2012-06-27T11:26:02-05:00 2011-12-31 390974031 WEGNER CPAS LLP 2110 LUANN LN MADISON WI 537133074 990 2011-01-01 391655790 RONALD MCDONALD HOUSE CHARITIES OF MADISON INC RONA 6082324660 2716 MARSHALL CT MADISON WI 537052256 KEVIN HUDDLESTON 6082324660 2012-06-26 1 GLENN MILLER CPA P00086726 6082744020 2011 2016-02-24 21:20:13Z KEVIN HUDDLESTON 2716 MARSHALL CT MADISON WI 537052256 3109466 0 X WWW.RMHCMADISON.ORG X 1996 WI WE PROVIDE A "HOME AWAY FROM HOME" FOR FAMILIES WHOSE CHILDREN (18 AND UNDER) ARE UNDERGOING TREATMENT AT MADISON AREA HEALTH CARE FACILITIES. THE HOUSE ALLOWS FAMILIES TO STAY TOGETHER DURING AN OFTEN VERY DIFFICULT TIME. 14 14 14 150 0 0 1112312 1395568 46973 54948 44842 116621 3776 5060 1207903 1572197 176000 487464 0 0 367315 392052 0 0 123600 522416 600784 1065731 1480300 142172 91897 6108540 6251907 47622 353821 6060918 5898086 X RONALD MCDONALD HOUSE CHARITIES OF MADISON (RMHC-MADISON) IS A NON-PROFIT, 501(C)(3) ORGANIZATION DEDICATED TO ADVANCING THE WELL-BEING AND HEALTH OF CHILDREN. 0 0 719690 296464 38645 THE ORGANIZATION OWNS AND OPERATES THE 18-BEDROOM, 17,000 SQUARE FOOT RONALD MCDONALD HOUSE IN MADISON, WISCONSIN. THE HOUSE IS LOCATED WITHIN WALKING DISTANCE OF THE UNIVERSITY OF WISCONSIN CHILDREN'S HOSPITAL AND A FREE SHUTTLE SERVICE, OPERATED WITH VOLUNTEER DRIVERS, IS PROVIDED TO AND FROM ALL MADISON AREA HOSPITALS AND AFFILIATED CLINICS. THE FAMILIES OF SERIOUSLY ILL CHILDREN MAY STAY IN THE HOUSE FOR A NOMINAL $10 PER NIGHT SUGGESTED DONATION. THE SUGGESTED DONATION IS WAIVED IF THE FAMILY CANNOT AFFORD IT. IN ADDITION TO A ROOM, THE FAMILIES ARE PROVIDED FOOD, LAUNDRY FACILITIES, AND ALL THE COMFORTS OF HOME. THE HOUSE IS STAFFED 24 HOURS PER DAY AND OPERATES 365 DAYS A YEAR UNDER THE MANAGEMENT OF A SMALL FULL-TIME STAFF, A PART-TIME STAFF OF TEN, AND 150 VOLUNTEERS. IN 2011, 1,289 FAMILIES WERE GUESTS OF THE HOUSE. 573204 191000 16303 THE ORGANIZATION PROVIDES FREE DENTAL AND MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE OPERATES AT PUBLIC SCHOOLS IN DANE COUNTY, WISCONSIN (BASED ON THE PERCENTAGE OF CHILDREN WHO QUALIFY FOR FREE OR REDUCED LUNCHES) AS WELL AS IN FIVE COUNTIES IN NORTHERN ILLINOIS. SINCE ITS INCEPTION, THE CARE MOBILE HAS HELPED MORE THAN 19,000 CHILDREN PROVIDING SERVICES WORTH IN EXCESS OF $3.8 MILLION BY PROVIDING RESTORATIVE CARE FOR UNINSURED OR UNDERINSURED CHILDREN, AND OFFERS SEALANTS TO ANY CHILDREN IN THOSE SCHOOLS WHO NEED THEM. IN THE 2011, OVER 5,000 CHILDREN WERE SCREENED AND TREATED IN NINE DANE COUNTY SCHOOLS AND LOCATIONS THROUGHOUT NORTHERN ILLINOIS. 1292894 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 0 14 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 WI X X DEBRA GRIMM 6082324660 2716 MARSHALL CT MADISON WI 537052256 KEITH BAUMGARTNER 2.00 X X 0 0 0 RANDY BANKS 2.00 X X 0 0 0 SHEILA BOOTHBY STEVENS 2.00 X X 0 0 0 KIRT SOUKUP 2.00 X X 0 0 0 CARRIE BENNETT-BARNDT 1.00 X X 0 0 0 GUY BUCCIFERRO III 1.00 X 0 0 0 JAMES CONWAY MD 1.00 X 0 0 0 DICK FEMRITE 1.00 X 0 0 0 JILL FOLEY 1.00 X 0 0 0 STEVE HOFF 1.00 X 0 0 0 JEFF JURGELLA 1.00 X 0 0 0 STEVE LANDRY 1.00 X 0 0 0 JEFF POLTAWSKY 1.00 X 0 0 0 JOAN BEGLINGER 1.00 X 0 0 0 KEVIN HUDDLESTON 40.00 X 82349 0 16072 82349 0 16072 0 0 0 0 0 1395568 216226 1395568 ROOM DONATIONS 624221 38645 38645 OTHER PROGRAM SERVICES 624190 16303 16303 54948 79128 79128 1574762 1537269 37493 37493 37493 5060 5060 5060 1572197 54948 0 121681 487464 487464 98421 68895 9842 19684 236452 193904 22529 20019 13419 10723 1110 1586 19406 17099 1328 979 24354 19460 2015 2879 10250 10250 2809 2107 702 45950 34462 11488 187883 127213 4073 56597 6386 4767 1456 163 110844 110844 293 156 137 9075 6312 1483 1280 40130 40130 164111 148954 7174 7983 20122 18018 1707 397 2931 2386 545 1480300 1292894 63806 123600 9004 23684 499855 