2024-04-15T14:25:58-05:00 2023-12-31 390859910 BAKER TILLY US LLP 500 MIDLAND COURT PO BOX 8130 JANESVILLE WI 535478130 990 2023-01-01 390912682 MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS INC MERC 6087566000 1000 MINERAL POINT AVE JANESVILLE WI 53548 SUZANNE KUMLIEN PRESIDENT 6087566000 2024-04-08 1 SUZANNE KUMLIEN 999009999 1 TROY MARINE CPA P00187863 6087525835 2024-04-03 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z SUZANNE KUMLIEN 1000 MINERAL POINT AVE JANESVILLE WI 53548 416930 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. 11 11 0 497 0 0 18941 1655 341794 333272 277 2953 34942 42736 395954 380616 323606 432501 0 0 0 0 0 0 0 185223 194752 508829 627253 -112875 -246637 675786 429149 0 0 675786 429149 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 71828 73131 MEALS ON WHEELS:REPRESENTS THE COST OF MEALS PREPARED BY MERCY HOSPITAL AND DELIVERED BY VOLUNTEERS TO SHUT-INS OR HOME PATIENTS. A TOTAL OF 18,650 MEALS WERE SERVED DURING THE YEAR 2023. 89020 119915 MERCYHEALTH SAFE CONNECT:REPRESENTS THE COST OF COMMUNICATIONS EQUIPMENT PROVIDED TO INDIVIDUALS IN THEIR HOMES FOR MONITORING AND NOTIFICATION OF EMERGENCY SITUATIONS. STAFFED BY PARTNERS AND CONNECT AMERICA. 6231 29396 GIFT SHOP:STAFFED BY VOLUNTEERS. PROVIDES MERCHANDISE TO PATIENTS, FAMILIES & PARTNERS. 458126 432501 140226 RE.TAG.IT:STAFFED BY VOLUNTEERS. PROVIDES SERVICE TO THE COMMUNITY.CONTRIBUTION TO MERCY HOSPITAL:CONTINUAL CONTRIBUTION TO MERCY HOSPITAL FROM FUNDS GENERATED BY ASSOCIATION OF VOLUNTEERS. 458126 432501 140226 625205 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 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 0 0 X 11 11 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 VOLUNTEERS 6087566000 1000 MINERAL POINT AVE JANESVILLE WI 53545 X SUZANNE KUMLIEN PRESIDENT 1.00 X X 0 0 0 ASHLIE MYERS SECRETARY 1.00 X X 0 0 0 WILLIAM ANACKER TREASURER 1.00 X X 0 0 0 JUDY JAGGARD PAST PRESIDENT/EVENTS 1.00 X X 0 0 0 ARLENE KNUDSON DIRECTOR 1.00 X 0 0 0 BECKY ESSELMAN DIRECTOR 1.00 X 0 0 0 DIANA PEARSE DIRECTOR 1.00 X 0 0 0 SHERRY DUX DIRECTOR 1.00 X 0 0 0 CANDY THOMPSON DIRECTOR 1.00 X 0 0 0 ANITA PETERS DIRECTOR 1.00 X 0 0 0 JEN MUCHOW CORPORATE MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 1655 1655 RE.TAG.IT 900099 140226 140226 MERCYHEALTH SAFE CONNE 900099 119915 119915 MEALS ON WHEELS 624210 73131 73131 333272 2953 2953 12792 2130 10662 10662 63580 34184 29396 29396 MISCELLANEOUS 900099 2678 2678 2678 380616 362668 0 16293 422501 422501 10000 10000 2048 2048 3080 3080 1297 1297 1370 1370 MERCYHEALTH SAFE CONNEC 81333 81333 MEALS FOR MEALS ON WHEE 70237 70237 TAXES & CHARGES 16453 16453 BANK FEES 7010 7010 11924 11924 627253 625205 2048 0 394128 115873 273061 304679 5423 0 5423 5423 3174 3174 675786 429149 0 0 X 675786 429149 675786 429149 675786 429149 -246637 0 X 0 0 0 X X 1 MERCY HEALTH SYSTEM CORPORATION 390816848 3 1 372501 0 1 372501 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SECTION E, LINE 2A: MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS SUPPORTS MERCY HEALTH SYSTEM'S PURPOSE BY PROVIDING VOLUNTEER SERVICES TO PATIENTS AND THEIR FAMILIES, SUPPORT AND IMPROVE HEALTHCARE SERVICES, ACT AS AMBASSADORS OF GOODWILL FOR MERCY HEALTH SYSTEM AND THEIR PATIENTS, AND PROVIDE FINANCIAL ASSISTANCE TO MERCY HEALTH SYSTEM IN THE QUEST TO PROVIDE LOWEST POSSIBLE HEALTH CARE COSTS. SECTION E, LINE 2B: MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS PROVIDES RECEPTION, ESCORTING, AND OPERATES THE GIFT SHOP WITHIN MERCY HOSPITAL. IF THE ASSOCIATION DID NOT PERFORM THE SERVICES FOR THE ORGANIZATION, MERCY HEALTH SYSTEM WOULD HAVE TO FIND REPLACEMENT SERVICES. THE SERVICES MERCY ASSOCIATION OF VOLUNTEERS PROVIDE ARE REQUIRED FOR THE DAILY OPERATION OF THE HOSPITAL AND DIRECTLY IMPACTS PATIENTS AND THEIR SAFETY. SECTION A, LINE 6: MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS DONATES TO MERCY HEALTH SYSTEM AND MERCYHEALTH DEVELOPMENT FOUNDATION. THE FOUNDATION IS A SUBORDINATE MEMBER OF MERCY HEALTH SYSTEM. FUNDS FROM THE MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS ARE DONATED TO CHARITY FUNCTIONS OF THE FOUNDATION. 5423 5423 5423 1 MERCY HEALTH SYSTEM CORPORATION 1000 MINERAL POINT JANESVILLE WI 53547 390816848 501(C)(3) 372501 0 SUPPORT GENERAL FUNCTIONS MERCY HEALTH DEVELOPMENT FOUNDATION 2400 ROCKTON AVE ROCKFORD IL 61103 363197918 501(C)(3) 25000 0 SUPPORT GENERAL FUNCTIONS BLACKHAWK TECHNICAL COLLEGE PO BOX 5009 6004 S COUNTY ROAD G JANESVILLE WI 53546 391391659 501(C)(3) 25000 0 SUPPORT GENERAL FUNCTIONS 3 0 SCHOLARSHIPS 10 10000 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 11B 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 VI, LINE 1: THE EXECUTIVE COMMITTEE SHALL EXERCISE ALL POWERS OF THE BOARD BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN WILL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD AND WILL BE REPORTED TO AND SHALL BE RATIFIED BY THE BOARD AT ITS NEXT MEETING. MERCY HEALTH SYSTEM CORPORATION 1000 MINERAL POINT AVE JANESVILLE WI 53545 390816848 HOSPITAL WI 501(C)(3) LINE 3 N/A 0 MERCYHEALTH DEVELOPMENT FOUNDATION 2400 N ROCKTON AVE ROCKFORD IL 61103 363197918 SUPPORT OF HEATHCARE WI 501(C)(3) LINE 12A, I MERCY HEALTH 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 372501 FAIR MARKET VALUE- CASH MERCY HEALTH DEVELOPMENT FOUNDATION B 25000 FAIR MARKET VALUE- CASH