2012-11-28T13:59:01-06:00 2012-06-30 390758449 WIPFLI LLP 11 SCOTT STREET WAUSAU WI 54403 990 2011-07-01 392016506 MEMORIAL MEMBER ASSOCIATION INC MEMO 7157488100 135 SOUTH GIBSON ST MEDFORD WI 54451 LORI PECK 7157488100 2012-11-19 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2012-11-19 2011 2016-02-24 21:20:13Z BRUCE CZECH 135 SOUTH GIBSON ST MEDFORD WI 54451 1849684 0 X N/A X 2001 WI MEMORIAL MEMBER ASSOCIATION PURPOSE IS PROMOTING LOCAL HEALTH CARE AND SUPPORTING OUR LOCAL ORGANIZATIONS. DURING THE FISCAL YEAR, THE ORGANIZATION PROVIDED FINANCIAL DONATIONS FOR IMPACT CONCUSSION TESTING FOR THREE LOCAL SCHOOL DISTRICTS TO PROMOTE ATHLETIC SAFETY AND FOR A STEPPING ON PROGRAM THROUGH THE COMMISSION ON AGING TO PROVIDE EDUCATION ON FALL PREVENTION. FINANCIAL DONATIONS WERE ALSO GIVEN FOR INFANT CRIBS TO OUR LOCAL NON-PROFIT DAYCARE CENTER AND THE CONSTRUCTION FOR THE RIVER WALK BRIDGE. THE ORGANIZATION ALSO SUPPORTED OUR COUNTY AMBULANCE AND FIRE PROGRAM THROUGH A FINANCIAL DONATION FOR THE UPGRADE OF THE TRANSMISSION SYSTEM. 12 8 0 11 0 0 70 85 0 0 356257 216028 4446776 1633571 4803103 1849684 9272 156560 0 0 0 0 0 0 0 28618 23302 37890 179862 4765213 1669822 30320389 31833939 0 2180 30320389 31831759 PROMOTE LOCAL HEALTH CARE AND PROVIDE REPRESENTATION AND OVERSIGHT TO MEMORIAL HEALTH CENTER AND THE ASSOCIATION REPRESENTS THE HEALTH CARE INTERESTS OF OUR COMMUNITIES AND MANAGES THE FINANCIAL ASSETS ENTRUSTED TO US. 0 0 156560 156560 1633571 MEMORIAL MEMBER ASSOCIATION'S PURPOSE IS PROMOTING LOCAL HEALTH CARE AND SUPPORTING OUR LOCAL ORGANIZATIONS. DURING THE FISCAL YEAR, THE ORGANIZATION PROVIDED FINANCIAL DONATIONS FOR IMPACT CONCUSSION TESTING FOR THREE LOCAL SCHOOL DISTRICTS TO PROMOTE ATHLETIC SAFETY AND FOR A STEPPING ON PROGRAM THROUGH THE COMMISSION ON AGING TO PROVIDE EDUCATION ON FALL PREVENTION. FINANCIAL DONATIONS WERE ALSO GIVEN FOR INFANT CRIBS TO OUR LOCAL NON-PROFIT DAYCARE CENTER AND THE CONSTRUCTION FOR THE RIVER WALK BRIDGE. THE ORGANIZATION ALSO SUPPORTED OUR COUNTY AMBULANCE AND FIRE PROGRAM THROUGH A FINANCIAL DONATION FOR THE UPGRADE OF THE TRANSMISSION SYSTEM. 156560 1 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 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X LORI PECK CFO MEMORIAL HEALTH CENTER 7157488100 135 SOUTH GIBSON STREET MEDFORD WI 54451 X BRUCE P CZECH 1.00 X X 0 0 0 DEBBIE A WOODS 1.00 X X 0 0 0 ROBERT F CARPENTER 1.00 X X 0 0 0 MICHAEL J RIGGLE 1.00 X X 0 0 0 PERRY A ARNDT 1.00 X 0 0 0 GRAHAM COURTNEY 1.00 X 0 0 0 LEONARD W HAMMAN 1.00 X 0 0 0 DAVID E KOESTER 1.00 X 0 0 0 DR CATHERINE F REUTER 1.00 X 0 101454 3023 MICHAEL A SCHAEFER 1.00 X 0 0 0 MICHAEL E PLOOY 1.00 X 0 0 0 MARY K SARVER 1.00 X 0 0 0 ROBERT BERNKLAU 1.00 X 0 0 0 WILLIAM GRUNEWALD 1.00 X 0 0 0 0 101454 3023 0 0 0 0 0 85 85 184159 184159 31869 0 31869 31869 31869 INVESTMENT INCOME - MH 