2024-11-14T11:53:25-06:00 2023-12-31 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-01-01 470748162 MCH AUXILIARY THRIFT SHOP INC MCHA 4024262030 810 NORTH 22ND STREET BLAIR NE 68008 VICKI JANSSEN TREASURER 4024262182 2024-11-14 1 0 MARK STOCKI P00642127 3032989100 2023 2024-10-15 13:58:12Z LESLIE WATTS 810 NORTH 22ND STREET BLAIR NE 68008 254287 0 X N/A X 1992 NE TO PROMOTE AND ADVANCE THE WELFARE OF THE MEMORIAL COMMUNITY HOSPITAL. 9 5 30 45 0 0 0 4213 236017 234070 23 55 14733 12067 250773 250405 70213 42000 0 0 140289 145702 0 0 0 76414 61458 286916 249160 -36143 1245 306815 308060 0 0 306815 308060 THE MCH AUXILIARY THRIFT SHOP, INC'S MISSION IS TO RECEIVE NON-CASH CONTRIBUTIONS WITH OPEN ARMS, RETURN THEM TO THE PUBLIC FOR RESALE AND USE THE MONEY TO FURTHER THE QUALITY OF EXCELLENCE FOR THE MEMORIAL COMMUNITY HOSPITAL AND HEALTH SYSTEM IN BLAIR, NEBRASKA. 0 0 232479 42000 234070 MCH AUXILIARY THRIFT SHOP, INC. OPERATES A RETAIL THRIFT SHOP. EMPLOYEES OF MCH AUXILIARY THRIFT SHOP, INC. COLLECT, PROCESS, DISPLAY AND SELL DONATED MATERIAL TO THE GENERAL PUBLIC. THE GENERAL PUBLIC DONATES CLOTHING, FURNITURE AND HOUSEHOLD GOODS TO MCH AUXILIARY THRIFT SHOP, INC. AND EMPLOYEES SORT, PRICE AND DISTRIBUTE MERCHANDISE FOR SALE AT THE THRIFT SHOP AND THE ANNUAL RUMMAGE SALES TO BENEFIT MEMORIAL COMMUNITY HOSPITAL. 232479 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 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 30 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 1 0 0 0 X JENNIFER NEWBY 4024262030 810 NORTH 22ND STREET BLAIR NE 68008 ELIZABETH DUTTON DIRECTOR 2.00 40.00 X 0 160914 13163 ANGIE HODSON DIRECTOR 2.00 40.00 X 0 101068 10686 LESLIE WATTS MCH AUXILIARY REP (TERMED DECEMBER 2023) 2.00 1.00 X X 0 0 0 MERRI MISFELDT SECRETARY 2.00 0.00 X X 0 0 0 PAT ROGERS PRESIDENT 2.00 1.00 X X 0 0 0 VICKI JANSSEN TREASURER 2.00 0.00 X X 0 0 0 MARY KEMPCKE DIRECTOR 2.00 0.00 X 0 0 0 DINAH DAVISON MCELROY SECRETARY (TERMED NOVEMBER 2023) 2.00 0.00 X X 0 0 0 BETTY RHOADES DIRECTOR 2.00 0.00 X 0 4549 0 JAN QUIST VICE PRESIDENT 2.00 0.00 X X 0 0 0 ANGIE ROSENBAUM DIRECTOR 2.00 40.00 X 0 82169 16573 0 348700 40422 0 0 1 0 0 4213 4213 THRIFT SHOP REVENUE 459510 234070 234070 234070 55 55 15949 3882 12067 12067 250405 234070 0 12122 30000 30000 12000 12000 135348 121813 13535 10354 9319 1035 17920 17920 4164 3748 416 16951 15256 1695 8373 8373 1962 1962 MISC 9292 9292 SUPPLIES 2796 2796 249160 232479 16681 0 127891 137436 644 718 385101 215195 178280 169906 306815 308060 0 0 X 306815 308060 306815 308060 306815 308060 1245 0 X 0 0 0 X 50 15850 26430 0 4213 46543 260516 191196 244750 255513 250018 1201993 260566 207046 271180 255513 254231 1248536 0 0 0 1248536 22 12 12 23 55 124 22 12 12 23 55 124 260588 207058 271192 255536 254286 1248660 0.99990 0.99880 0.00010 0.00120 X 316654 151310 165344 68447 63885 4562 169906 1 MEMORIAL COMMUNITY HOSPITAL 810 NORTH 22ND STREET BLAIR NE 68008 470426285 501(C)(3) 30000 0 GENERAL SUPPORT 1 0 SCHOLARSHIPS 5 12000 SCHEDULE I, PART I, LINE 2 - PROCEDURES FOR MONITOR USE OF GRANT FUNDS ANNUALLY, MCH AUXILIARY THRIFT SHOP, INC. HOLDS A RUMMAGE SALE IN WHICH THE PROCEEDS RECEIVED ARE GENERALLY GRANTED TO MEMORIAL COMMUNITY HOSPITAL TO SUPPORT THEIR ORGANIZATIONAL FUNCTIONS. MCH AUXILIARY THRIFT SHOP, INC. PROVIDES GRANTS ONLY TO RELATED 501(C)(3) ORGANIZATIONS WHICH SUPPORT THE SAME MISSION AND PURPOSE AS MCH AUXILIARY THRIFT SHOP, INC. SCHEDULE I, PART III MCH AUXILIARY THRIFT SHOP PROVIDED SCHOLARSHIPS DURING 2023 TO STUDENTS WHO MUST BE GOING TO THE MEDICAL FIELD. 