2013-07-03T09:57:13-05:00 2012-09-30 450250958 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990EZ 2011-10-01 271865510 MILE BLUFF MEDICAL CENTER FOUNDATION MILE 6088476161 1050 DIVISION STREET MAUSTON WI 53948 JAMES O'KEEFE 6088476161 2013-06-27 1 CARMEN KRANTZ P00031958 5635561790 2013-05-07 2011 2016-02-24 21:20:13Z X N/A X 88909 X 67039 21441 429 88909 25195 9758 17685 52638 36271 49671 0 85942 X 48997 86564 4363 4339 53360 90903 3689 4961 49671 85942 X PROVIDE FINANCIAL SUPPORT TO MILE BLUFF MEDICAL CENTER, INC. MILE BLUFF MEDICAL CENTER FOUNDATION SERVES AS A MAJOR FUNDRAISING ARM, AND PROVIDES PHILANTHROPIC OPPORTUNITIES AS A MEANS OF SUPPORT FOR THE MEDICAL CENTER. THE FOUNDATION ASSISTS MILE BLUFF MEDICAL CENTER IN FULFILLING ITS MISSION, WHILE ADHERING TO ITS CORE VALUES AND PURSUING ITS VISION TO PROVIDE THE COMMUNITY WITH HEALTHCARE EVOLVING FOR LIFE. 25195 52638 52638 JAMES O'KEEFE 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 MOLLY SCULLY 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 SANDY LINSMEYER 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 CHRISTINE CARTER 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 P MICHAEL MCCORMICK DDS 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 DAN KATTENBRAKER MD 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 LARRY WILLER 1050 DIVISION STREET MAUSTON WI 53948 0.25 0 0 0 X 0 0 0 0 1 0 0 0 0 0 0 0 0 0 WI JAMES O'KEEFE 1050 DIVISION STREET MAUSTON WI 53948 6088476161 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X X X 0 0 0 MILE BLUFF MEDICAL CENTER INC 390992883 3 1 25195 1 25195 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED CASH 2012-09-30 25195 271865510 MILE BLUFF MEDICAL CENTER 1050 DIVISION STREET MAUSTON WI 53948 501(C)(3) 1 1 0 0 PART II, LINE 2E: JAMES O'KEEFE IS THE PRESIDENT/CEO OF THE FOUNDATION AND MILE BLUFF MEDICAL CENTER. THIS RELATIONSHIP EXISTED PRIOR TO THE TRANSFER TO THE HOSPITAL.MOLLY SCULLY IS THE SECRETARY OF THE BOARD FOR THE FOUNDATION AND VICE CHAIR OF THE BOARD FOR MILE BLUFF MEDICAL CENTER. THIS RELATIONSHIP EXISTED PRIOR TO THE TRANSFER TO THE HOSPITAL.SANDY LINSMEYER IS THE TREASURER OF THE BOARD FOR THE FOUNDATION AND CHAIR OF THE BOARD FOR MILE BLUFF MEDICAL CENTER. THIS RELATIONSHIP EXISTED PRIOR TO THE TRANSFER TO THE HOSPITAL.LARRY WILLER IS A DIRECTOR OF THE BOARD FOR THE FOUNDATION AND SECRETARY OF THE BOARD FOR MILE BLUFF MEDICAL CENTER. THIS RELATIONSHIP EXISTED PRIOR TO THE TRANSFER TO THE HOSPITAL.DAN KATTENBRAKER, MD IS A DIRECTOR OF THE BOARD FOR THE FOUNDATION AND A PHYSICIAN AND DIRECTOR OF THE BOARD FOR MILE BLUFF MEDICAL CENTER. THIS RELATIONSHIP EXISTED PRIOR TO THE TRANSFER TO THE HOSPITAL.CHRISTINE CARTER IS THE DIRECTOR OF THE BOARD FOR THE FOUNDATION AND A DIRECTOR OF THE BOARD FOR MILE BLUFF MEDICAL CENTER. THIS RELATIONSHIP EXISTED PRIOR TO THE TRANSFER TO THE HOSPITAL. OTHER INVESTMENT INCOME FORM 990-EZ, PART I, LINE 4 INTEREST INCOME 429.. GRANTS AND SIMILAR AMOUNTS PAID FORM 990-EZ, PART I, LINE 10 ACTIVITY CLASSIFICATION: OPERATIONAL SUPPORT. GRANTEE NAME: MILE BLUFF MEDICAL CENTER. GRANTEE ADDRESS: 1050 DIVISION STREET MAUSTON, WI 53948-1997. GRANTEE RELATIONSHIP: SUPPORTED ORGANIZATION. AMOUNT GIVEN: 25,195. OTHER EXPENSES FORM 990-EZ, PART I, LINE 16 DESCRIPTION: OFFICE EXPENSE. AMOUNT: 1,912. DESCRIPTION: CONTINUTING EDUCATION. AMOUNT: 830. DESCRIPTION: TRAVEL. AMOUNT: 338. DESCRIPTION: WOMEN'S NIGHT OUT EXPENSES. AMOUNT: 14,605. TOTAL TO FORM 990-EZ, LINE 16: 17,685. OTHER ASSETS FORM 990-EZ, PART II, LINE 24 DESCRIPTION: PLEDGES RECEIVABLE. BEG. OF YEAR AMOUNT: 4,363. END OF YEAR AMOUNT: 4,339. OTHER LIABILITIES FORM 990-EZ, PART II, LINE 26 DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 3,689. END OF YEAR AMOUNT: 4,961. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.