2026-08-17T17:48:59-05:00 2025-09-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-10-01 351359445 MEMORIAL HOSPITAL FOUNDATION INC MEMO 8129962345 800 WEST NINTH STREET JASPER IN 47546 KEITH MILLER PRESIDENT 8129962345 2026-08-17 1 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2026-08-17 2024 2025-03-06 01:10:19Z KEITH MILLER 800 WEST NINTH STREET JASPER IN 47546 2713652 0 X WWW.MHHCC.ORG/GIVING X 1944 IN OPERATES FOR THE BENEFIT OF DEACONESS MEMORIAL MEDICAL CENTER 15 10 0 32 0 0 1769341 1248499 0 0 127273 450429 0 176137 1896614 1875065 1237469 1349399 0 0 0 179233 0 0 0 81319 400638 1318788 1929270 577826 -54205 17044375 24855792 0 0 17044375 24855792 X MEMORIAL HOSPITAL FOUNDATION OPERATES FOR THE BENEFIT OF DEACONESS MEMORIAL MEDICAL CENTER AND FOLLOWS THE MISSION OF THE SISTERS OF THE LITTLE COMPANY OF MARY.VISION STATEMENT: WE STRIVE TO PROVIDE RESOURCES THAT ENHANCE DEACONESS MEMORIAL MEDICAL CENTER'S ABILITY TO TRANSFORM LIVES AND ACHIEVE ITS VISION. 0 0 1579942 1349399 0 THE FOUNDATION WAS ORGANIZED AND IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF DEACONESS MEMORIAL MEDICAL CENTER TO SUPPORT VARIOUS PROGRAMS RELATED TO THE HOSPITAL'S PURPOSE BY RECEIVING AND HOLDING CONTRIBUTIONS FOR THE HOSPITAL. 1579942 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X KEITH MILLER 8129962345 800 WEST NINTH STREET JASPER IN 47546 X KEITH MILLER PRESIDENT 5.00 40.00 X X 0 295932 41313 MICHAEL KERN CHAIRPERSON 1.00 1.00 X X 0 0 0 TINA WEISMAN VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 CHAD HOFFMAN TREASURER 1.00 0.00 X X 0 0 0 ABBY SCHMITT SECRETARY 1.00 40.00 X X 0 75113 17533 SISTER RENEE CUNNINGHAM BOARD MEMBER 1.00 30.00 X 0 0 0 DR CHRISTIAN DUNCHEON BOARD MEMBER 1.00 40.00 X 0 591293 21580 RACHEL HULS BOARD MEMBER 1.00 0.00 X 0 0 0 KENDRA ROTTET BOARD MEMBER 1.00 40.00 X 0 114630 18745 SARAH LEONARD BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN MANN BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY SIGLER BOARD MEMBER 1.00 0.00 X 0 0 0 SONYA SEUFERT BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE WIGAND BOARD MEMBER 1.00 0.00 X 0 0 0 JIM HUEBNER BOARD MEMBER 1.00 0.00 X 0 0 0 DR KRISTI NORD BOARD MEMBER (PARTIAL YR) 1.00 50.00 X 0 363083 39340 DEIDRA CHURCH DIRECTOR 40.00 0.00 X 105344 0 13177 105344 1440051 151688 1 0 1 0 0 253158 7400 987941 1248499 213961 213961 1036043 799575 236468 236468 236468 215149 253158 39012 176137 176137 1875065 0 0 626566 1314799 1314799 34600 34600 179233 179233 43661 43661 4048 4048 18740 18740 39620 39620 17069 17069 2526 2526 223664 223664 51310 51310 1929270 1579942 349328 0 13807354 21799626 6111668 3055502 3237021 3056166 17044375 24855792 0 0 X 17044375 24855792 0 0 17044375 24855792 17044375 24855792 X -54205 1510117 6355505 X 0 1 X 0 1 1 X X 1 DEACONESS MEMORIAL MEDICAL CENTER 350985964 3 1 1203518 0 1 1203518 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3984203 1364529 71649 5277083 3090994 1432642 539433 3984203 2541740 1270947 721693 3090994 1598326 1387967 444553 2541740 3483399 566715 2451788 1598326 0.00000 0.00000 1.00000 0 0 874000 874000 5126000 3005988 2120012 111668 49514 62154 3056166 X PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE THOSE ASSETS WHOSE USE BY THE FOUNDATION HAS BEEN LIMITED BY DONORS FOR CAPITAL PROJECTS OR FOR A SPECIFIC TIME OR PURPOSE. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2025 AND 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). GALA 468307 253158 215149 39012 468307 253158 215149 39012 39012 176137 1 MEMORIAL HOSPITAL & HEALTH CARE CENTER INC 800 WEST 9TH STREET JASPER IN 47567 350985964 501C3 1203518 0 SUPPORT PURCHASES FOR PATIENT NEEDS & HOSPITAL EQUIPMENT VINCENNES UNIVERSITY JASPER 850 COLLEGE AVE JASPER IN 47546 351477584 501C3 10000 0 SUPPORT FOR EMT COURSE 2 HEALTHCARE PROFESSIONAL SCHOLARSHIPS 23 34600 PART I, LINE 2: ALL GRANTS/ASSISTANCE ARE TO ORGANIZATIONS IN THE US AND TO 501(C)(3) PUBLIC CHARITIES FOR GENERAL SUPPORT. THE ORGANIZATION DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. 