2023-09-13T16:36:12-05:00 2022-12-31 390758449 WIPFLI LLP PO BOX 8700 MADISON WI 537088700 990 2022-01-01 396125163 THE WHA FOUNDATION INC WHAF 6082741820 5510 RESEARCH PARK DRIVE FITCHBURG WI 53711 BRIAN POTTER AUTHORIZED AGENT 6082741820 2023-08-31 1 BRIAN POTTER 999009999 0 MIKE WEBBER P01396395 6082741980 2023-08-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ERIC BORGERDING 5510 RESEARCH PARK DRIVE FITCHBURG WI 53711 520967 0 X WWW.WHA.ORG/ABOUTWHA/WHA-FOUNDATION X 1968 WI TO CARRY ON EDUCATIONAL, LITERARY, RESEARCH, & CHARITABLE PROGRAM RELATED TO THE FIELD OF HEALTH, INCLUDING BUT NOT LIMITED TO HOSPITAL CARE & ADMINISTRATION. 7 6 0 6 0 0 20000 18057 0 0 159279 90111 0 0 179279 108168 34002 46290 0 0 0 0 0 0 0 95991 129861 129993 176151 49286 -67983 1398826 1041112 8189 7125 1390637 1033987 X THE WHA FOUNDATION, INC. WAS FORMED TO CARRY ON EDUCATIONAL, LITERARY, RESEARCH, AND CHARITABLE PROGRAM RELATED TO THE FIELD OF HEALTH, INCLUDING BUT NOT LIMITED TO HOSPITAL CARE AND ADMINISTRATION, WITH THE FOLLOWING SPECIFIC OBJECTS: TO ASSIST THE HEALTH CARE SYSTEM IN INSURING THAT IT HAS ADEQUATE WORKFORCE TO MEET THE NEEDS OF WISCONSIN'S CITIZENS; TO CONDUCT AND SPONSOR EDUCATIONAL PROGRAMS OF ALL TYPES FOR TRAINING OF HEALTH CAREER PERSONNEL AND CONSUMERS INTERESTED IN A BETTER UNDERSTANDING OF THE HEALTH CARE SYSTEM; TO FOSTER THE ACCUMULATION AND EXCHANGE OF HEALTH INFORMATION AND TO PUBLISH AND DISSEMINATE SUCH INFORMATION; TO ASSIST, SPONSOR, AND ENCOURAGE INDIVIDUALS PURSUING AN EDUCATION IN HEALTH CAREERS, SCIENTIFIC RESEARCH, AND LITERARY ENDEAVOR BY PROVIDING SCHOLARSHIPS AND GRANTS-IN-AID OR MAKING LOANS TO WORTHY INDIVIDUALS IN PURSUIT OF THESE OBJECTS; TO SUPPORT THE MISSION OF WISCONSIN HOSPITAL ASSOCIATION, INC. AND ITS AFFILIATED RELATED ORGANIZATIONS. 0 0 46290 46290 0 HEALTH CARE WORKFORCE DEVELOPMENT - ADDRESSING THE WORKFORCE NEEDS OF WISCONSIN HEALTH CARE PROVIDERS HAS BEEN A FOCUS OF THE FOUNDATION OVER THE PAST DECADE. MOST RECENTLY, THE FOUNDATION PROVIDED FUNDING TO DEVELOP, LAUNCH AND MAINTAIN THE BACHELOR OF SCIENCE IN NURSING (BSN) COMPLETION PROGRAM (WEBSITE HTTP://BSN.WHA.ORG). THIS SITE PROVIDES NURSES LOOKING TO TAKE THE NEXT STEP IN THEIR EDUCATION AND MOVE FROM AN ASSOCIATE'S DEGREE TO A BACHELOR'S DEGREE WITH ONE, ONLINE LOCATION TO LEARN MORE ABOUT EACH BSN COMPLETION PROGRAM THAT RECRUITS AND ENROLLS WISCONSIN NURSES. THE FOUNDATION ALSO SUPPORTS THE ANNUAL FOUNDATION SCHOLARS PROGRAM, PROVIDING TWO ANNUAL SCHOLARSHIPS TO EACH OF THE 16 TECHNICAL COLLEGES IN WISCONSIN. THE UNIQUE TWIST IS THE SCHOLARSHIP COVERS EXPENSES INCURRED IN THE STUDENT'S FINAL SEMESTER, TO ASSIST AND ENCOURAGE STUDENTS TO MAKE THAT ONE FINAL PUSH TOWARD GRADUATION AND A CAREER IN HEALTH CARE. SINCE ITS INCEPTION IN 2003, MORE THAN 475 SCHOLARSHIPS HAVE BEEN AWARDED, WORTH MORE THAN $850,000. 