Civic Intelligence

Southwest Health Center Foundation Inc

EIN 39-1977502 • 501(c)3 • Platteville, WI

Profile

Investing in our future. For life.

1400 East Side RdPlatteville, WI 53818-9800

www.southwesthealth.org/OUR-FOUNDATION

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2016

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

15th percentile

-48%

Higher net margin than 15% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

99th percentile

$337,786

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 343.1% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

14th percentile

-62%

Faster revenue growth than 14% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $1,907,296 (-100%) from 2015

Liabilities

Down

$0

Down $6,276 (-100%) from 2015

Net Assets

Down

$0

Down $1,901,020 (-100%) from 2015

Revenue

Down

$98,444

Down $163,108 (-62%) from 2015

Expenses

Up

$145,730

Up $28,000 (+24%) from 2015

Net Income

Down

-$47,286

Down $191,108 (-133%) from 2015

Trend Graphs

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2010: $2,086,674Liabilities 2010: $77,906Net Assets 2010: $2,008,7682010Assets 2011: $2,120,265Liabilities 2011: $10,398Net Assets 2011: $2,109,8672011Assets 2012: $1,744,330Liabilities 2012: $10,398Net Assets 2012: $1,733,9322012Assets 2013: $1,457,094Liabilities 2013: $10,398Net Assets 2013: $1,446,6962013Assets 2014: $1,741,295Liabilities 2014: $6,776Net Assets 2014: $1,734,5192014Assets 2015: $1,907,296Liabilities 2015: $6,276Net Assets 2015: $1,901,0202015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2016

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $78,8732010Expenses 2011: $116,4092011Expenses 2012: $485,1222012Revenue 2013: $103,179Expenses 2013: $498,962Net Income 2013: -$395,7832013Revenue 2014: $510,130Expenses 2014: $137,397Net Income 2014: $372,7332014Revenue 2015: $261,552Expenses 2015: $117,730Net Income 2015: $143,8222015Revenue 2016: $98,444Expenses 2016: $145,730Net Income 2016: -$47,2862016

Highlighted filing

2016

Revenue$98,444
Expenses$145,730
Net Income-$47,286

Filings

Latest Detailed Filing

The latest 2016 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2014 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 8, 2015
Return Version
2013v4.0
Gross Receipts
$631,624
Mission and Program Overview

Mission

Investing in our future. For life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$1,049,162$1,591,966▲ $542,804
Savings and Temporary Cash Investments$407,932$149,329▼ $258,603
Total Assets$1,457,094$1,741,295▲ $284,201
Liabilities
Other Liabilities$10,398$6,776▼ $3,622
Total Liabilities$10,398$6,776▼ $3,622
Net Assets / Fund Balance
Unrestricted Net Assets$798,980$975,013▲ $176,033
Temporarily Rstr Net Assets$279,680$391,470▲ $111,790
Permanently Rstr Net Assets$368,036$368,036→ $0
Total Net Assets Fund Balance$1,446,696$1,734,519▲ $287,823
Total Liabilities and Net Assets / Fund Balance$1,457,094$1,741,295▲ $284,201

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$618,880-▲ $107,671-$726,551
2013$526,119-▲ $92,761-$618,880
2012$516,028-▲ $10,091-$526,119
2011$453,769-▲ $62,259-$516,028
2010$399,162-▲ $54,607-$453,769
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Matthew StreeterCFO Swhc-$65,008$65,008
Gwen KirchhofEx Officio / Exeutive DireFT$51,763$51,763
Tamilla RichterEx Officio / Exeutive DireFT$20,845$20,845

Board Members and Trustees

NameTitle
Dr Michael VineyPresident
Lori BahrVice President
Dean FeldmanDirector
Dan RohrbachEx Officio / CEO
Rita ElverTreasury/secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$204,598
Program Service Revenue
$0
Investment Income
$281,494
Other Revenue
$24,038
All Other Contributions
$90,901
Change in Net Assets
$372,733
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Total Fundraising Expense$88,461
Salaries, Compensation, and Employee Benefits$80,687
Grants and Similar Amounts Paid$43,325
Other Expenses$13,385
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees--$80,687$80,687
Grants to Domestic Orgs$29,825--$29,825
Grants to Domestic Individuals$13,500--$13,500
Office Expenses--$6,313$6,313
Other Expenses-$2,891-$2,891
Fees for Services Accounting-$2,720-$2,720
Advertising--$1,113$1,113
Conferences and Meetings--$275$275
Travel--$73$73
Total Functional Expenses$43,325$5,611$88,461$137,397
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
39-1370626-501(c)3Donations for Operating and Purchase of Equipment.$28,925
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$41,605
Fundraising Direct Expenses$17,567
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$37,570$37,570$5,292$32,278
Total Events$37,570$37,570$13,680$23,890
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Southwest Health Center, Inc.$6,776
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
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
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1

The southwest health center foundation, inc. Executive director serves as a non-voting director of the governing body.

