2024-09-23T10:46:23-05:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 391304761 MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC MEMO 7156232331 112 EAST FIFTH AVENUE ANTIGO WI 54409 GREG SHAW VICE PRESIDENT FINANCE/CFO 7156232331 2024-09-23 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-09-23 2023 2024-08-08 14:25:15Z GREG SHAW 112 EAST FIFTH AVENUE ANTIGO WI 54409 134943 0 X WWW.ASPIRUS.ORG/THE-COMMUNITY-HEALTH-FOUNDATION X 1979 WI THE FOUNDATION WAS ESTABLISHED TO SOLICIT AND RECEIVE CONTRIBUTIONS, GIFTS, AND GRANTS OF FUNDS AND PROPERTY. THE FOUNDATION MANAGES AND INVESTS SUCH ASSETS AND MAKES DISTRIBUTIONS TO HEALTH CARE ORGANIZATIONS, INCLUDING LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO, WISCONSIN ("ASPIRUS LANGLADE HOSPITAL"). 10 10 0 25 0 0 299672 30751 18026 16520 110798 87672 0 0 428496 134943 62194 129988 0 0 0 0 0 0 0 18103 8126 80297 138114 348199 -3171 3612567 3806646 168022 0 3444545 3806646 X THE MISSION OF THE COMMUNITY HEALTH FOUNDATION IS TO IDENTIFY NEEDS, RAISE FUNDS, AND AWARD GRANTS TO ADVANCE HEALTHCARE AND THE HEALTH AND WELL-BEING OF PEOPLE IN THE ANTIGO AND NEIGHBORING COMMUNITIES SERVED BY ASPIRUS LANGLADE HOSPITAL. THE COMMUNITY HEALTH FOUNDATION ACKNOWLEDGES AND SUPPORTS THE VISION, MISSION, AND VALUES OF ASPIRUS LANGLADE HOSPITAL. 0 0 138114 129988 16520 ACTIVITY RELATES TO RAISING FUNDS FOR ASPIRUS LANGLADE HOSPITAL AND OTHER NON-PROFIT ORGANIZATIONS IN THE COMMUNITY AND EDUCATING PERSONNEL TO DELIVER REQUIRED CARE TO MEMBERS OF THE COMMUNITY. THE COMMUNITY HEALTH FOUNDATION MANAGES A LIFELINE PROGRAM IN LANGLADE AND SURROUNDING COUNTIES, RENTING AND MAINTAIN LIFELINE UNITS TO 155 SUBSCRIBERS. THE FOUNDATION ALSO SPONSORS ADVANCED CARDIAC LIFE SUPPORT AND CPR TRAINING FOR MEDICAL PROFESSIONALS IN LANGLADE AND SURROUNDING COUNTIES, TRAINING 862 PEOPLE. ADDITIONALLY, THE FOUNDATION SPONSORS TRAINING NEONATAL RESUSCITATION, SERVING 22 PEOPLE. 138114 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 WI X GREG SHAW 7156239215 112 E FIFTH AVENUE ANTIGO WI 54409 X SHERRY BUNTEN HOSPITAL PRESIDENT 0.50 X X 0 0 0 STEVE BRETTINGEN PRESIDENT 0.50 X X 0 0 0 JASON JANSEN TREASURER 0.50 X X 0 0 0 SHERRY AULIK BOARD MEMBER 0.50 X 0 0 0 ERIN BAGINSKI BOARD MEMBER 0.50 X 0 0 0 CATHY CONNOR BOARD MEMBER 0.50 X 0 0 0 BARRY HAFER BOARD MEMBER (THRU 08/23) 0.50 X 0 0 0 AMANDA HUNTER BOARD MEMBER 0.50 X 0 0 0 MEGHAN MATTEK BOARD MEMBER (THRU 12/23) 0.50 X 0 0 0 JD SCHROEDER BOARD MEMBER 0.50 X 0 0 0 DAN SHELDON BOARD MEMBER 0.50 X 0 0 0 JULIE SPRAGUE BOARD MEMBER (THRU 09/23) 0.50 X 0 0 0 TYLER HACK HOSPITAL VP FINANCE (THRU 11/23) 0.50 X 0 0 0 GREG SHAW HOSPITAL VP FINANCE 0.50 X 0 0 0 0 0 0 0 0 