2012-08-06T15:16:52-05:00 2011-12-31 STOCKMAN KAST RYAN & CO LLP 102 N CASCADE AVENUE SUITE 400 COLORADO SPRINGS CO 80903 990 2011-01-01 841576338 THE MEMORIAL HEALTH SYSTEM FOUNDATION % STEVE WEBER MEMO 7193654483 1519 EAST BOULDER COLORADO SPRINGS CO 80909 cary blanchette 2012-08-15 true DOREEN B MERZ 7196301186 2011 2016-02-24 21:20:13Z STEVE WEBER 1519 EAST BOULDER COLORADO SPRINGS CO 80909 1729469 false X N/A X 2001 CO TO PROVIDE PHILANTHROPIC RESOURCES TO ASSIST MEMORIAL HEALTH SYSTEM. 14 14 0 0 0 1536017 1652735 0 0 11717 18656 -45195 -44200 1502539 1627191 879103 787898 0 0 483599 550181 16236 0 449791 255604 235948 1634542 1574027 -132003 53164 4404976 4372863 55644 36231 4349332 4336632 X THE MEMORIAL HEALTH SYSTEM FOUNDATION SEEKS TO BECOME THE PRIMARY PHILANTHROPIC RESOURCE TO ELEVATE THE COMMUNITY'S HEALTH OF CURRENT AND FUTURE GENERATIONS. THE 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: NEONATAL INTENSIVE CARE UNIT EXPANSION, DIGITAL MAMMOGRAPHY EQUIPMENT, COOLING CAP AND CANCER, CARDIOLOGY, CHILDREN'S HOSPITAL AND WOMEN'S PROGRAMS AND SERVICES. false false 177758 133145 CHILD LIFE: FUNDS TO ASSIST THE CHILD LIFE PROGRAM AND THERAPISTS. CHILD LIFE PROGRAM PROVIDES CRITICAL EMOTIONAL AND EDUCATIONAL SUPPORT TO CHILDREN AND THEIR FAMILIES DURING TREATMENT IN INPATIENT PEDIATRIC UNITS, OUTPATIENT CLINICS, AND THE EMERGENCY DEPARTMENTS. 70711 52964 HEALING ARTS: FUNDS TO ENCOURAGE THE USE OF FINE ARTS IN HEALING. 69016 51694 COLORADO SPRINGS CHILDREN'S HOSPITAL: FUNDS TO BE USED FOR THE MEMORIAL HOSPITAL CHILDREN'S HOSPITAL AT MEMORIAL HEALTH SYSTEMS FOR AREAS OF GREATEST NEED. 557983 550093 875468 true true false false false false false false false true true false false false false true true false false false false false false true true false false true true true false false false false false false false false true false false false false true false false false false true 8 0 0 false false false false false true true false false false false X 14 14 false false false false false false false true true false false true true true true false true true true false X STEVE WEBER 7193654483 1519 EAST BOULDER COLORADO SPRINGS CO 80909 DAVID GREENBERG MD 1.0 X MARGARET CARMACK 1.0 X X MARY ELLEN MCNALLY 1.0 X X KEVIN O'GARA 1.0 X X LAWRENCE MCEVOY II MD 1.0 X THOMAS NAUGHTON 1.0 X ANNETTE SEAGRAVES 1.0 X DARLENE LARSON 1.0 X JOSEPH CAMIOLO 1.0 X WILLIAM CROUCH 1.0 X X LANA JANC 1.0 X KAREN ANTHONY 1.0 X RONALD RUBIN 1.0 X MIKE EDMONDS PH D 1.0 X CARY BLANCHETTE 40.0 X 134639 0 38966 WILLIAM STOHLMANN 40.0 X 95815 32851 230454 0 71817 1 false true false 0 191564 694638 13223 753310 268111 1652735 0 16820 16820 0 0 9380 7544 1836 1836 1836 50534 191564 94734 -44200 -44200 0 0 0 1627191 -25544 655749 655749 132149 132149 0 0 173605 69442 104163 0 278881 57671 76286 144924 0 95240 21604 30436 43200 2455 747 1088 620 0 515 515 5000 5000 0 0 0 166801 42218 124583 10336 10336 27125 5309 9244 12572 0 0 0 1159 464 695 0 5215 1565 1043 2607 0 0 3120 624 1872 624 0 CONTINUING EDUCATION 9005 3602 5403 MISCELLANEOUS 7407 7407 EMPLOYEE GIVING CAMPAIGN 29 3 9 17 EQUIPMENT RENTAL 236 47 142 47 1574027 875468 248768 449791 40680 50865 3964069 4059368 0 0 184625 60225 0 0 0 0 0 0 0 0 11808 5250 50542 47514 6148 3028 197646 194127 0 0 0 0 0 0 0 0 4404976 4372863 50644 35211 0 0 5000 1020 0 0 0 0 0 0 0 0 0 0 0 0 55644 36231 X 923965 753993 3231192 3388464 