2020-05-14T09:42:06-05:00 2019-06-30 461497033 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2018-07-01 841576338 THE MEMORIAL HEALTH SYSTEM FOUNDATION MEMO 7193654483 1519 E BOULDER ST COLORADO SPRINGS CO 80909 KATE MAIURRO EXECUTIVE DIRECTOR 7193654483 2020-05-05 1 DORI J EGGETT P00645252 3037409400 2020-05-05 73.229.126.131 2020-05-05 08:50:42 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 98F0443AB33D1E28F18E9C160D3887AD5153D212 2018 2021-01-29 14:40:06Z KATE MAIURRO 1519 E BOULDER ST COLORADO SPRINGS CO 80909 1890415 0 X N/A X 2001 CO TO PROVIDE PHILANTHROPIC RESOURCES TO ASSIST MEMORIAL HEALTH SYSTEM. 17 17 5 0 0 0 1482045 1648788 0 0 64847 82052 -69072 -19090 1477820 1711750 863724 769418 0 0 437775 465158 0 0 272233 199280 203016 1500779 1437592 -22959 274158 3560441 3788992 250052 111257 3310389 3677735 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 76646 76646 THE 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. 71231 71231 THIS 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. 63308 63308 THIS 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. 707022 558233 VARIOUS PATIENT CARE AND STAFF EDUCATION FUNDS. 707022 558233 918207 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 5 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X STEVE WEBER 7193654483 175 SOUTH UNION BLVD SUITE 240 COLORADO SPRINGS CO 80910 ANN SIMPSON 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 MARK BROWN DIRECTOR 1.00 X 0 0 0 BRADLEY BUTLER DIRECTOR 1.00 X 0 0 0 PAT COME DIRECTOR 1.00 X 0 0 0 BRUCE PANTER BOARD CHAIR 1.00 X X 0 0 0 RYAN DOHERTY DIRECTOR 1.00 X 0 0 0 ANDREA HURLBERT DIRECTOR 1.00 X 0 0 0 JARED MAY DIRECTOR 1.00 X 0 0 0 CHRISTINE O'BRIEN DIRECTOR 1.00 X 0 0 0 BETSY PLANTE DIRECTOR 1.00 X 0 0 0 ATHENA ROE DIRECTOR 1.00 X 0 0 0 ERIC SCOTT DIRECTOR 1.00 X 0 0 0 AMY SUFAK DIRECTOR 1.00 X 0 0 0 JOEL YUHAS DIRECTOR 1.00 X 0 0 0 DAVID STEINBRUNER DIRECTOR 1.00 X 0 0 0 CARI KARNS SR OFFICER OF DEVELOPMENT 40.00 X 136136 0 13537 136136 0 13537 1 0 0 0 0 312167 615286 721335 7234 1648788 82052 82052 159575 312167 178665 -19090 -19090 1711750 0 0 62962 551044 551044 218374 218374 159487 47846 79743 31898 253781 64225 33853 155703 3960 1210 391 2359 44676 11094 6097 27485 3254 828 435 1991 1790 1790 24812 24812 21528 21528 27230 4688 14822 7720 6958 354 1056 5548 15282 603 13193 1486 11331 741 3747 6843 65703 13141 39421 13141 1178 471 707 9872 608 3342 5922 171 34 103 34 1585 1585 PRINTING 13667 3417 10250 DUES 1909 763 1146 1437592 918207 247152 272233 384706 318216 951520 974976 56000 195823 13904 14979 61945 61688 427 257 2153884 2284741 3560441 3788992 250052 77981 0 33276 250052 111257 X 740595 842805 2375619 2640755 194175 194175 3310389 3677735 3560441 3788992 X 274158 93788 -600 X 0 1 X 1 0 X 1435202 1079180 1185902 1482045 1648788 6831117 1435202 1079180 1185902 1482045 1648788 6831117 3247355 3583762 20295 67531 62083 64847 82052 296808 7127925 0.50280 0.42610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 277255 17608 294863 264719 12536 277255 243696 21023 264719 240314 3382 243696 233177 7137 240314 0.65850 0.34150 0 0 61945 61688 257 257 X 1789010 93788 5000 98788 1690222 21528 21528 1711750 1421664 5000 600 5600 1416064 21528 21528 1437592 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. CO GALA 432960 285135 147825 72487 17500 72961 GOLF TOURNAMENT 38782 27032 11750 6634 6673 2410 2 471742 312167 159575 6634 79160 17500 75371 178665 -19090 1 UCH - MHS 1400 E BOULDER STREET COLORADO SPRINGS CO 80909 460796114 501(C)(3) 543810 7234 FMV HOUSEHOLD & EVENT ITEMS FINANCIAL SUPPORT 1 LIVING EXPENSES 551 111303 EDUCATIONAL 57 10800 LYMPHEDEMA GARMENTS/WIGS 194 20997 MASSAGE THERAPY 78 5320 SCHOLARSHIPS 35 58063 DIGNICAP TREATMENTS 12 11891 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. 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 -600.