2024-07-09T17:53:13-04:00 2023-08-31 Arlo Peterson CPA PO Box 188 Wrenshall MN 55797 990 2022-09-01 363588501 CLOQUET COMMUNITY MEMORIAL HOSPITAL FOUNDATION CLOQ 512 SKYLINE BLVD CLOQUET MN 55720 KELLY KENDLE PRESIDENT 2188784520 2024-04-25 true KELLY KENDLE XXX-XX-XXXX Arlo Peterson P00502705 2188790190 2024-07-09 X 0 00 AAL2 IAL1 2022 2023-04-26 12:10:37Z KELLY KENDLE 285826 false X N/A X 1987 MN To help implement health care in Carlton County through the Community Memorial Hospital Association. 9 9 0 0 0 160217 181258 0 23981 24394 71813 71743 256011 277395 117101 26058 0 0 0 64181 111392 134080 228493 160138 27518 117257 1204627 1320572 784 856 1203843 1319716 To help implement health care in Carlton County through the Community Memorial Hospital Association. 26058 26058 OUR EARNINGS FROM FUNDRAISING EVENTS AND INVESTMENT INCOME ARE DISTRIBUTED TO THE COMMUNITY MEMORIAL HOSPITAL ASSOCIATION TO PROVIDE EQUIPMENT THAT IS NOT IN THEIR ANNUAL BUDGET. THE HOSPITAL UTILIZES THIS EQUIPMENT TO PROVIDE ADDITIONAL HEALTHCARE SERVICES FOR THE COMMUNITY. 26058 true true false false false false false false false false true false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true false false false true 0 0 true 0 true false false false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true false false false false false MN X LAUREL KORBY 2188787652 512 SKYLINE BLVD CLOQUET MN 55720 X LAUREL KORBY EXECUTIVE DIRECTOR 40.00 0.00 X 0 100151 0 JOHN RIIHILUOMA DIRECTOR 1.00 0.00 X 0 0 0 MARK LANIGAN DIRECTOR 1.00 0.00 X 0 0 0 RICK BREUER DIRECTOR 1.00 0.00 X 0 0 0 DAN PALMQUIST DIRECTOR 1.00 0.00 X 0 0 0 KARA UNDERWOOD DIRECTOR 1.00 0.00 X 0 0 0 KELLY ZINK DIRECTOR 1.00 0.00 X 0 0 0 DAVE GUCKENBERG DIRECTOR 1.00 0.00 X 0 0 0 KELLY KENDLE PRESIDENT 1.00 0.00 X X 0 0 0 JAKE BAKER VICE PRESIDENT 1.00 0.00 X X 0 0 0 KIRK WIMMER SECRETARY - TREASURER 1.00 0.00 X X 0 0 0 0 100151 0 0 false false false 23910 98658 58690 98658 181258 24394 24394 80174 23910 8431 71743 71743 277395 0 0 96137 26058 26058 111568 49726 61842 3979 3979 8075 8075 15 15 2864 2864 1691 1691 DUES 140 140 HOSTING FEES & MARKETING 2324 2324 WALL OF RECOGNITION 2680 2680 744 744 160138 26058 69899 64181 19535 10461 121578 132404 105405 96026 13456 13456 958109 1081681 1204627 1320572 784 856 784 856 X 1203843 1319716 1203843 1319716 1204627 1320572 X 117257 7995 -9379 X false false false X X X 1 CMH ASSOCIATION 410743546 3 true 26058 0 1 26058 0 true false false false false false false false false false false false false false false true true false X true true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10700 10700 1228 1228 1528 1528 AUCTIONGALA 46584 46584 2550 1489 WINE TASTING 25810 25810 1499 1 7780 7780 2893 80174 80174 2550 5881 8431 71743 true CMH ASSOCIATION 512 SKYLINE BLVD CLOQUET MN 55720 410743546 501C3 26058 CASH SUPPORT true false Form 990 governing body review Part VI line 11 FIRST, THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. SECOND, THE FORM IS SENT OUT BY THE BOARD PRESIDENT TO BOARD MEMBERS FOR REVIEW AND VOTE (IN THE EVENT A MEETING DOES NOT TAKE PLACE IN A TIMELY MANNER TO ACCOMMODATE A VOTE). THIRD, ALL BOARD MEMBERS VOTE ON THE APPROVAL OF FORM 990 AND ALL EMAIL VOTES ARE PRINTED, RECORDED AND DOCUMENTED. LASTLY, THE FINAL RESULT IS SENT TO THE PREPARER OF THE FORM 990 IN A TIMELY FASHION. Conflict of interest policy compliance Part VI line 12c ARTICLE I-PURPOSE 1. THE PURPOSE OF BOARD CONFLICT OF INTEREST POLICY IS TO PROTECT THE CLOQUET COMMUNITY MEMORIAL HOSPITAL FOUNDATIONS (CCMHF) INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR AGREEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF AN OFFICER OR DIRECTOR OF CCMHF, OR MIGHT RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. 2. THIS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE AND FEDERAL LAWS GOVERNING CONFLICT OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. 