2024-11-04T16:33:50-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 2689 COMMERCE DRIVE NW SUITE 201 ROCHESTER MN 55901 990 2023-01-01 411453829 ST ELIZABETH'S COMMUNITY DEVELOPMENT FOUNDATION STEL 6515655587 1200 GRANT BLVD WEST WABASHA MN 55981 TOM CROWLEY HOSPITAL SENIOR CONSULTANT 6515655587 2024-10-29 1 1 KATHERINE LUTZKE CPA P01760889 5072802300 2024-10-29 2023 2024-10-15 13:58:12Z TOM CROWLEY 1200 GRANT BLVD WEST WABASHA MN 55981 1478324 0 X WWW.GUNDERSENHEALTH.ORG/ST-ELIZABETHS/FOUNDATION X 1984 MN IMPROVING THE HEALTH AND HEALTH CARE DELIVERY SYSTEM FOR THE GENERAL PUBLIC IN OUR SERVICE AREA. 15 15 0 15 0 0 1660150 1323417 0 0 19692 141661 5768 -5400 1685610 1459678 274478 215097 0 0 0 0 0 0 0 18914 18909 293392 234006 1392218 1225672 4815948 5112532 73921 0 4742027 5112532 IMPROVING THE HEALTH AND HEALTH CARE DELIVERY SYSTEM FOR THE GENERAL PUBLIC IN OUR SERVICE AREA. 0 0 215097 215097 0 TO RAISE AND ADMINISTER FUNDS FOR THE BENEFIT OF GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS, A 501(C)(3) FACILITY OF THE CODE. SOME OF THE FUNDS WENT TO THE SCHOLARSHIP RECIPIENTS OF THE TWO SCHOLARSHIP PROGRAMS; CHAPEL EXPENSES, FIELD OF DREAMS (CROP SPRAYING, FERTILIZER, INSURANCE); ALMA CLINIC TUCKPOINTING; BUTTERFLY ULTRASOUND PORTABLE UNIT FOR THE CLINIC; SURGICAL ENDOSCOPY WASHER/DISINFECTOR AND ENDOSCOPE REPROCESSOR, SURGICAL ECS SIMULATOR; PATIENT MECHANICAL LIFTS FOR THE NURSING HOME; FINANCIAL PLANNING AND ARCHITECT FEES FOR REHAB EXPANSION PROJECT AND "ONE CAMPUS PROJECT". HELD A GOLF TOURNAMENT THAT BENEFITED THE REHAB AND WELLNESS CENTER EXPANSION AND DRIVE-UP PHARMACY EXPANSION PROJECT. 215097 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 MN X CARMEN TIFFANY 6515655587 1200 GRANT BLVD WABASHA MN 55981 X PAUL BUSCH PRESIDENT 0.50 X X 0 0 0 JOHN DOFFING TREASURER 0.50 X X 0 0 0 SHELBY SCHLOSSTEIN SECRETARY 0.50 X X 0 0 0 JERRY ARENS DIRECTOR 0.50 X 0 0 0 KIM BRUNKOW DIRECTOR 0.50 X 0 0 0 TOM CROWLEY DIRECTOR 0.50 X 0 0 0 SANDRA FITZGERALD DIRECTOR 0.50 X 0 0 0 RITA FOX DIRECTOR 0.50 X 0 0 0 AMY GAEDTKE DIRECTOR 0.50 X 0 0 0 MARK JARSTAD DIRECTOR 0.50 X 0 0 0 DOUG PENNING DIRECTOR 0.50 X 0 0 0 FR JAMES RUSSELL DIRECTOR 0.50 X 0 0 0 CAROL SCOTT DIRECTOR (THRU 12/5) 0.50 X 0 0 0 GARY STUMPF DIRECTOR 0.50 X 0 0 0 BOB WOODEN DIRECTOR 0.50 X 0 0 0 MANDY EDELBACH HOSPITAL ADMINISTRATION 0.50 X 0 0 0 CARMEN TIFFANY HOSPITAL ADMINISTRATION 0.50 X 0 0 0 0 0 0 0 0 0 0 0 81932 1241485 1323417 141661 141661 0 81932 13200 -13200 -13200 13246 5446 7800 7800 1459678 0 0 136261 167972 167972 47125 47125 2575 2575 14608 14608 SPECIAL EVENTS 1726 1726 234006 215097 18909 0 3886860 5112532 910000 0 19088 0 4815948 5112532 73921 73921 0 X 3364356 4448118 1377671 664414 4742027 5112532 4815948 5112532 1225672 -855167 0 X X 0 1 X 1 0 X 1564073 668219 609612 1660150 1323417 5825471 1564073 668219 609612 1660150 1323417 5825471 2705223 3120248 14672 30796 29977 19692 141661 236798 7800 7800 6070069 0.51400 0.46460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 1459678 0 1459678 0 1459678 234006 0 234006 0 234006 PART X, LINE 2: THE ORGANIZATION IS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND NOT A PRIVATE FOUNDATION AS DESCRIBED IN SECTION 509(A) FOR FEDERAL PURPOSES. THE ORGANIZATION IS ALSO TAX-EXEMPT UNDER MINNESOTA STATUTES SECTION 290.05, SUBDIVISION 1, FOR STATE PURPOSES. CONSEQUENTLY, THE ORGANIZATION RECORDS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN INCOME TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. JIM ABBOTT MEMORIAL GOLF TOURNAMENT 81932 81932 13200 81932 81932 13200 13200 -13200 1 SAINT ELIZABETH'S HOSPITAL OF WABASHA INC 1200 GRANT BLVD WEST WABASHA MN 55981 410693877 501(C)(3) 167972 0 N/A N/A FACILITY UPDATES: ECS SIMULATOR FOR OR, PATIENT LIFTS FOR NH (3), FINANCIAL PLANNING ANALYSIS OF ONE CAMPUS PROJECT, REHAB CONSTRUCTION PROJECT ARCHITECTURAL RENDERING, TUCKPOINTING FOR ALMA CLINIC, PORTABLE ULTRASOUND UNIT FOR CLINIC. 1 0 SCHOLARSHIPS 24 47125 N/A N/A PART I, LINE 2: WNB FINANCIAL OF WABASHA ADMINISTERS THE DOFFING SCHOLARSHIP PROGRAM UNDER A SEPARATE CHECKING ACCOUNT. THEY RECEIVE APPLICATIONS, ISSUE CHECKS, AND TRACK GRANTS WITH A SEPARATE CHECKING ACCOUNT. ST. ELIZABETH'S FOUNDATION ADMINISTERS THE LUCILLE BURRICHTER SCHOLARSHIP PROGRAM. APPLICATIONS AND RECEIPTS ARE TRACKED THROUGH THE ADMINISTRATIVE OFFICES OF GUNDERSEN ST ELIZABETH'S HOSPITAL AND CLINICS, THEN TUITION IS REIMBURSED FOLLOWING RECEIPT OF THE INVOICE PAID FOR SCHOOL TUITION/SUPPLIES AND A COPY OF THE STUDENT'S GRADES FOR THAT TERM. UPON THE STUDENT RECEIVING A PASSING GRADE, THE SCHOLARSHIP IS THEN AWARDED. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT REPORT AND FORM 990 WILL BE REVIEWED BY THE TREASURER, JOHN DOFFING; BOARD MEMBER, AMY GAEDTKE, CPA; AND HOSPITAL SENIOR EXECUTIVE CONSULTANT, TOM CROWLEY, AT A FINANCE COMMITTEE MEETING, BEFORE IT'S FILED IN NOVEMBER. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.