2023-11-15T13:47:11-05:00 2022-12-31 341176143 PENROD & GEORGE 421 INDEPENDENCE DR NAPOLEON OH 435459297 990 2022-01-01 341919852 HENRY COUNTY HOSPITAL FOUNDATION INC HENR 4195924015 1600 EAST RIVERVIEW AVENUE NAPOLEON OH 43545 KAYE WESCHE SECRETARY 4195913840 2023-11-15 true KAYE WESCHE true CARMA RUPP P00002360 4195998045 2023-11-15 2022 2023-04-26 12:10:37Z TOM MORIARTY R 195 COUNTY ROAD 15 NAPOLEON OH 43545 581787 false X WWW.HCHF.GIFTLEGACY.COM X 2000 OH TO RAISE FUNDS AND PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS. 9 9 0 55 0 168730 255604 0 147809 6039 12656 17350 329195 278993 98257 132115 0 0 0 0 4927 5389 103184 137504 226011 141489 1275484 1304590 0 1275484 1304590 X TO RAISE FUNDS AND PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS. false false 132115 132115 DONATED MONEY FOR HOSPITAL EQUIPMENT ADDITIONS AND HOSPITAL DEPARTMENTAL NEEDS. 132115 true true false false false false false false false true false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false false false false X 9 9 false false false false true true true true true false false false true true true false true false false false OH X MICHELLE RYCHENER 4195924015 11-600 ST ROUTE 424 NAPOLEON OH 43545 X KRISTI BARND EX OFFICIO T X 0 0 0 JIM BURKHART TRUSTEE X 0 0 0 CAMERON CARYER TRUSTEE X 0 0 0 MELISSA PEPER FIRESTONE TRUSTEE X 0 0 0 DR ERAST HAFTKOWYCZ TRUSTEE X 0 0 0 JACK KRUEGER VICE CHAIR X X 0 0 0 TOM MORIARTY TREASURER X X 0 0 0 CONNIE PANNING TRUSTEE X 0 0 0 KAYE WESCHE SECRETARY X X 0 0 0 TOM ZGELA CHAIR X X 0 0 0 false false false 255604 255604 10116 10116 285749 289826 -4077 -4077 -4077 30318 12968 17350 17350 278993 23389 132115 132115 4260 4260 1129 1129 137504 132115 5389 0 685584 823016 589900 481574 1275484 1304590 0 0 X 1221205 1147841 54279 156749 1275484 1304590 1275484 1304590 141489 -112383 X false false false X X X 1 HENRY COUNTY HOSPITAL INC HENRY COUNTY HOSPITAL INC 344477047 3 true 132115 0 1 132115 0 true false false false false false false false false false false false false false false true true true X true true PART IV, SECTION D, LINE 3 IN ACCORDANCE WITH THE ORGANIZATION'S CODE OF REGULATIONS, ONE OF THE TRUSTEES SHALL BE A MEMBER OF THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATION AND THE CEO OF THE SUPPORTED ORGANIZATION SHALL BE AN EX OFFICIO TRUSTEE WITHOUT VOTE. SIMILAR TO ALL TRUSTEES, THESE INDIVIDUALS ATTEND AND PARTICIPATE IN MEETINGS OF THE BOARD AND VARIOUS COMMITTEES. ANNUAL MEMBERSHIP AND CAPITAL IMPROVEMENT CAMPAIGNS, AS WELL AS THE RELATED GRANTS TO THE SUPPORTED ORGANIZATION, ARE BASED ON PROJECTS, EQUIPMENT NEEDS OR DEPARTMENTAL NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE SUPPORTED ORGANIZATION'S CAPITAL BUDGETING PROCESS. PART IV, SECTION E, LINE 2A THE FOUNDATION'S MISSION IS TO PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS. WORKING WITH THE DIRECTOR OF DEVELOPMENT AND COMMUNITY RELATIONS FOR HENRY COUNTY HOSPITAL, INC., THE FOUNDATION SERVES AS THE