Form 990, Part VI, Section A, Line 6

Southwest health center, inc. Is the sole corporate member of southwest health center foundation, inc.

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

Southwest health center, inc.'s ceo is appointed by southwest health center, inc.'s board of directors as an ex-officio member of the board of directors of southwest health center foundation, inc. Southwest health center, inc. Also appoints and employs the executive director of southwest health center foundation, inc.

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

Changes to the governing documents of southwest health center foundation, inc. Require approval of its sole corporate member, southwest health center, inc.

Form 990, Part VI, Section B, Line 11

The board of directors received a copy of the form 990 prior to submission to the irs. Responses on the 990 are reviewed with the cfo of southwest health center, inc. Prior to its submission and following any changes or updates, the board of directors are presented with a final copy of the return before it is filed with the irs.

Form 990, Part VI, Section B, Line 12

Southwest health center foundation, inc. Answered "no" to the question regarding a conflict of interest policy, because this specific organization does not have a written policy. However, southwest health center foundation, inc. Follows the written conflict of interest policy for southwest health center, inc. The following procedures are used to adhere to this policy: 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. Any board members with noted conflicts are asked to abstain from voting on any potentially conflicting issues.

Form 990, Part VI, Section C, Line 19

The audited consolidated financial statements for southwest health center, inc. And subsidiaries, which includes the southwest health center foundation, inc., are made publicly available through the wisconsin hospital association, and the complete audited financial statements are available upon request. Governing documents and the conflict of interest policy are also available to the public upon request.

FORM 990, PART VI, LINE 13:

Written whistleblower policy: southwest health center foundation, inc. Answered "no" to the question regarding a written whistleblower policy, because this specific organization does not have such a policy in place. However, southwest health center foundation, inc. Follows the written whistleblower policy of southwest health center, inc.

FORM 990, PART VI, LINE 14:

Written document destruction and retention policy: southwest health center foundation, inc. Answered "no" to the question regarding a written document destruction and retention policy, because this organization does not currently have such a policy in place. However, southwest health center foundation, inc. Follows the written document destruction and retention policy of southwest health center, inc.

FORM 990, PART VII, SECTION A, RELATED PARTY OFFICERS:

Two of the officers of southwest health center foundation, inc. Are employed by southwest health center, inc. In addition to the hours worked as an officer of southwest health center foundation, inc., they also work an average of 50 hours per week performing other services for southwest health center, inc. The hours listed on the form 990 relate to their role as an officer of the foundation, while the compensation listed relates to all the services they perform as an employee of southwest health center, inc.

Filing and Contact Details

Filer

EIN
39-1977502
Phone
6083482331

Signing Officer

Name
Matthew Streeter
Title
CFO
Phone
6083482331
Signed
2015-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dan Rohrbach
Formed
2000
Legal Domicile
Wi
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
74

Preparer

Preparer
Holly Pokrandt CPA
Phone
7158323407
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 2C:

Southwest health center foundation, inc. Answered "yes" to question 2c under part xii of the 990, indicating that the organization does have a committee that assumes responsibility for the audit of its financial statements and selection of an independent accountant. The committee that assumes this responsibility is southwest health center, inc.'s finance committee. This committee makes recommendations to the board of directors regarding the selection of the independent accountant, and the board of directors makes the final approval. The board of directors also meets with the auditors annually, and approves the audit report. The process used by this committee has not changed in the past year.

Financial Statement Notes

PART V, LINE 4:

The endowment funds were setup in the name of the curtis family to provide scholarship funds to be available to area students seeking to further their education in a health care related field.

PART X, LINE 2:

In order to account for any uncertain tax positions, southwest health center foundation, inc. Assesses whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the tax authority has full knowledge of all information. If the tax position does not meet the more-likely-than-not recognition threshold, the benefit of tax position is not recognized in the consolidated financial statements. Southwest health center foundation, inc. Has not recorded any assets or liabilities related to uncertain tax positions or unrecognized benefits as of june 30, 2014 and 2013. Income tax returns for the years ended june 30, 2011, and beyond remain subject to examination by the irs and state taxing authorities.

