UPLAND HILLS HEALTH FOUNDATION INC: Form 990EZ, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
UPLAND HILLS HEALTH FOUNDATION INC (EIN 26-0596045)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-15
IRS object ID
201120479349200207
Schema version
2009v1.7
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)
Timestamp2011-02-15T16:32:04-06:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13703 OAKWOOD HILLS PARKWAY/PO BOX 6AddressLine1
CityEAU CLAIRECity
StateWIState
ZIP Code547020690ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN260596045EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UPLAND HILLS HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUPLANameControl
Phone6089307169Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Compassion WayAddressLine1
CityDodgevilleCity
StateWIState
ZIP Code53533ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARTHUR K PUSTINAName
TitleCFOTitle
Phone6089308000Phone
Date Signed2011-02-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHolly PokrandtName
Phone7158323407Phone
Date Prepared2011-02-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Web Sitewww.uplandhillshealth.org/FoundationWebSite
Organization501cXOrganization501c
Gross Receipts470359GrossReceipts
Contributions Gifts Grants Etc453088ContributionsGiftsGrantsEtc
Investment Income7782InvestmentIncome
Special Events Gross Revenue9489SpecialEventsGrossRevenue
Special Events Direct Expenses4858SpecialEventsDirectExpenses
Special Events Net Income Loss4631SpecialEventsNetIncomeLoss
Total Revenue465501TotalRevenue
Grants And Similar Amounts Paid38215GrantsAndSimilarAmountsPaid
Other Expenses Total60OtherExpensesTotal
Total Expenses38275TotalExpenses
Excess Or Deficit For Year427226ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY238050NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY665276NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY134559BOY
EOY400226EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY163119BOY
EOY356191EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY297678BOY
EOY756417EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY59628BOY
EOY91141EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY238050BOY
EOY665276EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeTO SOLICIT, RECEIVE, AND ACCEPT GIFTS AND BEQUESTS ON BEHALF OF UPLAND HILLS HEALTH, INC.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomTHE UPLAND HILLS HEALTH FOUNDATION IS OPERATED TO PROVIDE SUPPORT AND PERFORM FUNCTIONS FOR UPLAND HILLS HEALTH, INC., WHICH PROVIDES HEALTH CARE SERVICES TO THE RESIDENTS OF IOWA COUNTY, WISCONSIN, AND THE SURROUNDING AREAS.DescriptionProgramServiceAccom
Grants And Allocations38215GrantsAndAllocations
Program Service Expenses38275ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses38275TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
Phil Crawford
800 Compassion WayDodgevilleWI53533President1.00000
Debra Terrill
800 Compassion WaydodgevilleWI53533Vice President1.00000
Lorraine Hennessey
800 Compassion WaydodgevilleWI53533Secretary1.00000
George Stauffer
800 Compassion WaydodgevilleWI53533Treasurer1.00000
Steve Deal
800 Compassion WaydodgevilleWI53533Board Member1.00000
Dick Josh
800 Compassion WaydodgevilleWI53533Board Member1.00000
Ed Lindner
800 Compassion WaydodgevilleWI53533Board Member1.00000
Mark Masters
800 Compassion WaydodgevilleWI53533board Member1.00000
Connie Hallada
800 Compassion WaydodgevilleWI53533board Member1.00000
Dave Wilke
800 Compassion WaydodgevilleWI53533board Member1.00000
Mary Jo Ceniti
800 Compassion WaydodgevilleWI53533board Member1.00000
Phyllis Fritsch
800 Compassion WaydodgevilleWI53533Officio Member1.00000
FieldValueIRS element (for citing)
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ARTHUR K PUSTINABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 Compassion WayAddressLine1
CityDodgevilleCity
StateWIState
ZIP Code53533ZIPCode
FieldValueIRS element (for citing)
Telephone Number6089308000TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Related Org Controlled Entity0RelatedOrgControlledEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years146073CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89061CurrentTaxYearMinus1Year
Current Tax Year453088CurrentTaxYear
Total688222Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years146073CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89061CurrentTaxYearMinus1Year
Current Tax Year453088CurrentTaxYear
Total688222Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total24972AmountsSubstContributorsTotal
Public Support Total170663250PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years2557CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8451CurrentTaxYearMinus1Year
Current Tax Year7782CurrentTaxYear
Total18790Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-1770CurrentTaxYearMinus2Years
Current Tax Year4631CurrentTaxYear
Total2861Total
FieldValueIRS element (for citing)
Total Support709873TotalSupport
First5 Years170XFirst5Years170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationThe 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.Declaration

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