0 0 0 0 0 0 0 0 0 DR CHRISTIAN DUNCHEON BOARD MEMBER 0 567007 0 23950 0 336 0 6900 0 14680 0 612873 0 0 DR KRISTI NORD BOARD MEMBER (PARTIAL YR) 0 344042 0 18621 0 420 0 6529 0 32811 0 402423 0 0 KEITH MILLER PRESIDENT 0 283080 0 11670 0 1182 0 7569 0 33744 0 337245 0 0 PART I, LINE 3 DEACONESS MEMORIAL MEDICAL CENTER, A RELATED ORGANIZATION OF MEMORIAL HOSPITAL FOUNDATION, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS GOVERNED BY A BOARD OF DIRECTORS WHO ALSO SERVE AS ITS "VOTING MEMBERS." UNDER THE TERMS OF THE BYLAWS, THE CURRENT BOARD OF DIRECTORS HAS THE POWER TO ELECT NEW DIRECTORS FROM THE COMMUNITY TO FILL VACANCIES OR EXPIRED TERMS. HOWEVER, ALL SUCH ELECTIONS OR APPOINTMENTS OF DIRECTORS ARE SUBJECT TO FINAL CONFIRMATION BY THE BOARD OF DIRECTORS OF DEACONESS MEMORIAL MEDICAL CENTER. WHILE THE ORGANIZATION MAY HAVE "NON-VOTING MEMBERS" FROM THE COMMUNITY, THESE INDIVIDUALS DO NOT HAVE THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY OR PARTICIPATE IN GOVERNANCE DECISIONS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE ORGANIZATION'S BOARD OF DIRECTORS REQUIRE APPROVAL OR CONFIRMATION BY THE BOARD OF DIRECTORS OF DEACONESS MEMORIAL MEDICAL CENTER. (THE "HOSPITAL BOARD"). SPECIFICALLY, THE ELECTION OF MEMBERS TO THE FOUNDATION'S BOARD OF DIRECTORS AND THE FILLING OF VACANCIES ON THE BOARD ARE SUBJECT TO CONFIRMATION BY THE HOSPITAL BOARD. ADDITIONALLY, ANY AMENDMENTS TO THE ORGANIZATION'S BYLAWS MUST BE APPROVED BY THE FOUNDATION'S BOARD OF DIRECTORS AND CONFIRMED BY THE HOSPITAL BOARD BEFORE TAKING EFFECT. ALL OTHER GOVERNANCE DECISIONS ARE MADE BY A MAJORITY VOTE OF THE FOUNDATION'S BOARD OF DIRECTORS AT A DULY CALLED MEETING AT WHICH A QUORUM IS PRESENT. FORM 990, PART VI, SECTION B, LINE 11B THE IRS FORM 990 IS PRESENTED TO DHS CFO AND CEO OF THE ORGANIZATION FOR REVIEW. AFTER THIS REVIEW AND ALL QUESTIONS HAVE BEEN ANSWERED, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS OF DEACONESS HEALTH SYSTEM PRIOR TO FILING. ANY ADDITIONAL QUESTIONS ARE ANSWERED AND THE FILING OF THE FORM IS COMPLETED. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY OF THE FOUNDATION IS MONITORED BY DEACONESS MEMORIAL MEDICAL CENTER. THE CHAIRPERSON EVALUATES SITUATIONS WHERE POSSIBLE CONFLICTS MAY EXIST, AND TRIES TO DISCUSS THESE SITUATIONS WITH BOARD MEMBERS BEFORE DISCUSSIONS MAY TAKE PLACE AT THE BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PROCESS IS CONDUCTED BY DEACONESS MEMORIAL MEDICAL CENTER. THE HOSPITAL'S PROCESS IS TO USE THE COMPENSATION COMMITTEE, COMPOSED OF THE HOSPITAL BOARD'S EXECUTIVE COMMITTEE EXCLUDING THE HOSPITAL'S CEO, TO REVIEW EXTERNAL SURVEY INFORMATION PROVIDED BY AN INDEPEDENT COMPENSATION CONSULTANT, AND VOTE ON ANY COMPENSATION AND BENEFIT CHANGES FOR THE HOSPITAL'S CEO AND APPROVAL FOR ANY SIMILAR CHANGES TO THE HOSPITAL'S ADMINISTRATIVE STAFF MEMBERS AND THE FOUNDATION'S EXECUTIVE DIRECTOR. THESE ACTIONS ARE DOCUMENTED IN THE HOSPITAL'S COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII & SCHEDULE J, PART II: WE DO NOT USE A COMMON PAYMASTER. ALL SHARED STAFF AND DUAL-OFFICERS ARE PAID AND W-2'D SOLELY BY DHS. MEMORIAL HOSPITAL FOUNDATION REPORTS ALL SUCH COMPENSATION AS RELATED ORGANIZATION COMPENSATION IN PART VII COL (E) AND SCHEDULE J ROW (II). THE INTERCOMPANY ALLOCATION AND SUBSIDY ARE REPORTED AS OPERATIONAL TRANSFERS/ALLOCATIONS, NOT AS DIRECT COMPENSATION BY THE SUBSIDIARY. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFER 6,355,505. 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