MEMORIAL HEALTH SYSTEM FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SYSTEM FOUNDATION (EIN 84-1576338)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-14
IRS object ID
202041359349300349
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-14T09:42:06-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN461497033PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18181 E TUFTS AVE SUITE 600AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841576338EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MEMORIAL HEALTH SYSTEM FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone7193654483PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11519 E BOULDER STAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80909ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATE MAIURROPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7193654483PhoneNum
Signature2020-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDORI J EGGETTPreparerPersonNm
PTINP00645252PTIN
Phone3037409400PhoneNum
Preparation2020-05-05PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.229.126.131IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-05IPDt
IP Tm08:50:42IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id98F0443AB33D1E28F18E9C160D3887AD5153D212AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATE MAIURROPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11519 E BOULDER STAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80909ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,890,415GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO PROVIDE PHILANTHROPIC RESOURCES TO ASSIST MEMORIAL HEALTH SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,482,045PYContributionsGrantsAmt
CY Contributions Grants$1,648,788CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$64,847PYInvestmentIncomeAmt
CY Investment Income$82,052CYInvestmentIncomeAmt
PY Other Revenue-$69,072PYOtherRevenueAmt
CY Other Revenue-$19,090CYOtherRevenueAmt
PY Total Revenue$1,477,820PYTotalRevenueAmt
CY Total Revenue$1,711,750CYTotalRevenueAmt
PY Grants And Similar Paid$863,724PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$769,418CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$437,775PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$465,158CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$272,233CYTotalFundraisingExpenseAmt
PY Other Expenses$199,280PYOtherExpensesAmt
CY Other Expenses$203,016CYOtherExpensesAmt
PY Total Expenses$1,500,779PYTotalExpensesAmt
CY Total Expenses$1,437,592CYTotalExpensesAmt
PY Revenues Less Expenses-$22,959PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$274,158CYRevenuesLessExpensesAmt
Total Assets BOY$3,560,441TotalAssetsBOYAmt
Total Assets EOY$3,788,992TotalAssetsEOYAmt
Total Liabilities BOY$250,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$111,257TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,310,389NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,677,735NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$76,646ExpenseAmt
Grant$76,646GrantAmt
DescTHE UCHEALTH COMMUNITY EDUCATION CENTER-COLORADO SPRINGS IS DESIGNED TO IMPROVE CLINICAL LEARNING AND PATIENT CARE THROUGH THE USE OF NEW TECHNOLOGIES AND MEDICAL SCENARIOUS. THE FACILITY OPENED ITS DOORS IN 2018 TO ENHANCE AND EXPAND TRAINING THROUGH A HIGH-FIDELITY SIMULATION LAB AND EXPANDED CLASSROOM SPACE FOR NURSING, PARAMEDIC, AND EMERGENCY MEDICAL TECHNICIAN INSTRUCTION. THE FACILITY IS ALSO USED FOR COMMUNITY OUTREACH PROGRAMS. DURING FY19, THE FOUNDATION FUNDED THE PURCHASE OF DEFIBRILLATORS AND TRAINING MANIKINS FOR $76,646.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$71,231ExpenseAmt
Grant$71,231GrantAmt
DescTHIS FUND IS TO BE USED FOR COMMUNITY OUTREACH PROGRAMS, CONTINUING EDUCATION, EQUIPMENT AND PATIENT SUPPORT PROGRAMS FOR MEMORIAL HOSPITAL'S CARDIOVASCULAR SERVICE LINE. DURING FY19, THE FOUNDATION FUNDED VASCULAR SOFTWARE UPGRADES TOTALING $71,231.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$63,308ExpenseAmt
Grant$63,308GrantAmt
DescTHIS FUND IS USED FOR CAPITAL NEEDS OF MEMORIAL HOSPITAL. DURING FY19, THE FOUNDATION FUNDED A PORTABLE ULTRASOUND MACHINE FOR $41,948, 14 VIDEO REMOTE INTERPRETING CARTS FOR $15,148 AND OTHER CAPITAL ITEMS TOTALING $6,212.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$707,022ExpenseAmt
Grant$558,233GrantAmt
DescVARIOUS PATIENT CARE AND STAFF EDUCATION FUNDS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$707,022TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$558,233TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$918,207TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVE WEBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7193654483PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 SOUTH UNION BLVD SUITE 240AddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80910ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANN SIMPSON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
DEB MAHAN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DAVID BROCKWAY
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARK BROWN
DIRECTOR1.00Yes (X)$0$0$0
BRADLEY BUTLER
DIRECTOR1.00Yes (X)$0$0$0
PAT COME
DIRECTOR1.00Yes (X)$0$0$0
BRUCE PANTER
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
RYAN DOHERTY
DIRECTOR1.00Yes (X)$0$0$0
ANDREA HURLBERT
DIRECTOR1.00Yes (X)$0$0$0
JARED MAY
DIRECTOR1.00Yes (X)$0$0$0
CHRISTINE O'BRIEN
DIRECTOR1.00Yes (X)$0$0$0
BETSY PLANTE
DIRECTOR1.00Yes (X)$0$0$0
ATHENA ROE
DIRECTOR1.00Yes (X)$0$0$0
ERIC SCOTT
DIRECTOR1.00Yes (X)$0$0$0
AMY SUFAK
DIRECTOR1.00Yes (X)$0$0$0
JOEL YUHAS
DIRECTOR1.00Yes (X)$0$0$0
DAVID STEINBRUNER
DIRECTOR1.00Yes (X)$0$0$0
CARI KARNS
SR OFFICER OF DEVELOPMENT40.00Yes (X)$136,136$0$13,537
