2012-05-14T08:03:11-05:00 2011-12-31 390912608 HAWKINS ASH BAPTIE AND CO LLP 101 WEST 29TH STREET SUITE 101 MARSHFIELD WI 544495250 990 2011-01-01 930833012 RONALD MCDONALD HOUSE CHARITIES OF MARSHFIELD INC RONA 7153875899 803 WEST NORTH STREET MARSHFIELD WI 54449 RONALD L FISH 7153875899 2012-05-08 1 MATTHEW P ECKELBERG CPA P00583770 7153871131 2011 2016-02-24 21:20:13Z RONALD L FISH 803 WEST NORTH STREET MARSHFIELD WI 54449 790582 0 X WWW.RMHC-MARSHFIELD.ORG X 1983 WI THE ORGANIZATION SUPPORTS THE WELL BEING OF CHILDREN, INCLUDING(A) PROVIDING TEMPORARY LODGING PRIMARILY FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WHILE RECEIVING TREATMENT IN OR VISITING A HOSPITAL OR SIMILAR TREATMENT FACILITY AND (B) MAKING CONTRIBUTIONS AND GRANTS, THROUGH THE PARTNERSHIP WITH CHILDREN'S MIRACLE NETWORK, TO OTHER NONPROFIT ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (I)EDUCATING CHILDREN OR (II)PROVIDING FOR THE ESSENTIAL NEEDS OF CHILDREN OR (III)CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS, OR THE DIAGNOSIS, PREVENTION, AND TREATMENT THEREOF. 10 10 10 22 0 0 233467 301160 10247 8927 761 36652 7153 5965 251628 352704 17500 17000 0 0 121816 126128 0 0 9742 175152 155970 314468 299098 -62840 53606 1730837 1724126 13504 21287 1717333 1702839 X THE ORGANIZATION SUPPORTS THE WELL BEING OF CHILDREN, INCLUDING(A) PROVIDING TEMPORARY LODGING PRIMARILY FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WHILE RECEIVING TREATMENT IN OR VISITING A HOSPITAL OR SIMILAR TREATMENT FACILITY AND (B) MAKING CONTRIBUTIONS AND GRANTS, THROUGH THE PARTNERSHIP WITH CHILDREN'S MIRACLE NETWORK, TO OTHER NONPROFIT ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (I)EDUCATING CHILDREN OR (II)PROVIDING FOR THE ESSENTIAL NEEDS OF CHILDREN OR (III)CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS OF CHILDREN, OR THE DIAGNOSIS, PREVENTION, AND TREATMENT THEREOF. 0 0 245103 17000 10638 RONALD MCDONALD HOUSE CHARITIES'(RMHC) MISSION IS TO LIFT CHILDREN AND FAMILIES TO A BETTER TOMORROW. THE RONALD MCDONALD HOUSE IS THE CORNERSTONE PROGRAM OF RMHC BUT CAN ONLY HELP TEN FAMILIES AT A TIME. TO MEET THE BROADER MISSION OF THE ORGANIZATION, RMHC PARTNERED WITH CHILDREN'S MIRACLE NETWORK TO PROVIDE SMALL GRANTS TO NONPROFITS IN CENTRAL WISCONSIN. MONEY USED FOR GRANT MAKING COMES FROM SPECIAL PROMOTIONS HELD BY OUR LOCAL MCDONALD'S FRANCHISEES, SPECIAL DESIGNATED FUNDRAISING ACTIVITIES AND A MATCHING GRANT ACCOUNT FUNDED BY THE NATIONAL CHAPTER OF RMHC IN OAK BROOK, ILLINOIS. RMHC OF MARSHFIELD OPERATES A HOUSE PROVIDING TEMPORARY LODGING TO FAMILIES OF SERIOUSLY ILL CHILDREN WHILE THOSE CHILDREN ARE PATIENTS AT THE MARSHFIELD CLINIC/ST. JOSEPH'S HOSPITAL. FAMILIES OF SERIOUSLY ILL CHILDREN ARE ALLOWED TO STAY IN THE HOUSE FOR A DONATION OF $5 PER