2021-05-13T16:11:57-05:00 2020-06-30 461497033 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2019-07-01 841576338 THE MEMORIAL HEALTH SYSTEM FOUNDATION MEMO 7193654483 1400 EAST BOULDER SUITE 2N2019 COLORADO SPRINGS CO 80909 KATE MAIURRO EXECUTIVE DIRECTOR 7193654483 2021-05-04 1 DORI J EGGETT P00645252 3037409400 2021-05-04 2019 2022-09-23 18:48:47Z X KATE MAIURRO 1400 EAST BOULDER SUITE 2N2019 COLORADO SPRINGS CO 80909 2554185 0 X WWW.UCHEALTHMEMORIALCARES.ORG X 2001 CO TO PROVIDE PHILANTHROPIC RESOURCES TO ASSIST MEMORIAL HEALTH SYSTEM. 21 21 6 0 0 0 1648788 2468305 0 0 82052 68180 -19090 -5265 1711750 2531220 769418 1253767 0 0 465158 419189 0 0 271865 203016 196363 1437592 1869319 274158 661901 3788992 4508417 111257 93818 3677735 4414599 X SEE SCHEDULE OTHE MISSION OF MEMORIAL HEALTH SYSTEM FOUNDATION IS TO PROVIDE PHILANTHROPIC RESOURCES TO ASSIST MEMORIAL HEALTH SYSTEM TO PROVIDE THE HIGHEST QUALITY HEALTH CARE. PHILANTHROPIC SUPPORT IS BEING SOUGHT FOR CAPITAL, ENDOWMENT AND PROGRAMMATIC PURPOSES, INCLUDING CANCER, CARDIOLOGY, AND WOMEN'S PROGRAMS AND SERVICES. 0 0 322147 322147 THE CAPITAL CAMPAIGN IS USED FOR CAPITAL NEEDS OF MEMORIAL HOSPITAL. DURING FY20, THE FOUNDATION FUNDED SEVERAL ITEMS FOR THE MEMORIAL NORTH HOSPITAL INCLUDING 10 BEDS FOR $90,547, DELIVERY AND CASE CARTS AT $45,690, $40,237 TO BUILD OUT THE KITCHEN, $37,146 FOR FETAL MONITOR CARTS,AND $108,527 IN OTHER CAPITAL ITEMS. 232275 232275 THE CANCER CAPITAL FUND WAS ESTABLISHED TO FUND CAPITAL PURCHASES FOR THE MEMORIAL HOSPITAL CANCER SERVICE LINE. DURING FY20, AN ONCOLOGY RESEARCH AND CONFERENCE OFFICE AT MEMORIAL NORTH WAS FUNDED FOR $232,275. 150880 150880 THE EMPLOYEE GIVING FUND IS FUNDED BY EMPLOYEE DONATIONS FOR ANY HOSPITAL NEEDS. DURING FY20, INFUSION PUMPS AND MICROSCOPES TOTALING $122,994 WERE FUNDED FOR MEMORIAL NORTH, DRINKING WATER FILL STATIONS WERE FUNDED FOR MEMORIAL CENTRAL AT $22,020 AND OTHER ITEMS TOTALING $5,866 WERE FUNDED. 653100 548465 VARIOUS PATIENT CARE AND STAFF EDUCATION FUNDS. 653100 548465 1358402 1 1 0 0 0 0 0 0 0 1 1 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 1 0 0 0 0 0 0 0 0 1 12 0 1 6 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X STEVE WEBER 7193654483 1400 EAST BOULDER SUITE 2N2019 COLORADO SPRINGS CO 80909 ANN SIMPSON BOARD VICE CHAIR 1.00 X X 0 0 0 DEB MAHAN SECRETARY 1.00 X X 0 0 0 DAVID BROCKWAY TREASURER 1.00 X X 0 0 0 BRADLEY BUTLER INDIVIDUAL TRUSTEE 1.00 X 0 0 0 MARK BROWN INDIVIDUAL TRUSTEE 1.00 X 0 0 0 PATRICIA CONE INDIVIDUAL TRUSTEE 1.00 X 0 0 0 BRUCE PANTER BOARD CHAIR 1.00 X X 0 0 0 RYAN DOHERTY INDIVIDUAL TRUSTEE 1.00 X 0 0 0 ANDREA HURLBERT INDIVIDUAL