MEMORIAL HEALTH SYSTEM FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SYSTEM FOUNDATION (EIN 84-1576338)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-03-20
IRS object ID
201920799349300607
Schema version
2017v2.3
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)
Return2019-03-20T09:57:24-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

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 Line1175 SOUTH UNION BLVD NO 240AddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80910ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARI KARNSPersonNm
Person TitleSENIOR DIRECTORPersonTitleTxt
Phone7193654483PhoneNum
Signature2019-03-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDORI J EGGETTPreparerPersonNm
PTINP00645252PTIN
Phone3037409400PhoneNum
Preparation2019-03-18PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.42.238.142IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-03-18IPDt
IP Tm10:43:16IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDC0456A352FA9E307B2AB963C1AA5BCE91C5D552AtSubmissionCreationDeviceId
At Submission Filing Device IdC6E4C47366026390A9CD5C2EB00C82EA640792D2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCARI KARNSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 SOUTH UNION BLVD NO 240AddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80910ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,704,271GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,185,902PYContributionsGrantsAmt
CY Contributions Grants$1,482,045CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$62,083PYInvestmentIncomeAmt
CY Investment Income$64,847CYInvestmentIncomeAmt
PY Other Revenue-$12,097PYOtherRevenueAmt
CY Other Revenue-$69,072CYOtherRevenueAmt
PY Total Revenue$1,235,888PYTotalRevenueAmt
CY Total Revenue$1,477,820CYTotalRevenueAmt
PY Grants And Similar Paid$554,495PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$863,724CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$482,887PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$437,775CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$6,621PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$243,504CYTotalFundraisingExpenseAmt
PY Other Expenses$203,315PYOtherExpensesAmt
CY Other Expenses$199,280CYOtherExpensesAmt
PY Total Expenses$1,247,318PYTotalExpensesAmt
CY Total Expenses$1,500,779CYTotalExpensesAmt
PY Revenues Less Expenses-$11,430PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,959CYRevenuesLessExpensesAmt
Total Assets BOY$3,336,753TotalAssetsBOYAmt
Total Assets EOY$3,560,441TotalAssetsEOYAmt
Total Liabilities BOY$42,761TotalLiabilitiesBOYAmt
Total Liabilities EOY$250,052TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,293,992NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,310,389NetAssetsOrFundBalancesEOYAmt
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$224,830ExpenseAmt
Grant$224,830GrantAmt
DescTHE UCHEALTH COMMUNITY EDUCATION CENTER-COLORADO SPRINGS IS DESIGNED TO IMPROVE CLINICAL LEARNING AND PATIENT CARE THROUGH THE USE OF NEW TECHNOLOGIES AND MEDICAL SCENARIOS. 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. THE FOUNDATION MADE AN INITIAL INVESTMENT OF $224,830 TO FUND PHASE I DEVELOPMENT OF THE CEC, INCLUDING EQUIPMENT AND PROGRAM DEVELOPMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$130,670ExpenseAmt
Grant$130,670GrantAmt
DescTHE MATERNAL CHILD SERVICE LINE ENCOMPASSES ALL ASPECTS OF CARE FROM PRE- TO POST-PARTUM, INCLUDING MATERNAL FETAL MEDICINE, THE BIRTH CENTER, AND THE MOTHER BABY UNIT. FOUNDATION DOLLARS SUPPORT COMMUNITY OUTREACH PROGRAMS, CONTINUING EDUCATION, EQUIPMENT, AND PATIENT SUPPORT PROGRAMS WITHIN THE SOUTH REGION. DURING FY18, 2 PORTABLE ULTRASOUND UNITS WERE PURCHASED FOR $85,246, 5 PHOTOTHERAPY BEDS FOR $15,971 AND A NEWBORN AND PATIENT CHANNEL SUBSCRIPTION FOR $5,539.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$97,000ExpenseAmt
Grant$97,000GrantAmt
DescQUALITY IMPROVEMENT OVERSEES INITIATIVES RELATED TO PATIENT SAFETY AND OUTCOMES. DURING FY18, THE FOUNDATION FUNDED A UV DISINFECTION SYSTEM FOR ENVIRONMENTAL SERVICES TO ASSIST WITH CLEANING PATIENT ROOMS AND OPERATING ROOMS, REDUCING THE INCIDENCE OF HOSPITAL ACQUIRED INFECTIONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$544,991ExpenseAmt
Grant$411,224GrantAmt
