2025-11-20T07:29:41-06:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-07-01 391649104 DOOR COUNTY MEMORIAL HOSPITAL FOUNDATION INC DOOR 9207461071 323 S 18TH AVENUE PO BOX 230 STURGEON BAY WI 54235 BRIAN STEPHENS CEO, DOOR COUNTY MEMORIAL HOSPITAL 9207461071 2025-11-04 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-11-04 2024 2025-03-06 01:10:19Z X DOOR COUNTY MEDICAL CENTER FOUNDATION BRIAN STEPHENS 323 S 18TH AVENUE PO BOX 230 STURGEON BAY WI 54235 1610884 0 X N/A X 1990 WI DOOR COUNTY MEMORIAL HOSPITAL FOUNDATION, INC. IS A NONSTOCK, NONPROFIT CORPORATION WHICH RECEIVES GIFTS AND BEQUESTS, RAISES FUNDS FOR SPECIFIC PURPOSES OR NEEDS, ADMINISTERS AND INVESTS FUNDS, AND DISBURSES PAYMENTS TO AND FOR THE BENEFIT OF TAX-EXEMPT ORGANIZATIONS, INCLUDING DOOR COUNTY MEMORIAL HOSPITAL. 12 12 0 184 0 0 2718258 1418255 0 0 33846 110499 32729 2701 2784833 1531455 557033 1157395 0 0 0 0 0 0 0 48228 40115 605261 1197510 2179572 333945 4932079 5444467 625 626 4931454 5443841 TO SUPPORT, DIRECTLY OR INDIRECTLY, THE GOALS OF DOOR COUNTY MEDICAL CENTER BY PROVIDING THE FUND RAISING AND VOLUNTEER OPPORTUNITIES NECESSARY TO ENSURE QUALITY CARE FOR ALL RESIDENTS AND VISITORS IN THE COMMUNITIES WE SERVE. 0 0 1110395 1110395 0 DOOR COUNTY MEMORIAL HOSPITAL FOUNDATION, INC. IS A NONSTOCK, NONPROFIT CORPORATION WHICH RECEIVES GIFTS AND BEQUESTS, RAISES FUNDS FOR SPECIFIC PURPOSES OR NEEDS, ADMINISTERS AND INVESTS FUNDS, AND DISBURSES PAYMENTS TO AND FOR THE BENEFIT OF DOOR COUNTY MEMORIAL HOSPITAL. THE AUXILIARY ENGAGES IN ACTIVITIES TO SUPPORT THE HOSPITAL INCLUDING A GIFT SHOP. 47000 47000 0 AS A PART OF ITS MISSION, DOOR COUNTY MEMORIAL HOSPITAL FOUNDATION, INC. DONATES FUNDS TO THE COMMUNITY IN THE FORM OF SCHOLARSHIPS TO PROMOTE EDUCATION. 1157395 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 WI X MIKE HERLACHE 9207461071 1843 MICHIGAN STREET STURGEON BAY WI 54235 SALLY PFEIFER PRESIDENT 0.30 X X 0 0 0 COLLIN JEANQUART VICE PRESIDENT 0.30 X X 0 0 0 RICHARD HAUSER SECRETARY 0.30 X X 0 0 0 STEVE ABRAHAMSON TREASURER 0.30 X X 0 0 0 SUE GUILETTE DIRECTOR 0.30 X 0 0 0 NELL HERLACHE DIRECTOR 0.30 X 0 0 0 JELAINE HORTON DIRECTOR (THRU JUN 2025) 0.30 X 0 0 0 TYLER HUBBARD DIRECTOR 0.30 X 0 0 0 JACK JACKSON DIRECTOR 0.30 X 0 0 0 KAAREN NORTHROP DIRECTOR 0.30 X 0 0 0 BRUCE SHEWCHUK DIRECTOR 0.30 X 0 0 0 MICHELLE STERNARD DIRECTOR 0.30 X 0 0 0 TODD TRIMBERGER DIRECTOR 0.30 X 0 0 0 BRIAN STEPHENS DIRECTOR/CEO 0.30 41.00 X 0 372881 60249 MICHAEL HERLACHE EXECUTIVE DIRECTOR 40.00 X 0 132754 41248 0 505635 101497 0 0 1 0 0 30000 1675 251302 80860 1054418 1418255 110499 110499 40883 251302 52013 -11130 -11130 41247 27416 13831 13831 1531455 0 0 113200 1110395 1110395 47000 47000 14325 14325 1750 1750 5878 5878 18162 18162 1197510 1157395 40115 0 26135 64339 1808474 3121401 1400915 185274 13955 13329 1682600 2060124 4932079 5444467 625 626 625 626 X 2262754 3032138 2668700 2411703 4931454 5443841 4932079 5444467 X 333945 178442 X 0 1 X 0 0 X 1554164 1073377 1217867 2718258 1418255 7981921 1554164 1073377 1217867 2718258 1418255 7981921 2489182 5492739 176 206 12886 33846 110499 157613 23218 23218 8162752 194303 0.67290 