NIGHT PER FAMILY. NO FAMILY IS TURNED AWAY BECAUSE OF A LACK OF FUNDS. THE HOUSE PROVIDED A "HOME AWAY FROM HOME" FOR 311 NEW FAMILIES AND 53 RETURNING FAMILIES FOR A TOTAL OF 364 FAMILIES IN 2011. THESE FAMILIES USED THE HOUSE FOR A TOTAL OF 569 VISITS. THE HOUSE IS STAFFED BY 20+ VOLUNTEERS ON A REGULAR BASIS WHO ASSIST THE FAMILIES WITH MEALS, OFFICE ASSISTANCE, LIGHT HOUSEKEEPING AND OTHER MAINTENANCE. THE HOUSE RECEIVES MANY IN-KIND DONATIONS SUCH AS PAPER PRODUCTS, FOOD AND BEVERAGES, AND CLEANING AND LAUNDRY SUPPLIES TO BE USED BY THE FAMILIES WHILE THEY ARE A GUEST AT THE RONALD MCDONALD HOUSE. 245103 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X SANDRA ZYGARLICKE 7153875899 803 W NORTH STREET MARSHFIELD WI 54449 CAROL ADLER 1.00 X X 0 0 0 PAMELA ACKER 1.00 X X 0 0 0 CAROL WILLFAHRT 1.00 X X 0 0 0 RON FISH 2.00 X X 0 0 0 PATTI SHAFTO-CARLSON 1.00 X 0 0 0 HEIDI GIESE 1.00 X 0 0 0 JOE DOLEZAL 1.00 X 0 0 0 JIM BARTELT 1.00 X 0 0 0 LISA ROY 1.00 X 0 0 0 ELIZABETH KRACHT 1.00 X 0 0 0 LINDSEY RUMAGE-SAFFORD 1.00 X 0 0 0 SANDRA ZYGARLICKE 32.00 X 36967 0 0 36967 0 0 0 0 0 0 THE BOSON COMPANY INC 2613 W VETERANS PARKWAY MARSHFIELD WI 54449 KITCHEN REMODEL 210376 1 7690 293470 37653 301160 ROOM REVENUE 624100 8927 8927 8927 19789 19789 454741 433485 4393 21256 -4393 16863 16863 4254 7690 0 4254 4254 PROMOTIONAL ITEMS 453220 1711 1711 1711 352704 10638 0 40906 17000 17000 36967 29574 5545 1848 80198 78245 1953 8963 8175 642 146 14857 14857 12552 5095 1243 6214 7202 4967 1128 1107 23841 23841 681 272 341 68 16001 16001 19823 19823 7735 6988 747 DONATED SUPPLIES 35929 33774 1796 359 REPAIRS & MAINTENANCE 15281 15281 DUES, SUBSCRIPTIONS & L 993 993 AWARDS 724 724 351 351 299098 245103 44253 9742 19775 27139 211977 213229 985646 643264 142790 342382 438275 344905 889527 770433 28493 26038 1730837 1724126 13504 21287 13504 21287 X 164909 349086 1052424 853753 500000 500000 1717333 1702839 1730837 1724126 X 53606 -68100 X X 0 1 1 X 0 X 151362 235224 201200 234996 301160 1123942 151362 235224 201200 234996 301160 1123942 4693 1119249 88688 67332 20368 12172 19789 208349 23002 5823 2320 5362 4254 40761 1373052 73111 0.81520 0.76430 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: NET FUNDRAISING REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1525756 -21424 170000 6062 1328270 1445806 143037 57500 5587 1525756 1181420 279254 10000 4868 1445806 1502723 -310846 5000 5457 1181420 0.38000 0.62000 0 0 890539 559517 331022 28065 21721 6344 67042 62026 5016 342382 DAVIS NY VENTURE FD INC CL Y 136366 F DODGE AND COX STOCK FD 105373 F AM FDS GROWTH FD OF AMERICA CL F1 108572 F HARBOR CAPITAL APPRECIATION FD 137448 F ASSOCIATED INTERMEDIATE TERM BOND FUND (PT) 140487 F ASSOCIATED SHORT TERM BOND FUND (PT) 142187 F 770433 352704 299098 