FieldValueIRS element (for citing)
Total Reportable Comp From Org$136,136TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,537TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$312,167FundraisingAmt
Related Organizations$615,286RelatedOrganizationsAmt
All Other Contributions$721,335AllOtherContributionsAmt
Noncash Contributions$7,234NoncashContributionsAmt
Total Contributions$1,648,788TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,052TotalRevenueColumnAmt
Exclusion$82,052ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,575FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$312,167ContriRptFundraisingEventAmt
Fundraising Direct Expenses$178,665FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,090TotalRevenueColumnAmt
Exclusion-$19,090ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,711,750TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$62,962ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$551,044TotalAmt
Program Services$551,044ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$218,374TotalAmt
Program Services$218,374ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$159,487TotalAmt
Program Services$47,846ProgramServicesAmt
Management And General$79,743ManagementAndGeneralAmt
Fundraising$31,898FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$253,781TotalAmt
Program Services$64,225ProgramServicesAmt
Management And General$33,853ManagementAndGeneralAmt
Fundraising$155,703FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,960TotalAmt
Program Services$1,210ProgramServicesAmt
Management And General$391ManagementAndGeneralAmt
Fundraising$2,359FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$44,676TotalAmt
Program Services$11,094ProgramServicesAmt
Management And General$6,097ManagementAndGeneralAmt
Fundraising$27,485FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,254TotalAmt
Program Services$828ProgramServicesAmt
Management And General$435ManagementAndGeneralAmt
Fundraising$1,991FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,790TotalAmt
Management And General$1,790ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,812TotalAmt
Management And General$24,812ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,528TotalAmt
Management And General$21,528ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,230TotalAmt
Program Services$4,688ProgramServicesAmt
Management And General$14,822ManagementAndGeneralAmt
Fundraising$7,720FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,958TotalAmt
Program Services$354ProgramServicesAmt
Management And General$1,056ManagementAndGeneralAmt
Fundraising$5,548FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,282TotalAmt
Program Services$603ProgramServicesAmt
Management And General$13,193ManagementAndGeneralAmt
Fundraising$1,486FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,331TotalAmt
Program Services$741ProgramServicesAmt
Management And General$3,747ManagementAndGeneralAmt
Fundraising$6,843FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$65,703TotalAmt
Program Services$13,141ProgramServicesAmt
Management And General$39,421ManagementAndGeneralAmt
Fundraising$13,141FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,178TotalAmt
Management And General$471ManagementAndGeneralAmt
Fundraising$707FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,872TotalAmt
Program Services$608ProgramServicesAmt
Management And General$3,342ManagementAndGeneralAmt
Fundraising$5,922FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$171TotalAmt
Program Services$34ProgramServicesAmt
Management And General$103ManagementAndGeneralAmt
Fundraising$34FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,585TotalAmt
Management And General$1,585ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
PRINTING$13,667$3,417$10,250
DUES$1,909$1,146$763

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,437,592TotalAmt
Program Services$918,207ProgramServicesAmt
Management And General$247,152ManagementAndGeneralAmt
Fundraising$272,233FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$384,706BOYAmt
EOY$318,216EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$951,520BOYAmt
EOY$974,976EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,000BOYAmt
EOY$195,823EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,904BOYAmt
EOY$14,979EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,945LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,688LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$427BOYAmt
EOY$257EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,153,884BOYAmt
EOY$2,284,741EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,560,441BOYAmt
EOY$3,788,992EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$250,052BOYAmt
EOY$77,981EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$33,276EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$250,052BOYAmt
EOY$111,257EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$740,595BOYAmt
EOY$842,805EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,375,619BOYAmt
EOY$2,640,755EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$194,175BOYAmt
EOY$194,175EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,310,389BOYAmt
EOY$3,677,735EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,560,441BOYAmt
EOY$3,788,992EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$274,158ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$93,788NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$600OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,435,202CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,079,180CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,185,902CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,482,045CurrentTaxYearMinus1YearAmt