Raw XML AppendixShowing 400 of 516 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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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10SOUTHWEST HEALTH CENTER INC
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IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
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IRS990/ScheduleBRequiredInd01
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IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt0107671
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0526119
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0618880
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt092761
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt010091
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0453769
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0516028
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IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0399162
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0453769
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IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt06776
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO SOUTHWEST HEALTH CENTER, INC.
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.50660
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ENDOWMENT FUNDS WERE SETUP IN THE NAME OF THE CURTIS FAMILY TO PROVIDE SCHOLARSHIP FUNDS TO BE AVAILABLE TO AREA STUDENTS SEEKING TO FURTHER THEIR EDUCATION IN A HEALTH CARE RELATED FIELD.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, SOUTHWEST HEALTH CENTER FOUNDATION, INC. ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAX AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. SOUTHWEST HEALTH CENTER FOUNDATION, INC. HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS AS OF JUNE 30, 2014 AND 2013. INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2011, AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS AND STATE TAXING AUTHORITIES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.49340
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt06776
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt013680
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt037570
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt037570
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt037570
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt037570
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent1Amt0GOLF OUTING
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IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt013500
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0HEALTH-RELATED SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/NonCashAssistanceDesc0N/A
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt013
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/ValuationMethodUsedDesc0CASH DONATED
IRS990ScheduleI/RecipientTable/CashGrantAmt028925
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)3
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0N/A
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0DONATIONS FOR OPERATING AND PURCHASE OF EQUIPMENT.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10SOUTHWEST HEALTH CENTER INC
IRS990ScheduleI/RecipientTable/RecipientEIN0391370626
IRS990ScheduleI/RecipientTable/USAddress/AddressLine101400 EAST SIDE RD
IRS990ScheduleI/RecipientTable/USAddress/City0PLATTEVILLE
IRS990ScheduleI/RecipientTable/USAddress/State0WI
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode053818
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0CASH DONATED
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0SOUTHWEST HEALTH CENTER FOUNDATION, INC.'S BOARD OF DIRECTORS REVIEWS ALL SCHOLARSHIP APPLICATIONS. THE SCHOLARSHIPS ARE AWARDED TO QUALIFIED STUDENTS PURSUING EDUCATION IN A HEALTH-RELATED FIELD AND ARE FUNDED BY DONATIONS TO SCHOLARSHIP FUNDS AND ENDOWMENTS. AFTER APPROVAL BY THE BOARD, THE AWARDED SCHOLARSHIPS ARE PAID TO THE APPROVED STUDENTS. SOUTHWEST HEALTH CENTER FOUNDATION, INC.'S BOARD OF DIRECTORS ALSO REVIEWS REQUESTS FOR DONATIONS FROM OR OFFERS TO PROVIDE ASSISTANCE TO SOUTHWEST HEALTH CENTER, INC. TO FURTHER THE MISSION OF THE ORGANIZATION. THESE GRANTS ARE APPROVED BY SOUTHWEST HEALTH CENTER FOUNDATION, INC.'S BOARD OF DIRECTORS DURING ITS REGULARLY SCHEDULED BOARD OF DIRECTOR'S MEETINGS THROUGHOUT THE YEAR.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt033000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0217766
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt010357
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt01536
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DAN ROHRBACH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0EX OFFICIO / CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0262659
