2026-08-13T11:55:51-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2024-10-01 391515716 VERNON MEMORIAL HEALTHCARE FOUNDATION INC VERN 6086372101 507 SOUTH MAIN STREET VIROQUA WI 54665 SCOTT LECKEY CFO 6086372101 2026-08-13 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-07-29 2024 2025-03-06 01:10:19Z DAVID HARTBERG 507 SOUTH MAIN STREET VIROQUA WI 54665 169186 0 X WWW.VMH.ORG/COMMUNITY/VMH-FOUNDATION/ X 1984 WI TO SOLICIT, RECEIVE, AND ACCEPT GIFTS, DEVICES, OR BEQUESTS ON BEHALF OF VERNON MEMORIAL HEALTHCARE AND FOR SCHOLARSHIPS. 13 13 0 14 0 0 161894 146440 0 0 14595 13491 -18331 -13764 158158 146167 128489 41848 0 0 0 0 0 0 0 41266 17396 169755 59244 -11597 86923 715548 851391 193641 208491 521907 642900 THE VERNON MEMORIAL HEALTHCARE FOUNDATION IS DEDICATED TO DEVELOPING AND SUPPORTING THE PROGRAMS, SERVICES, FACILITIES, AND EDUCATION WHICH ENHANCE THE ACCESSIBILITY TO QUALITY HEALTHCARE AND WELLNESS IN THE COMMUNITIES SERVED BY VERNON MEMORIAL HEALTHCARE, INC. 0 0 41848 41848 0 THE VERNON MEMORIAL HEALTHCARE FOUNDATION PROVIDED 19 INDIVIDUALS WHO ARE PURSUING OR FURTHERING THEIR EDUCATION IN THE HEALTH CARE FIELD SCHOLARSHIPS DURING FISCAL YEAR 2025 TOTALING $23,000. THE FOUNDATION ALSO GRANTED VERNON MEMORIAL HEALTHCARE, INC. $18,848 TO BE USED FOR VARIOUS EDUCATION PROGRAMS AND EQUIPMENT PURCHASES. 41848 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 WI X SCOTT LECKEY 6086374964 507 SOUTH MAIN STREET VIROQUA WI 54665 X PHIL STRAND CHAIR 1.00 X X 0 0 0 VICKIE VAN BLARCOM VICE CHAIR 1.00 X X 0 0 0 NICHOLAS VEGLAHN TREASURER 1.00 X X 0 0 0 GARY BRUNSLIK SECRETARY (THRU DEC 2024) 1.00 X X 0 0 0 NEIL LONERGAN SECRETARY 1.00 X X 0 0 0 VICKI BANTA DIRECTOR 1.00 X 0 0 0 BRIAN BUENING DIRECTOR 1.00 X 0 0 0 DR SUCHETA CONNOLLY DIRECTOR 1.00 X 0 0 0 KRISTI DEAVER DIRECTOR 1.00 X 0 0 0 ELIZABETH FILTER DIRECTOR 1.00 X 0 0 0 DR JAN KASPERBAUER DIRECTOR 1.00 X 0 0 0 VICKI KOPPA DIRECTOR 1.00 X 0 0 0 BRIDGETT MADEN DIRECTOR (THRU MAR 2025) 1.00 X 0 0 0 JUSTIN MILLER DIRECTOR 1.00 X 0 0 0 JANA PEDRETTI DIRECTOR 1.00 X 0 0 0 DAVID HARTBERG CEO - VMH 1.00 X 0 0 0 SCOTT LECKEY CFO - VMH 1.00 X 0 0 0 0 0 0 0 0 0 0 0 49124 97316 4534 146440 14646 14646 1155 -1155 -1155 -1155 8100 49124 21864 -13764 -13764 146167 0 0 -273 18848 18848 23000 23000 9300 9300 463 463 2666 2666 DUES AND SUBCRIPTIONS 1379 1379 3588 3588 59244 41848 17396 0 175793 237690 181619 170901 12021 73141 346115 369659 715548 851391 14320 2082 179321 206409 193641 208491 X 182145 278553 339762 364347 521907 642900 715548 851391 86923 34070 0 X 0 1 X 1 0 X 114522 86387 117960 161894 146440 627203 114522 86387 117960 161894 146440 627203 26862 600341 32357 7972 7881 13386 14646 76242 703445 0.85340 0.78000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 339762 811 46774 23000 364347 265624 12148 66490 4500 339762 243103 1016 36005 14500 265624 124016 7501 -54176 6500 -172262 243103 124016 45659 7000 38659 124016 0.00000 0.36375 0.63625 0 0 0 DONOR IMPOSED LIABILITY 206409 206409 283601 34070 81963 116033 167568 463 -21864 -21401 146167 162608 81963 21864 103827 58781 463 463 59244 PART V, LINE 4: INVESTMENT INCOME ON ENDOWMENT FUNDS ARE TO BE USED FOR NURSING SCHOLARSHIPS PER DONOR RESTRICTIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -21,864. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 21,864. GOLF OUTING 47158 39058 8100 3164 7583 3685 1835 FILMS ON THE FIELD 10066 10066 1370 100 342 2500 1285 57224 49124 8100 4534 7683 342 6185 3120 21864 -13764 1 VERNON MEMORIAL HEALTHCARE INC 507 SOUTH MAIN STREET VIROQUA WI 54665 390806404 501(C)(3) 16481 0 GIFTS FOR MAMMO EQUIPMENT, BP MONITORS, BLADDER SCANNER, PAPOOSE BOARDS, AND EDUCATION MATERIALS 1 0 SCHOLARSHIPS 19 23000 PART I, LINE 2: THE VMH FOUNDATION MAKES DONATIONS TO VERNON MEMORIAL HEALTHCARE AND AWARDS SCHOLARSHIPS TO INDIVIDUALS FROM A DEFINED SCHOLARSHIP PROGRAM. FOR DONATIONS MADE TO VMH, THE FOUNDATION'S BOARD RECEIVES A WRITTEN REQUEST FOR FUNDING CONSIDERATION FOR EQUIPMENT OR EDUCATION. THE BOARD REVIEWS AND VOTES ON THE REQUEST AS PART OF THEIR REGULAR BOARD MEETING. APPLICANTS REQUESTING TO BE CONSIDERED FOR A SCHOLARSHIP FOLLOW A DEFINED POLICY. APPLICANTS ARE REVIEWED BY A COMMITTEE MADE UP OF BOARD MEMBERS TO ENSURE ELIGIBILITY UNDER THE CRITERIA OF THE PROGRAM WITH RECOMMENDATIONS FOR THE SCHOLARSHIP AWARDS TO THE FULL BOARD FOR THEIR CONSIDERATION AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS WILL HAVE RECEIVED A COPY OF FORM 990 AFTER THE SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS OF VERNON MEMORIAL HEALTHCARE FOUNDATION, INC. ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY, AND ARE REQUIRED TO DISCLOSE ALL POSSIBLE CONFLICTS OF INTEREST WHEN FIRST ELECTED TO THE BOARD OF DIRECTORS. DURING THEIR TERMS, IF ANY RELATIONSHIPS ARE ENTERED INTO WHICH MAY AFFECT THEIR INDEPENDENCE AS A MEMBER, THE MEMBER MUST IMMEDIATELY DISCLOSE THESE RELATIONSHIPS. AFTER THERE HAS BEEN DISCLOSURE OF A POTENTIAL CONFLICT, THE BOARD OF DIRECTORS DELIBERATE AND DETERMINE WHETHER THERE IS A CONFLICT OF INTEREST. THE DIRECTOR, OFFICER OR KEY PERSON SHALL NOT BE PRESENT FOR DELIBERATION OR VOTE ON THE MATTER AND MUST NOT ATTEMPT TO INFLUENCE IMPROPERLY THE DETERMINATION OF WHETHER A CONFLICT EXISTS. IN DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS, THE BOARD OF DIRECTORS SHALL CONSIDER WHETHER THE POTENTIAL CONFLICT WOULD CAUSE A TRANSACTION ENTERED INTO BY THE CORPORATION TO RAISE QUESTIONS OF BIAS, INAPPROPRIATE USE OF THE CORPORATION'S ASSETS, OR ANY OTHER IMPROPRIETY. THE BOARD MAY SEEK INFORMATION FROM THE DIRECTOR, OFFICER, OR KEY PERSON WITH THE CONFLICT PRIOR TO BEGINNING DELIBERATION ON THE MATTER. THE MINUTES OF ANY BOARD MEETING AT WHICH A MATTER INVOLVING A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST WAS DISCUSSED OR VOTED UPON SHALL INCLUDE: THE NAME OF THE INTERESTED PARTY AND THE NATURE OF THE INTEREST; THE DECISION AS TO WHETHER THE INTEREST PRESENTED A CONFLICT OF INTEREST; ANY ALTERNATIVES TO A PROPOSED CONTRACT OR TRANSACTION CONSIDERED BY THE BOARD; AND IF THE TRANSACTION WAS APPROVED, THE BASIS FOR THE APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 VERNON MEMORIAL FOUNDATION, INC. HAS MADE ITS FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ON A PER REQUEST BASIS.