DescVARIOUS PATIENT CARE AND STAFF EDUCATION FUNDS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$544,991TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$411,224TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$997,491TotalProgramServiceExpensesAmt
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 ContriYes (1)DeductibleNonCashContriInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRADLEY BUTLER
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
BRUCE PANTER
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
MARGARET CARMACK
DIRECTOR1.00Yes (X)$0$0$0
MARK BROWN
DIRECTOR1.00Yes (X)$0$0$0
DAVID GREENBERG
DIRECTOR1.00Yes (X)$0$0$0
ANDREA HURLBERT
DIRECTOR1.00Yes (X)$0$0$0
LANA JANC
DIRECTOR1.00Yes (X)$0$0$0
MARY ELLEN MCNALLY
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
ANN SIMPSON
DIRECTOR1.00Yes (X)$0$0$0
JOEL YUHAS
DIRECTOR1.00Yes (X)$0$0$0
CARI KARNS
SR DIRECTOR OF DEVELOPMENT40.00Yes (X)$130,815$0$13,133
FieldValueIRS element (for citing)
Total Reportable Comp From Org$130,815TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,133TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$298,333FundraisingAmt
Related Organizations$603,347RelatedOrganizationsAmt
All Other Contributions$580,365AllOtherContributionsAmt
Noncash Contributions$30,220NoncashContributionsAmt
Total Contributions$1,482,045TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,847TotalRevenueColumnAmt
Exclusion$64,847ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$157,379FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$298,333ContriRptFundraisingEventAmt
Fundraising Direct Expenses$226,451FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$69,072TotalRevenueColumnAmt
Exclusion-$69,072ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,477,820TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$4,225ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$643,939TotalAmt
Program Services$643,939ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$219,785TotalAmt
Program Services$219,785ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$161,664TotalAmt
Program Services$48,500ProgramServicesAmt
Management And General$80,832ManagementAndGeneralAmt
Fundraising$32,332FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$220,174TotalAmt
Program Services$43,704ProgramServicesAmt
Management And General$41,056ManagementAndGeneralAmt
Fundraising$135,414FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,509TotalAmt
Program Services$1,103ProgramServicesAmt
Management And General$639ManagementAndGeneralAmt
Fundraising$2,767FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,276TotalAmt
Program Services$9,402ProgramServicesAmt
Management And General$9,232ManagementAndGeneralAmt
Fundraising$29,642FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,152TotalAmt
Program Services$598ProgramServicesAmt
Management And General$560ManagementAndGeneralAmt
Fundraising$1,994FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,604TotalAmt
Management And General$1,604ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,143TotalAmt
Management And General$25,143ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$21,235TotalAmt
Management And General$21,235ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,892TotalAmt
Program Services$3,988ProgramServicesAmt
Management And General$8,619ManagementAndGeneralAmt
Fundraising$4,285FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,612TotalAmt
Program Services$164ProgramServicesAmt
Management And General$493ManagementAndGeneralAmt
Fundraising$1,955FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,255TotalAmt
Program Services$566ProgramServicesAmt
Management And General$12,350ManagementAndGeneralAmt
Fundraising$1,339FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,941TotalAmt
Program Services$8,382ProgramServicesAmt
Management And General$13,970ManagementAndGeneralAmt
Fundraising$5,589FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$64,710TotalAmt
Program Services$12,942ProgramServicesAmt
Management And General$38,826ManagementAndGeneralAmt
Fundraising$12,942FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85TotalAmt
Management And General$34ManagementAndGeneralAmt
Fundraising$51FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,862TotalAmt
Program Services$1,749ProgramServicesAmt
Management And General$2,196ManagementAndGeneralAmt
Fundraising$5,917FundraisingAmt