53606 -68100 -68100 -14494 303609 -68100 19005 -49095 352704 0 352704 318103 19005 19005 299098 0 299098 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PART V, LINE 4: THE PRINCIPLE OR PERMANENT ENDOWMENT OF $500,000 MUST BE KEPT IN A PERPETUAL ENDOWMENT FUND. THE INCOME EARNED BY THIS ENDOWMENT IS TO BE USED FOR HOUSE OPERATING EXPENSES AS APPROVED BY THE BOARD OF DIRECTORS. ANY UNUSED INVESTMENT EARNINGS ARE REINVESTED AND INCLUDED IN THE TERM ENDOWMENT UNTIL APPROPRIATED FOR EXPENDITURE BY THE BOARD. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS A NONPROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 509 (A)(1) OF THE CODE, IS SUBJECT TO FEDERAL INCOME TAX. THE ORGANIZATION CURRENTLY HAS NO UNRELATED BUSINESS INCOME. THE ORGANIZATION IS ALSO EXEMPT FROM WISCONSIN INCOME TAXES PURSUANT TO SIMILAR TAX LAWS OF THE STATE OF WISCONSIN. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IF INCURRED. THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008 AND STATE EXAMINATIONS FOR YEARS BEFORE 2007. 1 SAINT JOSEPH'S CHILDREN'S HOSPITAL-CHILDREN'S MIRACLE NETWORK 611 ST JOSEPH AVE MARSHFIELD WI 54449 391684957 501(C)(3) 16000 TO IMPROVE THE HEALTHCARE OF CHILDREN AGES 0-18 IN OUR 17 COUNTY AREA. 1 0 PART I, LINE 2: THE ORGANIZATION PARTNERS WITH SAINT JOSEPH'S HOSPITAL-CHILDREN'S MIRACLE NETWORK TO OFFER GRANTS TO OTHER NONPROFIT ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (1)EDUCATING CHILDREN, (2)PROVIDING FOR THE ESSENTIAL NEEDS OF CHILDREN OR (3)CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS OF CHILDREN, OR THE DIAGNOSIS, PREVENTION AND TREATMENT THEREOF. THE ORGANIZATION'S BOARD OF DIRECTORS PROVIDES A GRANT TO THE CHILDREN'S MIRACLE NETWORK. THE CHILDREN'S MIRACLE NETWORK THEN COMPILES AND PRESENTS A LIST OF POTENTIAL GRANTEES TO THE ORGANIZATION'S BOARD WHO APPROVES THE GRANTS. CHILDREN'S MIRACLE NETWORK IS THEN RESPONSIBLE FOR DISBURSING THE GRANT FUNDS AND FOR FOLLOWING UP WITH THE GRANTEE TO ENSURE THAT THE GRANT FUNDS WERE USED FOR THE PURPOSE GRANTED. X 37653 DONOR-DECLARED VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD RELIES ON THE HOUSE DIRECTOR, PRESIDENT, AND TREASURER TO REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS AND KEY EMPLOYEES ARE GIVEN PAPERWORK TO UPDATE THEIR CONFLICT OF INTEREST STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS USES GUIDELINES ESTABLISHED BY RONALD MCDONALD HOUSE CHARITIES, GLOBAL, INC. FOR HOUSE DIRECTOR PERFORMANCE APPRAISAL AND COMPENSATION INCREASES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSS ON INVESTMENTS -68,100. TOTAL TO FORM 990, PART XI, LINE 5: -68,100. FORM 990, PART XII, LINE 2C THE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY OVER THE AUDIT AND THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.