Civic Intelligence

Memorial Hospital of Boscobel Foundation Inc

EIN 39-1688793 • 501(c)3 • Boscobel, WI

Profile

Boscobel area hospital and clinics foundation exists to inspire donor support for gundersen boscobel area hospital and clinics and ensure gifts are used effectively and responsibly to improve the health of the people and the communities we serve.

205 Parker StreetBoscobel, WI 53805

www.gundersenhealth.org/BOSCOBEL/FOUNDATI

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

4th percentile

-94%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

29th percentile

-4.9%

Faster asset growth than 29% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

97th percentile

305%

Faster revenue growth than 97% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Down

$716,029

Down $36,804 (-4.9%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$716,029

Down $36,804 (-4.9%) from 2023

Operations
Liabilities / Revenue35th percentileNet Margin4th percentile

Revenue

Up

$140,815

Up $106,041 (+305%) from 2023

Expenses

Up

$273,068

Up $236,070 (+638%) from 2023

Net Income

Down

-$132,253

Down $130,029 (-5847%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth29th percentile

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

$1.0M$500K$0Assets 2010: $532,511Liabilities 2010: $0Net Assets 2010: $532,5112010Assets 2011: $263,778Liabilities 2011: $35,578Net Assets 2011: $228,2002011Assets 2012: $217,537Liabilities 2012: $32,801Net Assets 2012: $184,7362012Assets 2013: $224,158Liabilities 2013: $12,009Net Assets 2013: $212,1492013Assets 2014: $366,554Liabilities 2014: $0Net Assets 2014: $366,5542014Assets 2015: $380,541Liabilities 2015: $0Net Assets 2015: $380,5412015Assets 2016: $425,076Liabilities 2016: $4,444Net Assets 2016: $420,6322016Assets 2017: $504,420Liabilities 2017: $0Net Assets 2017: $504,4202017Assets 2018: $632,823Liabilities 2018: $0Net Assets 2018: $632,8232018Assets 2019: $589,996Liabilities 2019: $0Net Assets 2019: $589,9962019Assets 2020: $771,014Liabilities 2020: $0Net Assets 2020: $771,0142020Assets 2021: $912,401Liabilities 2021: $0Net Assets 2021: $912,4012021Assets 2022: $726,541Liabilities 2022: $0Net Assets 2022: $726,5412022Assets 2023: $752,833Liabilities 2023: $0Net Assets 2023: $752,8332023Assets 2024: $716,029Liabilities 2024: $0Net Assets 2024: $716,0292024

Highlighted filing

2024

Assets$716,029
Liabilities$0
Net Assets$716,029
Open 2024 Filing

Operations Trend

Revenue Growth97th percentile

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

$600K$400K$200K$0-$200K-$400KExpenses 2010: $320,4162010Revenue 2011: $143,313Expenses 2011: $443,249Net Income 2011: -$299,9362011Revenue 2012: $74,935Expenses 2012: $161,874Net Income 2012: -$86,9392012Revenue 2013: $78,848Expenses 2013: $84,217Net Income 2013: -$5,3692013Revenue 2014: $202,893Expenses 2014: $57,248Net Income 2014: $145,6452014Revenue 2015: $65,568Expenses 2015: $35,748Net Income 2015: $29,8202015Revenue 2016: $45,532Expenses 2016: $27,548Net Income 2016: $17,9842016Revenue 2017: $82,038Expenses 2017: $43,828Net Income 2017: $38,2102017Revenue 2018: $226,717Expenses 2018: $45,327Net Income 2018: $181,3902018Revenue 2019: $84,809Expenses 2019: $169,193Net Income 2019: -$84,3842019Revenue 2020: $137,746Expenses 2020: $21,109Net Income 2020: $116,6372020Revenue 2021: $127,860Expenses 2021: $13,314Net Income 2021: $114,5462021Revenue 2022: $112,701Expenses 2022: $191,865Net Income 2022: -$79,1642022Revenue 2023: $34,774Expenses 2023: $36,998Net Income 2023: -$2,2242023Revenue 2024: $140,815Expenses 2024: $273,068Net Income 2024: -$132,2532024

Highlighted filing

2024

Revenue$140,815
Expenses$273,068
Net Income-$132,253
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$716,029
Liabilities
$0
Net assets
$716,029
Revenue
$140,815
Expenses
$273,068
Net income
-$132,253
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.16$0.00$7.16$1.41$2.73$1.32
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.53$0.00$7.53$0.35$0.37$0.02
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.27$0.00$7.27$1.13$1.92$0.79
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.12$0.00$9.12$1.28$0.13$1.15
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.71$0.00$7.71$1.38$0.21$1.17
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.90$0.00$5.90$0.85$1.69$0.84
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.33$0.00$6.33$2.27$0.45$1.81
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.04$0.00$5.04$0.82$0.44$0.38
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.25$0.04$4.21$0.46$0.28$0.18
2015Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$3.81$0.00$3.81$0.66$0.36$0.30
2014Detailed filing. Detailed filing data is available for this year.$3.67$0.00$3.67$2.03$0.57$1.46
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$2.24$0.12$2.12$0.79$0.84$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.18$0.33$1.85$0.75$1.62$0.87
2011Summary only. Only limited summary data is available for this year.$2.64$0.36$2.28$1.43$4.43$3.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.33$0.00$5.33$3.20
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 12, 2025
Return Version
2023v6.0
Gross Receipts
$144,707
Mission and Program Overview

Mission

The mission of memorial hospital of boscobel foundation, inc. Is to secure and manage gift support to assist gundersen boscobel area hospital and clinics to meet the needs of the community by funding facilities and equipment, staff development, and an endowment.

