2025-05-28T10:25:28-05:00 2024-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-10-01 237395183 Stoughton Hospital Foundation Inc STOU 6088732328 900 Ridge Street Stoughton WI 53589 Tom Pertzborn President 6088732328 2025-05-21 1 1 Mayumi Stella P00970938 6122536500 2025-05-21 2023 2025-03-06 01:10:19Z Tom Pertzborn 900 Ridge Street Stoughton WI 53589 1067088 0 X See Schedule O X 1974 WI Assist Stoughton Health in improving the health and wellness of the communities it serves. 10 10 0 21 0 0 1972031 910747 5940 0 20535 69669 7036 11332 2005542 991748 300642 23445 0 0 151978 0 71200 2900 17793 34732 46949 558552 73294 1446990 918454 2769703 3884720 65502 18308 2704201 3866412 The mission of Stoughton Hospital Foundation is to cultivate and nurture relationships and develop, manage, and distribute charitable gifts to assist Stoughton Health in improving the health and wellness of the communities it serves. 0 0 23445 23445 Stoughton Hospital Foundation, Inc. established in 1974, was incorporated to attract charitable gifts to meet the needs of Stoughton Hospital Association. The Foundation is committed to using these resources wisely and efficiently, keeping in mind the donor's purpose and the needs of the communities served by Stoughton Hospital.Stoughton Hospital Foundation raises friends and funds to benefit Stoughton Health and has contributed more than $10 million for Stoughton Health's programs and services. The Foundation has provided funding for Capital Campaigns, renovation or remodeling of facilities and grounds, purchasing of medical equipment and providing financial support to those in the community who may need assistance with medication fulfillment. 23445 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 WI X Laura Mays 6088732328 900 Ridge Street Stoughton WI 53589 Jessica Pharo President 0.30 X X 0 0 0 Tom Pertzborn Vice President 0.30 X X 0 0 0 Lukas Trow Secretary/Treasurer 0.30 X X 0 0 0 Brad Schroeder - Immediate Past President (Until Nov 23) 0.30 X X 0 0 0 Terrence Brenny Director 0.30 X 0 0 0 Carolyn Clow Director 0.30 X 0 0 0 Nicki Wagner Director (Until Nov 23) 0.30 X 0 0 0 Judy Knutson Director 0.30 X 0 0 0 Dr Sarjoo Patel Director 0.30 X 0 0 0 Matthew Roethe Director 0.30 X 0 0 0 Lori Allen Director (As of Nov 23) 0.30 X 0 0 0 Abbey Welsh Director (As of Nov 23) 0.30 X 0 0 0 Laura Mays Foundation Executive Direc 21.00 X 137722 0 15435 137722 0 15435 0 0 1 1 0 50666 860081 18114 910747 66843 66843 53500 50674 2826 2826 2826 23435 50666 17368 6067 6067 12563 7298 5265 5265 991748 0 0 81001 X 13987 13987 9458 9458 6700 6700 2900 2900 14596 14596 75 75 9538 4276 5262 76 76 1527 1527 Fundraising expenses 9480 9480 Repairs and Maintenance 4957 4957 73294 23445 32056 17793 177490 823701 1340410 1471797 2335 9030 2900 0 1246568 1580192 2769703 3884720 64864 17934 638 374 65502 18308 X 1243712 1775847 1460489 2090565 2704201 3866412 2769703 3884720 918454 243757 0 X X 0 1 X 0 0 X 274411 227237 332528 1972031 910747 3716954 274411 227237 332528 1972031 910747 3716954 1909125 1807829 11700 10084 8988 19618 66843 117233 10358 14609 6411 7036 11332 49746 3883933 5940 0.46550 0.35130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 0 X 1377631 243757 166202 -9480 400479 977152 14596 14596 991748 215420 166202 166202 49218 14596 9480 24076 73294 Part IV, Line 2b: Agency funds are used to account for assets held by the Foundation as an agent for Stoughton Dementia Friendly Coalition, which promotes making Stoughton, Wisconsin dementia friendly. Agency funds are custodial in nature (assets equal liabilities) and therefore, changes do not affect the statements of activities. The assets of the agency funds are included within the Foundation's cash and cash equivalents in the accompanying financial statements. Part X, Line 2: Management believes that the Foundation has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Fundraising expenses reported in functional expenses -9,480. Part XII, Line 4b - Other Adjustments: Fundraising expenses reported in functional expenses 9,480. Golf Outing 74101 50666 23435 258 8836 7862 412 74101 50666 23435 258 8836 7862 412 17368 6067 1 Stoughton Hospital Association 900 Ridge Street Stoughton WI 53589 390832914 501(c)(3) 12755 0 Support for programs and services 1 0 Healthcare Career Scholarships 2 1500 Medication Voucher Program 