3. THIS POLICY IS ALSO INTENDED TO IDENTIFY INDEPENDENT DIRECTORS. ARTICLE II-DEFINITIONS1. INTERESTED PERSON-ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF ACOMMITTEE OF CCMHF WITH GOVERNING BOARD DELEGATED POWERS, WHICH HAS ADIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTEDPERSON.2. FINANCIAL INTEREST-A PERSON HAS A FINANCIAL INTEREST IF THE PERSON HAS,DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY:A. AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH CCMHF HAS ATRANSACTION OR ARRANGEMENT.B. A COMPENSATION ARRANGEMENT WITH CCMHF OR WITH AN ENTITY OR INDIVIDUALWITH WHICH CCMHF HAS A TRANSACTION OR ARRANGEMENT, ORC. A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATIONARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH CCMHF IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE NOT INSUBSTANTIAL.A FINANCIAL INTEREST IS NOT NECESSARILY A CONFLICT OF INTEREST. A PERSONWHO HAS A FINANCIAL INTEREST MAY HAVE A CONFLICT OF INTEREST ONLY IF THEBOARD OR EXECUTIVE COMMITTEE OF CCMHF DECIDES THAT A CONFLICT OF INTERESTEXISTS, IN ACCORDANCE WITH THE POLICY.3. INDEPENDENT DIRECTOR-A DIRECTOR SHALL BE CONSIDERED INDEPENDENT FORTHE PURPOSES OF THIS POLICY IF HE OR SHE IS INDEPENDENT AS DEFINED IN THEINSTRUCTIONS FOR THE IRS 990 FORM OR, UNTIL SUCH DEFINITION IS AVAILABLE,THE DIRECTOR-A.IS NOT, AND HAS NOT BEEN FOR A PERIOD OF AT LEAST THREE YEARS, ANEMPLOYEE OF CCMHF OR AN ENTITY IN WHICH THE FOUNDATION HAS A FINANCIALINTEREST. B. DOES NOT DIRECTLY OR INDIRECTLY HAVE A SIGNIFICANT BUSINESS RELATIONSHIPWITH CCMHF WHICH MIGHT AFFECT INDEPENDENCE IN DECISION-MAKING.C. IS NOT EMPLOYED AS AN EXECUTIVE OF ANOTHER CORPORATION WHERE ANY OF THECCMHF EXECUTIVE OFFICERS OR EMPLOYEES SERVE ON THAT CORPORATIONSCOMPENSATION COMMITTEE; AND,D. DOES NOT HAVE AN IMMEDIATE FAMILY MEMBER WHO IS AN EXECUTIVE OFFICER OREMPLOYEE OF CCMHF OR WHO HOLDS A POSITION THAT HAS A SIGNIFICANT FINANCIALRELATIONSHIP WITH THE CCMHF. ARTICLE III-PROCEDURES1. DUTY TO DISCLOSE-IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OFINTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIALINTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THEBOARD OR THE EXECUTIVE COMMITTEE.2. RECUSAL OF SELF-ANY DIRECTOR MAY RECUSE HIMSELF OR HERSELF AT ANY TIMEFOR INVOLVEMENT IN ANY DECISION OR DISCUSSION IN WHICH THE DIRECTORBELIEVES HE OR SHE HAS OR MAY HAVE A CONFLICT OF INTEREST, WITHOUT GOINGTHROUGH THE PROCESS FOR DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS.3. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS-AFTER DISCLOSURE OFTHE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, SHE/HE SHALL LEAVE THE BOARD OR EXECUTIVECOMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST ISDISCUSSED AND VOTED UPON. THE REMAINING BOARD OR EXECUTIVE COMMITTEEMEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.4. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTERESTA. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR EXECUTIVECOMMITTEE MEETING, BUT AFTER THE PRESENTATION SHE/HE SHALL LEAVE THEMEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION ORARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST.B. THE CHAIRPERSON SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON ORCOMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION ORARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR EXECUTIVE COMMITTEE SHALLDETERMINE WHETHER CCMHF CAN OBTAIN WITH REASONABLE EFFORTS A MOREADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULDNOT GIVE RISE TO A CONFLICT OF INTEREST.D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLYPOSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THEBOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THEDISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS INCCMHFS BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR ANDREASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITSDECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. 5. