Civic Intelligence

Foundation for Ripon Medical Center Inc

EIN 39-1605953 • 501(c)3 • Fond Du Lac, WI

Profile

The foundation for ripon medical center serves to enhance the health of the people of the greater ripon area by lending its financial support to ripon medical center.

430 East Division StreetFond Du Lac, WI 54935

www.riponmedicalcenter.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

38th percentile

0.02x

Higher debt load relative to assets than 38% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

65th percentile

0.18x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

92nd percentile

61%

Higher net margin than 92% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

48th percentile

2.7%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets38th percentile

Assets

Up

$1,408,233

Up $36,636 (+2.7%) from 2023

Liabilities

Down

$28,997

Down $132,178 (-82%) from 2023

Net Assets

Up

$1,379,236

Up $168,814 (+14%) from 2023

Operations
Liabilities / Revenue65th percentileNet Margin92nd percentile

Revenue

Up

$160,117

Up $247,998 (+282%) from 2023

Expenses

Down

$62,490

Down $148,813 (-70%) from 2023

Net Income

Up

$97,627

Up $396,811 (+133%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth48th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $2,998,161Liabilities 2010: $28,951Net Assets 2010: $2,969,2102010Assets 2011: $3,006,917Liabilities 2011: $7,549Net Assets 2011: $2,999,3682011Assets 2012: $3,474,440Liabilities 2012: $6,701Net Assets 2012: $3,467,7392012Assets 2013: $3,572,813Liabilities 2013: $2,400,000Net Assets 2013: $1,172,8132013Assets 2014: $3,840,800Liabilities 2014: $2,400,000Net Assets 2014: $1,440,8002014Assets 2015: $1,564,906Liabilities 2015: $233,250Net Assets 2015: $1,331,6562015Assets 2016: $1,525,834Liabilities 2016: $55,643Net Assets 2016: $1,470,1912016Assets 2017: $1,504,327Liabilities 2017: $50,000Net Assets 2017: $1,454,3272017Assets 2018: $1,513,652Liabilities 2018: $31,400Net Assets 2018: $1,482,2522018Assets 2019: $1,471,365Liabilities 2019: $33,466Net Assets 2019: $1,437,8992019Assets 2020: $1,505,201Liabilities 2020: $47,898Net Assets 2020: $1,457,3032020Assets 2021: $1,768,478Liabilities 2021: $10,000Net Assets 2021: $1,758,4782021Assets 2022: $1,365,086Liabilities 2022: $83,875Net Assets 2022: $1,281,2112022Assets 2023: $1,371,597Liabilities 2023: $161,175Net Assets 2023: $1,210,4222023Assets 2024: $1,408,233Liabilities 2024: $28,997Net Assets 2024: $1,379,2362024

Highlighted filing

2024

Assets$1,408,233
Liabilities$28,997
Net Assets$1,379,236
Open 2024 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income by year, with the latest filing highlighted.

$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $243,9832010Expenses 2011: $122,1112011Expenses 2012: $104,1602012Revenue 2013: $148,345Expenses 2013: $2,455,921Net Income 2013: -$2,307,5762013Revenue 2014: $251,482Expenses 2014: $57,830Net Income 2014: $193,6522014Revenue 2015: $271,303Expenses 2015: $295,727Net Income 2015: -$24,4242015Revenue 2016: $575,366Expenses 2016: $223,197Net Income 2016: $352,1692016Revenue 2017: $155,387Expenses 2017: $230,467Net Income 2017: -$75,0802017Revenue 2018: $143,862Expenses 2018: $103,211Net Income 2018: $40,6512018Revenue 2019: $69,014Expenses 2019: $127,362Net Income 2019: -$58,3482019Revenue 2020: $97,560Expenses 2020: $79,971Net Income 2020: $17,5892020Revenue 2021: $89,719Expenses 2021: $41,278Net Income 2021: $48,4412021Revenue 2022: $112,641Expenses 2022: $257,916Net Income 2022: -$145,2752022Revenue 2023: -$87,881Expenses 2023: $211,303Net Income 2023: -$299,1842023Revenue 2024: $160,117Expenses 2024: $62,490Net Income 2024: $97,6272024