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$1,304TotalAmt
Management And General$1,304ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
PRINTING$10,542$2,635$7,907
DUES$2,227$1,336$891
MISCELLANEOUS$697$697

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,500,779TotalAmt
Program Services$997,491ProgramServicesAmt
Management And General$259,784ManagementAndGeneralAmt
Fundraising$243,504FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$98,450BOYAmt
EOY$384,706EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,123,786BOYAmt
EOY$951,520EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,350BOYAmt
EOY$56,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,868BOYAmt
EOY$13,904EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,945LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,518LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$598BOYAmt
EOY$427EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,075,701BOYAmt
EOY$2,153,884EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,336,753BOYAmt
EOY$3,560,441EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,511BOYAmt
EOY$250,052EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,250BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,761BOYAmt
EOY$250,052EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$790,228BOYAmt
EOY$740,595EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,309,589BOYAmt
EOY$2,375,619EOYAmt

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$3,293,992BOYAmt
EOY$3,310,389EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,336,753BOYAmt
EOY$3,560,441EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$22,959ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$42,306NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,950OtherChangesInNetAssetsAmt
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$643,614CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,435,202CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,079,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,185,902CurrentTaxYearMinus1YearAmt
Current Tax Year$1,482,045CurrentTaxYearAmt
Total$5,825,943TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$643,614CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,435,202CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,079,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,185,902CurrentTaxYearMinus1YearAmt
Current Tax Year$1,482,045CurrentTaxYearAmt
Total$5,825,943TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,949,146SubstantialContributorsTotAmt
Public Support Total170$2,876,797PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,295CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,083CurrentTaxYearMinus1YearAmt
Current Tax Year$64,847CurrentTaxYearAmt
Total$215,296TotalAmt
FieldValueIRS element (for citing)
Total Support$6,041,239TotalSupportAmt
Public Support CY1700.47620PublicSupportCY170Pct
Public Support PY1700.44920PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE A, PART II:FormAndLineReferenceDesc
ExplanationTHE 2013 YEAR COLUMN OF SCHEDULE A, PART II IS A SHORT-YEAR TAX RETURN PERIOD FROM 1/1/2014 TO 6/30/2014ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$233,177BeginningYearBalanceAmt
Investment Earnings Or Losses$7,137InvestmentEarningsOrLossesAmt
End Year Balance$240,314EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$225,820BeginningYearBalanceAmt
Investment Earnings Or Losses$7,357InvestmentEarningsOrLossesAmt
End Year Balance$233,117EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.70030PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.29970TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,945OtherCostOrOtherBasisAmt
Depreciation$61,518DepreciationAmt
Book Value$427BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$427TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,783,630TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$42,306NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$37,053DonatedServicesAndUseFcltsAmt
Other Revenue$226,451OtherRevenueAmt
Revenue Not Reported$305,810RevenueNotReportedAmt
Revenue Subtotal$1,477,820RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,477,820TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,767,233TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$37,053DonatedServicesUseFcltsAmt
Other Expenses Included$229,401OtherExpensesIncludedAmt
Expenses Not Reported$266,454ExpensesNotReportedAmt
Expenses Subtotal$1,500,779ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,500,779TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ACCORDINGLY, NO PROVISION FOR THE INCOME TAXES IS MADE FOR FEDERAL, STATE OR LOCAL TAXES. IN ADDITION, THE IRS HAS DETERMINED THAT THE FOUNDATION IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. THE FOUNDATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF JUNE 30, 2018 AND 2017, RESPECTIVELY. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSE. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF JUNE 30, 2018 AND 2017, RESPECTIVELY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 226,451.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 226,451. PLEDGE WRITE OFFS (PROGRAMS) 2,950.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesCOLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$425,070GrossReceiptsEvent1Amt
Charitable Contri Event1$277,351CharitableContriEvent1Amt
Gross Revenue Event1$147,719GrossRevenueEvent1Amt
Food And Beverage Event1$108,696FoodAndBeverageEvent1Amt
Entertainment Event1$50,660EntertainmentEvent1Amt
Other Direct Expenses Event1$56,233OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$30,642GrossReceiptsEvent2Amt
Charitable Contri Event2$20,982CharitableContriEvent2Amt
Gross Revenue Event2$9,660GrossRevenueEvent2Amt
Rent Facility Costs Event2$6,480RentFacilityCostsEvent2Amt
Food And Beverage Event2$3,524FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$858OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Total$455,712GrossReceiptsTotalAmt
Charitable Contributions Tot$298,333CharitableContributionsTotAmt
Gross Revenue Total Events$157,379GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$6,480RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$112,220FoodAndBeverageTotalEventsAmt
Entertainment Total Events$50,660EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$57,091OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$226,451DirectExpenseSummaryEventsAmt
Net Income Summary-$69,072NetIncomeSummaryAmt

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 STAddressLine1Txt
CityCOLORDO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80909ZIPCd
FieldValueIRS element (for citing)
Recipient EIN460796114RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$613,711CashGrantAmt
Non Cash Assistance$30,228NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceHOUSEHOLD & CLOTHING ITEMS, TOYS, FOOD, AND GIFT CARDSNonCashAssistanceDesc
Purpose Of GrantFINANCIAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDesc
LIVING EXPENSES1179$135,328
EDUCATIONAL71$16,470
LYMPHEDEMA GARMENTS/WIGS214$13,245$1,700FAIR MARKET VALUE
MASSAGE THERAPY18$1,650
SCHOLARSHIPS18$42,500
DIGNACAP TREATMENTS4$1,238
CAR SEATS133$7,654

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 M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution27ContributionCnt
Noncash Contributions Rpt F990$270NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$4,312NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$15,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution134ContributionCnt
Noncash Contributions Rpt F990$703NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution24ContributionCnt
Noncash Contributions Rpt F990$1,700NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GIFT CARDS211$5,885FMV
Yes (X)TOYS136$2,350FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

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 -2,950.

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