2024-03-13T12:36:00-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 363522304 UNITY MEDICAL CENTER FOUNDATION UNIT 7013793003 164 WEST 13TH STREET GRAFTON ND 58237 BRIAN VAN BRUGGEN PRESIDENT 7013793003 2024-03-12 1 BRIAN VAN BRUGGEN 999009999 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-03-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JESSICA SOBOLIK 164 WEST 13TH STREET GRAFTON ND 58237 361274 0 X WWW.UNITYMEDCENTER.COM/FOUNDATION/ X 1987 ND THE MISSION OF THE UNITY MEDICAL CENTER FOUNDATION IS TO FINANCIALLY SUPPORT UNITY MEDICAL CENTER, ENSURING QUALITY HEALTH CARE CLOSE TO HOME. 13 11 0 15 0 0 391901 114208 0 0 68975 98613 54613 120976 515489 333797 529704 560086 0 0 0 0 0 0 0 66421 92846 596125 652932 -80636 -319135 3718818 3584299 488 75 3718330 3584224 THE MISSION OF THE UNITY MEDICAL CENTER FOUNDATION IS TO FINANCIALLY SUPPORT UNITY MEDICAL CENTER, ENSURING QUALITY HEALTH CARE CLOSE TO HOME. 0 0 560086 560086 0 UNITY MEDICAL CENTER FOUNDATION RAISED $110,000 AT ITS HARVEST AUCTION IN FALL 2022 FOR A WHEELCHAIR-ACCESSIBLE PATIENT TRANSPORT VAN AND MEDICAL LABORATORY RENOVATIONS. UMCF ALSO RAISED $34,000 DURING GIVING HEARTS DAY IN FEBRUARY 2023 FOR AN EXPANDED CARDIAC REHAB AND A NEW PULMONARY REHAB. IT ALSO RAISED $24,000 AT ITS SUMMER GOLF TOURNAMENT FOR NEW SURGICAL EQUIPMENT. IT DONATED $1,000 FROM A QUASI-ENDOWMENT TO PAY FOR SURGICAL NURSES TO ATTEND AN OPERATING ROOM MANAGER CONFERENCE. IT DONATED $500 TOWARD UNITY MEDICAL CENTER'S TREE OF LIGHTS COMMUNITY REMEMBRANCE SERVICE AND $500 TOWARD UMC'S NUTRITION PROGRAMS OPEN TO THE PUBLIC. IT PROVIDED $67,000 IN CAPITAL CAMPAIGN PLEDGE PAYMENTS TO UMC. UMCF PUBLISHED FOUR (QUARTERLY) NEWSLETTERS TO APPROX. 13,000 PEOPLE WHO LIVE WITHIN 50 MILES OF GRAFTON, ND. 560086 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 11 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X X JESSICA SOBOLIK 7013793003 164 WEST 13TH STREET GRAFTON ND 58237 JENNIFER HOLAND DIRECTOR/UMC CHIEF NURSING OFFICER 1.00 40.00 X 0 131633 7967 DEB MCKAY SECRETARY/TREASURER 24.00 X X 0 31458 11448 VONDA COLLETTE PRESIDENT/EX OFFICIO THRU 11/1/2022 1.00 X X 0 0 0 BRIAN VAN BRUGGEN PRESIDENT 1.00 X X 0 0 0 ALYSIA OSOWSKI BOEN VICE PRESIDENT 1.00 X X 0 0 0 TODD BURIANEK DIRECTOR 1.00 X 0 0 0 RUSSELL CARIGNAN DIRECTOR 1.00 1.50 X 0 0 0 BARB DUSEK DIRECTOR 1.00 X 0 0 0 PAUL DUSEK DIRECTOR 1.00 X 0 0 0 RANELL HANSON DIRECTOR 1.00 X 0 0 0 CANDACE KOSTRZEWSKI DIRECTOR 1.00 X 0 0 0 KRISTINA PETERSEN DIRECTOR 1.00 X 0 0 0 BRAD SCHANILEC DIRECTOR 1.00 X 0 0 0 PATRICK SUCH DIRECTOR 1.00 X 0 0 0 JESSICA SOBOLIK FOUNDATION EXECUTIVE DIRECTOR 40.00 X 0 75067 