2021-08-16T12:34:09-05:00 2020-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-10-01 260596045 UPLAND HILLS HEALTH FOUNDATION INC UPLA 6089308000 800 COMPASSION WAY DODGEVILLE WI 53533 ARTHUR K PUSTINA VICE PRESIDENT OF FINANCE 6089308000 2021-08-15 1 MICHAEL J PETERSON CPA P01833529 2187224705 2021-08-12 2019 2022-09-23 18:48:47Z LISA SCHNEDLER 800 COMPASSION WAY DODGEVILLE WI 53533 385046 0 X WWW.UPLANDHILLSHEALTH.ORG/FOUNDATION X 2007 WI TO SOLICIT, RECEIVE, AND ACCEPT GIFTS AND BEQUESTS ON BEHALF OF UPLAND HILLS HEALTH, INC. 6 5 0 49 0 0 717523 328812 0 0 56398 56234 0 0 773921 385046 0 0 0 0 0 0 0 0 0 3506 3749 3506 3749 770415 381297 2668764 3089182 0 0 2668764 3089182 X THE PRIMARY PURPOSE OF THE UPLAND HILLS HEALTH FOUNDATION, INC. IS TO RECORD AND FACILITATE PHILANTHROPIC GIVING FOR UPLAND HILLS HEALTH, INC. BY SERVING AS THE GATEWAY FOR ALL PHILANTHROPY, THE FOUNDATION OFFICE WILL MAINTAIN A COMPLETE GIVING HISTORY FOR DONORS TO UPLAND HILLS HEALTH, ENSURING THAT CONTRIBUTORS ARE APPROPRIATELY ACKNOWLEDGED, AND THAT THE PHILANTHROPY FIGURES PRESENTED TO EXTERNAL SOURCES ARE AS COMPLETE AS POSSIBLE. 0 0 0 0 0 THE UPLAND HILLS HEALTH FOUNDATION, INC. IS OPERATED TO PROVIDE SUPPORT AND PERFORM FUNCTIONS FOR UPLAND HILLS HEALTH, INC., WHICH PROVIDES HEALTH CARE SERVICES TO THE RESIDENTS OF IOWA COUNTY, WISCONSIN, AND THE SURROUNDING AREAS. 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X ARTHUR K PUSTINA 6089308000 800 COMPASSION WAY DODGEVILLE WI 53533 LISA SCHNEDLER PRESIDENT/CEO - UHH 1.00 43.00 X X 0 311391 23170 ARTHUR K PUSTINA VP OF FINANCE - UHH 1.00 57.00 X 0 181725 27117 SKIP LEE PRESIDENT 1.00 X X 0 0 0 MARTHA BOYER VICE PRESIDENT 1.00 X X 0 0 0 ANDREA POTTERTON SECRETARY 1.00 X X 0 0 0 DICK CATES DIRECTOR 1.00 X 0 0 0 TED GREENHECK DIRECTOR 1.00 2.50 X 0 0 0 0 493116 50287 0 0 1 0 0 16207 312605 328812 56234 56234 385046 0 0 56234 3749 3749 3749 0 3749 0 2109582 2556263 559182 532919 2668764 3089182 0 0 X 1327633 1524379 1341131 1564803 2668764 3089182 2668764 3089182 381297 39121 0 X 0 1 X 1 0 X 67736 96343 325179 717523 328812 1535593 67736 96343 325179 717523 328812 1535593 41740 1493853 21351 26635 49358 56398 56234 209976 11300 4890 7235 23425 1768994 0.84450 0.86890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 265834 4109 269943 259537 6297 265834 251875 7662 259537 231735 20140 251875 216040 15695 231735 0.00000 0.77940 0.22060 0 0 0 PART V, LINE 4: UPLAND HILLS HEALTH FOUNDATION, INC.'S ENDOWMENT FUND CONSISTS OF TWO FUNDS HELD IN THE NAMES OF THE INDIVIDUAL DONORS. THESE FUNDS WERE ESTABLISHED TO PROVIDE INCOME FOR THE FOUNDATION TO HELP SUPPORT SPECIFIC PROGRAMS OF UPLAND HILLS HEALTH, INC. 0 0 0 0 0 0 0 0 0 LISA SCHNEDLER PRESIDENT/CEO - UHH 0 309585 0 0 0 1806 0 10067 0 13103 0 334561 0 0 ARTHUR K PUSTINA VP OF FINANCE - UHH 0 179181 0 0 0 2544 0 7351 0 19766 0 208842 0 0 PART I, LINE 3 COMPENSATION PLANS AND POLICIES FOR THE OFFICERS NOTED ARE DETERMINED AND REVIEWED BY UPLAND HILLS HEALTH FOUNDATION, INC.'S PARENT ORGANIZATION, UPLAND HILLS HEALTH, INC. PROCEDURES OF UPLAND HILLS HEALTH, INC. INCLUDE COMPENSATION SURVEYS, WRITTEN EMPLOYMENT AGREEMENTS, AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 UPLAND HILLS HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF UPLAND HILLS HEALTH FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A UPLAND HILLS HEALTH, INC., THE SOLE CORPORATE MEMBER OF UPLAND HILLS HEALTH FOUNDATION, INC., CAN APPOINT OR REMOVE MEMBERS OF THE GOVERNING BODY AND CAN ALSO DETERMINE THE NUMBER OF GOVERNING MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO THE GOVERNING DOCUMENTS OF UPLAND HILLS HEALTH FOUNDATION, INC. REQUIRE APPROVAL OF ITS SOLE CORPORATE MEMBER UPLAND HILLS HEALTH, INC. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FINAL SUBMISSION. RESPONSES ON THE 990 ARE ALSO REVIEWED BY THE VICE PRESIDENT OF FINANCE OF UPLAND HILLS HEALTH, INC. PRIOR TO ITS SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C UPLAND HILLS HEALTH FOUNDATION, INC. REQUIRES OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST-COMPENSATED EMPLOYEES TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. THESE STATEMENTS ARE THEN REVIEWED BY THE BOARD OF DIRECTORS, NOTING ANY RELATIONSHIPS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. IF BOARD MEMBERS HAVE CONFLICTS OF INTEREST THAT ARE NOTED, THESE MEMBERS ARE ASKED TO ABSTAIN FROM VOTING ON THOSE MATTERS. FORM 990, PART VI, SECTION B, LINE 15 TWO OFFICERS OF UPLAND HILLS HEALTH FOUNDATION, INC. ARE EMPLOYED BY UPLAND HILLS HEALTH, INC. THE COMPENSATION LISTED IN FORM 990, PART VII RELATES TO ALL THE SERVICES THEY PERFORM AS AN EMPLOYEE OF UPLAND HILLS HEALTH, INC. THE BOARD OF DIRECTORS OF UPLAND HILLS HEALTH, INC. HAS ESTABLISHED A PROCESS TO REVIEW THE COMPENSATION OF THE OFFICERS. COMPARATIVE DATA FROM WAGE SURVEYS, AREA LABOR ADJUSTMENTS, AND MARKET RATES IN OTHER AREA FACILITIES ARE USED IN DETERMINING COMPENSATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF UPLAND HILLS HEALTH, INC. REVIEWS AND APPROVES ANY EXCEPTIONS TO ACROSS-THE-BOARD RAISES AND STANDARD NEW HIRE WAGES. DURING THE REVIEW PROCESS, DECISIONS AFFECTING COMPENSATION AND CONTRACTS ARE ONLY REVIEWED AND APPROVED BY INDIVIDUALS WHO DO NOT HAVE NOTED CONFLICTS. THE DECISIONS AND DELIBERATION ARE ALSO DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS UPON APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 UPLAND HILLS HEALTH FOUNDATION, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS BUSINESS LOCATION DURING NORMAL BUSINESS HOURS. FORM 990, PART VII, SECTION A, RELATED PARTY OFFICERS: EXPLANATION OF HOURS WORKED: THE TWO OFFICERS OF UPLAND HILLS HEALTH FOUNDATION, INC. ARE EMPLOYED BY UPLAND HILLS HEALTH, INC. IN ADDITION TO THE HOURS WORKED AS AN OFFICER OF UPLAND HILLS FOUNDATION, INC., THEY ALSO WORK A MINIMUM OF AN AVERAGE OF 40 HOURS PER WEEK PERFORMING OTHER SERVICES FOR UPLAND HILLS HEALTH, INC. THE HOURS LISTED ON THE FORM 990 RELATE TO THEIR ROLE AS AN OFFICER, WHILE THE COMPENSATION LISTED RELATES TO ALL THE SERVICES THEY PERFORM AS AN EMPLOYEE OF UPLAND HILLS HEALTH, INC. DETAIL OF HOURS WORKED/SERVED: LISA SCHNEDLER, PRESIDENT & CEO OF UPLAND HILLS HEALTH, INC. WORKED APPROXIMATELY 44.00 HOURS PER WEEK AS FOLLOWS: UPLAND HILLS HEALTH, INC. - 43.00 HOURS UPLAND HILLS HEALTH FOUNDATION, INC. - 1 HOUR A. KARL PUSTINA, VICE PRESIDENT OF FINANCE OF UPLAND HILLS HEALTH, INC., WORKED APPROXIMATELY 58.00 HOURS PER WEEK AS FOLLOWS: UPLAND HILLS HEALTH, INC. - 57.00 HOURS UPLAND HILLS HEALTH FOUNDATION, INC. - 1 HOUR TED GREENHECK, BOARD MEMBER, PROVIDED AN AVERAGE OF 2.0 HOURS OF SERVICE PER WEEK AS FOLLOWS: UPLAND HILLS HEALTH, INC. - 2.5 HOUR UPLAND HILLS HEALTH FOUNDATION, INC. - 1 HOUR UPLAND HILLS HEALTH INC 800 COMPASSION WAY DODGEVILLE WI 53533 421017512 HOSPITAL WI 501(C)(3) LINE 3 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0