STEWARD OF GIFTS TO HELP THE HOSPITAL RESPOND TO COMMUNITY HEALTH NEEDS. ALL OF THE FOUNDATION'S ACTIVITIES ARE IN FURTHERANCE OF ITS MISSION. PART IV, SECTION E, LINE 2B THE PROJECT ASSOCIATED WITH THE ANNUAL MEMBERSHIP CAMPAIGN WAS IDENTIFIED THROUGH THE SUPPORTED ORGANIZATION'S CAPITAL BUDGETING PROCESS. GRANTS TO THE SUPPORTED ORGANIZATION WERE BASED ON PROJECTS OR DEPARTMENTAL NEEDS IDENTIFIED THROUGH THE BUDGETING PROCESS OR OTHERWISE IN ACCORDANCE WITH DONOR INTENTIONS. DONOR EDUCATION AND ENGAGEMENT IS COORDINATED WITH, AND WOULD NORMALLY BE PROVIDED BY, THE HOSPITAL'S DIRECTOR OF DEVELOPMENT AND PUBLIC RELATIONS. HOSPITAL EQUIPMENT WOULD BE ACQUIRED WITHOUT DONOR/MEMBER PARTICIPATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1049723 44799 -98470 36764 4260 955028 861487 89722 106940 4024 4402 1049723 739521 57126 74626 6094 3692 861487 784093 47798 100028 188305 4093 739521 791081 49672 -50335 1960 4364 784093 1.00000 false false SCHEDULE D, PAGE 2, PART V, LINE 4 THE FOUNDATION INTENDS TO ACCUMULATE A THRESHOLD AMOUNT TO ENSURE THE LONG-TERM SUPPORT OF HENRY COUNTY HOSPITAL. TO ACHIEVE THIS GOAL, ALL UNRESTRICTED DONATIONS AND HALF OF THE ANNUAL CAMPAIGN DONATIONS RECEIVED EACH YEAR ARE BOARD-DESIGNATED FOR ENDOWMENT. true HENRY COUNTY HOSPITAL INC 1600 EAST RIVERVIEW AVENUE NAPOLEON OH 43545 344477047 3 132115 EQUIP & DEPT NEEDS SCHEDULE I, PAGE 1, PART I, LINE 2 GRANTS TO THE HOSPITAL ARE BASED ON PROJECTS OR EQUIPMENT NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE HOSPITAL'S CAPITAL BUDGETING PROCESS. THE FOUNDATION BOARD ACTS ON THE REQUESTS FOR FUNDING PRIOR TO ACQUISITION OR COMMENCEMENT OF THE PROJECT. FORM 990 - ORGANIZATION'S MISSION TO RAISE FUNDS AND PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS. FORM 990, PAGE 6, PART VI, LINE 6 MEMBERS INCLUDE INDIVIDUALS AND ENTITIES WHO MAKE AN ANNUAL CONTRIBUTION TO THE FOUNDATION IN SUCH AMOUNTS AS THE BOARD OF TRUSTEES SHALL DETERMINE (100). FORM 990, PAGE 6, PART VI, LINE 7A EACH MEMBER IS ENTITLED TO ONE VOTE ON THE ELECTION OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 7B EACH MEMBER IS ENTITLED TO ONE VOTE ON EACH MATTER PROPERLY SUBMITTED TO THE MEMBERS FOR THEIR VOTE, CONSENT, RELEASE OR OTHER ACTION. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED BY THE SIGNING OFFICER PRIOR TO FILING AND IS AVAILABLE FOR TRUSTEE REVIEW UPON COMPLETION. FORM 990, PAGE 6, PART VI, LINE 12C TRUSTEES ARE REQUIRED TO SUBMIT AN ANNUAL FORM TO DISCLOSE POTENTIAL CONFLICTS RELATED TO DECISIONS THAT ARISE DURING THE COURSE OF THE YEAR. THE GOVERNING BOARD REVIEWS POTENTIAL CONFLICTS AND COVERED PERSONS DO NOT PARTICIPATE IN ANY DELIBERATION OR DECISIONS REGARDING RELATED TRANSACTIONS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. HENRY COUNTY HOSPITAL INC 1600 EAST RIVERVIEW NAPOLEON OH 43545 344477047 HOSPITAL OH 501C3 3 N/A false false true false false false false false false false false false false false false false false true false false