194175 194175 4349332 4336632 4404976 4372863 X 53164 -65864 X X false true true X false X X X false false false MEMORIAL HEALTH SYSTEM 846002995 03 true true true 787898 1 787898 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 197646 -3519 194127 205009 12637 20000 197646 181500 23509 205009 212665 -31165 181500 1.00000 false false 0 50542 47514 3028 3028 0 0 1627191 1574027 53164 -16880 -48984 -65864 -12700 1751845 -16880 46800 94734 124654 1627191 1627191 1764545 46800 143718 190518 1574027 1574027 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 XII, LINE 2B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES Reclass 94,734 PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES Reclass 94,734 write off of pledges receivable reclassed to Net Assets 48,984 Part X Line 2 The Foundation believes that it does not have any uncertain tax positions that are material to the financial statements. Part XI line 8 Write off of prior year pledges receivable. X X X X X X X true PATRICIA WOODS 1322 N25th st CS GRANT WRITING false 237350 31996 205354 Tess Powers 1009 Pioneer Lane CS GRANT WRITING false 145472 19373 126099 382822 51369 331453 GALA 204373 171989 32384 4856 34400 3150 25831 GOLF TOURNAMENT 37725 19575 18150 3610 8289 14597 0 242098 191564 50534 3610 4856 42689 3150 40428 94733 -44199 true MEMORIAL HEALTH SYSTEMS 846002995 387637 268111 FMV BOOKS, TOYS, CLOTHES TO ASSIST MEMORIAL HEALTHCARE IN PROVIDING THE HIGHEST QUALITY HEALTH CARE. 1 0 CIRCLE OF HOPE - LIVING EXPENSES 254 49452 CIRCLE OF HOPE KOMEN - LIVING EXPENSES 56 20355 EMPLOYEE ASSISTANCE - LIVING EXPENSES 18 30634 RENEE'S FRIENDS - LIVING EXPENSES 16 3569 PEDIATRICS FAMILY SUPPORT - LIVING EXPENSES 2 3730 GRACE FUND - LIVING EXPENSES 3 9506 FARMERS INSURANCE CAR SEAT FUND 28 2933 FMV INFANT CAR SEATS USAA SAFETY SEAT FUND - CAR SEATS 159 11970 FMV INFANT CARE SEATS SCHEDULE I, PART I, LINE 2: THE FOUNDATION EXECUTIVE DIRECTOR REVIEWS ALL GRANTS AND REQUESTS FOR MONIES. X X X X false false false false false false false false false CARY BLANCHETTE 134639 0 0 0 18852 20114 173605 0 X 2571 MARKET VALUE X 27526 MAREKT VALUE X TOYS 199 141857 MARKET VALUE X OTHER 24 96157 MARKET VALUE 0 false false false FORM 990, PART VI, SECTION B, LINE 11: ONCE THE 990 IS PREPARED, THE EXECUTIVE DIRECTOR ADVISES THE BOARD MEMBERS THAT IT IS READY FOR REVIEW. A COPY OF THE 990 IS AVAILABLE IN THE FOUNDATION OFFICE. 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 HIM/HERSELF FROM ANY VOTE IF THERE IS A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15: MEMORIAL HEALTH SYSTEM'S HUMAN RESOURCE DEPARTMENT AND CEO WORK TOGETHER TO DETERMINE THE COMPENSATION FOR THE FOUNDATION CEO WITH THE ADVICE AND CONSENT OF THE FOUNDATION EXECUTIVE COMMITTEE. OTHER KEY EMPLOYEES OF THE FOUNDATION ARE COMPENSATED BASED ON THE HEALTH SYSTEM'S COMPENSATION POLICIES. 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 5, CHANGES IN NET ASSETS: NET UNREALIZED LOSS ON INVESTMENTS: -16,880 Write-off of prior year pledges receivable: -48,984 FORM 990, PART XII, LINE 2C: NO CHANGES TO OVERSIGHT PROCESS. MEMORIAL HEALTH SYSTEMS 1400 EAST BOULDER COLORADO SPRINGS CO 80909 846002995 HOSPITAL CO N/A NA false false true false false false false false false false true false false false false false true false false MEMORIAL HEALTH SYSTEM B 655748 FMV MEMORIAL HEALTH SYSTEM J 46800 FMV MEMORIAL HEALTH SYSTEM P 741438 FMV