621110 1718593 1718593 INVESTMENT INCOME - MH 621110 -4250 -4250 INVESTMENT INCOME - AE 621110 -80772 -80772 1633571 1849684 1633571 0 216028 156560 156560 6800 6800 1500 1500 13974 13974 160 160 868 868 179862 156560 23302 0 10188 19732 677218 760999 5506455 5268649 24120516 25780631 6012 3928 30320389 31833939 2180 0 2180 X 30175290 31663409 25099 48350 120000 120000 30320389 31831759 30320389 31833939 X 1669822 -158452 X 0 0 0 X X X 0 0 0 MEMORIAL HEALTH CTR 390964813 3 1 0 1 0 1 0 0 25780631 F 25780631 1 TAYLOR COUNTY 540 E COLLEGE AVENUE MEDFORD WI 54451 396005746 TAYLOR COUNTY 150000 N/A N/A CRITICAL SERVICE UPGRADE INVOLVING TOWERS AND REPEATERS THAT TRANSMIT THE AMBULANCE AND FIRE SIGNALS. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MEMORIAL MEMBER ASSOCIATION'S BOARD OF DIRECTORS APPROVES GRANTS TO ORGANIZATIONS BASED ON BOTH THE NEED OF THE ORGANIZATION AND THAT THE GRANT FULFILLS THE MISSION OF MEMORIAL MEMBER ASSOCIATION. MARK REUTER MD FAMILY MEMBER OF DIRECTOR, CATHERINE REUTER, M.D. 253738 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 JEAN LUDWIG FAMILY MEMBER OF DIRECTOR, MIKE SCHAEFER 55013 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 SUSAN COURTNEY FAMILY MEMBER OF DIRECTOR, GRAHAM COURTNEY 81880 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 SARA NIEMI FAMILY MEMBER OF DIRECTOR, BOB CARPENTER 40343 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 REBECCA NICHOLS FAMILY MEMBER OF DIRECTOR, BOB CARPENTER 41280 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 MEGAN COURTNEY FAMILY MEMBER OF DIRECTOR, GRAHAM COURTNEY 28207 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 SUSAN STREBIG FAMILY MEMBER OF DIRECTOR, BOB CARPENTER 43455 EMPLOYMENT COMPENSATION - FISCAL YEAR 2011 COMPENSATION PAID BY MEMORIAL HEALTH CENTER, A RELATED ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS THREE CLASSES OF MEMBERSHIP (1) MEMBERS ADMITTED BY APPLICATION (NO DUES REQUIRED) - INCLUDING BONA FIDE CIVIC, CHARITABLE, FRATERNAL, VETERANS, TRADE, AND PROFESSIONAL ORGANIZATIONS, (2) MEMBERS ADMITTED BY PAYMENT OF MEMBERSHIP FEE - THOSE WHO CONTRIBUTE $500 OR MORE TO THE ORGANIZATION OR TO MEMORIAL HEALTH CENTER, INC, ARE CONSIDERED LIFE MEMBERS WITH LIFETIME VOTING RIGHTS, YEAR-LONG MEMBERSHIP IS GRANTED FOR $5 DONATED TO THE ORGANIZATION, AND (3) SPECIAL MEMBERSHIP - ALL MEMBERS OF THE MHC VOLUNTEERS MEMBERSHIP CRITERIA IS FURTHER DEFINED BY THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS MUST APPROVE ALL AMENDMENTS TO, OR RESTATEMENTS OF, THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE CFO OF MEMORIAL HEALTH CENTER, INC, A RELATED ORGANIZATION, WILL CONDUCT A DETAIL REVIEW OF THE FORM 990. THE CFO OF MEMORIAL HEALTH CENTER, INC. WILL PRESENT THE FORM 990 TO THE BOARD OF DIRECTORS AT THE NEXT AVAILABLE MEETING FOR REVIEW AND APPROVAL PRIOR TO THE FILING