699354 221030 296059 14009 14880 3913 3716 2902055 961315 2001774 1940740 3335957 3251473 22998 22001 6108540 6251907 17041 21775 30581 332046 47622 353821 X 5890163 5652453 170370 245633 385 0 6060918 5898086 6108540 6251907 X 91897 -254729 X 0 1 1 X 0 X 1398131 800081 1078485 1112312 1395568 5784577 1398131 800081 1078485 1112312 1395568 5784577 5784577 153775 153961 76521 94739 79128 558124 6342701 295897 0.91200 0.90310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22998 -997 22001 21150 1848 22998 20000 1150 21150 1.00000 0 0 222406 222406 2047824 697382 1350442 631825 263933 367892 1940740 1572197 1480300 91897 -201759 -52970 -254729 -162832 1380241 -201759 9803 -191956 1572197 0 1572197 1543073 62773 62773 1480300 0 1480300 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INCOME FROM THE ENDOWMENT FUNDS CAN BE USED TO SUPPORT THE HOUSE'S GENERAL OPERATIONS. 1 UNIVERSITY OF WISCONSIN FOUNDATION 1848 UNIVERSITY AVE MADISON WI 537264090 390743975 501(C)(3) 117500 DENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDREN ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION 2400 N ROCKTON AVE ROCKFORD IL 611033655 363197918 501(C)(3) 73500 DENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDREN ST MARY'S HOSPITAL 700 S PARK ST MADISON WI 537151830 390806393 501(C)(3) 296464 ST. MARY'S FAMILY ROOM 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PARTNERS WITH THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND ROCKFORD HEALTH SYSTEMS TO PROVIDE MEDICAL AND DENTAL SERVICES ABOARD THE ORGANIZATION'S CARE MOBILE. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES CHECKS FOR PAYMENT, A BOARD OFFICER SIGNS THEM, AND THEY ARE RETURNED TO THE BUSINESS MANAGER WHO MAILS THEM TO THE RESPECTIVE HOSPITALS. THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND ROCKFORD HEALTH SYSTEMS SUBMIT QUARTERLY INVOICES TO THE ORGANIZATION. THESE INVOICES DETAIL THEIR EXPENSES FOR OPERATING THE CARE MOBILE, AND THE ORGANIZATION PAYS EXACTLY ONE-HALF OF THOSE EXPENSES UP TO AN ANNUAL CAP OF $136,500 FOR THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND $73,500 FOR ROCKFORD HEALTH SYSTEMS. THE ORGANIZATION'S EXECUTIVE DIRECTOR REVIEWS THE QUARTERLY INVOICES AND THEN FORWARDS THEM TO THE ORGANIZATION'S BUSINESS MANAGER WHO ENTERS THE EXPENSE DATA INTO THE ACCOUNTING SYSTEM AND PREPARES CHECKS FOR PAYMENT. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES CHECKS FOR PAYMENT, SIGNS THEM, AND RETURNS THEM TO THE BUSINESS MANAGER WHO MAILS THEM TO THE RESPECTIVE HOSPITALS. X 242 25303 COST/SELLING PRICE X OFFICE EQUIPMENT 43 92626 COST/SELLING PRICE X HOUSE MAINTENANCE 381 96822 COST/SELLING PRICE X CAPITAL EQUIPMENT 2 1475 COST/SELLING PRICE 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11 THE PREPARED FORM 990 IS REVIEWED BY THE PRESIDENT AND THE TREASURER OF THE GOVERNING BODY AND APPROVED BY THE MEMBERS OF THE ORGANIZATION'S EXECUTIVE COMMITTEE BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL DIRECTORS COMPLETE AND SIGN A STATEMENT THAT DISCLOSES INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE DIRECTORS COLLECTIVELY REVIEW THE COMPLETED FORMS, WHICH ARE KEPT AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ANY DIRECTOR WITH A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY ANNUALLY CONDUCTS A REVIEW OF THE EXECUTIVE DIRECTOR, REVIEWS COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR AGENCIES, AND RECOMMENDS A COMPENSATION LEVEL THAT IS THEN APPROVED BY THE ENTIRE GOVERNING BODY DURING THE ANNUAL BUDGETING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (EXCEPT FOR THE CONTINGENCY PLAN AND THE HOUSE OPERATIONS MANUAL) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -201,759. DONATED SERVICES AND USE OF FACILITIES: -52,970. TOTAL TO FORM 990, PART XI, LINE 5: -254,729.