FURP.ORG / PUBLIC DATA EXPLORER

MORRILL COUNTY HOSPITAL FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MORRILL COUNTY HOSPITAL FOUNDATION (EIN 47-0808837)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-06-14
IRS object ID
202241659349300819
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-06-14T09:40:06-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470526649PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DANA F COLE & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2009AddressLine1Txt
CitySCOTTSBLUFFCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69363ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470808837EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MORRILL COUNTY HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMORRBusinessNameControlTxt
Phone0030826214PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 806AddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69336ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEN SESTAKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3082621400PhoneNum
Signature2022-05-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKENPersonFirstNm
Person LastSESTAKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDENNIS HADDENPreparerPersonNm
PTINP00249553PTIN
Phone3086324400PhoneNum
Preparation2022-05-31PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEN SESTAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 806AddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69336ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,419GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MORRILLCOUNTYHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO PROVIDE SUPPORT TO THE MORRILL COUNTY COMMUNITY HOSPITALActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$47,784PYContributionsGrantsAmt
CY Contributions Grants$60,688CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,811PYInvestmentIncomeAmt
CY Investment Income$14,736CYInvestmentIncomeAmt
PY Other Revenue$3,231PYOtherRevenueAmt
CY Other Revenue-$425CYOtherRevenueAmt
PY Total Revenue$54,826PYTotalRevenueAmt
CY Total Revenue$74,999CYTotalRevenueAmt
PY Grants And Similar Paid$73,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$739PYOtherExpensesAmt
CY Other Expenses$1,322CYOtherExpensesAmt
PY Total Expenses$73,739PYTotalExpensesAmt
CY Total Expenses$31,322CYTotalExpensesAmt
PY Revenues Less Expenses-$18,913PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$43,677CYRevenuesLessExpensesAmt
Total Assets BOY$570,321TotalAssetsBOYAmt
Total Assets EOY$613,998TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$570,321NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$613,998NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE SUPPORT TO THE MORRILL COUNTY COMMUNITY HOSPITALMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$31,322ExpenseAmt
Grant$30,000GrantAmt
DescTO SUPPORT THE ACTIVITIES OF THE MORRILL COUNTY COMMUNITY HOSPITALDesc
Total Program Service Expenses$31,322TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEN SESTAKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3082621400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 75AddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69336ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KAY ANDERSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JONATHAN BEROSEK
DIRECTOR1.00Yes (X)$0$0$0
KATHLEEN BRANDT
DIRECTOR1.00Yes (X)Yes (X)$0$0$0
LELAND DOHSE
DIRECTOR1.00Yes (X)$0$0$0
TREVOR EIRICH
DIRECTOR1.00Yes (X)$0$0$0
ELDON EVERS
DIRECTOR1.00Yes (X)$0$0$0
TODD HARLESS
DIRECTOR1.00Yes (X)$0$0$0
DARRELL KRAUPIE
DIRECTOR1.00Yes (X)$0$0$0
FRANK LUSSETTO
DIRECTOR1.00Yes (X)$0$0$0
TAMMY LUTZ
DIRECTOR1.00Yes (X)$0$0$0
TROY MALONE
DIRECTOR1.00Yes (X)Yes (X)$0$0$0
MARY BETH MAU
DIRECTOR1.00Yes (X)$0$0$0
KEVIN MEYERS
DIRECTOR1.00Yes (X)$0$0$0
DOROTHY RETCHLESS
DIRECTOR1.00Yes (X)$0$0$0
CAMILLA SCHMUNK
DIRECTOR1.00Yes (X)$0$0$0
KEN SESTAK
TREASURER1.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$60,688AllOtherContributionsAmt
Total Contributions$60,688TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,736TotalRevenueColumnAmt
Exclusion$14,736ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$150RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$150RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$150TotalRevenueColumnAmt
Exclusion$150ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,845FundraisingGrossIncomeAmt
Fundraising Direct Expenses$6,420FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$575TotalRevenueColumnAmt
Exclusion-$575ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,999TotalRevenueColumnAmt
Exclusion$14,311ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,000TotalAmt
Program Services$30,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$555TotalAmt
Program Services$555ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
INVESTMENT EXPENSE$429$429
SUPPLIES$338$338

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,322TotalAmt
Program Services$31,322ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$48,420BOYAmt
EOY$25,790EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,797BOYAmt
EOY$93,803EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$480,104BOYAmt
EOY$494,405EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$570,321BOYAmt
EOY$613,998EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$570,321BOYAmt
EOY$613,998EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$570,321BOYAmt
EOY$613,998EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$570,321BOYAmt
EOY$613,998EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$43,677ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,360CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,784CurrentTaxYearMinus1YearAmt
Current Tax Year$60,688CurrentTaxYearAmt
Total$242,290TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$5,845CurrentTaxYearAmt
Total$5,845TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,360CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,784CurrentTaxYearMinus1YearAmt
Current Tax Year$66,533CurrentTaxYearAmt
Total$248,135TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$248,135PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,811CurrentTaxYearMinus1YearAmt
Current Tax Year$14,886CurrentTaxYearAmt
Total$75,756TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,811CurrentTaxYearMinus1YearAmt
Current Tax Year$14,886CurrentTaxYearAmt
Total$75,756TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,428CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,527CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,231CurrentTaxYearMinus1YearAmt
Total$15,480TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,132CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,464CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$78,530CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,826CurrentTaxYearMinus1YearAmt
Current Tax Year$81,419CurrentTaxYearAmt
Total$339,371TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.73120PublicSupportCY509Pct
Public Support PY5090.70970PublicSupportPY509Pct
Investment Income CY0.22000InvestmentIncomeCYPct
Investment Income PY0.22000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
Explanation15,480ExplanationTxt

Schedule D IRS990ScheduleD

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$494,405BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$494,405TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MORRILL COUNTY COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11313 S STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP69336ZIPCd
FieldValueIRS element (for citing)
Cash Grant$30,000CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED
FORM 990, PAGE 6, PART VI, LINE 19NO OTHER DOCUMENTS AVAILABLE TO THE PUBLIC