2015-08-12T10:05:01-05:00 2014-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 500 MIDLAND COURT PO BOX 8130 JANESVILLE WI 535478130 990 2014-01-01 390912682 MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS MERC 6087566000 1000 MINERAL POINT AVE JANESVILLE WI 53545 SHERRY DUX PRESIDENT 6087566000 2015-08-05 1 BRADLEY S MCGUIRE CPA P00643763 6087525835 2015-08-05 X 2014 2016-02-25 16:41:14Z SHERRY DUX 1000 MINERAL POINT AVE JANESVILLE WI 53545 750245 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 1128 0 0 20505 12875 652816 722706 283 308 15544 3465 689148 739354 7000 15000 0 0 0 0 0 0 0 661225 707274 668225 722274 20923 17080 398126 415199 0 0 398126 415199 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 118190 121496 MEALS ON WHEELS:REPRESENTS THE COST OF MEALS PREPARED BY MERCY HOSPITAL AND DELIVERED BY VOLUNTEERS TO SHUT-INS OR HOME PATIENTS. APPROXIMATELY 120 MEALS DELIVERED EACH DAY. 187439 264126 LIFELINE:REPRESENTS THE COST OF COMMUNICATIONS EQUIPMENT PROVIDED TO INDIVIDUALS IN THEIR HOMES FOR MONITORING AND NOTIFICATION OF EMERGENCY SITUATIONS. STAFFED BY VOLUNTEERS. 980 INDIVIDUALS RECEIVE LIFELINE SERVICES. 122725 184069 GIFT SHOP:STAFFED BY VOLUNTEERS. PROVIDES MERCHANDISE TO PATIENTS AND THEIR FAMILIES AND FRIENDS. 293920 15000 153015 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. 293920 15000 153015 722274 1 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 0 0 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 X 24 24 0 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 VOLUN 6087566000 1000 MINERAL POINT RD JANESVILLE WI 53545 X JUDY JAGGARD PRESIDENT 1.00 X X 0 0 0 ARLENE KNUDSON SECRETARY 1.00 X X 0 0 0 BRAD BASTIAN TREASURER 1.00 X X 0 0 0 STEVE HYNDS DIRECTOR 1.00 X 0 0 0 ELAINE LAWRENCE PAST PRESIDENT 1.00 X 0 0 0 CORINNE CAREY DIRECTOR 1.00 X 0 0 0 DIANA PEARSE DIRECTOR 1.00 X 0 0 0 JOANN BROWN 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 RHAVEN HALL DIRECTOR 1.00 X 0 0 0 NAOMI HACKBARTH DIRECTOR 1.00 X 0 0 0 SUE BUCKHOLZ DIRECTOR 1.00 X 0 0 0 SONIA HULL 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 PAM GOVERT DIRECTOR 1.00 X 0 0 0 JEAN STOLL DIRECTOR 1.00 X 0 0 0 STEVE GAFFNEY DIRECTOR 1.00 X 0 0 0 SHERRY DUX PRES ELECT 1.00 X 0 0 0 JANICE HOLZMAN DIRECTOR 1.00 X 0 0 0 LISA BROWN DIRECTOR 1.00 X 0 0 0 DEAN BUCKHOLZ DIRECTOR 1.00 X 0 0 0 DARLENE BECKER DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 2665 10210 12875 LIFELINE 900099 264126 264126 GIFT SHOP 900099 184069 184069 MEALS ON WHEELS 624210 121444 121444 CASTAWAYS 900099 68035 68035 GENERAL AUXILIARY 900099 66572 66572 18460 18460 722706 308 308 14356 10891 3465 3465 739354 722706 0 3773 X 15000 15000 2503 2503 210 210 18578 18578 12631 12631 7383 7383 6651 6651 LIFELINE EQUIPMENT 176136 176136 CONTRIBUTION TO MERCY H 150580 150580 GIFT SHOP MERCHANDISE 116748 116748 MEALS FOR MEALS ON WHEE 110934 110934 104920 104920 722274 722274 0 0 100525 95895 292178 313881 5423 0 5423 5423 398126 415199 0 0 X 398126 415199 398126 415199 398126 415199 X 17080 -7 X 0 0 0 X X 1 MERCY HEALTH SYSTEM CORPORATION 390816848 3 1 129080 0 1 129080 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 0 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. 5423 5423 5423 1 SCHOLARSHIPS 15 15000 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 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 11 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 IX, LINE 24E MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 84,877. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,877. EDUCATION EXPENSE: PROGRAM SERVICE EXPENSES 12,804. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,804. BANK FEES: PROGRAM SERVICE EXPENSES 4,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,744. EQUIPMENT & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,641. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,641. MEMBERSHIP EXPENSE: PROGRAM SERVICE EXPENSES 754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 754. DONATIONS : PROGRAM SERVICE EXPENSES 100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100. FORM 990, PART XI, LINE 9: ROUNDING -7. MERCY HEALTH SYSTEM CORPORATION 1000 MINERAL POINT JANESVILLE WI 53547 390816848 HOSPITAL WI 501(C)(3) LINE 3 N/A 0 MERCY FOUNDATION INC 1000 MINERAL POINT JANESVILLE WI 53547 237275336 SUPPORT MERCY HOSPITAL AND RELATED ORGANIZATIONS WI 501(C)(3) LINE 11A, 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 129080 FAIR MARKET VALUE - CASH MERCY FOUNDATION INC B 21500 FAIR MARKET VALUE - CASH