TRUSTEE 1.00 X 0 0 0 JARED MAY INDIVIDUAL TRUSTEE 1.00 X 0 0 0 CHRISTINE O'BRIEN INDIVIDUAL TRUSTEE 1.00 X 0 0 0 BETSY PLANTE INDIVIDUAL TRUSTEE 1.00 X 0 0 0 ERIC SCOTT INDIVIDUAL TRUSTEE 1.00 X 0 0 0 AMY SUFAK INDIVIDUAL TRUSTEE 1.00 X 0 0 0 PEGGY CARMACK INDIVIDUAL TRUSTEE 1.00 X 0 0 0 DAVID GREENBERG INDIVIDUAL TRUSTEE 1.00 X 0 0 0 JOSEPH MASLAK INDIVIDUAL TRUSTEE 1.00 X 0 0 0 JOHN SWENSON INDIVIDUAL TRUSTEE 1.00 X 0 0 0 CHERISE SELLEY INDIVIDUAL TRUSTEE 1.00 X 0 0 0 MARY ELLEN MCNALLY INDIVIDUAL TRUSTEE 1.00 X 0 0 0 JOEL YUHUS INDIVIDUAL TRUSTEE 1.00 X 0 0 0 CARI KARNS EXECUTIVE DIRECTOR END 02/20 40.00 X 147691 0 4221 KATE MAIURRO EXECUTIVE DIRECTOR BEGIN 03/20 40.00 X 0 0 0 147691 0 4221 1 0 1 0 0 27354 602978 1837973 49597 2468305 68180 68180 17700 27354 22965 -5265 -5265 2531220 0 0 62915 1127090 1127090 126677 126677 166312 43211 69791 53310 205106 32111 37135 135860 1957 199 293 1465 43213 6873 7885 28455 2601 407 471 1723 6499 6499 25777 25777 22654 22654 28205 4032 13705 10468 10253 10253 12403 883 8468 3052 58731 11746 35239 11746 5 2 3 6262 482 2023 3757 164 33 98 33 1854 1854 PRINTING 10649 2662 7987 OFFICE RELOCATION 9978 1996 5986 1996 DUES 2929 1172 1757 1869319 1358402 239052 271865 318216 975457 974976 1003265 195823 126729 14979 22651 61945 61852 257 93 2284741 2380222 3788992 4508417 77981 93818 33276 0 111257 93818 X 842805 953647 2834930 3460952 3677735 4414599 3788992 4508417 X 661901 78243 -3280 X 0 1 X 1 0 X 1079180 1185902 1482045 1648788 2468305 7864220 1079180 1185902 1482045 1648788 2468305 7864220 3988119 3876101 67531 62083 64847 82052 68180 344693 8208913 0.47220 0.50280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 294863 11578 306441 277255 17608 294863 264719 12536 277255 243696 21023 264719 240314 3382 243696 0.63360 0.36640 0 0 61945 61852 93 93 X 2586809 78243 78243 2508566 22654 22654 2531220 1849945 3280 3280 1846665 22654 22654 1869319 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE EDUCATION TO OUTREACH PROGRAMS, TRAUMA NURSES, AND BLOOD DONOR TECHS. PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION, IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3), AND QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION; HOWEVER, INCOME FROM ACTIVITIES NOT DIRECTLY RELATED TO THE FOUNDATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THERE WAS NO TAX ON UNRELATED BUSINESS INCOME DURING THE YEARS ENDED JUNE 30, 2020 AND 2019. MANAGEMENT IS REQUIRED TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND TO RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT PROBABLY WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND THAT