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICYA. IF THE BOARD OR EXECUTIVE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE AMEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, ITSHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBERAN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE.B. IF, AFTER HEARING THE MEMBERS RESPONSE AND AFTER MAKING FURTHERINVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR EXECUTIVECOMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL ORPOSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY ANDCORRECTIVE ACTION.ARTICLE IV-RECORDS OF PROCEEDINGSTHE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERSSHALL CONTAIN: A. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE AFINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OFINTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TODETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARDS OREXECUTIVE COMMITTEES DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACTEXISTED.B. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTESRELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION,INCLUDING ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND ARECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. ARTICLE V-COMPENSATIONA. A VOTING MEMBER OF THE BOARD WHO RECEIVES COMPENSATION, DIRECTLY ORINDIRECTLY, FROM CCMHF FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERSPERTAINING TO THAT MEMBERS COMPENSATION.B. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDESCOMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY,FROM CCMHF FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TOTHAT MEMBERS COMPENSATION.C. NO VOTING MEMBER OF THE BOARD OR ANY COMMITTEE WHOSE JURISDICTIONINCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY ORINDIRECTLY, FROM CCMHF, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITEDFROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING COMPENSATION. ARTICLE VI-ANNUAL STATEMENTS1. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARDDELEGATED POWERS SHALL SIGH ANNUALLY A STATEMENT WHICH AFFIRMS SUCH PERSON:A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY,B. HAS READ AND UNDERSTANDS THE POLICY,C. HAS AGREED TO COMPLY WITH THE POLICY, ANDD. UNDERSTANDS CCMHF IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERALTAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONEOR MORE OF ITS TAX-EXEMPT PURPOSES.2. EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICHDECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR. 3. IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL STATEMENTCHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THEANNUAL DISCLOSURE FORM.4. THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR ANDENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS ANDTAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT.ARTICLE VII-PERIODIC REVIEWSTO ENSURE CCMHF OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSESAND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPTSTATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL,AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ONCOMPETENT SURVEY INFORMATION (IF REASONABLY AVAILABLE), AND THE RESULT OFARMS LENGTH BARGAINING.B. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENTORGANIZATIONS, IF ANY, CONFORM TO CCMHFS WRITTEN POLICIES, ARE PROPERLYRECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES,FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLEPRIVATE BENEFITS IN ANY EXCESS BENEFIT TRANSACTION. Governing documents etc available to public Part VI line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). Explanation of other changes in net assets or fund balances Part XI line 9 PLEDGES RECEIVABLE AT 8/31/2023 DECREASED TO $96,026 FROM THE PRIOR YEARS ACCOUNT BALANCE OF $105,405. Estimate of average hours per week devoted to related organizations Part VII Col B FORM 990, PART VII, SECTION AONE BOARD MEMBER ALSO SERVES ON THE BOARD OF THE RELATED ORGANIZATION. HE ENGAGES WITH THE RELATED ORGANIZATION ONCE OR TWICE A MONTH, SO ABOUT 1 HOUR PER WEEK WOULD A GOOD ESTIMATE OF TIME INVOLVED. COMMUNITY MEMORIAL HOSPITAL ASSOC 512 SKYLINE BLVD CLOQUET MN 55720 410743546 HOSPITAL MN 501C3 3 N/A false