2024-06-04T16:16:37-07:00 2023-12-31 990 2023-01-01 391477854 BELOIT HEALTH SYSTEM FOUNDATION INC BELO 6083635724 1969 W Hart Road Beloit WI 53511 Mark Leach Chairman 6083635724 2024-05-15 Mark Leach 999009999 1 1 11 1 AAL2 X 2023 2023-04-26 12:10:37Z Mark Leach 1969 West Hart Road Beloit WI 53511 2692692 0 X www.beloithealthsystem.org/foundation X 1984 WI The mission of Beloit Health System Foundation, Inc. is the development, management and distribution of gifts to assist Beloit Health System in providing excellence in health care for the Stateline area. 16 13 0 0 0 0 627826 1282135 0 0 0 1410557 0 0 627826 2692692 0 0 0 0 0 0 0 0 445965 1894100 2670961 1894100 2670961 -1266274 21731 13017027 13632479 93456 687177 12923571 12945302 The mission of Beloit Health System Foundation, Inc. is the development, management and distribution of gifts to assist Beloit Health System in providing excellence in health care for the Stateline area. 0 0 2220340 2220340 0 Distributions to Beloit Health System 0 0 0 2220340 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 16 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Tami Scarpetta 6083645724 1969 W Hart Road Beloit WI 53511 Timothy McKevett Board Member 0 40 X 0 1355693 45801 Nicole Kovarik Board Member 0 40 X 0 171448 8754 Tami Scarpetta Non-Voting Board Member & Executive Director 0.00 40 X X X 0 144201 6541 Doris Mulder Board Member 0 5 X 0 12052 299 Mark Leach Chairman 0 0 X X 0 0 0 Derek Hahn Vice Chairman 0 0 X X 0 0 0 Keith Kruse Treasurer 0 0 X X 0 0 0 Kim Loerke Secretary 0 0 X X 0 0 0 Gary Adamski Board Member 0 0 X 0 0 0 Kayla K Hiller Board Member 0 0 X 0 0 0 Mike Marquette Board Member 0 0 X 0 0 0 Stephanie Knueppel Board Member 0 0 X 0 0 0 Tim Oswald Board Member 0 0 X 0 0 0 Jacquie Seymour Board Member 0 0 X 0 0 0 Martha Williams Board Member 0 0 X 0 0 0 Lori Packard Dabson Board Member 0 0 X 0 0 0 Louie Pody Board Member 0 0 X 0 0 0 0 1683394 61395 0 0 1 0 0 0 0 253807 0 0 1028328 0 1282135 0 1410557 0 0 1410557 0 0 0 0 0 0 0 0 0 0 0 0 253807 0 2692692 0 0 1410557 26428 26428 107770 107770 40300 40300 9369 9369 1953 1953 Membership and Licenses 692 0 0 692 Life Insurance 4656 0 4656 0 Distribution to Health System 2220340 2220340 0 0 259453 259453 2670961 2220340 4656 445965 792106 1221742 1128672 702307 10345548 10911493 750701 796937 13017027 13632479 93456 687177 0 0 93456 687177 X 4459414 4472392 8464157 8472910 12923571 12945302 13017027 13632479 21731 0 0 0 0 0 X 0 1 1 0 X X X 1 Beloit Health System Inc 391028081 3 1 2220340 0 1 2220340 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 621976 1282135 621976 1282135 0 0 210557 259453 211774 191168 199645 831514 11210490 10628521 1330468 1006924 0 0 12540958 11635445 0 0 0 12540958 11635445 188114 174532 12352844 11460913 432350 401132 0 0 432350 401132 199645 169698 432350 432350 0 432350 2220340 0 450621 0 0 0 2670961 2220340 432350 5.136 432350 0 0 0 794731 1215436 1110584 3120751 0 432350 0 2688401 2670961 0 0 2670961 0 0 5359362 0 794731 1215436 1110584 2238611 Schedule A, Part IV, Section D, Line 3 Beloit Health System notifies the Foundation when it has specific fundraising requirements for its projects and has direct involvement of the Foundation's income and assets year round. The President and CEO of the Health System serves on the Board of Directors of the Foundation. Schedule A, Part V, Section D, Line 8 Beloit Health System Foundation's distribution of $2,220,340 met the requirement test for 2023. Other reasons distributions to Beloit Health System to which the Foundation is responsive are as follows: 1) The Foundation only gives to the Beloit Health System. 2) The Health System provides the office space and pays wages of the Foundation's staff. 3) The Health System notifies the Foundation of its fundraising needs for future projects. 4) The financials of the Foundation are included in the annual Health System audit and are given to the Board at regularly scheduled meetings. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7233172 0 938660 0 0 0 8171832 7407574 939843 -1114245 0 0 0 7233172 6820479 30741 559215 2861 0 0 7407574 5994229 60438 770615 4803 0 0 6820479 5080278 84288 835343 5680 0 0 5994229 0.2482 0.2605 0.4913 0 0 Cash surrender value of life insurance 796937 796937 0 0 X 2692692 0 0 0 0 0 2692692 0 0 0 2692692 2670961 0 0 0 0 0 2670961 0 0 0 2670961 Schedule D, Part V, Line 4 The Foundation Endowment funds have been established to support various services provided to patients and future capital improvements of Beloit Health System. Its endowments include both donor-restricted endowment funds and funds designated by the Board of Directors as endowments. Schedule D, Part X, Line 2 The Foundation is a tax-exempt corporation as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and is exempt from federal income tax on related income pursuant to Section 201(a) of the code. The Foundation is also exempt from state income tax on related income. 2023 Pro-Am 193645 0 193645 0 0 23649 0 0 30801 2023 Doves and Diamonds 124966 0 124966 0 0 0 17724 550 14565 1 27616 0 27616 0 0 0 0 0 1055 346227 0 346227 0 0 23649 17724 550 46421 88344 257883 X 0 1 0 0 0 0 0 0 0 Timothy McKevett Board Member 0 658113 0 347251 0 350329 0 45801 0 0 0 1401494 0 350329 Nicole Kovarik Board Member 0 166984 0 4464 0 0 0 8754 0 0 0 180202 0 0 Tami Scarpetta Non-Voting Board Member & Executive Director 0 127680 0 16521 0 0 0 6541 0 0 0 150742 0 0 Schedule J, Part I, Line 3 Compensation for the Executive Director is paid through Beloit Health System and is determined and approved by a small committee within the Board of Directors. The committee is called the Compensation and Evaluation Committee. Schedule J, Part I, Line 4 409(a) Plan Participant is Timothy McKevett. $350,329 was received in 2023 Form 990, Part VI, Section A, Line 2 Any business relationships are ordinary and within the normal course of business operations. Form 990, Part VI, Section B, Line 11b Beloit Health System Foundation's Finance Committee will review a completed Form 990 during a regularly scheduled meeting prior to final submission of the return. Form 990, Part VI, Section B, Line 12c Boards of Directors each sign an Annual Conflict of Interest Statement. Form 990, Part VI, Section C, Line 19 All documents are available upon request Beloit Health System Inc 1969 West Hart Road Beloit WI 53511 391028081 Provide medical care to patients WI 501(c)(3) 3 N/A 0 Beloit Memorial Hospital Auxiliary Inc 1969 West Hart Road Beloit WI 53511 390928583 To provide support to Beloit Health System WI 501(c)(3) 3 N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 Beloit Health System Inc b 2220340 Actual cash distribution to Beloit Health System Inc. Beloit Memorial Hospital Auxiliary Inc c 20241 Actual cash received from Beloit Memorial Hospital Auxiliary Inc.