Highlighted filing

2024

Revenue$160,117
Expenses$62,490
Net Income$97,627
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,408,233
Liabilities
$28,997
Net assets
$1,379,236
Revenue
$160,117
Expenses
$62,490
Net income
$97,627
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.41$0.03$1.38$0.16$0.06$0.10
2023Detailed filing. Detailed filing data is available for this year.$1.37$0.16$1.21$0.09$0.21$0.30
2022Detailed filing. Detailed filing data is available for this year.$1.37$0.08$1.28$0.11$0.26$0.15
2021Detailed filing. Detailed filing data is available for this year.$1.77$0.01$1.76$0.09$0.04$0.05
2020Detailed filing. Detailed filing data is available for this year.$1.51$0.05$1.46$0.10$0.08$0.02
2019Detailed filing. Detailed filing data is available for this year.$1.47$0.03$1.44$0.07$0.13$0.06
2018Detailed filing. Detailed filing data is available for this year.$1.51$0.03$1.48$0.14$0.10$0.04
2017Detailed filing. Detailed filing data is available for this year.$1.50$0.05$1.45$0.16$0.23$0.08
2016Detailed filing. Detailed filing data is available for this year.$1.53$0.06$1.47$0.58$0.22$0.35
2015Detailed filing. Detailed filing data is available for this year.$1.56$0.23$1.33$0.27$0.30$0.02
2014Detailed filing. Detailed filing data is available for this year.$3.84$2.40$1.44$0.25$0.06$0.19
2013Summary only. Only limited summary data is available for this year.$3.57$2.40$1.17$0.15$2.46$2.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.47$0.01$3.47$0.10
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.01$0.01$3.00$0.12
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.00$0.03$2.97$0.24
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Jan 14, 2025
Return Version
2023v6.0
Gross Receipts
$514,847
Mission and Program Overview

Mission

The Foundation for Ripon Medical Center serves to enhance the health of the people of the greater Ripon area by lending its financial support to Ripon Medical Center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,229,930$1,232,236▲ $2,306
Savings and Temporary Cash Investments$141,667$175,997▲ $34,330
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$1,371,597$1,408,233▲ $36,636
Liabilities
Grants Payable$161,175$28,997▼ $132,178
Total Liabilities$161,175$28,997▼ $132,178
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,064,297$1,234,704▲ $170,407
Net Assets With Donor Restrictions$146,125$144,532▼ $1,593
Total Net Assets Fund Balance$1,210,422$1,379,236▲ $168,814
Total Liabilities and Net Assets / Fund Balance$1,371,597$1,408,233▲ $36,636

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$22,898$22,898

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$16,032$4,000▲ $274-$20,306
2023$15,806-▲ $226-$16,032
2022$16,417-▼ $611-$15,806
2021$16,709-▲ $708-$16,417
2020$16,654-▲ $55-$16,709
Compensation and Service Providers
Top Officer Pay40th percentile

Board Members and Trustees

NameTitle
Dr Stephanie GlodPresident
Chris StieberBoard Member
Elizabeth RoyBoard Member
Gary BornBoard Member
Jeff HoppBoard Member
Peter SensenbrennerBoard Member
Ryan AveryBoard Member
Ellen SorensenBoard Member (thru Aug 2023)
Karen StoneBoard Member (thru May 2024)
Leah SchraederBoard Member (thru May 2024)
Kim LawsDirector of Development
Shawn FisherExecutive Director (thru May 2024)
Denise MartinezSecretary
Bobbie PolleschTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$105,221
Program Service Revenue
$0
Investment Income
$54,935
Other Revenue
$-39
All Other Contributions
$98,963
Change in Net Assets
$97,627
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$48,231
Other Expenses$14,259
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$48,231--$48,231
Fees for Services Accounting-$10,474-$10,474
Fees for Service Investment Mgmnt Fees-$2,815-$2,815
Insurance-$840-$840
Other Expenses-$130-$130
Total Functional Expenses$48,231$14,259$0$62,490
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ripon Medical Center IncRipon, WI501(c)(3)Equipment, Programs and Community Support$48,231
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$39
Fundraising Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

“Six (6) directors shall be appointed by the medical center and six (6) directors shall be appointed by the foundation for ripon medical center. An action required or permitted to be taken at a meeting of the board of directors may be taken without a meeting if consent via email or in writing setting forth the action is signed by at least two-thirds of the directors then in office. The interest of any director or officer in the corporation shall not be assignable intervivos, nor shall it pass to any personal representative, heir or devisee.”

