Memorial Healthcare Foundation of Adams Co

Address
PO BOX 40
FRIENDSHIP, WI 53934
Contact
Website: http://moundview.org/donate
Phone: +1 (608) 339-8371
Nonprofit
NTEE: E112 - Health care
EIN: 39-1775074

Mission

The Memorial Healthcare Foundation's mission is to support Moundview Memorial Hospital & Clinics through fund raising and public awareness.
 20162015201420132012
Basic features of the organization
Year of formation1993
Subsection code03
PF filing required0    
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00$0.00   
Number of employees00   
Number of people compensated >$100k00   
Number of volunteers3030   
Number of highly compensated contractors00   
Personnel
Bays, Mary
Title Director  DIRECTOR
Name of key/compensated person Mary Ann Bays  MARY ANN BAYS
Position of compensated person
Current individual trustee or director True   
Officer, director, trustee, or key employee    True
Average hours per week working for org 1.00   
Reportable compensation from org $0.00  $0.00
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Beaver, Bob
Title   VICE CHAIRCHAIR
Name of key/compensated person   BOB BEAVERBOB BEAVER
Officer, director, trustee, or key employee   TrueTrue
Reportable compensation from org   $0.00$0.00
Berry, Mike
Title Director  DIRECTOR
Name of key/compensated person Mike Berry  MIKE BERRY
Position of compensated person
Current individual trustee or director True   
Officer, director, trustee, or key employee    True
Average hours per week working for org 1.00   
Reportable compensation from org $0.00  $0.00
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Boid, Justin
Title   DIRECTOR 
Name of key/compensated person   JUSTIN BOID 
Officer, director, trustee, or key employee   True 
Reportable compensation from org   $0.00 
Bonnent, Aaron
Title Chairperson   
Name of key/compensated person Aaron Bonnent   
Position of compensated person
Current individual trustee or director True   
Average hours per week working for org 2.00   
Reportable compensation from org $0.00   
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Bonnett, Aaron
TitleChairperson CHAIRCHAIR 
Name of key/compensated personAaron Bonnett AARON BONNETTAARON BONNETT 
Position of compensated person
Current individual trustee or directorTrue    
Officer, director, trustee, or key employee  TrueTrue 
Average hours per week working for org2.00    
Reportable compensation from org$0.00 $0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Chambers, Roger
Title    DIRECTOR
Name of key/compensated person    ROGER CHAMBERS
Officer, director, trustee, or key employee    True
Reportable compensation from org    $0.00
Colby, Marj
Title    DIRECTOR
Name of key/compensated person    MARJ COLBY
Officer, director, trustee, or key employee    True
Reportable compensation from org    $0.00
Dye, Kathie
Title Vice-ChairVICE CHAIRSECRETARYSECRETARY
Name of key/compensated person Kathie DyeKATHIE DYEKATHIE DYEKATHIE DYE
Position of compensated person
Current individual trustee or director True   
Officer, director, trustee, or key employee  TrueTrueTrue
Average hours per week working for org 1.00   
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Ferchoff, Christine
Title   DIRECTOR 
Name of key/compensated person   CHRISTINE FERCHOFF 
Officer, director, trustee, or key employee   True 
Reportable compensation from org   $0.00 
Gatterman, Patrick
TitleDirector    
Name of key/compensated personPatrick Gatterman    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Heinz, Don
TitleVice Chair & CEO MMHCVice-Chair & CEO MMH&CVICE CHAIR/MMH&C/CEO  
Name of key/compensated personDon HeinzDon HeinzDON HEINZ  
Position of compensated person
Current individual trustee or directorTrueTrue   
Officer, director, trustee, or key employee  True  
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$29,934.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $215,034.00$0.00   
Hickethier, Pete
TitleDirectorDirectorDIRECTOR  
Name of key/compensated personPete HickethierPete HickethierPETE HICKETHIER  
Position of compensated person
Current individual trustee or directorTrueTrue   
Officer, director, trustee, or key employee  True  
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Hillert, Marty
Title    DIRECTOR
Name of key/compensated person    MARTY HILLERT
Officer, director, trustee, or key employee    True
Reportable compensation from org    $0.00
Hohenstein, Jason
TitleDirectorDirectorDIRECTORDIRECTORDIRECTOR
Name of key/compensated personJason HohensteinJason HohensteinJASON HOHENSTEINJASON HOHENSTEINJASON HOHENSTEIN
Position of compensated person