To assist the hospital to meet the health needs of the community

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$619,386$569,512▼ $49,874
Savings and Temporary Cash Investments$133,447$146,517▲ $13,070
Total Assets$752,833$716,029▼ $36,804
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$729,650$597,626▼ $132,024
Net Assets With Donor Restrictions$23,183$118,403▲ $95,220
Total Net Assets Fund Balance$752,833$716,029▼ $36,804
Total Liabilities and Net Assets / Fund Balance$752,833$716,029▼ $36,804
Compensation and Service Providers
Top Officer Pay55th percentile

Board Members and Trustees

NameTitle
Jerry BergePresident
Karen WackerVice President
Allison KlugDirector
Chuck SchwabDirector
Dan SwensonDirector
Danelle SchmidDirector
De Anne ChappellDirector
Dick BeinbornDirector
Doug KnobleDirector
Glenn GriswoldDirector
Pete EsserDirector
Sally WaltzDirector
Theresa BraudtDirector
Natalie TollefsonFoundation Dir./manager Bus Oper.
Brennen ClarkSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$108,307
Program Service Revenue
$0
Investment Income
$26,303
Other Revenue
$6,205
All Other Contributions
$94,607
Change in Net Assets
$-132,253
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$255,315
Other Expenses$17,753
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$254,115--$254,115
Fees for Service Investment Mgmnt Fees-$7,955-$7,955
Fees for Services Other-$5,629-$5,629
Office Expenses-$3,430-$3,430
Grants to Domestic Individuals$1,200--$1,200
All Other Expenses-$739-$739
Total Functional Expenses$255,315$17,753$0$273,068
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Boscobel Memorial HospitalBoscobel, WI501(c)(3)General Support$94,559
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$10,097
Fundraising Direct Expenses$3,892
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Outing$23,797$10,097$521$9,576
Total Events$23,797$10,097$3,892$6,205
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
No
Annual disclosure for covered persons
Yes
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
No
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 B, Line 11B

“A copy of form 990 was provided to all members of the board of directors before filing. The board members had the opportunity to discuss information included in the form 990 prior to filing.”

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

“The board of directors discloses any conflicts of interest by completing a questionnaire and disclosure form annually. Employees are required to review the conflict of interest policy upon hire and at annual intervals. If any significant conflicts arise with members of the board of directors, management, or key employees, it is properly documented and followed up on by the appropriate governing group or department within the organization according to the conflict of interest policy.”

Form 990, Part VI, Section B, Line 15

“For the purposes of determining compensation, memorial hospital of boscobel foundation, inc. Relied on its affiliated organization, gundersen lutheran administrative services, inc., to establish the compensation of the ceo, other officers, and key employees. Gundersen lutheran health system used the following practices for establishing compensation for such individuals: compensation survey or study, compensation committee, and approval by the board or compensation committee.”

Form 990, Part VI, Section C, Line 19

“Memorial hospital of boscobel foundation, inc makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Memorial Hospital of Boscobel Foundation
EIN
39-1688793
Phone
6083756300
Address
205 PARKER STREET, BOSCOBEL, WI 53805
Doing Business As
Boscobel Area Hospital and Clinics Foundation

Signing Officer

Name
Jerry Berge
Title
President - Board of Directors
Phone
6083756300
Signed
2025-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jerry Berge
Formed
1990
Legal Domicile
Wi
Voting Board Members
14
Independent Board Members
14
Employees
0
Volunteers
25

