DICKINSON COUNTY HOSPITAL FOUNDATION

Address
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Contact
Phone: +1 (906) 776-5790
Nonprofit
NTEE: E129 - Health care
EIN: 38-6093161

Mission

TO SOLICIT, RECEIVE AND EXPEND FUNDS TO IMPROVE MEDICAL AND HOSPITAL CARE FACILITIES, PROGRAMS AND SERVICES AT DICKINSON COUNTY MEMORIAL HOSPITAL
 20162015201420132012
Basic features of the organization
Year of formation1964
Subsection code03
PF filing required0    
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00$0.00$0.00$0.00$0.00
Number of employees00000
Number of people compensated >$100k00000
Number of volunteers2030505050
Number of highly compensated contractors0000 
Personnel
Brule, Warren
Title TRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated person WARREN BRULEWARREN BRULEWARREN BRULEWARREN BRULE
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org 0.500.500.500.50
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Carlson, Ralph
Title TRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated person DR RALPH CARLSONDR RALPH CARLSONDR RALPH CARLSONDR RALPH CARLSON
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org 0.500.500.500.50
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Celello, Michael
TitlePRESIDENTPRESIDENTPRESIDENTPRESIDENTPRESIDENT
Name of key/compensated personMICHAEL CELELLOMICHAEL CELELLOMICHAEL CELELLOMICHAEL CELELLOMICHAEL CELELLO
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org1.001.001.001.001.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Forgette, Bob
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personBOB FORGETTE JRBOB FORGETTE JRBOB FORGETTE JRBOB FORGETTE JRBOB FORGETTE JR
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org0.500.500.500.500.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Freeman, Peggy
TitleTRUSTEE    
Name of key/compensated personPEGGY FREEMAN    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org0.50    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Jamar, John
Title TRUSTEETRUSTEETRUSTEE 
Name of key/compensated person JOHN JAMAR JRJOHN JAMAR JRJOHN JAMAR JR 
Position of compensated person
Current individual trustee or director TrueTrueTrue 
Average hours per week working for org 0.500.500.50 
Reportable compensation from org $0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00 
Johnson, David
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personDAVID JOHNSONDAVID JOHNSONDAVID JOHNSONDAVID JOHNSONDAVID JOHNSON
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org0.500.500.500.500.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Juul, Tamara
TitleEXECUTIVE DIRECTOREXECUTIVE DIRECTOREXECUTIVE DIRECTOREXECUTIVE DIRECTOREXECUTIVE DIRECTOR
Name of key/compensated personTAMARA JUULTAMARA JUULTAMARA JUULTAMARA JUULTAMARA JUUL
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org6.006.006.006.006.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Lavallie, Terry
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personTERRY LAVALLIETERRY LAVALLIETERRY LAVALLIETERRY LAVALLIETERRY LAVALLIE
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org0.500.500.500.500.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Leonard, Kristine
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personKRISTINE LEONARDKRISTINE LEONARDKRISTINE LEONARDKRISTINE LEONARDKRISTINE LEONARD
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org0.500.500.500.500.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Matthews, Pat
Title TREASURERTREASURERTREASURERTREASURER
Name of key/compensated person PAT MATTHEWSPAT MATTHEWSPAT MATTHEWSPAT MATTHEWS