0.68760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1682600 257460 178442 58378 2060124 1507985 23960 203434 52779 1682600 1327444 28463 152078 1507985 1753865 7897 -213945 209360 11013 1327444 1118315 314961 330790 10201 1753865 1.00000 0.00000 0.00000 1 0 0 INTEREST IN NET ASSETS OF DOOR COUNTY COMMUNITY FOUNDATION, INC. 2060124 2060124 2060995 450111 450111 1610884 -79429 -79429 1531455 1727050 450111 79429 529540 1197510 0 1197510 PART V, LINE 4: THE FUNDS ARE HELD TO SUPPORT THE CANCER CENTER FACILITY AND DOOR COUNTY MEMORIAL HOSPITAL. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -52,013. COST OF GOODS SOLD -27,416. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 52,013. COST OF GOODS SOLD 27,416. GOLF OUTING 197351 176686 20665 20665 H & G WALK 55679 50115 5564 5564 1 39155 24501 14654 25784 292185 251302 40883 52013 52013 -11130 1 DOOR COUNTY MEMORIAL HOSPITAL 323 SOUTH 18TH AVENUE STURGEON BAY WI 54235 390806324 501(C)(3) 1110395 0 TO OFFSET THE COST OF BUILDING RENOVATION AND ADDITION TO THE HOSPITAL. 1 0 EDUCATIONAL SCHOLARSHIP RECIPIENTS 31 47000 PART I, LINE 2: AFTER RECEIVING THE REQUEST, THE BOARD OF DIRECTORS APPROVES AND DISTRIBUTES GRANTS TO DOOR COUNTY HOSPITAL, AN ORGANIZATION SUPPORTED BY DOOR COUNTY MEDICAL CORPORATION. A SCHOLARSHIP COMMITTEE DETERMINES THE DISTRIBUTION OF SCHOLARSHIPS BASED UPON APPLICATIONS FOR THE FUNDS. 0 0 0 0 0 0 0 0 0 BRIAN STEPHENS DIRECTOR/CEO 0 364397 0 0 0 8484 0 20700 0 39549 0 433130 0 0 MICHAEL HERLACHE EXECUTIVE DIRECTOR 0 132330 0 0 0 424 0 8570 0 32678 0 174002 0 0 PART I, LINE 3 THE ORGANIZATION RELIES ON THEIR RELATED PARTY, DOOR COUNTY MEMORIAL HOSPITAL, TO REVIEW AND DETERMINE COMPENSATION FOR THE CEO REPORTED ON PART II OF SCHEDULE J. DOOR COUNTY MEMORIAL HOSPITAL INDICATES COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ON THEIR PART I, LINE 3 OF THEIR SCHEDULE J. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL HERLACHE AND NELL HERLACHE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A DOOR COUNTY MEDICAL CORPORATION HAS THE OPPORTUNITY TO APPROVE/ELECT/APPOINT THE MAJORITY OF THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 WILL BE E-MAILED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW BOARD MEMBERS MUST SIGN THE CONFLICT OF INTEREST STATEMENT. EVERY 4 YEARS, THE CONFLICT OF INTEREST STATEMENT IS DISTRIBUTED TO ALL BOARD MEMBERS. IT IS REVIEWED BY THE BOARD OF DIRECTORS, AND EACH BOARD MEMBER IS ASKED TO SIGN IT, AND IT IS FILED. IF A CONFLICT EXISTS, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT A BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION AND VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF DOOR COUNTY COMMUNITY FOUNDATION, INC. 178,442. DOOR COUNTY MEMORIAL HOSPITAL 323 SOUTH 18TH AVENUE STURGEON BAY WI 54235 390806324 HEALTHCARE SERVICES WI 501(C)(3) 3 DOOR COUNTY MEDICAL CORPORATION 1 DOOR COUNTY MEDICAL CORPORATION 323 SOUTH 18TH AVENUE STURGEON BAY WI 54235 814221171 SUPPORT OF RELATED HEALTHCARE ORGANIZATION WI 501(C)(3) LINE 12B, TYPE II 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 DOOR COUNTY MEMORIAL HOSPITAL B 1110395 FMV DOOR COUNTY MEMORIAL HOSPITAL O 450111 FMV