Current individual trustee or directorTrueTrue   
Officer, director, trustee, or key employee  TrueTrueTrue
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Johnson, Michelle
TitleDirectorDirector   
Name of key/compensated personMichelle JohnsonMichelle Johnson   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Kotlowski, Tanya
TitleTreasurerTreasurerTREASURERTREASURER 
Name of key/compensated personTanya KotlowskiTanya KotlowskiTANYA KOTLOWSKITANYA KOTLOWSKI 
Position of compensated person
Current individual trustee or directorTrueTrue   
Officer, director, trustee, or key employee  TrueTrue 
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Kreyer, Frank
TitleDirector    
Name of key/compensated personFrank Kreyer    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Parr-Murphy, Jennifer
TitleDirectorDirectorDIRECTORDIRECTOR 
Name of key/compensated personJennifer Parr-MurphyJennifer Parr-MurphyJENNIFER PARR-MURPHYJENNIFER PARR-MURPHY 
Position of compensated person
Current individual trustee or directorTrueTrue   
Officer, director, trustee, or key employee  TrueTrue 
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Pheiffer, Sandy
Title Director  DIRECTOR
Name of key/compensated person Sandy Pheiffer  SANDY PHEIFFER
Position of compensated person
Current individual trustee or director True   
Officer, director, trustee, or key employee    True
Average hours per week working for org 1.00   
Reportable compensation from org $0.00  $0.00
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Polivka, Mary
TitleEX Officio President MMHCEX Officio President MMH&C BOD   
Name of key/compensated personMary PolivkaMary Polivka   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Ratzlaff-Klien, Sue
TitleVice Chairdirector   
Name of key/compensated personSue Ratzlaff-KlienSue Ratzlaff-Klien   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Renner, Christine
Title  SECRETARY  
Name of key/compensated person  CHRISTINE RENNER  
Officer, director, trustee, or key employee  True  
Reportable compensation from org  $0.00  
Schaumburg, Patty
Title DirectorDIRECTOR  
Name of key/compensated person Patty SchaumburgPATTY SCHAUMBURG  
Position of compensated person
Current individual trustee or director True   
Officer, director, trustee, or key employee  True  
Average hours per week working for org 1.00   
Reportable compensation from org $0.00$0.00  
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Schultz, Jeff
TitleSecretarySecretaryDIRECTOR  
Name of key/compensated personJeff SchultzJeff SchultzJEFF SCHULTZ  
Position of compensated person
Current individual trustee or directorTrueTrue   
Officer, director, trustee, or key employee  True  
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Smith, Daric
Title   DIRECTORDIRECTOR
Name of key/compensated person   DARIC SMITHDARIC SMITH
Officer, director, trustee, or key employee   TrueTrue
Reportable compensation from org   $0.00$0.00
Sorensen, Pat
Title    DIRECTOR
Name of key/compensated person    PAT SORENSEN
Officer, director, trustee, or key employee    True
Reportable compensation from org    $0.00
Spargo, Chuck
Title  DIRECTORDIRECTORDIRECTOR
Name of key/compensated person  CHUCK SPARGOCHUCK SPARGOCHUCK SPARGO
Officer, director, trustee, or key employee  TrueTrueTrue
Reportable compensation from org  $0.00$0.00$0.00
Taylor, Judy
Title   DIRECTOR 
Name of key/compensated person   JUDY TAYLOR 
Officer, director, trustee, or key employee   True 
Reportable compensation from org   $0.00 
Theisen, Joe
TitleDirector    
Name of key/compensated personJoe Theisen    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Wallendal, Megan
TitleDirectorDirector   
Name of key/compensated personMegan WallendalMegan Wallendal   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Wallendal, Paula
Titledirectordirector   
Name of key/compensated personPaula WallendalPaula Wallendal   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Wood, Dan
Title  DIRECTORDIRECTOR 
Name of key/compensated person  DAN WOODDAN WOOD 
Officer, director, trustee, or key employee  TrueTrue 
Reportable compensation from org  $0.00$0.00 
Wormet, Tadd
TitleDirector    
Name of key/compensated personTadd Wormet    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Purpose: mission, activities, & accomplishments
Mission or significant activitiesThe Memorial Healthcare Foundation's mission is to support Moundview Memorial Hospital & Clinics through fund raising and public awareness.The Memorial Healthcare Foundation's mission is to support Moundview Memorial Hospital & Clinics through fund raising and public awareness.   