Form 990, Part VI, Section B, Line 11B

“The executive director reviews the form 990 with the director of finance of agnesian healthcare prior to its filing. In addition, the form 990 is distributed via e-mail to all board members prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Board members sign a conflict of interest statement annually, disclosing any conflict that may exist. Any duality of interest or possible conflict of interest on the part of any director shall be disclosed to the other directors of the board and made a matter of record through an annual procedure, and also when the interest becomes a matter of board action. Any director having a duality of interest or possible conflict of interest on any matter shall not vote or use his/her personal influence on the matter, even where permitted by law. The minutes of the meeting shall reflect that a disclosure was made and the abstention from voting.”

Form 990, Part VI, Section C, Line 19

“The organization believes the governing documents, conflict of interest policy, and financial statements are a part of the organization and are not available to the public.”

Filing and Contact Details

Filer

Filer Name
Foundation for Ripon Medical Center Inc
EIN
39-1605953
Phone
9209264959
Address
430 EAST DIVISION STREET, FOND DU LAC, WI 54935

Signing Officer

Name
Kim Laws
Title
Director of Development
Phone
9209264959
Signed
2025-01-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kim Laws
Formed
1988
Legal Domicile
Wi
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
11

Preparer

Firm
Wipfli Llp
Address
1502 LONDON ROAD SUITE 200, DULUTH, MN 55812
Preparer
Michael J Peterson CPA
Phone
2187224705
Supplemental Narrative

Financial Statement Notes

PART V, LINE 4:

“The foundation's endowment consists of two funds established by donors to fund scholarships and capital improvements and the board-designated endowment fund. The endowments are established to benefit the foundation for a variety of purposes restricted by donors.”

