2025-04-02T10:56:01-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 363522304 UNITY MEDICAL CENTER FOUNDATION UNIT 7013793003 164 WEST 13TH STREET GRAFTON ND 58237 BRIAN VAN BRUGGEN PRESIDENT 7013793003 2025-04-01 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-04-01 2023 2025-03-06 01:10:19Z JESSICA SOBOLIK 164 WEST 13TH STREET GRAFTON ND 58237 376142 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. 15 12 0 15 0 0 114208 175777 0 0 98613 51791 120976 115165 333797 342733 560086 429358 0 0 0 0 0 0 0 92846 44741 652932 474099 -319135 -131366 3584299 3815852 75 0 3584224 3815852 THE MISSION OF THE UNITY MEDICAL CENTER FOUNDATION IS TO FINANCIALLY SUPPORT UNITY MEDICAL CENTER, ENSURING QUALITY HEALTH CARE CLOSE TO HOME. 0 0 344258 344258 0 PATIENTS: UNITY MEDICAL CENTER FOUNDATION RAISED $120,000 AT ITS HARVEST AUCTION IN FALL 2023 FOR PHARMACY FACILITIES AT UMC. UMCF ALSO RAISED $32,000 DURING GIVING HEARTS DAY IN FEBRUARY 2024 FOR A SURGICAL TABLE THAT PAIRS WITH UMC'S NEW DAVINCI SURGICAL ROBOT. IT ALSO RAISED $23,000 AT ITS SUMMER GOLF TOURNAMENT FOR THE REMAINING AMOUNT NEEDED FOR THE SURGICAL TABLE. IT DONATED $5,000 FROM A QUASI-ENDOWMENT TO PAY FOR A NEW ULTRASOUND TABLE. 83000 83000 0 FACILITIES: IT PROVIDED $83,000 IN CAPITAL CAMPAIGN PLEDGE PAYMENTS TO UMC. 2100 2100 0 PROVIDERS/STAFF: UMCF DONATED $2,100 FOR EDUCATIONAL PURPOSES. 429358 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 1 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 15 12 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 DR JARED MARQUARDT DIRECTOR/PHYSICAN 1.00 40.00 X 0 371819 47335 JENNIFER HOLAND DIRECTOR/UMC CHIEF NURSING 1.00 40.00 X 0 139466 12978 DEB MCKAY SECRETARY/TREASURER 24.00 X X 0 31523 12780 BRIAN VAN BRUGGEN PRESIDENT 1.00 X X 0 0 0 ALYSIA OSOWSKI BOEN VICE PRESIDENT (THRU 6/30/24) 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 JEN CORRICK DIRECTOR 1.00 X 0 0 0 BARB DUSEK DIRECTOR 1.00 X 0 0 0 PAUL DUSEK DIRECTOR (THRU 6/30/24) 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 (THRU 6/30/24) 1.00 X 0 0 0 JESSICA SOBOLIK FOUNDATION EXECUTIVE DIRECTOR 40.00 X 0 79200 34958 0 622008 108051 0 0 1 0 0 65083 2016 108678 2040 175777 51791 51791 148574 65083 33409 115165 115165 342733 0 0 166956 429358 429358 7158 7158 10108 10108 269 269 9233 9233 1118 1118 425 425 COMMUNICATIONS 16430 16430 474099 429358 44741 0 34587 41294 3252 3119 110391 76777 1362458 1431070 2062502 2251971 11109 11621 3584299 3815852 75 0 75 0 X 1395518 1516559 2188706 2299293 3584224 3815852 3584299 3815852 X -131366 104616 258378 X 0 1 X 1 0 X X 1 CHRISTIAN UNITY HOSPITAL CORPORATION 450310159 3 1 429358 0 1 429358 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 2251971 C 2251971 HARVEST AUCTION 143079 60583 82496 2000 900 6875 200 11776 GOLF TOURNAMENT 34988 4500 30488 925 2000 2200 1748 2 35590 35590 43 4742 213657 65083 148574 2925 900 2000 9118 200 18266 33409 115165 1 CHRISTIAN UNITY HOSPITAL CORPORATION DBA UNITY MEDICAL CENTER 164 WEST 13TH STREET GRAFTON ND 58237 450310159 501(C)(3) 429358 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. 0 0 0 0 0 0 0 0 0 DR JARED MARQUARDT DIRECTOR/PHYSICAN 0 361722 0 10000 0 97 0 16903 0 30432 0 419154 0 0 JENNIFER HOLAND DIRECTOR/UMC CHIEF NURSING 0 134399 0 5000 0 67 0 8739 0 4239 0 152444 0 0 PART I, LINE 3 FOR THE PURPOSES OF DETERMINING COMPENSATION, THE FILING ORGANIZATION, UNITY MEDICAL CENTER FOUNDATION, INC. RELIED ON THE RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO. THE RELATED ORGANIZATION USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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. THE ORGANIZATION IS NOW A TYPE I SUPPORTING ORGANIZATION. ONE REPRESENTATIVE ALWAYS MUST BE FROM UNITY MEDICAL CENTER. ALL OTHER MEMBERS NOMINATED MUST BE APPROVED BY UNITY MEDICAL CENTER. 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 258,378. 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