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org 1.001.001.001.00
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Molinare, David
Title    TRUSTEE
Name of key/compensated person    DAVID MOLINARE
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    0.50
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Pontbriand, Steve
TitleTRUSTEE    
Name of key/compensated personSTEVE PONTBRIAND    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org0.50    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Saunders, Todd
TitleTREASURER    
Name of key/compensated personTODD SAUNDERS    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Schon, John
TitleTRUSTEETRUSTEETRUSTEETRUSTEETRUSTEE
Name of key/compensated personJOHN SCHONJOHN SCHONJOHN SCHONJOHN SCHONJOHN SCHON
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org0.500.500.500.500.50
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Tracy, Susan
Title    VICE PRESIDENT
Name of key/compensated person    SUSAN TRACY
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    1.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTO SOLICIT, RECEIVE AND EXPEND FUNDS TO IMPROVE MEDICAL AND HOSPITAL CARE FACILITIES, PROGRAMS AND SERVICES AT DICKINSON CTY MEM HOSPITALTO SOLICIT, RECEIVE AND EXPEND FUNDS TO IMPROVE MEDICAL AND HOSPITAL CARE FACILITIES, PROGRAMS AND SERVICES AT DICKINSON CTY MEM HOSPITALTO SOLICIT, RECEIVE AND EXPEND FUNDS TO IMPROVE MEDICAL AND HOSPITAL CARE FACILITIES, PROGRAMS AND SERVICES AT DICKINSON CTY MEM HOSPITALTO SOLICIT, RECEIVE AND EXPEND FUNDS TO IMPROVE MEDICAL AND HOSPITAL CARE FACILITIES, PROGRAMS AND SERVICES AT DICKINSON CTY MEM HOSPITALTO SOLICIT, RECEIVE AND EXPEND FUNDS TO IMPROVE MEDICAL AND HOSPITAL CARE FACILITIES, PROGRAMS AND SERVICES AT DICKINSON CTY MEM HOSPITAL
Program service expenses, total$97,025.00$83,813.00$80,111.00$1,364,639.00$407,422.00
Programs, including revenue & expenses
CAPITAL IMPROVEMENTS FOR HOSPITAL AND CT SCANNER
Program expenses    $185,541.00
Grants and allocations made    $185,541.00
Program description    CAPITAL IMPROVEMENTS FOR HOSPITAL AND CT SCANNER
DONATION TO THE DICKINSON AREA COMMUNITY FOUNDATION.
Program expenses   $1,349,000.00$180,000.00
Grants and allocations made   $1,349,000.00$180,000.00
Program description   DONATION TO THE DICKINSON AREA COMMUNITY FOUNDATION.DONATION TO DICKINSON AREA COMMUNITY FOUNDATION
GRANTS TO BREAST CANCER AWARENESS
Program expenses  $12,050.00  
Grants and allocations made  $12,050.00  
Program description  GRANTS TO BREAST CANCER AWARENESS  
GRANTS TO COMMUNITY HEALTH INITIATIVES
Program expenses$14,725.00$17,000.00$19,534.00  
Grants and allocations made$14,725.00$17,000.00$19,534.00  
Program descriptionGRANTS TO COMMUNITY HEALTH INITIATIVESGRANTS TO COMMUNITY HEALTH INITIATIVESGRANTS TO COMMUNITY HEALTH INITIATIVES  
GRANTS TO HOSPITAL UPGRADES/CAPITAL IMPROVEMENTS
Program expenses$37,500.00$42,005.00   
Grants and allocations made$37,500.00$42,005.00   
Program descriptionGRANTS TO HOSPITAL UPGRADES/CAPITAL IMPROVEMENTSGRANTS TO HOSPITAL UPGRADES/CAPITAL IMPROVEMENTS   
GRANTS TO SPECIFIC HOSPITAL FUNCTIONS/DEPARTMENTS
Program expenses$5,031.00$7,562.00$36,945.00$5,169.00 
Grants and allocations made$5,031.00$7,562.00$36,945.00$5,169.00 
Program descriptionGRANTS TO SPECIFIC HOSPITAL FUNCTIONS/DEPARTMENTSGRANTS TO SPECIFIC HOSPITAL FUNCTIONS/DEPARTMENTSGRANTS TO SPECIFIC HOSPITAL FUNCTIONS/DEPARTMENTSGRANTS TO SPECIFIC HOSPITAL FUNCTIONS/DEPARTMENTS 
OB/GYN DEPARTMENT
Program expenses    $25,000.00
Grants and allocations made    $25,000.00
Program description    OB/GYN DEPARTMENT
SCHOLARSHIP PROGRAM
Program expenses   $3,000.00 