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE COMPENSATION PLANS AND POLICIES FOR THE OFFICERS NOTED ARE DETERMINED AND REVIEWED BY SOUTHWEST HEALTH CENTER FOUNDATION, INC.'S PARENT ORGANIZATION, SOUTHWEST HEALTH CENTER, INC. PROCEDURES OF SOUTHWEST HEALTH CENTER, INC. INCLUDE COMPENSATION SURVEYS, WRITTEN EMPLOYMENT AGREEMENTS, AND APPROVAL BY THE BOARD OF DIRECTORS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOUTHWEST HEALTH CENTER FOUNDATION, INC. EXECUTIVE DIRECTOR SERVES AS A NON-VOTING DIRECTOR OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SOUTHWEST HEALTH CENTER, INC. IS THE SOLE CORPORATE MEMBER OF SOUTHWEST HEALTH CENTER FOUNDATION, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SOUTHWEST HEALTH CENTER, INC.'S CEO IS APPOINTED BY SOUTHWEST HEALTH CENTER, INC.'S BOARD OF DIRECTORS AS AN EX-OFFICIO MEMBER OF THE BOARD OF DIRECTORS OF SOUTHWEST HEALTH CENTER FOUNDATION, INC. SOUTHWEST HEALTH CENTER, INC. ALSO APPOINTS AND EMPLOYS THE EXECUTIVE DIRECTOR OF SOUTHWEST HEALTH CENTER FOUNDATION, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CHANGES TO THE GOVERNING DOCUMENTS OF SOUTHWEST HEALTH CENTER FOUNDATION, INC. REQUIRE APPROVAL OF ITS SOLE CORPORATE MEMBER, SOUTHWEST HEALTH CENTER, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE BOARD OF DIRECTORS RECEIVED A COPY OF THE FORM 990 PRIOR TO SUBMISSION TO THE IRS. RESPONSES ON THE 990 ARE REVIEWED WITH THE CFO OF SOUTHWEST HEALTH CENTER, INC. PRIOR TO ITS SUBMISSION AND FOLLOWING ANY CHANGES OR UPDATES, THE BOARD OF DIRECTORS ARE PRESENTED WITH A FINAL COPY OF THE RETURN BEFORE IT IS FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5SOUTHWEST HEALTH CENTER FOUNDATION, INC. ANSWERED "NO" TO THE QUESTION REGARDING A CONFLICT OF INTEREST POLICY, BECAUSE THIS SPECIFIC ORGANIZATION DOES NOT HAVE A WRITTEN POLICY. HOWEVER, SOUTHWEST HEALTH CENTER FOUNDATION, INC. FOLLOWS THE WRITTEN CONFLICT OF INTEREST POLICY FOR SOUTHWEST HEALTH CENTER, INC. THE FOLLOWING PROCEDURES ARE USED TO ADHERE TO THIS POLICY: 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. ANY BOARD MEMBERS WITH NOTED CONFLICTS ARE ASKED TO ABSTAIN FROM VOTING ON ANY POTENTIALLY CONFLICTING ISSUES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR SOUTHWEST HEALTH CENTER, INC. AND SUBSIDIARIES, WHICH INCLUDES THE SOUTHWEST HEALTH CENTER FOUNDATION, INC., ARE MADE PUBLICLY AVAILABLE THROUGH THE WISCONSIN HOSPITAL ASSOCIATION, AND THE COMPLETE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7SOUTHWEST HEALTH CENTER FOUNDATION, INC. ANSWERED "YES" TO QUESTION 2C UNDER PART XII OF THE 990, INDICATING THAT THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE COMMITTEE THAT ASSUMES THIS RESPONSIBILITY IS SOUTHWEST HEALTH CENTER, INC.'S FINANCE COMMITTEE. THIS COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING THE SELECTION OF THE INDEPENDENT ACCOUNTANT, AND THE BOARD OF DIRECTORS MAKES THE FINAL APPROVAL. THE BOARD OF DIRECTORS ALSO MEETS WITH THE AUDITORS ANNUALLY, AND APPROVES THE AUDIT REPORT. THE PROCESS USED BY THIS COMMITTEE HAS NOT CHANGED IN THE PAST YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8WRITTEN WHISTLEBLOWER POLICY: SOUTHWEST HEALTH CENTER FOUNDATION, INC. ANSWERED "NO" TO THE QUESTION REGARDING A WRITTEN WHISTLEBLOWER POLICY, BECAUSE THIS SPECIFIC ORGANIZATION DOES NOT HAVE SUCH A POLICY IN PLACE. HOWEVER, SOUTHWEST HEALTH CENTER FOUNDATION, INC. FOLLOWS THE WRITTEN WHISTLEBLOWER POLICY OF SOUTHWEST HEALTH CENTER, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9WRITTEN DOCUMENT DESTRUCTION AND RETENTION POLICY: SOUTHWEST HEALTH CENTER FOUNDATION, INC. ANSWERED "NO" TO THE QUESTION REGARDING A WRITTEN DOCUMENT DESTRUCTION AND RETENTION POLICY, BECAUSE THIS ORGANIZATION DOES NOT CURRENTLY HAVE SUCH A POLICY IN PLACE. HOWEVER, SOUTHWEST HEALTH CENTER FOUNDATION, INC. FOLLOWS THE WRITTEN DOCUMENT DESTRUCTION AND RETENTION POLICY OF SOUTHWEST HEALTH CENTER, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10TWO OF THE OFFICERS OF SOUTHWEST HEALTH CENTER FOUNDATION, INC. ARE EMPLOYED BY SOUTHWEST HEALTH CENTER, INC. IN ADDITION TO THE HOURS WORKED AS AN OFFICER OF SOUTHWEST HEALTH CENTER FOUNDATION, INC., THEY ALSO WORK AN AVERAGE OF 50 HOURS PER WEEK PERFORMING OTHER SERVICES FOR SOUTHWEST HEALTH CENTER, INC. THE HOURS LISTED ON THE FORM 990 RELATE TO THEIR ROLE AS AN OFFICER OF THE FOUNDATION, WHILE THE COMPENSATION LISTED RELATES TO ALL THE SERVICES THEY PERFORM AS AN EMPLOYEE OF SOUTHWEST HEALTH CENTER, INC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 2C:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, LINE 13:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART VI, LINE 14:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10FORM 990, PART VII, SECTION A, RELATED PARTY OFFICERS:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1S
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0WI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1WI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0SENIOR CARE CAMPUS AND ACTIVITIES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1INACTIVE - MANAGEMENT OF RESIDENTIAL FACILITY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine10SOUTHWEST SENIOR ENTERPRISES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine11SOUTHWEST MEDICAL SERVICES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine101400 EAST SIDE ROAD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine111400 EAST SIDE ROAD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/City0PLATTEVILLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/City1PLATTEVILLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/State0WI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/State1WI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCode053818
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0391370626
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)

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