41080 0 0 PROGRAM FUNDING FOCUSED ON HEALTH CARE QUALITY & SAFETY INITIATIVES, HEALTH CARE WORKFORCE DEVELOPMENT INITIATIVES, AND COLLABORATIVE COMMUNITY HEALTH INITIATIVES THAT HAVE A STATEWIDE IMPACT:HEALTH CARE QUALITY & SAFETY INITIATIVES - THE FOUNDATION HAS SUPPORTED A VARIETY OF QUALITY AND SAFETY INITIATIVES FOR MORE THAN 10 YEARS, STARTING WITH THE FUNDING TO DEVELOP, LAUNCH AND UPGRADE CHECKPOINT, THE FIRST PUBLIC WEBSITE TO PROVIDE CONSUMERS WITH CLINICAL QUALITY MEASURES AND ERROR PREVENTION PRACTICES FOR ALL HOSPITALS IN WISCONSIN. MOST RECENTLY, IN 2014, THE FOUNDATION PROVIDED FUNDING FOR START-UP COSTS AND FIVE PARTIAL SCHOLARSHIPS FOR THE QUALITY RESIDENCY PROGRAM, CO-SPONSORED BY WISCONSIN HOSPITAL ASSOCIATION (WHA) AND THE RURAL WISCONSIN HEALTH COOPERATIVE. THIS PROGRAM IS DESIGNED TO ENGAGE NEW AND NOVICE HOSPITAL QUALITY IMPROVEMENT DIRECTORS IN A TWO-YEAR TRACK OF EDUCATION, LEADERSHIP TRAINING AND NETWORKING. IN ADDITION, BEGINNING IN 2016, THE FOUNDATION PROVIDED FUNDING FOR THE DEVELOPMENT OF A SCHOLARSHIP PROGRAM TO COVER THE COST OF HOSPITAL TEAMS PARTICIPATING IN SIMULATION TRAINING AT ONE OF FIVE PARTNERING SIMULATION LABS IN WISCONSIN. IN 2016, ALL SCHOLARSHIP RECIPIENTS FOCUSED ON OB-RELATED SCENARIOS. THE PROGRAM CONTINUES INTO 2022, WITH ALL RECIPIENTS FOCUSING ON SEVERE SEPSIS/SEPTIC SHOCK SCENARIOS OR ON PEDIATRIC TRAUMA SCENARIOS.COLLABORATIVE COMMUNITY HEALTH INITIATIVES - THE WHA FOUNDATION SUPPORTS COMMUNITY HEALTH INITIATIVES CREATED IN PARTNERSHIP WITH WHA MEMBERS THROUGH ITS ANNUAL GLOBAL VISION COMMUNITY PARTNERSHIP AWARD. THIS AWARD WAS ESTABLISHED IN 1993 WITH THE INTENTION OF PROVIDING RECOGNITION AND FINANCIAL SUPPORT TO INNOVATIVE AND COLLABORATIVE INITIATIVES THAT MEET A COMMUNITY'S HEALTH NEEDS. A TOTAL OF 50 GLOBAL VISION AWARDS HAVE BEEN PRESENTED SINCE ITS INCEPTION, AND THE AWARD INCLUDES A $2,500 UNRESTRICTED GRANT FOR EACH WINNING INITIATIVE. 87370 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 WI X BRIAN POTTER 6082741820 5510 RESEARCH PARK DRIVE FITCHBURG WI 53711 ERIC BORGERDING PRESIDENT 1.00 40.00 X X 0 1207607 47169 JEFF EUCLIDE CHAIRPERSON 1.00 X X 0 0 0 JAN BAUMAN SECRETARY/TREASURER 1.00 X X 0 0 0 JENNY DERKS TRUSTEE 1.00 X 0 0 0 KRISTIE MCCOIC TRUSTEE 1.00 X 0 0 0 BRUCE ROESLER TRUSTEE 1.00 X 0 0 0 JONI OLSON TRUSTEE 1.00 X 0 0 0 0 1207607 47169 0 0 1 0 0 18057 18057 27594 27594 475316 412799 62517 62517 62517 108168 0 0 90111 46290 46290 68462 68462 9450 9450 5810 5810 79 79 4965 4965 LEADERSHIP ACADEMY EXPE 26250 26250 QUALITY/SAFETY 14830 14830 BANK CHARGES 15 15 176151 87370 88781 0 46870 63051 451 2225 1331505 965836 20000 10000 1398826 1041112 2200 1500 5989 5625 8189 7125 X 765825 419175 624812 614812 1390637 1033987 1398826 1041112 -67983 -288667 0 X 0 1 X 1 0 X X 1 WISCONSIN HOSPITAL ASSOCIATION INC 390969552 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B THE WHA FOUNDATION, INC. REQUESTED AND RETAINED A COPY OF THE WISCONSIN HOSPITAL