Preparer

Firm
Wipfli Llp
Address
1502 LONDON ROAD SUITE 200, DULUTH, MN 55812
Preparer
Michael J Peterson CPA
Phone
2187224705
Raw XML AppendixShowing 400 of 447 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/TitleTxt0FOUNDATION DIR./MANAGER BUS OPER.
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
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IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt09993
IRS990/GrossReceiptsAmt0144707
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt014
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt016310
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt016310
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0619386
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0569512
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0BOSCOBEL AREA HOSPITAL AND CLINICS FOUNDATION EXISTS TO INSPIRE DONOR SUPPORT FOR GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS AND ENSURE GIFTS ARE USED EFFECTIVELY AND RESPONSIBLY TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0752833
IRS990/NetAssetsOrFundBalancesEOYAmt0716029
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt09993
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt09993
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt06205
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt06205
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt095449
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0729650
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0597626
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt03430
IRS990/OfficeExpensesGrp/TotalAmt03430
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0JERRY BERGE
IRS990/ProfessionalFundraisingInd00
IRS990/ProgSrvcAccomActy2Grp/Desc0DURING THE PERIOD OCTOBER 1, 2023 THROUGH SEPTEMBER 30, 2024, $1,200 IN SCHOLARSHIPS WERE GRANTED TO 4 STUDENTS PURSUING NURSING-RELATED DEGREE PROGRAM THROUGH THE SLAMAN FAMILY MEMORIAL SCHOLARSHIP.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt01200
IRS990/ProgSrvcAccomActy2Grp/GrantAmt01200
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt014393
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt029355
IRS990/PYInvestmentIncomeAmt014429
IRS990/PYOtherExpensesAmt07643
IRS990/PYOtherRevenueAmt05952
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-2224
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt036998
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt034774
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-132253
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0133447
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0146517
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE 2022 COLUMN OF PART II REPRESENTS A SHORT-YEAR PERIOD FROM JANUARY 1, 2023 THROUGH SEPTEMBER 30, 2023 DUE TO A CHANGE IN YEAR END. THE REASON FOR THIS CHANGE IS DUE TO A MERGER WITH THE BELLIN GUNDERSEN HEALTH SYSTEM.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, SHORT YEAR EXPLANATION:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0108307
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt014393
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt084959
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt059916
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0124973
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0392548
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt016310
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt011645
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt011648
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt012941
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt07969
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt060513
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.78840
IRS990ScheduleA/PublicSupportPY170Pct00.81980
IRS990ScheduleA/PublicSupportTotal170Amt0370548
IRS990ScheduleA/SubstantialContributorsTotAmt022000
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0108307
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt014393
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt084959
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt059916
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0124973
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0392548
IRS990ScheduleA/TotalSupportAmt0470006
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearAmt06205
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus1YearAmt05952
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus2YearsAmt02758
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt02030
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt016945
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
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesEvent1Amt0500
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt0500
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt013700
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt013700
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt03892
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF OUTING
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt01512
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt01512
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt023797
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt023797
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt010097
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt010097
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt06205
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0521
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0521
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt01359
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt01359
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt094559
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt0159556
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0BUILDING FOR ADDITION
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0BOSCOBEL MEMORIAL HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0390845590
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0205 PARKER STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0BOSCOBEL
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd053805
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0FMV
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0ALL DONEES ARE REQUIRED TO SUBMIT THEIR GRANT FUNDING REQUESTS TO THE FOUNDATION BOARD FOR REVIEW AND APPROVAL. GRANT FUNDING REQUESTS MUST INCLUDE A DESCRIPTION OF WHAT THE FUNDS WILL BE USED FOR AND HOW THEY WILL BENEFIT THE PATIENTS AND STAFF OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS AND HELP TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. DONEES ARE ASKED TO REPORT BACK HOW THE FUNDS WERE USED. IF THE REQUESTS ARE DEEMED BENEFICIAL TO THE HEALTH AND WELL-BEING OF THOSE WE SERVE, THE FUNDS ARE AWARDED.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. THE BOARD MEMBERS HAD THE OPPORTUNITY TO DISCUSS INFORMATION INCLUDED IN THE FORM 990 PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS DISCLOSES ANY CONFLICTS OF INTEREST BY COMPLETING A QUESTIONNAIRE AND DISCLOSURE FORM ANNUALLY. EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY UPON HIRE AND AT ANNUAL INTERVALS. IF ANY SIGNIFICANT CONFLICTS ARISE WITH MEMBERS OF THE BOARD OF DIRECTORS, MANAGEMENT, OR KEY EMPLOYEES, IT IS PROPERLY DOCUMENTED AND FOLLOWED UP ON BY THE APPROPRIATE GOVERNING GROUP OR DEPARTMENT WITHIN THE ORGANIZATION ACCORDING TO THE CONFLICT OF INTEREST POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FOR THE PURPOSES OF DETERMINING COMPENSATION, MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION, INC. RELIED ON ITS AFFILIATED ORGANIZATION, GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., TO ESTABLISH THE COMPENSATION OF THE CEO, OTHER OFFICERS, AND KEY EMPLOYEES. GUNDERSEN LUTHERAN HEALTH SYSTEM USED THE FOLLOWING PRACTICES FOR ESTABLISHING COMPENSATION FOR SUCH INDIVIDUALS: COMPENSATION SURVEY OR STUDY, COMPENSATION COMMITTEE, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION, INC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
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/TotalAssetsBOYAmt0752833
IRS990/TotalAssetsEOYAmt0716029
IRS990/TotalAssetsGrp/BOYAmt0752833
IRS990/TotalAssetsGrp/EOYAmt0716029
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0108307
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt017753
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0255315
IRS990/TotalFunctionalExpensesGrp/TotalAmt0273068
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0752833
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0716029
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0255315
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt032508
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0140815

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