31598 0 238158 51013 0 0 0 0 0 57382 14747 42079 15967 114208 98613 98613 148453 57382 27477 120976 120976 333797 0 0 219589 560086 560086 2288 2288 7590 7590 28942 28942 23175 23175 14696 14696 332 332 COMMUNICATIONS 15823 15823 652932 560086 92846 0 186342 34587 61821 3252 177304 110391 1303955 1362458 1978287 2062502 11109 11109 3718818 3584299 488 75 488 75 X 1613120 1395518 2105210 2188706 3718330 3584224 3718818 3584299 X -319135 185014 15 X 0 1 X 1 0 X X 1 CHRISTIAN UNITY HOSPITAL CORPORATION 450310159 3 1 560086 0 1 560086 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 BENEFICIAL INTEREST IN PERPETUAL TRUST 2062502 C 2062502 HARVEST AUCTION 131712 52537 79175 2000 8713 200 4958 GIVING HEARTS DAY 36366 36366 41 2453 2 37757 4845 32912 925 1800 2145 4242 205835 57382 148453 2925 1800 10899 200 11653 27477 120976 1 CHRISTIAN UNITY HOSPITAL CORPORATION DBA UNITY MEDICAL CENTER 164 WEST 13TH STREET GRAFTON ND 58237 450310159 501(C)(3) 560086 0 CAPITAL, MEDICAL EQUIPMENT, STAFF EDUCATION, COMMUNITY PROGRAMS 1 0 PART I, LINE 2: THE FOUNDATION'S BOARD WORKS WITH UNITY MEDICAL CENTER ADMINISTRATION TO DETERMINE WHAT FUNDS WILL GO TOWARD. FORM 990, PART VI, SECTION A, LINE 7A THE CEO AND THE DIRECTOR OF NURSING (DON) OF UNITY MEDICAL CENTER ARE INCLUDED ON THE BOARD OF THE FOUNDATION. THE CEO DOES NOT HAVE VOTING POWERS, WHILE THE DON DOES. THERE IS ALSO A LIAISON MEMBER FROM THE UMC GOVERNING BOARD WHO ALSO HAS VOTING RIGHTS ON THE FOUNDATION BOARD. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION EXECUTIVE DIRECTOR AND BOARD PRESIDENT REVIEW AND APPROVE THE FORM 990. THE FINAL FORM 990 IS PROVIDED TO THE BOARD ELECTRONICALLY PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, PRINCIPAL OFFICERS, OR COMMITTEE MEMBERS WITH BOARD DELEGATED POWERS ARE REQUIRED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND ANNUALLY DISCLOSE ANY INTEREST. IT IS THE RESPONSIBILITY OF THE INDIVIDUAL WITH THE POTENTIAL CONFLICT TO DISCLOSE THE CONFLICT. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE REMAINING BOARD OR COMMITTEE MEMBERS TO DETERMINE IF A CONFLICT EXISTS. ANY INDIVIDUALS WITH CONFLICTS OF INTEREST ABSTAIN FROM VOTING ON ISSUES PERTAINING TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ANY EMPLOYEES OR OFFICERS, THEY RELY ON THEIR RELATED PARTY TO DETERMINE, REVIEW AND APPROVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 157,856. PRIOR PERIOD ADJUSTMENT TO NET ASSETS -157,841. CHRISTIAN UNITY HOSPITAL CORPORATION DBA UNITY MEDICAL CENTER 164 WEST 13TH STREET GRAFTON ND 58237 450310159 HOSPITAL ND 501(C)(3) LINE 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0