
Grants to domestic individualsLn 2$12K$12K
Grants and assistance to foreign recipientsLn 3$0
Benefits paid to or for membersLn 4$0
Pay of current officers, directors and key staffLn 5$0
Pay of disqualified personsLn 6$0
Other salaries and wagesLn 7$0
Pension plan contributionsLn 8$0
Other employee benefitsLn 9$0
Payroll taxesLn 10$0
Management feesLn 11a$0
Legal feesLn 11b$0
Accounting feesLn 11c$0
Lobbying feesLn 11d$0
Professional fundraising feesLn 11e$0
Investment management feesLn 11f$0
Other fees for servicesLn 11g$0
Advertising and promotionLn 12$0
Office expensesLn 13$3K$3K$0$0
Information technologyLn 14$0
RoyaltiesLn 15$0
OccupancyLn 16$0
TravelLn 17$0
Travel and entertainment for public officialsLn 18$0
Conferences, conventions and meetingsLn 19$0
InterestLn 20$0
Payments to affiliatesLn 21$0
Depreciation, depletion and amortizationLn 22$0
InsuranceLn 23$0
Other expenses (24a–d)Ln 24$1K$1K$0$0
Total functional expensesLn 25$25K$25K$0$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 $178K$74K$104K$1.1M 990 PDF
FY2023 Not on file
FY2022 $90K$23K$68K$807K 990 PDF
FY2021 $301K$36K$265K$739K 990 PDF
FY2020 Viewing $38K$25K$14K$475K 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2020 990 (6 parts)
Part I · Summary $38,401 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $38,573$26,088
I-9 Program service revenuePrior year $0$0
I-10 Investment incomePrior year $6,262$5,130
I-11 Other revenuePrior year $2,266$7,183
I-12 Total revenuePrior year $47,101$38,401
I-13 Grants and similar amounts paidPrior year $9,043$20,504
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $0$0
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $15,345$4,020
I-18 Total expensesPrior year $24,388$24,524
I-19 Revenue less expensesPrior year $22,713$13,877
Part VI · Governance 7 of 7 board members independent, 3 to look at
VI-1a Voting members of the governing body7
VI-1b Independent voting members7
VI-13 Written whistleblower policyNo
VI-14 Document retention and destruction policyNo
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
Part VIII · Statement of revenue $38,401 across 9 lines filed
VIII-1f All other contributions, gifts and grants$26,088
VIII-1h Total contributions, gifts and grants$26,088
VIII-3 Investment incomeExcluded from tax $5,130$5,130
VIII-5 Royalties$0
VIII-6 Net rental income or loss$0
VIII-7 Net gain or loss on sales of assets$0
VIII-8 Net income from fundraising events$0
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Excluded from tax $7,183$7,183
VIII-12 Total revenueExcluded from tax $12,313$38,401
Part IX · Statement of functional expenses $24,524 across 30 lines filed
IX-1 Grants to domestic organizationsPrograms $8,500$8,500
IX-2 Grants to domestic individualsPrograms $12,004$12,004
IX-3 Grants and assistance to foreign recipients$0
IX-4 Benefits paid to or for members$0
IX-5 Pay of current officers, directors and key staff$0
IX-6 Pay of disqualified persons$0
IX-7 Other salaries and wages$0
IX-8 Pension plan contributions$0
IX-9 Other employee benefits$0
IX-10 Payroll taxes$0
IX-11a Management fees$0
IX-11b Legal fees$0
IX-11c Accounting fees$0
IX-11d Lobbying fees$0
IX-11e Professional fundraising fees$0
IX-11f Investment management fees$0
IX-11g Other fees for services$0
IX-12 Advertising and promotion$0
IX-13 Office expensesPrograms $2,692 · Management $0 · Fundraising $0$2,692
IX-14 Information technology$0
IX-15 Royalties$0
IX-16 Occupancy$0
IX-17 Travel$0
IX-18 Travel and entertainment for public officials$0
IX-19 Conferences, conventions and meetings$0
IX-20 Interest$0
IX-21 Payments to affiliates$0
IX-22 Depreciation, depletion and amortization$0
IX-23 Insurance$0
IX-24 Other expenses (24a–d)Programs $1,328 · Management $0 · Fundraising $0$1,328
IX-25 Total functional expensesPrograms $24,524 · Management $0 · Fundraising $0$24,524
Part X · Balance sheet $838,226 assets, 24 lines filed
X-1 Cash, non-interest-bearingStart of year $0$0
X-2 Savings and temporary cash investmentsStart of year $820,329$838,226
X-3 Pledges and grants receivableStart of year $0$0
X-4 Accounts receivableStart of year $0$0
X-8 Inventories for sale or useStart of year $0$0
X-9 Prepaid expenses and deferred chargesStart of year $0$0
X-10c Land, buildings and equipment, netStart of year $0$0
X-11 Publicly traded securitiesStart of year $0$0
X-12 Other securitiesStart of year $0$0
X-13 Program-related investmentsStart of year $0$0
X-14 Intangible assetsStart of year $0$0
X-15 Other assetsStart of year $0$0
X-16 Total assetsStart of year $820,329$838,226
X-17 Accounts payable and accrued expensesStart of year $0$0
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $0$0
X-20 Tax-exempt bond liabilitiesStart of year $0$0
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $359,377$363,397
X-26 Total liabilitiesStart of year $359,377$363,397
X-27 Net assets without donor restrictionsStart of year $346,793$343,083
X-28 Net assets with donor restrictionsStart of year $114,159$131,746
X-32 Total net assets or fund balancesStart of year $460,952$474,829
X-33 Total liabilities and net assetsStart of year $820,329$838,226
Part XI · Reconciliation of net assets $474,829 net assets at year end
XI-1 Total revenue$38,401
XI-2 Total expenses$24,524
XI-3 Revenue less expenses$13,877
XI-4 Net assets at start of year$460,952
XI-10 Net assets at end of year$474,829

Form 990 e-file (XML) FY2020 from the IRS · Classification, formation year and address from the IRS Business Master File

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