2026-06-01T16:33:22+00:00 2025-09-30 135565207 KPMG LLP 200 East Randolph Drive Suite 5500 Chicago IL 606016436 990 2024-10-01 391688793 MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION INC MEMO 6083756300 205 PARKER STREET BOSCOBEL WI 53805 JERRY BERGE PRESIDENT BOARD OF DIRECTORS 2026-06-01 true RILEY KOBRICK P02401884 3126651000 2026-05-27 2024 2025-03-06 01:10:19Z BOSCOBEL AREA HOSPITAL AND CLINICS FOUNDATION JERRY BERGE 205 PARKER STREET BOSCOBEL WI 53805 252083 false X WWW.GUNDERSENHEALTH.ORG/BOSCOBEL/FOUNDATION X 1990 WI TO ASSIST THE HOSPITAL TO MEET THE HEALTH NEEDS OF THE COMMUNITY 14 14 0 25 0 108307 103709 0 26303 117395 6205 19031 140815 240135 255315 37410 0 0 0 0 17753 13590 273068 51000 -132253 189135 716029 855947 0 0 716029 855947 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. false false 36610 36610 0 THE FOUNDATION SUPPORTS THE PROMOTION, DEVELOPMENT, AND IMPROVEMENT OF THE QUALITY AND DELIVERY OF HEALTH PRESERVATION AND HEALTH CARE SERVICES OF MEMORIAL HOSPITAL OF BOSCOBEL DBA GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS (WHICH PROVIDES SERVICES TO PATIENTS THROUGH A CRITICAL ACCESS HOSPITAL AND SEVERAL CLINICS), AND THE MAKING OF DISTRIBUTIONS TO OR FOR THE BENEFIT OF THE HOSPITAL THROUGH THE RAISING OF FUNDS BY MEANS OF SOLICITING AND ACCEPTING GIFTS, GRANTS, AND CONTRIBUTIONS. 800 800 0 DURING THE PERIOD OCTOBER 1, 2024 THROUGH SEPTEMBER 30, 2025, $800 IN SCHOLARSHIPS WAS GRANTED TO 2 STUDENTS PURSUING NURSING- RELATED DEGREE PROGRAMS THROUGH THE SLAMAN FAMILY MEMORIAL SCHOLARSHIP. 37410 true true false false false false false false false false false false false false false false false false false false false false false false true false false true false false false false false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false true true false false false false false false X 14 14 false false false false false true true true true false false false true true true true true true false false false false WI X DEB BAXTER 6083754112 205 PARKER STREET BOSCOBEL WI 53805 X Brennen Clark Secretary/Treasurer 0.3 X X 0 0 0 Jerry Berge President 0.3 X X 0 0 0 Karen Wacker Vice President 0.3 X X 0 0 0 Allison Klug Director 0.3 X 0 0 0 Chuck Schwab Director 0.3 X 0 0 0 Dan Swenson Director 0.3 X 0 0 0 Danelle Schmid Director 0.3 X 0 0 0 De Anne Chappell Director 0.3 X 0 0 0 Dick Beinborn Director 0.3 X 0 0 0 Doug Knoble Director 0.3 X 0 0 0 GLENN GRISWOLD DIRECTOR (END 5/25) 0.3 X 0 0 0 Natalie Tollefson Foundation Director / Business Operations Manager 12.0 X 0 0 0 Pete Esser Director 0.3 X 0 0 0 Sally Waltz Director 0.3 X 0 0 0 Theresa Braudt Director / Administrator 0.3 X 0 0 0 0 0 0 0 false false false 0 37734 65975 103709 0 0 0 0 0 17648 17648 0 0 99747 99747 0 99747 99747 30979 37734 11948 19031 19031 0 0 0 0 0 240135 0 0 136426 36610 36610 800 800 5547 5547 3348 0 3348 0 4593 4593 OTHER EXPENSES 102 102 0 0 0 0 51000 37410 13590 0 146517 226399 0 0 0 0 0 0 0 0 569512 629548 0 0 0 0 716029 855947 0 0 0 0 0 0 597626 723529 118403 132418 716029 855947 716029 855947 189135 -49217 0 X false false false X 59916 84959 14393 108307 103709 371284 0 0 59916 84959 14393 108307 103709 371284 48913 322371 12941 11648 11645 16310 17648 70192 0 4400 4871 8791 10097 30979 59138 500614 0 0.64395 0.7884 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 4400.0, COLUMN B - 4871.0, COLUMN C - 8791.0, COLUMN D - 10097.0, COLUMN E - 30979.0, COLUMN F - 59138.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Golf Outing 24129 15949 8180 500 1570 1371 741 Legacy Event 44584 21785 22799 200 4159 3150 257 0 68713 37734 30979 500 1770 5530 3150 998 11948 19031 true Memorial Hospital of Boscobel Inc 205 PARKER STREET BOSCOBEL WI 53805 390845590 501(C) (3) 36610 General Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds ALL 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 WELLBEING OF THOSE WE SERVE, THE FUNDS ARE AWARDED. Form 990, Part VI, 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, Line 7a Members or stockholders electing members of governing body MEMORIAL HOSPITAL OF BOSCOBEL HAS THE AUTHORITY TO APPOINT ONE DIRECTOR ("THE HOSPITAL DIRECTOR"). Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE HOSPITAL DIRECTOR MAY BE REMOVED ONLY BY THE MEMORIAL HOSPITAL OF BOSCOBEL. A VACANCY IN THE HOSPITAL DIRECTOR POSITION SHALL BE FILLED BY THE MEMORIAL HOSPITAL OF BOSCOBEL. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest 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. IF THERE IS A CONFLICT, THE CONFLICT WOULD BE DECLARED AND THE MEMBER WOULD ABSTAIN FROM VOTING. Form 990, Part VI, Line 19 Required documents available to the public MEMORIAL HOSPITAL OF BOSCOBEL FOUNDATION, INC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.