Raw XML AppendixShowing 400 of 453 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0EXECUTIVE DIRECTOR (THRU MAY 2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR OF DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER (THRU MAY 2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOARD MEMBER (THRU AUG 2023)
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOARD MEMBER (THRU MAY 2024)
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IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt0840
IRS990/InsuranceGrp/TotalAmt0840
IRS990/InvestmentIncomeGrp/ExclusionAmt032192
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt032192
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01229930
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01232236
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt01
IRS990/LandBldgEquipAccumDeprecAmt022898
IRS990/LandBldgEquipBasisNetGrp/BOYAmt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LandBldgEquipCostOrOtherBssAmt022898
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0354691
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE FOUNDATION FOR RIPON MEDICAL CENTER SERVES TO ENHANCE THE HEALTH OF THE PEOPLE OF THE GREATER RIPON AREA BY LENDING ITS FINANCIAL SUPPORT TO RIPON MEDICAL CENTER.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01210422
IRS990/NetAssetsOrFundBalancesEOYAmt01379236
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt022743
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt022743
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-39
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-39
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt071187
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt01064297
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt01234704
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0DUES & SUBSCRIPTIONS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0130
IRS990/OtherExpensesGrp/TotalAmt0130
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KIM LAWS
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt032992
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0197505
IRS990/PYInvestmentIncomeAmt0-124000
IRS990/PYOtherExpensesAmt013798
IRS990/PYOtherRevenueAmt03127
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-299184
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0211303
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0-87881
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt097627
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0141667
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0175997
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0105221
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt032992
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt049620
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt016471
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt060588
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0264892
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt032192
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt027334
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt024200
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt019723
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt033953
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0137402
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt09740
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.46150
IRS990ScheduleA/PublicSupportPY170Pct00.35200
IRS990ScheduleA/PublicSupportTotal170Amt0185650
IRS990ScheduleA/SubstantialContributorsTotAmt079242
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0105221
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt032992
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt049620
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt016471
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt060588
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0264892
IRS990ScheduleA/TotalSupportAmt0402294
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BoardDesignatedBalanceEOYPct00.46907
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt016032
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt04000
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt020306
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt0274
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt015806
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt016032
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0226
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt016417
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt015806
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-611
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt016709
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt016417
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt01000
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0708
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt016654
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt016709
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt055
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt00
IRS990ScheduleD/EquipmentGrp/DepreciationAmt022898
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt022898
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.53093
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION'S ENDOWMENT CONSISTS OF TWO FUNDS ESTABLISHED BY DONORS TO FUND SCHOLARSHIPS AND CAPITAL IMPROVEMENTS AND THE BOARD-DESIGNATED ENDOWMENT FUND. THE ENDOWMENTS ARE ESTABLISHED TO BENEFIT THE FOUNDATION FOR A VARIETY OF PURPOSES RESTRICTED BY DONORS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt048231
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0EQUIPMENT, PROGRAMS AND COMMUNITY SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0RIPON MEDICAL CENTER INC
IRS990ScheduleI/RecipientTable/RecipientEIN0391101287
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0845 PARKSIDE STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0RIPON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd054971
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS AN EXCELLENT APPLICATION FORM THAT CAN BE COMPLETED FOR REQUESTS. IN ADDITION, REQUESTS FROM THE HOSPITAL FOR FUNDS ARE TAKEN UP BY THE BOARD OF DIRECTORS. THE BOARD MAKES THE FINAL DECISION IN REGARD TO REQUESTS. ACTUAL EXPENDITURES ARE MONITORED BY THE FINANCE DEPARTMENT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SHAWN FISHER, EXECUTIVE DIRECTOR, RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION, SSM HEALTH FOR SERVICES RENDERED TO THE FOUNDATION. TOTAL COMPENSATION OF $138,868 OF W-2 WAGES AND $11,277 OF OTHER COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VII, LINE 5
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0SIX (6) DIRECTORS SHALL BE APPOINTED BY THE MEDICAL CENTER AND SIX (6) DIRECTORS SHALL BE APPOINTED BY THE FOUNDATION FOR RIPON MEDICAL CENTER. AN ACTION REQUIRED OR PERMITTED TO BE TAKEN AT A MEETING OF THE BOARD OF DIRECTORS MAY BE TAKEN WITHOUT A MEETING IF CONSENT VIA EMAIL OR IN WRITING SETTING FORTH THE ACTION IS SIGNED BY AT LEAST TWO-THIRDS OF THE DIRECTORS THEN IN OFFICE. THE INTEREST OF ANY DIRECTOR OR OFFICER IN THE CORPORATION SHALL NOT BE ASSIGNABLE INTERVIVOS, NOR SHALL IT PASS TO ANY PERSONAL REPRESENTATIVE, HEIR OR DEVISEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 WITH THE DIRECTOR OF FINANCE OF AGNESIAN HEALTHCARE PRIOR TO ITS FILING. IN ADDITION, THE FORM 990 IS DISTRIBUTED VIA E-MAIL TO ALL BOARD MEMBERS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY, DISCLOSING ANY CONFLICT THAT MAY EXIST. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY DIRECTOR SHALL BE DISCLOSED TO THE OTHER DIRECTORS OF THE BOARD AND MADE A MATTER OF RECORD THROUGH AN ANNUAL PROCEDURE, AND ALSO WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THE ABSTENTION FROM VOTING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION BELIEVES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE A PART OF THE ORGANIZATION AND ARE NOT AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01371597
IRS990/TotalAssetsEOYAmt01408233
IRS990/TotalAssetsGrp/BOYAmt01371597
IRS990/TotalAssetsGrp/EOYAmt01408233
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0105221
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt014259
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt048231
IRS990/TotalFunctionalExpensesGrp/TotalAmt062490
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0161175
IRS990/TotalLiabilitiesEOYAmt028997
IRS990/TotalLiabilitiesGrp/BOYAmt0161175
IRS990/TotalLiabilitiesGrp/EOYAmt028997
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01210422

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