2025-11-17T14:47:32-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-01-01 161738379 MEEKER MEMORIAL HOSPITAL FOUNDATION MEEK 3206934500 612 SOUTH SIBLEY AVE LITCHFIELD MN 55355 TYLER ULSETH CFO 3206934500 2025-11-17 1 0 JUSTIN HARTERT P02236744 5074467100 2025-11-17 2024 2025-03-06 01:10:19Z MARY ELLEN WELLS 612 SOUTH SIBLEY AVE LITCHFIELD MN 55355 121101 0 X WWW.MEEKERMEMORIAL.ORG X 2005 MN TO ASSIST MEEKER MEMORIAL HOSPITAL TO FULFILL ITS MISSION AND VISION THROUGH PHILANTHROPY 7 6 0 13 0 0 87493 50788 0 0 1292 1407 23871 18019 112656 70214 1358 3165 0 0 0 0 0 0 0 31586 10027 32944 13192 79712 57022 511126 591622 16334 39808 494792 551814 MEEKER MEMORIAL FOUNDATION IS ORGANIZED AND OPERATED EXCLUSIVELY TO HELP SECURE PHILANTHROPIC RESOURCES TO HELP MAINTAIN, IMPROVE, AND EXPAND HEALTH CARE SERVICES FOR PATIENTS, THEIR FAMILIES, AND THE MEEKER COUNTY COMMUNITY. 0 0 3165 3165 0 MEEKER MEMORIAL HOSPITAL FOUNDATION MAINTAINS A GREATEST NEEDS FUND TO SUPPORT THE MISSION OF MEEKER MEMORIAL HOSPITAL. PROCEEDS TO THE FUND ARE GENERATED THROUGH THE ANNUAL GOLF EVENT, DONATIONS, AND GIFT SHOP SALES. 3165 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 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 7 6 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 0 1 0 0 0 MN X TYLER ULSETH 3206934500 612 SOUTH SIBLEY AVE LITCHFIELD MN 55355 MARY ELLEN WELLS CEO 1.00 49.00 X 0 0 0 TYLER ULSETH CFO 1.00 49.00 X 0 48383 1259 NICOLE SIEGNER CFO (THRU FEBRUARY 2024) 1.00 49.00 X 0 28664 3978 JANAE OLSON FOUNDATION DIRECTOR 20.00 20.00 X X 0 32475 12154 HEATHER GUYAN DIRECTOR 0.10 X 0 0 0 LYLE HICKS DIRECTOR 0.10 X 0 0 0 ROS KORMANIK DIRECTOR 0.10 X 0 0 0 KIZA OLSON DIRECTOR 0.10 X 0 0 0 REAGAN QUINN DIRECTOR 0.10 X 0 0 0 ZACH ROGNESS DIRECTOR 0.10 X 0 0 0 HAILEY SCHMELING DIRECTOR 0.10 X 0 0 0 0 109522 17391 0 0 0 0 0 40721 10067 2074 50788 1407 1407 8722 40721 14384 -5662 -5662 60184 36503 23681 23681 70214 0 0 19426 3165 3165 5330 5330 OTHER OPERATING 4697 4697 13192 3165 10027 0 435478 66287 441641 696 739 34952 42955 40000 40000 511126 591622 3844 11405 527 561 11963 27842 16334 39808 X 62847 63953 431945 487861 494792 551814 511126 591622 57022 0 X 0 1 X 1 0 X 57576 57402 58008 87493 50788 311267 57576 57402 58008 87493 50788 311267 91097 220170 258 437 597 1292 1407 3991 14522 29215 8613 8722 61072 48963 60184 109147 485477 0.45350 0.57810 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER - GROSS SALES OF INVENTORY - 2023 AMOUNT: $ 48,963. 2024 AMOUNT: $ 60,184. 0 SECURITIES INVESTMENT 40000 F 40000 DUE TO RELATED PARTIES 27842 27842 GOLF EVENT 49443 40721 8722 3600 2598 5590 2596 49443 40721 8722 3600 2598 5590 2596 14384 -5662 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS MAY DESIGNATE AN EXECUTIVE COMMITTEE COMPOSED OF AT LEAST THREE DIRECTORS DESIGNATED BY THE BOARD OF DIRECTORS AND THE BOARD OFFICERS. THE BOARD CHAIR SHALL PRESIDE OVER ALL MEETINGS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE FOUNDATION IN THE INTERVAL BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, AND THE EXECUTIVE COMMITTEE SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 THE CEO IS PROVIDED THROUGH A SERVICE AGREEMENT WITH CENTRACARE HEALTH SYSTEM. THE CEO IS A CONTRACTOR WITH CENTRACARE HEALTH SYSTEM AS WELL, THROUGH C SUITE RESOURCES. IN 2024, MEEKER MEMORIAL HOSPITAL AND CLINICS PAID $350,493 TO CENTRACARE FOR THE MANAGEMENT SERVICES THAT INCLUDE NON-SALARY ITEMS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS FOR MEEKER MEMORIAL HOSPITAL HAS THE AUTHORITY TO APPOINT AND REMOVE THE FOUNDATION'S GOVERNING BODY, WHETHER PERIODICALLY, AS VACANCIES ARISE, OR OTHERWISE. FORM 990, PART VI, SECTION A, LINE 7B THE MEEKER MEMORIAL HOSPITAL MUST APPROVE AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL BE GIVEN AN ELECTRONIC COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH NEW RESPONSIBLE PERSON SHALL BE REQUIRED TO REVIEW A COPY OF THE CONFLICT OF INTEREST POLICIES AND PROCEDURES AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO. NOT LATER THAN SEVEN DAYS AFTER THE FIRST MEETING OF THE BOARD OF DIRECTORS EACH CALENDAR YEAR, EACH RESPONSIBLE PERSON SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. SUCH RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES MIGHT INCLUDE OWNERSHIP OF A BUSINESS THAT MIGHT PROVIDE GOODS OR SERVICES TO THE FOUNDATION OR INVESTMENT IN A VENTURE IN WHICH THE FOUNDATION HAS INVESTED OR MAY INVEST. ANY SUCH INFORMATION REGARDING BUSINESS INTERESTS OF A RESPONSIBLE PERSON OR A FAMILY MEMBER SHALL BE TREATED AS CONFIDENTIAL AND SHALL GENERALLY BE MADE AVAILABLE ONLY TO THE PRESIDENT, EXCEPT TO THE EXTENT ADDITIONAL DISCLOSURE IS NECESSARY IN CONNECTION WITH THE IMPLEMENTATION OF THESE POLICIES AND PROCEDURES. A DIRECTOR OR OFFICERS FAILURE TO COMPLY WITH THE REQUIREMENTS OF THE CONFLICT OF INTEREST POLICIES AND PROCEDURES SHALL BE GROUNDS FOR THE IMMEDIATE REMOVAL FROM OFFICE OF SUCH DIRECTOR OR OFFICER, UPON THE APPROVAL OF A MAJORITY OF THE OTHER MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEEKER MEMORIAL HOSPITAL, A RELATED ORGANIZATION. MEEKER MEMORIAL HOSPITAL USES THE FOLLOWING PROCESS: COMPENSATION AND BENEFITS ARE COMPARED WITH THE MINNESOTA HOSPITAL ASSOCIATION ANNUAL SURVEY OF CEO, CFO AND CNO SALARIES AND BENEFITS. CEO SALARY AND BENEFITS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE MEEKER MEMORIAL HOSPITAL BOARD. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). MEEKER MEMORIAL HOSPITAL 612 S SIBLEY AVENUE LITCHFIELD MN 55355 611804389 HOSPITAL MN 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0