OF THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OR COMMITIEE TO WHICH SUCH DISCLOSURE IS MADE SHALL THEREUPON DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST IF A CONFLICT IS DEEMED TO EXIST, SUCH PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, OR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION TO OR RESPOND TO QUESTIONS) IN THE DISCUSSIONS AND DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTIONS. SUCH PERSON MAYBE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION IS UNDER DISCUSSIONS OR IS BEING VOTED UPON. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 2: AT THE OPTION OF THE BOARD OF DIRECTORS, AN EXECUTIVE COMMITTEE MAY BE CREATED, TO CONSIST OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY, AND TREASURER OF THE CORPORATION IF ESTABLISHED, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OF DIRECTORS IN ADDITION, THE EXECUTIVE COMMITTEE SHALL RECOMMEND TO THE FULL BOARD OF DIRECTORS THE APPOINTMENT OF A PERSON OR PERSONS TO FILL ANY VACANCY AMONG THE DIRECTORS OF MEMORIAL HEALTH CENTER, INC. THAT ARE APPOINTED BY THE CORPORATION. EXPLANATION OF HOURS WORKED FORM 990, PART VII GRAHAM COURTNEY WORKED APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: MEMORIAL HEALTH CENTER, INC. - 1 HOUR MEMORIAL MEMBER ASSOCIATION, INC. - 1 HOUR BRUCE CZECH WORKED APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: MEMORIAL HEALTH CENTER, INC. - 1 HOUR MEMORIAL MEMBER ASSOCIATION, INC. - 1 HOUR DEBBIE WOODS WORKED APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: MEMORIAL HEALTH CENTER, INC. - 1 HOUR MEMBORIAL MEMBER ASSOCIATION, INC. - 1 HOUR LEONARD HAMMAN WORKED APPROXIMATELY 2 HOURS PER WEEK AS FOLLOWS: MEMORIAL HEALTH CENTER, INC. - 1 HOUR MEMORIAL MEMBER ASSOCIATION, INC. - 1 HOUR DR. CATHERINE REUTER WORKED APPROXIMATELY 31 HOURS PER WEEK AS FOLLOWS: MEMORIAL HEALTH CENTER, INC. - 30 HOURS MEMORIAL MEMBER ASSOCIATION, INC. - 1 HOUR ALL MEMBERS OF MEMORIAL MEMBER ASSOCIATION, INC.'S BOARD OF DIRECTORS SERVE ON THE BOARD OF CEDAR COURT APARTMENTS. MATTERS INVOLVING CEDAR COURT APARTMENTS ARE RESOLVED DURING REGULARLY SCHEDULED MEETINGS OF MEMORIAL MEMBER ASSOCIATION'S BOARD, AS SUCH, NO ADDITIONAL TIME HAS BEEN ALLOCATED TO THE RELATED ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -184,996. EQUITY ADJUSTMENT - MHC 26,544. TOTAL TO FORM 990, PART XI, LINE 5: -158,452. MEMORIAL HEALTH CENTER INC 135 S GIBSON ST MEDFORD WI 54451 390964813 MEDICAL FACILITY WI 501(C)(3) LINE 3 N/A 0 MEMORIAL HEALTH CENTER FOUNDATION INC 135 S GIBSON ST MEDFORD WI 54451 391777081 CHARITABLE FUNDRAISING WI 501(C)(3) LINE 11C, III-FI MEMORIAL MEMBER ASSOCIATION INC 1 CEDAR COURT APARTMENTS INC 135 S GIBSON ST MEDFORD WI 54451 391412339 LOW INCOME HOUSING WI 501(C)(3) LINE 7 MEMORIAL MEMBER ASSOCIATION INC 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0