Current Tax Year$1,648,788CurrentTaxYearAmt
Total$6,831,117TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,435,202CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,079,180CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,185,902CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,482,045CurrentTaxYearMinus1YearAmt
Current Tax Year$1,648,788CurrentTaxYearAmt
Total$6,831,117TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,247,355SubstantialContributorsTotAmt
Public Support Total170$3,583,762PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,847CurrentTaxYearMinus1YearAmt
Current Tax Year$82,052CurrentTaxYearAmt
Total$296,808TotalAmt
FieldValueIRS element (for citing)
Total Support$7,127,925TotalSupportAmt
Public Support CY1700.50280PublicSupportCY170Pct
Public Support PY1700.42610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$277,255BeginningYearBalanceAmt
Investment Earnings Or Losses$17,608InvestmentEarningsOrLossesAmt
End Year Balance$294,863EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$264,719BeginningYearBalanceAmt
Investment Earnings Or Losses$12,536InvestmentEarningsOrLossesAmt
End Year Balance$277,255EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$243,696BeginningYearBalanceAmt
Investment Earnings Or Losses$21,023InvestmentEarningsOrLossesAmt
End Year Balance$264,719EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$240,314BeginningYearBalanceAmt
Investment Earnings Or Losses$3,382InvestmentEarningsOrLossesAmt
End Year Balance$243,696EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$233,177BeginningYearBalanceAmt
Investment Earnings Or Losses$7,137InvestmentEarningsOrLossesAmt
End Year Balance$240,314EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.65850PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.34150TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,945OtherCostOrOtherBasisAmt
Depreciation$61,688DepreciationAmt
Book Value$257BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$257TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,789,010TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$93,788NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$5,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$98,788RevenueNotReportedAmt
Revenue Subtotal$1,690,222RevenueSubtotalAmt
Investment Expenses Not Incld$21,528InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$21,528RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,711,750TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,421,664TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$5,000DonatedServicesUseFcltsAmt
Other Expenses Included$600OtherExpensesIncludedAmt
Expenses Not Reported$5,600ExpensesNotReportedAmt
Expenses Subtotal$1,416,064ExpensesSubtotalAmt
Investment Expenses Not Incld2$21,528InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$21,528ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,437,592TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 AND 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 ACTIVITES 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 YEAR THAT ENDED JUNE 30, 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, 2019. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 2D - OTHER ADJUSTMENTS:PLEDGE WRITE OFFS (PROGRAMS) 600.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesCOLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$432,960GrossReceiptsEvent1Amt
Charitable Contri Event1$285,135CharitableContriEvent1Amt
Gross Revenue Event1$147,825GrossRevenueEvent1Amt
Food And Beverage Event1$72,487FoodAndBeverageEvent1Amt
Entertainment Event1$17,500EntertainmentEvent1Amt
Other Direct Expenses Event1$72,961OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$38,782GrossReceiptsEvent2Amt
Charitable Contri Event2$27,032CharitableContriEvent2Amt
Gross Revenue Event2$11,750GrossRevenueEvent2Amt
Rent Facility Costs Event2$6,634RentFacilityCostsEvent2Amt
Food And Beverage Event2$6,673FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,410OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Total$471,742GrossReceiptsTotalAmt
Charitable Contributions Tot$312,167CharitableContributionsTotAmt
Gross Revenue Total Events$159,575GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$6,634RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$79,160FoodAndBeverageTotalEventsAmt
Entertainment Total Events$17,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$75,371OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$178,665DirectExpenseSummaryEventsAmt
Net Income Summary-$19,090NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1UCH - MHSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 E BOULDER STREETAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80909ZIPCd
FieldValueIRS element (for citing)
Recipient EIN460796114RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$543,810CashGrantAmt
Non Cash Assistance$7,234NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceHOUSEHOLD & EVENT ITEMSNonCashAssistanceDesc
Purpose Of GrantFINANCIAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
LIVING EXPENSES551$111,303
EDUCATIONAL57$10,800
LYMPHEDEMA GARMENTS/WIGS194$20,997
MASSAGE THERAPY78$5,320
SCHOLARSHIPS35$58,063
DIGNICAP TREATMENTS12$11,891

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE IFormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CAT 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 15ASALARY 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 19DOCUMENTS ARE AVAILABLE AT THE FOUNDATION OFFICE IF THE PUBLIC WISHES TO REVIEW THEM.
FORM 990, PART XI, LINE 9:PROVISION FOR UNCOLLECTIBLE PLEDGES -600.

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