2017-08-22T11:52:10-05:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 500 Midland Court PO Box 8130 Janesville WI 535478130 990 2016-01-01 390912682 Mercy Health System Association of Volunteers MERC 6087566000 1000 Mineral Point Ave Janesville WI 53545 SHERRY DUX President 6087566000 2017-08-11 1 Troy E Marine CPA P00187863 6087525835 2017-08-11 12.148.210.27 2017-08-11 11:21:06 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1C40C474E7DEB989202A97D331D649435C652DD4 2016 2021-01-29 14:40:06Z SHERRY DUX 1000 Mineral Point Ave Janesville WI 53545 740904 0 X n/a X 1963 WI THE MISSION OF THE MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS IS TO:PERFORM THE HIGHEST QUALITY OF VOLUNTEER SERVICES FOR IMPROVED HEALTHCARE, ACT AS AMBASSADORS OF GOODWILL FOR MERCY HOSPITAL IN THE SOUTHERN WISCONSIN AREA, AND PROVIDE FINANCIAL ASSISTANCE THROUGH FUND RAISING PROJECTS IN THE QUEST FOR HEALTHCARE AT THE LOWEST POSSIBLE COST WITHOUT SACRIFICING QUALITY, SERVICE, AND CONVENIENCE. 24 24 0 745 0 0 20293 22389 699260 699887 347 390 3276 15880 723176 738546 147608 159800 0 0 0 0 0 0 0 486931 520369 634539 680169 88637 58377 503836 578374 0 0 503836 578374 X THE MISSION OF THE MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS IS TO:PERFORM THE HIGHEST QUALITY OF VOLUNTEER SERVICES FOR IMPROVED HEALTHCARE, ACT AS AMBASSADORS OF GOODWILL FOR MERCY HOSPITAL IN THE SOUTHERN WISCONSIN AREA, AND PROVIDE FINANCIAL ASSISTANCE THROUGH FUND RAISING PROJECTS IN THE QUEST FOR HEALTHCARE AT THE LOWEST POSSIBLE COST WITHOUT SACRIFICING QUALITY, SERVICE, AND CONVENIENCE. 0 0 127642 133553 MEALS ON WHEELS:REPRESENTS THE COST OF MEALS PREPARED BY MERCY HOSPITAL AND DELIVERED BY VOLUNTEERS TO SHUT-INS OR HOME PATIENTS. A TOTAL OF 34,363 MEALS WERE SERVED DURING THE YEAR. 129990 209888 LIFELINE:REPRESENTS THE COST OF COMMUNICATIONS EQUIPMENT PROVIDED TO INDIVIDUALS IN THEIR HOMES FOR MONITORING AND NOTIFICATION OF EMERGENCY SITUATIONS. STAFFED BY VOLUNTEERS. 126236 191506 GIFT SHOP:STAFFED BY VOLUNTEERS. PROVIDES MERCHANDISE TO PATIENTS AND THEIR FAMILIES AND FRIENDS. 296301 159800 164940 Castaways Thrift Store:Staffed by volunteers. Sales of used clothing and household items to generate contributions to Mercy Hospital.CONTRIBUTION TO MERCY HOSPITAL:CONTINUAL CONTRIBUTION TO MERCY HOSPITAL FROM FUNDS GENERATED BY ASSOCIATION OF VOLUNTEERS. 296301 159800 164940 680169 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 24 24 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X MERCY HEALTH SYSTEM ASSOC OF VOLUNTEERS 6087566000 1000 Mineral Point Ave JANESVILLE WI 53545 X SheRRY DUX President 1.00 X X 0 0 0 dARLENE BECKER Secretary 1.00 X X 0 0 0 William Anacker Treasurer 1.00 X X 0 0 0 Judy Jaggard Past President 1.00 X 0 0 0 Arlene Knudson Pres. Elect 1.00 X 0 0 0 Corinne Carey Director 1.00 X 0 0 0 Steve Gaffney Director 1.00 X 0 0 0 Bob Knudson Director 1.00 X 0 0 0 Pam Govert Director 1.00 X 0 0 0 Steve Hynds Director 1.00 X 0 0 0 Kathleen Cooper Director 1.00 X 0 0 0 Nancy Verhoeven director 1.00 X 0 0 0 Elaine Lawrence director 1.00 X 0 0 0 Diana Pearse director 1.00 X 0 0 0 Jean Stoll director 1.00 X 0 0 0 Becky Esselman DIRector 1.00 X 0 0 0 JoAnn Reed DIrector 1.00 X 0 0 0 Linda Vavra DIrector 1.00 X 0 0 0 Lisa Brown DIrector 1.00 X 0 0 0 Sharon Henning Director 1.00 X 0 0 0 Lisa Olander Director 1.00 X 0 0 0 Carol Scheehle Director 1.00 X 0 0 0 Sandi Ploszaj Director 1.00 X 0 0 0 Carol Gilhooley Director 1.00 X 0 0 0 0 0 0 0 0 0 0 0 2120 20269 22389 LIFELINE 900099 209698 209698 Gift Shop 900099 191506 191506 MEALS ON WHEELS 624210 133553 133553 General Auxiliary 900099 98046 98046 CASTAWAYS 900099 53522 53522 13562 13562 699887 390 390 18238 2358 15880 15880 738546 699887 0 16270 