2016-11-15T14:36:33-06:00 2015-12-31 390758449 Wipfli LLP 3703 Oakwood Hills Pkwy Eau Claire WI 54701 990EZ 2015-01-01 300093022 TRI-COUNTY MEMORIAL FOUNDATION INC TRI- 7155384361 18601 LINCOLN STREET WHITEHALL WI 54773 brian theiler Ceo, tri-county memorial hospital 7155384361 2016-11-15 1 PAUL M TRACZEK CPA P01368830 7158323407 2016-11-15 2015 2017-02-10 21:41:12Z X X www.gundersenhealth.org/tri-county/foundation X X 86748 X 7686 74464 4598 86748 56240 3259 59499 27249 371321 0 398570 X 371321 399724 371321 399724 0 1154 371321 398570 X TRI-COUNTY MEMORIAL FOUNDATION, INC. EXISTS TO SUPPORT THE MISSION OF TRI-COUNTY MEMORIAL HOSPITAL, INC. IN THE COMMUNITIES AND SURROUNDING AREAS WHICH ARE SERVICED BY TRI-COUNTY MEMORIAL HOSPITAL, INC. TRI-COUNTY MEMORIAL HOSPITAL, INC. PROVIDES SERVICES TO ALL MEMBERS OF THE PUBLIC WHO NEED MEDICAL SERVICES. THE SERVICES AREA IS ABOUT A 25-MILE RADIUS AROUND THE FACILITY AND INCLUDES ABOUT 15,000 INDIVIDUALS. TRI-COUNTY MEMORIAL FOUNDATION, INC. PROVIDES SUPPORT TO THE HOSPITAL AND NURSING HOME IN NEEDED AREAS. AT TIMES, EQUIPMENT IS PURCHASED TO SUPPORT THE HOSPITAL AND NURSING HOME AND OFTEN THERE ARE SCHOLARSHIPS PROVIDED TO MEET HEALTHCARE TRAINING AND EDUCATION NEEDS. DURING THE PERIOD JANUARY 1, 2015 THROUGH DECEMBER 31, 2015, $3,200 IN SCHOLARSHIPS WERE GRANTED TO STUDENTS IN THE AREA PURSUING CAREERS IN MEDICAL FIELDS. 56240 56240 56240 KURT JOHNSON Chairman 0.50 0 0 0 KATHY KULIG TRUSTEE 0.50 0 0 0 LInda Baxa TRUSTEE 0.50 0 0 0 K ROGER GILBERT Vice Chairman 0.50 0 0 0 Dave Pientok TRUSTEE 0.50 0 0 0 Wanda Cartrette TrusTEE 0.50 0 0 0 Duane Byom TrustEE 0.50 0 0 0 Brian Theiler President/CEO 0.50 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Roxane Schleich 18601 LINCOLN STREET WHITEHALL WI 54773 7155384361 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 1 TRI-COUNTY MEMORIAL HOSPITAL INC 390704510 3 1 53040 0 1 53040 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Form 990-EZ, Part I, Line 4 - Other Investment Income Description: INTEREST INCOME. Amount: 4,598. Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: SCHOLARSHIPS TO INDIVIDUALS. Grantee Name: N/A. Property Description: SCHOLARSHIP. Amount Given: 3,200. Form 990-EZ, Part I, Line 10 - Grants and Similar Amounts Paid Activity Classification: Donation for property and equipment purchases. Grantee Name: Tri-County Memorial Hospital. Grantee Address: 18601 Lincoln Street WHITEHALL, WI 54773. Grantee Relationship: Related Party. Property Description: Hospital Equipment. Amount Given: 53,040. Total included on Form 990-EZ, line 10: 56,240. Form 990-EZ, Part II, Line 26 - Other Liabilities Description: ACCOUNTS PAYABLE - DUE TO HOSPITAL. Beg. of Year Amount: 0. End of Year Amount: 1,154. The 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.