2014-11-13T16:01:36-06:00 2013-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 500 MIDLAND COURT PO BOX 8130 JANESVILLE WI 535478130 990 2013-01-01 390912682 MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS MERC 6087566000 1000 MINERAL POINT AVE JANESVILLE WI 53545 JUDY JAGGARD PRESIDENT 6087566000 2014-11-12 1 WILLIAM T MURPHY CPA P00074580 6087525835 2014-11-12 2013 2015-11-30 17:44:51Z JUDY JAGGARD 1000 MINERAL POINT AVE JANESVILLE WI 53545 693306 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. 21 21 0 1037 0 0 11125 20505 593470 652816 192 283 2571 15544 607358 689148 9000 7000 0 0 0 0 0 0 0 526841 661225 535841 668225 71517 20923 377203 398126 0 0 377203 398126 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 130238 114101 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. 156018 260884 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. 102791 157287 GIFT SHOP:STAFFED BY VOLUNTEERS. PROVIDES MERCHANDISE TO PATIENTS AND THEIR FAMILIES AND FRIENDS. 279178 7000 120544 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. 279178 7000 120544 668225 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 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 0 0 X 21 21 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 DARLENE BECKER 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 CORAL NYQUIST DIRECTOR 1.00 X 0 0 0 NANCY VERHOEVEN DIRECTOR 1.00 X 0 0 0 VERGEAN JURS DIRECTOR 1.00 X 0 0 0 NAOMI HACKBARTH DIRECTOR 1.00 X 0 0 0 SUE DEAN BUCKHOLZ DIRECTOR 1.00 X 0 0 0 SONIA HULL DIRECTOR 1.00 X 0 0 0 MARY ANN HARRIS 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 PRESIDENT ELECT 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 2610 17895 20505 LIFELINE 900099 260884 260884 GIFT SHOP 900099 157287 157287 MEALS ON WHEELS 624210 114101 114101 CASTAWAYS 900099 70919 70919 GENERAL AUXILIARY 900099 38666 38666 10959 10959 652816 283 283 19702 4158 15544 15544 689148 652816 0 15827 X 7000 7000 340 340 3995 3995 15431 15431 13019 13019 6468 6468 4887 4887 CONTRIBUTION TO MERCY H 177300 177300 LIFELINE EQUIPMENT 142354 142354 MEALS FOR MEALS ON WHEE 125070 125070 GIFT SHOP MERCHANDISE 97732 97732 74629 74629 668225 668225 0 0 74834 100525 296946 292178 5423 0 5423 5423 377203 398126 0 0 X 377203 398126 377203 398126 377203 398126 20923 0 X 0 0 0 X X X 0 0 0 MERCY HEALTH SYSTEM CORPORATION 390816848 3 1 1 1 153000 1 153000 5423 5423 5423 COOKIE SALE 19702 0 19702 4158 19702 19702 4158 4158 15544 1 SCHOLARSHIPS 7 7000 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 63,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,368. EDUCATION EXPENSE: PROGRAM SERVICE EXPENSES 5,313. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,313. BANK FEES: PROGRAM SERVICE EXPENSES 2,539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,539. TAXES & OTHER CHARGES: PROGRAM SERVICE EXPENSES 1,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,918. EQUIPMENT & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,457. MEMBERSHIP EXPENSE: PROGRAM SERVICE EXPENSES 34. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34. 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 153000 FAIR MARKET VALUE - CASH MERCY FOUNDATION INC B 24300 FAIR MARKET VALUE - CASH