150300 150300 9500 9500 469 469 3819 3819 18155 18155 9604 9604 6771 6771 MEALS FOR MEALS ON WHEE 125545 125545 GIFT SHOP MERCHANDISE 121241 121241 LIFELINE EQUIPMENT 120201 120201 Miscellaneous Expense 101812 101812 12752 12752 680169 680169 0 0 150294 194242 348119 378709 5423 0 5423 5423 503836 578374 0 0 X 503836 578374 503836 578374 503836 578374 X 58377 16161 X 0 0 0 X X 1 MERCY HEALTH SYSTEM CORPORATION 390816848 3 1 125000 0 1 125000 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 Section A Line 6 Mercy Association of Volunteers donates to Mercy Health System and Mercy Foundation. Mercy Foundation is a subordinate member of Mercy Health System. Funds from the Mercy Association of Volunteers are donated to charity functions of the Mercy Foundation. SECTION E LINE 2A Mercy Health System Association of Volunteers supports Mercy Health System purpose by providing volunteer services to patients and their families, to support and improve Healthcare services, act as ambassadors of goodwill for Mercy Health System and their patients, provide financial assistance to Mercy Health System in quest to provide lowest possible health care costs. Section E Line 2B MERCY ASSOCIATION OF VOLUNTEER SERVICES PROVIDES RECEPTION, ESCORTING, AND OPERATES THE GIFT SHOP WITHIN MERCY HOSPITAL. IF THE ASSOCIATION DID NOT PERFORM THE SERVICES FOR THE ORGANIZATION, MERCY HEALTH SYSTEM WOULD HAVE TO FIND REPLACEMENT SERVICES. THE SERVICES MERCY ASSOCIATION OF VOLUNTEERS PROVIDE ARE REQUIRED FOR THE DAILY OPERATION OF THE HOSPITAL AND DIRECTLY IMPACTS PATIENTS AND THEIR SAFETY. 5423 5423 5423 Cookie Sale 4671 4671 2358 Nutman Sale 3753 3753 4 7456 7456 15880 15880 2358 2358 13522 1 Mercy Foundation Inc 1000 Mineral Point janesville WI 53547 237275336 25300 Support Mercy Health System Corp, the House of Mercy, & Mercy Assisted Care Mercy Health System Corporation 1000 Mineral Point Janesville WI 53547 390816848 125000 Support general functions 2 Scholarships 12 9500 Part I, Line 2: The organization has an application procedure in place for determining qualifications for those applying for financial scholarships in the medical field. Applications are obtained and reviewed by the board of directors to determine if the applicant fits the standards set forth by the board of directors. Form 990, Part VI, Section A, line 2 Arlene Knudson and Bob Knudson have a family relationship. Form 990, Part VI, Section A, line 8b The organization does not keep records of minutes for any additional committees that can act on behalf of the governing body except for the Board of Directors meetings. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is reviewed by the Board President prior to filing. A copy of the Form 990 is available for each board member to review but is not required. Form 990, Part VI, Section B, line 12c As stated in the organization's bylaws, any member on the Board of Directors is required to disclose any possible conflict of interest. If a conflict of interest arises between a member and the organization, that member must abstain from voting on a related matter. Form 990, Part VI, Section C, line 19 The organization makes all documents available to the public upon request. Form 990, Part XI, line 9: Prior Period Fund Adjustment 16,161. Mercy Health System Corporation 1000 Mineral Point Ave Janesville WI 53545 390816848 Hospital WI 501(c)(3) Line 3 N/A 0 Mercy Foundation Inc 1000 Mineral Point Ave Janesville WI 53545 237275336 Support Mercy Hospital and Related Organizations WI 501(c)(3) Line 12a, I Mercy Health System Corporation 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mercy Health System Corporation B 125000 Fair Market Value - Cash Mercy Foundation Inc B 25300 Fair Market Value - Cash