0 0 0 30751 30751 LIFELINE REVENUE 900099 9564 9564 CPR/ACLS 900099 6956 6956 16520 79498 79498 8174 0 8174 8174 8174 134943 16520 0 87672 129988 129988 1654 1654 CPR PROGRAM EXPENSE 5472 5472 NURSING SCHOLARSHIP 1000 1000 138114 138114 0 0 317598 58734 206383 213545 1 0 3088585 3534367 3612567 3806646 168022 0 168022 0 X 1258235 1633304 2186310 2173342 3444545 3806646 3612567 3806646 -3171 365272 0 X 0 0 0 X 125114 48557 45338 36066 30751 285826 125114 48557 45338 36066 30751 285826 285826 62589 48126 51821 62872 72122 297530 583356 174911 0.49000 0.55310 X 759651 137750 897401 839590 -79939 759651 749750 89840 839590 683655 66095 749750 588343 95312 683655 0.00000 0.22557 0.77443 0 0 0 1 ASPIRUS LANGLADE HOSPITAL 112 E 5TH AVENUE ANTIGO WI 54409 390806429 501(C)(3) 67530 0 MEDICAL GRADE WHEELCHAIRS, WALKERS, CANES, HEALING GARDEN LANDSCAPING SUPPLIES, MIADERM LOTION FOR PATIENTS, ATHLETIC TRAINING SUPPLIES, REIMBURSEMENT OF TRANSPORTATION FROM JUNE 2022-JANUARY 2023, PRONE BREAST BOARD, AND PURCHASE DRY ACID MIXER BOYS AND GIRLS CLUB OF THE NORTHWOODS 411 SUPERIOR STREET ANTIGO WI 54409 391980025 501(C)(3) 25000 0 FUNDS FOR MENTAL HEALTH PROFESSIONAL ANTIGO COMMUNITY FOOD PANTRY 2120 PROGRESS BLVD ANTIGO WI 54409 454834406 501(C)(3) 10000 0 WEEKEND BACKPACK PROGRAM - FUNDS TO PURCHASE FOOD TO PROVIDE TO CHILDREN ANTIGO AREA YOUTH HOCKEY ASSOCIATION 1633 NEVA ROAD ANTIGO WI 54409 237350964 501(C)(3) 6535 0 FUNDS FOR EQUIPMENT (ICE SKATES, SHARPENER) 4 0 PART I, LINE 2: GRANT REQUESTS ARE APPROVED BY THE BOARD AND GRANT PAYMENTS ARE REPORTED TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 3 THE FOUNDATION UTILIZES THE LEADERSHIP OF SHERRY BUNTEN, TYLER HACK (UNTIL NOV 2023) WHO WAS REPLACED BY GREG SHAW, AND DANA KULAS TO CARRY OUT THE MANAGEMENT DUTIES OF THE ORGANIZATION. THOSE INDIVIDUALS ARE NOT EMPLOYEES OF THE FOUNDATION, BUT ARE EMPLOYEES OF ASPIRUS LANGLADE HOSPITAL. THE SERVICES ARE TECHNICALLY PROVIDED AS AN IN-KIND CONTRIBUTION TO THE FOUNDATION. THE ORGANIZATIONS ARE NOT RELATED PARTIES AS DEFINED BY THE IRS, BUT DO HAVE A CLOSE OPERATING RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION BOARD REVIEWS THE FORM 990 PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 THESE QUESTIONS ARE ANSWERED NO BECAUSE THE ORGANIZATION DOES NOT COMPENSATE ANY EMPLOYEES. WITHOUT ANY PAID EMPLOYEES, A PROCESS FOR DETERMINING COMPENSATION IS NOT NEEDED. IF THIS SITUATION CHANGES IN THE FUTURE, A PROPER COMPENSATION POLICY WILL BE ADOPTED. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION BELIEVES THAT CERTAIN GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE THE PROPERTY OF THE ORGANIZATION AND NOT AVAILABLE TO THE PUBLIC.