NONE WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS WOULD BE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF JUNE 30, 2020. PART XII, LINE 2D - OTHER ADJUSTMENTS: PLEDGE WRITE OFFS (PROGRAMS) 3,280. GALA 2000 700 1300 1300 GOLF TOURNAMENT 43054 26654 16400 21665 2 45054 27354 17700 22965 22965 -5265 1 UCH - MHS 1400 E BOULDER STREET SUITE 2N2019 COLORADO SPRINGS CO 80909 460796114 501(C)(3) 1077493 49597 FMV CLOTHING & HOUSEHOLD ITEMS, TOYS, FOOD, AND EVENT ITEMS FINANCIAL SUPPORT 1 LIVING EXPENSES 946 74809 EDUCATIONAL 20 13590 LYMPHEDEMA GARMENTS/WIGS 51 8984 MASSAGE THERAPY 11 8586 SCHOLARSHIPS 10 20708 PART I, LINE 2: THE FOUNDATION'S EXECUTIVE DIRECTOR REVIEWS ALL GRANTS AND REQUESTS FOR MONIES. ALL ASSISTANCE PROVIDED TO INDIVIDUALS IS PAID DIRECTLY TO THOSE THAT PROVIDE THE ASSISTANCE. THE FUNDS ARE NOT GIVEN DIRECTLY TO THE INDIVIDUALS. THUS, THE ORGANIZATION IS ABLE TO ENSURE THAT THE FUNDS ARE USED FOR THE INTENDED PURPOSES. SCHEDULE I, PART I, LINE I THE FOUNDATION'S EXECUTIVE DIRECTOR REVIEWS ALL GRANTS AND REQUESTS FOR MONIES. ALL ASSISTANCE PROVIDED TO INDIVIDUALS IS PAID DIRECTLY TO THOSE THAT PROVIDE THE ASSISTANCE. THE FUNDS ARE NOT GIVEN DIRECTLY TO THE INDIVIDUALS. THUS, THE ORGANIZATION IS ABLE TO ENSURE THAT THE FUNDS ARE USED FOR THE INTENDED PURPOSES. X X 0 0 0 0 0 0 0 0 0 CARI KARNS EXECUTIVE DIRECTOR END 02/20 147691 0 0 0 0 0 3428 0 793 0 151912 0 0 0 X 2096 FMV X 1 43271 FMV X GIFT CARDS 3 2350 FMV X TOYS 2 950 FMV X AUCTION ITEMS 6 510 FMV X SPORTS TICKETS 1 420 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE MEMORIAL HOSPITAL FINANCE DEPARTMENT REVIEWS THE RETURN. A COPY OF THE FORM 990 IS EMAILED TO BOARD MEMBERS PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C AT THE ANNUAL BOARD MEETING, THE BOARD IS GIVEN A NEW COPY OF THE CONFLICT OF INTEREST STATEMENT. THE BOARD GOES OVER THE STATEMENT AND EACH BOARD MEMBER MUST SIGN THE DOCUMENT. THUS, EACH MEMBER SIGNS IT ANNUALLY AND IS REMINDED TO BRING ANY POTENTIAL CONFLICT TO THE BOARD'S AND EXECUTIVE DIRECTOR'S ATTENTION. THE BOARD MEMBER MUST ALSO RECUSE HIMSELF OR HERSELF FROM ANY VOTE IF THERE IS A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A SALARY SURVEY DATA THAT IS COMPILED BY THIRD PARTIES IS USED TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR. REVIEW AND APPROVAL OF THE SALARY IS DONE BY THE MEMORIAL HOSPITAL AND UCH BOARDS. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF THE PROCESS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE AT THE FOUNDATION OFFICE IF THE PUBLIC WISHES TO REVIEW THEM. FORM 990, PART XI, LINE 9: PROVISION FOR UNCOLLECTIBLE PLEDGES -3,280.