0 0 0 0 1 0 0 0 0 ELIZABETH DUTTON DIRECTOR 0 106648 0 54266 0 0 0 2349 0 10814 0 174077 0 0 PART I, LINE 5 DURING THE CALENDAR YEAR 2023, THE REPORTABLE INDIVIDUAL ON SCHEDULE J, PART II WAS PAID BY MEMORIAL COMMUNITY HOSPITAL (MCH), A REALTED ORGANIZATION. ON A QUARTERLY BASIS, PROVIDERS ARE ELIGIBLE FOR A BONUS IF THEIR OWN PERSONAL GROSS REVENUE PRODUCTION (WITH CERTAIN LIMITS ON WHAT IS INCLUDED) EXCEED A THRESHOLD. THEY THEN GET X% OF THE AMOUNT OVER THAT GROSS REVENUE THRESHOLD. THEY ARE ALSO ELIGIBLE FOR A KEY PERFORMANCE INDICATOR (KPI) ANNUAL BONUS ONLY IF THE COMBINED EBIDA (MCH AND ITS RELATED ORGANIZATION) TARGET IS ACHIEVED. THE KPI ANNUAL BONUSES ARE NOT BASED ON THE PROVIDERS' SALARIES BUT BASED ON HOW THEY PERFORM ON THE 5 METRICS OF THE KPI PLAN. MCH PROVIDERS ARE ELIGIBLE FOR A KEY PERFORMANCE INDICATOR (KPI) ANNUAL BONUS ONLY IF THE COMBINED EBIDA (MCH AND ITS RELATED ORGANIZATION) TARGET IS ACHIEVED. THE KPI ANNUAL BONUSES ARE NOT BASED ON THE PROVIDERS' SALARIES BUT BASED ON HOW THEY PERFORM ON THE 5 METRICS OF THE KPI PLAN. X 0 SELLING COST 0 0 0 PART I, LINE 33: MCH AUXILIARY THRIFT SHOP, INC. RECEIVES DONATIONS OF CLOTHING AND HOUSEHOLD ITEMS FROM THE GENERAL PUBLIC AND NO VALUE IS RECORDED AT THE TIME OF DONATION. REVENUE IS RECOGNIZED WHEN ITEMS ARE RESOLD AND ARE REPRESENTED IN PROGRAM REVENUE AS THRIFT SHOP REVENUE OF $234,070. FORM 990, PART VI, SECTION A, LINE 2 PAT RODGERS AND MERRI MISFELDT ARE SISTERS. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: MEMORIAL COMMUNITY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MCH AUXILIARY THRIFT SHOP, INC. FORM 990, PART VI, SECTION A, LINE 7A MEMORIAL COMMUNITY HEALTH SYSTEM, INC. SHALL HAVE THE POWER TO APPOINT AND REMOVE THE BOARD OF DIRECTORS OF THE CORPORATION PROVIDED, HOWEVER, MEMORIAL COMMUNITY HEALTH SYSTEM, INC. SHALL FIRST CONSULT WITH THE CORPORATION BEFORE DOING SO AND THAT THE REMOVAL OF A DIRECTOR OF THE CORPORATION SHALL REQUIRE A VOTE OF THE MAJORITY OF MEMORIAL COMMUNITY HEALTH SYSTEM, INC'S ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMORIAL COMMUNITY HEALTH SYSTEM, INC. SHALL HAVE THE FOLLOWING POWER WITH REGARD TO THE CORPORATION: A. TO APPROVE CAPITAL EXPENDITURES EXCEEDING AN AMOUNT ESTABLISHED BY MEMORIAL COMMUNITY HEALTH SYSTEM, INC. B. THE INCURRENCE OF DEBT REQUIRING A MORTGAGE ON ANY PART OF THE ASSETS OF THE CORPORATION AND SUCH OTHER ACTIVITIES AS MEMORIAL COMMUNITY HEALTH SYSTEM, INC. DEEMS APPROPRIATE. C. TO APPROVE THE INITIAL ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY AMENDMENTS TO SUCH DOCUMENTS. D. TO DETERMINE THE POSITION OF ASSETS UPON DISSOLUTION OF THE CORPORATION. E. SUCH OTHER POWER AS ARE PROVIDED BY LAW TO A MEMBER WITH VOTING RIGHTS. FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 12C MCH AUXILIARY THRIFT SHOP, INC. HAS ADOPTED THE CONFLICT OF INTEREST POLICY AND CONFLICT INVESTIGATION PROCESS OF MEMORIAL COMMUNITY HEALTH SYSTEM, INC. EACH BOARD MEMBER ANNUALLY SIGNS A CONFLICT OF INTEREST STATEMENT AND IS GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY. THE PRESIDENT OF THE BOARD REVIEWS THE STATEMENTS AND ENSURES THAT THE BOARD MEMBERS EXCUSE THEMSELVES FROM DISCUSSIONS AT A BOARD MEETING ON TOPICS WHERE THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 MCH AUXILIARY THRIFT SHOP, INC. HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF MEMORIAL COMMUNITY HEALTH SYSTEM, INC. WHICH IS NOT MADE AVAILABLE TO THE PUBLIC. MCH AUXILIARY THRIFT SHOP, INC. DOES NOT MAKE THE GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. MEMORIAL COMMUNITY HOSPITAL FOUNDATION CORP 810 N 22ND STREET BLAIR NE 68008 113660156 SUPPORT NE 501(C)(3) LINE 12A, I N/A 0 MEMORIAL COMMUNITY HEALTH SYSTEM INC 810 N 22ND STREET BLAIR NE 68008 470718840 HEALTH SYSTEM NE 501(C)(3) LINE 7 N/A 0 MEMORIAL COMMUNITY HOSPITAL 810 N 22ND STREET BLAIR NE 68008 470426285 HOSPITAL NE 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0