Primary exempt purpose  TO RAISE FUNDS FOR MOUNDVIEW MEMORIAL HOSPITAL & CLINICS.RAISE FUNDS FOR MOUNDVIEW MEMORIAL HOSPITAL & CLINICSRAISE FUNDS FOR MOUNDVIEW MEMORIAL HOSPITAL & CLINICS
Program service expenses, total$1,400.00$60,635.00$4,428.00$5,271.00$0.00
Programs, including revenue & expenses
The purpose of the Foundation is to raise funds which will be used to support Moundview Memorial Hospital and Clinics through activities of annual giving, capital campaign and special events, which will be used to benefit the Friendship and Adams communities.
Program expenses$1,400.00$60,635.00   
Grants and allocations made$1,400.00$60,635.00   
Program descriptionThe purpose of the Foundation is to raise funds which will be used to support Moundview Memorial Hospital and Clinics through activities of annual giving, capital campaign and special events, which will be used to benefit the Friendship and Adams communities.The purpose of the Foundation is to raise funds which will be used to support Moundview Memorial Hospital and Clinics through activities of annual giving, capital campaign and special events, which will be used to benefit the Friendship and Adams communities.   
Financial data
Revenue
Total revenue$121,480.00$106,206.00$108,754.00$84,396.00$144,945.00
Revenue from contributions (total)$83,225.00$73,901.00$78,486.00$56,875.00$150,475.00
Investment income, current yr$2,793.00$2,625.00$2,844.00$2,028.00$3,128.00
Total revenue from grants, etc., current yr$83,225.00$73,901.00   
Total unrelated business revenue$0.00$0.00   
Other revenue, current yr$35,462.00$29,680.00   
Net unrelated business taxable revenue$0.00$0.00   
Program service revenue (total) $0.00$0.00$0.00$0.00
Gross receipts$152,017.00$133,800.00   
Sources of contributions
Revenue from fundraising events$65,755.00$63,901.00   
Revenue from all other contributions$17,470.00$10,000.00   
Other types of revenue
Income from dividends, interest, and similar investments$2,793.00$2,625.00   
Net rental income $0.00$0.00  
Net income from fundraising events$35,462.00$29,680.00   
Expense categories (totals)
Total functional expenses: sum of all$7,324.00$67,061.00   
Total functional expenses: program service $1,400.00$60,635.00   
Total functional expenses: management and general$1,279.00$2,669.00   
Total functional expenses: fundraising$4,645.00$3,757.00   
Fees for services
Legal fees (total)$50.00$2,669.00   
Fundraising service fees (total)$0.00$0.00   
Assets and liabilities
Total assets$638,256.00$507,973.00$471,275.00$362,438.00$265,948.00
Total assets, beginning of year$507,973.00$471,275.00$362,438.00$265,948.00$118,200.00
Total liabilities$0.00$0.00$0.00$0.00$0.00
Total liabilities, beginning of year$0.00$0.00$0.00$0.00$0.00
Unrestricted net assets, end of yr$638,256.00    
Net assets$638,256.00$507,973.00$471,275.00$362,438.00$265,948.00
Net assets, beginning of year$507,973.00$471,275.00   
Investments: publicly traded securities$173,114.00$147,677.00   
Cash: non-interest bearing$454,401.00$358,995.00   
Cash: non-interest bearing, beginning of year$358,995.00$331,658.00   
Other financial variables
Revenue less expenses$114,156.00$39,145.00   
Advertising (total)$4,645.00$3,757.00   
Savings & temp cash investment$10,741.00$1,301.00   
Total net assets or fund balances$638,256.00$507,973.00   
Governance and accountability
Number of voting members1617   
Number of independent voting members1517   
Cash accountingTrueTrueTrueTrueTrue
Tax year start date2016-01-012015-01-012014-01-012013-01-012012-01-01
Tax year end date2016-12-012015-12-012014-12-012013-12-012012-12-01
Indicators for schedules (selected)
Grants to domestic org/gov't >$5k True   
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990EZ990EZ990EZ
Date e-filing submitted2018-01-082016-12-152015-09-162014-12-112013-11-16
IRS schema version2016v3.02015v2.12014v5.02013v3.02012v2.1
Filing identifier201723199349306727201602229349300010201512259349200991201443169349201939201312259349201611
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