ASSOCIATION, INC. (WHA) IRS DETERMINATION LETTER WHEN SUPPORT WAS ESTABLISHED. THE TAX PREPARER OF THE FOUNDATION IS ALSO THE TAX PREPARER OF WHA AND ANNUALLY, STARTING IN 2014, COMPLETED A PRO FORMA SCHEDULE A, PART III TO ENSURE THAT THE SUPPORTED ORGANIZATION MET THE PUBLIC SUPPORT TEST. PART IV, SECTION A, LINE 3C THE WHA FOUNDATION, INC. ENSURES THAT SUPPORT FROM THE FOUNDATION IS USED SOLELY FOR CHARITABLE PURPOSES THROUGH COMMON BOARD MEMBERS AND COMMON MANAGEMENT WITH WISCONSIN HOSPITAL ASSOCIATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO WISCONSIN HOSPITAL ASSOCIATION, INC. 5625 5625 X -186309 -288667 -288667 102358 5810 5810 108168 170341 0 170341 5810 5810 176151 PART X, LINE 2: THE FOUNDATION IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE FOUNDATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. 1 HEALTH CARE WORKFORCE DEVELOPMENT SCHOLARSHIPS 25 46290 PART I, LINE 2: RECIPIENTS MUST BE ELIGIBLE UNDER THE FOUNDATION'S BYLAWS BY EVIDENCING THAT THE PROJECT IS IN RESPONSE TO A VALID COMMUNITY NEED, THAT THE AGENCY HAS CAPACITY TO ACCOMPLISH THE GOALS OF THE PROJECT, THAT THE PROJECT IS CONSISTENT WITH THE GOALS OF THE WHA FOUNDATION, INC., THAT THE RECIPIENT IS ABLE TO PROVIDE CONTINUED SUPPORT IN THE AREA FOR WHICH GRANT FUNDS ARE USED, AND THAT THE PROJECT IS IN FURTHERANCE OF PUBLIC POLICY OBJECTIVES PERTAINING TO THE WISCONSIN HEALTH CARE SYSTEM. 0 1 0 0 0 0 0 0 0 ERIC BORGERDING PRESIDENT 0 735441 0 223700 0 248466 0 25341 0 21828 0 1254776 0 0 PART I, LINE 4B WISCONSIN HOSPITAL ASSOCIATION, INC., A RELATED PARTY OF THE WHA FOUNDATION, INC., HAS A 457(F) RETIREMENT PLAN IN WHICH ERIC BORGERDING PARTICIPATES. IN 2022 WISCONSIN HOSPITAL ASSOCIATION, INC. CONTRIBUTED $220,997 TO THE PLAN FOR ERIC BORGERDING. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE AND FULL BOARD OF DIRECTORS OF WISCONSIN HOSPITAL ASSOCIATION, INC., A RELATED PARTY TO THE WHA FOUNDATION, INC. WHO HAS DIRECT CONTROL OF THE ORGANIZATION, PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF WISCONSIN HOSPITAL ASSOCIATION, INC. AS A RELATED PARTY AND DIRECT CONTROLLING ENTITY OF THE WHA FOUNDATION, INC. APPLIES TO THE ORGANIZATION. ANNUALLY TRUSTEES SIGN OFF ON A CODE OF ETHICS CONSENT FORM OF WHICH THE CONFLICT OF INTEREST POLICY IS A PART. TRUSTEES WITH AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST ARE RECUSED FROM DISCUSSION AND VOTING ON THE MATTER TO WHICH THE CONFLICT RELATES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. WISCONSIN HOSPITAL ASSOCIATION INC 5510 RESEARCH PARK DRIVE FITCHBURG WI 53711 390969552 PROVIDE HIGH QUALITY HEALTH CARE SERVICES WI 501(C)(6) N/A 0 WHA FINANCIAL SOLUTIONS INC 5510 RESEARCH PARK DRIVE FITCHBURG WI 53711 391389990 TECHNICAL HOSPITAL CONSULTING WI N/A C 0 PHYSICIAN COMPASS INC 5510 RESEARCH PARK DRIVE FITCHBURG WI 53711 473508182 DATA REPORTING WI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0