76 7958 FMV Voucher for individuals to obtain prescription medications. Part I, Line 2: Scholarship recipients must send the Foundation Director a copy of their current transcript showing that they have completed certain milestones in their post-secondary education. The scholarship is then paid to the recipient. Grants of unrestricted funds given to Stoughton Hospital Association are approved by the Board of Directors. Grants of funds which have been restricted by the original donor for use by Stoughton Hospital Association are paid to Stoughton Hospital quarterly in accordance with the donors' wishes. For the medication voucher program, the Foundation has granted certain agencies the ability to give out the vouchers based upon their criteria. The vouchers are then used at local pharmacies which turn in the vouchers once medications are provided to be reimbursed from the grant funds. The Foundation personnel track the reimbursements by participant, not to exceed $1,000 per person, per lifetime. 0 0 0 0 0 0 0 0 0 Laura Mays Foundation Executive Direc 130699 0 5330 0 1693 0 5538 0 12402 0 155662 0 0 0 Schedule J, Unrelated compensation: Laura Mays, Foundation Executive Director, allocates time to Stoughton Hospital Foundation and Stoughton Hospital Association. Total 2024 W-2 compensation and benefits from Stoughton Hospital Association is included on Part VII. Approximately 50% of the Foundation Director's calendar year 2024 time is attributable to the Foundation and the allocation is below. Compensation $68,861 Deferred compensation 2,769 Nontaxable benefits 6,201 Form 990, Page 1, line J: Website address: http://stoughtonhealth.com/stoughton-hospital-foundation Form 990, Part V, line 2a: The Foundation does not have employees therefore does not submit W-2s. The Foundation Director receives a W-2 from Stoughton Hospital Association for services to the Foundation and Hospital. Other individuals performing services for the Foundation receive a W-2 from Stoughton Hospital Association. Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Board of Directors receives a copy the Form 990 before the return is filed. The Foundation Director reviews the Form 990. Form 990, Part VI, Section B, line 12c Directors and officers must disclose to the Board of Directors any duality of interest or possible conflict of interest whenever the duality or conflict pertains to a matter being considered by the Board. Any Director having duality of interest or conflict of interest on any matter must abstain from voting on the matter and is not counted in determining the quorum for the vote on the matter. In addition, he or she cannot use his or her personal influence on the matter, but may briefly state his or her position on the matter and may answer pertinent questions from other Directors since his or her knowledge may be of great assistance. The minutes of the meeting involving any such situation reflect that a disclosure was made, the abstention from voting, and the quorum situation. If a Director is uncertain as to whether he or she has a duality or conflict of interest which requires abstention, or if a Director asserts that another Director has such a duality or conflict, the Board, by majority vote of those present other than the Director having the possible conflict, decides whether abstention is required. If so, the Director will be deemed to have abstained. Form 990, Part VI, Section B, line 15 The Foundation Director is compensated by Stoughton Hospital Association. Stoughton Hospital Human Resources determines the compensation for this position using market compensation data which is approved by the CEO. The process and results are documented annually. There are no other officers or key employees of the organization. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part IX, Line 5: The Foundation Executive Director is compensated through a W-2 from Stoughton Hospital Association for services to Stoughton Hospital Foundation and Stoughton Hospital Association. The Foundation Executive Director spends time on Foundation activities and a portion of compensation and benefits is allocated to Part IX, line 5. Form 990, Part XII, Line 2c: Stoughton Hospital Foundation does not have a committee that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. The Foundation's Board has the responsibility.