Grants and allocations made   $3,000.00 
Program description   SCHOLARSHIP PROGRAM 
Financial data
Revenue
Total revenue$165,189.00$111,323.00$95,867.00$1,425,197.00$96,430.00
Revenue from contributions (total)$140,667.00$114,785.00$90,927.00$1,363,519.00$82,806.00
Investment income, current yr$850.00$915.00$1,160.00$54,294.00$9,977.00
Total revenue from grants, etc., current yr$140,667.00$114,785.00$90,927.00$1,363,519.00$82,806.00
Total unrelated business revenue$0.00$0.00$0.00$0.00$0.00
Other revenue, current yr$23,672.00-$4,377.00$3,780.00$7,384.00$3,647.00
Net unrelated business taxable revenue$0.00$0.00$0.00$0.00$0.00
Program service revenue (total) $0.00$0.00$0.00$0.00
Gross receipts$186,029.00$144,492.00$122,191.00$1,730,071.00$154,643.00
Sources of contributions
Revenue from fundraising events$27,702.00$27,579.00$17,166.00$22,041.00$21,684.00
Revenue from all other contributions$112,965.00$87,206.00$73,761.00$1,341,478.00$61,122.00
Other types of revenue
Income from dividends, interest, and similar investments$850.00$915.00$1,160.00$2,484.00$6,387.00
Net rental income $0.00$0.00$0.00$0.00
Net income from fundraising events$23,672.00-$4,377.00$3,780.00$7,384.00$3,647.00
Expense categories (totals)
Total functional expenses: sum of all$108,525.00$94,259.00$91,979.00$1,409,647.00$423,079.00
Total functional expenses: program service $97,025.00$83,813.00$80,111.00$1,364,639.00$407,422.00
Total functional expenses: management and general$8,292.00$7,180.00$8,834.00$40,770.00$11,737.00
Total functional expenses: fundraising$3,208.00$3,266.00$3,034.00$4,238.00$3,920.00
Fees for services
Fundraising service fees (total)$0.00$0.00$0.00$0.00$0.00
Assets and liabilities
Total assets$458,163.00$402,049.00$384,935.00$381,868.00$424,517.00
Total assets, beginning of year$402,049.00$384,935.00$381,868.00$424,517.00$724,596.00
Total liabilities$0.00$50.00$0.00$921.00$59,320.00
Total liabilities, beginning of year$50.00$0.00$921.00$59,320.00$58,898.00
Unrestricted net assets, end of yr$402,639.00$351,128.00$291,251.00$300,453.00$25,788.00
Temporarily restricted net assets$55,524.00$50,518.00$93,684.00$80,494.00$247,097.00
Permanently restricted net assets, end of yr$0.00$353.00 $0.00$92,312.00
Net assets$458,163.00$401,999.00$384,935.00$380,947.00$365,197.00
Net assets, beginning of year$401,999.00$384,935.00$380,947.00$365,197.00$665,698.00
Other liabilities  $0.00$81.00$1,768.00
Investments: other securities$9,000.00$9,500.00$9,500.00$9,400.00$308,022.00
Other financial variables
Revenue less expenses$56,664.00$17,064.00$3,888.00$15,550.00-$326,649.00
Advertising (total)  $17.00 $135.00
Savings & temp cash investment$446,895.00$390,406.00$370,662.00$367,209.00$105,048.00
Accounts receivable, net$2,268.00$2,143.00$4,773.00$5,259.00$11,447.00
Accounts payable & accrued expenses $50.00$0.00$840.00$57,552.00
Total net assets or fund balances$458,163.00$401,999.00$384,935.00$380,947.00$365,197.00
Governance and accountability
Number of voting members910101011
Number of independent voting members910101011
Accrual accountingTrueTrueTrueTrueTrue
Tax year start date2016-01-012015-01-012014-01-012013-01-012012-01-01
Tax year end date2016-12-012015-12-012014-12-012013-12-012012-12-01
Indicators for schedules (selected)
Grants to domestic org/gov't >$5kTrueTrueTrueTrueTrue
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990990
Date e-filing submitted2017-11-282016-12-142015-09-102014-09-162013-12-31
IRS schema version2016v3.02015v2.12014v5.02013v3.02012v2.1
Filing identifier201712909349300326201612229349300211201512159349300116201402269349300325201333529349300248
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