2024-05-15T14:03:12-05:00 2023-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-07-01 351359445 MEMORIAL HOSPITAL FOUNDATION INC MEMO 8129962345 800 WEST NINTH STREET JASPER IN 47546 E KYLE BENNETT PRESIDENT 8129962345 2024-05-15 1 E KYLE BENNETT 999009999 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-05-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z E KYLE BENNETT 800 WEST NINTH STREET JASPER IN 47546 2228756 0 X WWW.MHHCC.ORG/GIVING X 1944 IN OPERATES FOR THE BENEFIT OF MEMORIAL HOSPITAL AND HEALTH CARE CENTER 14 13 0 14 0 0 1972309 1210001 0 0 0 853476 -164928 161277 1807381 2224754 839920 778917 0 0 0 0 0 0 30216 784084 401813 1624004 1180730 183377 1044024 12816496 13860520 0 0 12816496 13860520 X MEMORIAL HOSPITAL FOUNDATION OPERATES FOR THE BENEFIT OF MEMORIAL HOSPITAL AND HEALTH CARE CENTER AND FOLLOWS THE MISSION OF THE SISTERS OF THE LITTLE COMPANY OF MARY.VISION STATEMENT: WE STRIVE TO PROVIDE RESOURCES THAT ENHANCE MEMORIAL HOSPITAL'S ABILITY TO TRANSFORM LIVES AND ACHIEVE ITS VISION. 0 0 976836 778917 THE FOUNDATION WAS ORGANIZED AND IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF MEMORIAL HOSPITAL & HEALTH CARE CENTER TO SUPPORT VARIOUS PROGRAMS RELATED TO THE HOSPITAL'S PURPOSE BY RECEIVING AND HOLDING CONTRIBUTIONS FOR THE HOSPITAL. 976836 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 IN X E KYLE BENNETT 8129962345 800 WEST NINTH STREET JASPER IN 47546 E KYLE BENNETT PRESIDENT 1.00 40.00 X X 0 592000 32902 CHAD HOFFMAN VICE CHAIR 1.00 0.00 X 0 0 0 MARK BUECHLEIN TREASURER 1.00 0.00 X X 0 0 0 ABBY SCHMITT SECRETARY 1.00 0.00 X X 0 0 0 SISTER RENEE CUNNINGHAM BOARD MEMBER 1.00 30.00 X 0 0 0 RACHEL HULS BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL KERN BOARD MEMBER 1.00 0.00 X 0 0 0 SARAH LEONARD BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN MANN BOARD MEMBER 1.00 0.00 X 0 0 0 DR KRISTI NORD BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY SIGLER BOARD MEMBER 1.00 0.00 X 0 0 0 SONYA SEUFERT BOARD MEMBER 1.00 0.00 X 0 0 0 TINA WEISMAN BOARD MEMBER 1.00 0.00 X 0 0 0 STEVE WIGAND BOARD MEMBER 1.00 0.00 X 0 0 0 DEIDRA CHURCH EXECUTIVE DIRECTOR 40.00 0.00 X 0 89820 10648 0 681820 43550 0 0 1 0 0 392507 817494 36200 1210001 853476 853476 11645 0 11645 11645 11645 153634 392507 4002 149632 149632 2224754 0 0 1014753 X 748917 748917 30000 30000 161407 161407 11297 11297 974 974 197297 197297 FUNDRAISING EXPENSES 30216 30216 MISCELLANEOUS 622 622 1180730 976836 173678 30216 4 9135554 10376878 6111668 2628026 3680938 3483642 12816496 13860520 0 0 X 10274756 11099592 2541740 2760928 12816496 13860520 12816496 13860520 1044024 0 X X 0 1 X 0 0 X X 1 MEMORIAL HOSPITAL & HEALTH CARE CENTER INC 350985964 3 1 721693 0 1 721693 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2541740 1270947 721693 3090994 1598326 1387967 444553 2541740 3483399 566715 2451788 1598326 1899217 1960160 375978 3483399 2075741 723149 899673 1899217 1.00000 0 0 874000 874000 5126000 2594642 2531358 111668 33384 78284 3483642 X PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE THOSE ASSETS WHOSE USE BY THE FOUNDATION HAS BEEN LIMITED BY DONORS FOR CAPITAL PROJECTS OR FOR A SPECIFIC TIME OR PURPOSE. PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). GALA 546141 392507 153634 4002 546141 392507 153634 4002 4002 149632 1 MEMORIAL HOSPITAL & HEALTH CARE CENTER INC 800 WEST 9TH STREET JASPER IN 47567 350985964 501C3 721693 0 GRANTS AND EQUIPMENT PURCHASES PROVIDED IN ASSISTANCE OF PROGRAM SERVICES OF MEMORIAL HOSPITAL & HEALTH CARE CENTER VINCENNES UNIVERSITY JASPER FOUNDATION 850 COLLEGE AVE JASPER IN 47546 351477584 501C3 20000 0 TO HELP COVER THE COST FOR EMT CLASSES TO PROVIDE THE CLASSES FOR FREE. 2 HEALTHCARE PROFESSIONAL SCHOLARSHIPS 9 30000 PART I, LINE 2: ALL GRANTS/ASSISTANCE ARE TO ORGANIZATIONS IN THE US AND TO 501(C)(3) PUBLIC CHARITIES FOR GENERAL SUPPORT. THE ORGANIZATION DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. 0 1 0 0 0 0 0 0 0 E KYLE BENNETT PRESIDENT 0 586000 0 0 0 6000 0 6100 0 26802 0 624902 0 0 PART I, LINE 3 MEMORIAL HOSPITAL AND HEALTH CARE CENTER, A RELATED ORGANIZATION OF MEMORIAL HOSPITAL FOUNDATION, USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B 4B) A 457B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WAS AVAILABLE FOR ELIGIBLE INDIVIDUALS OF MEMORIAL HOSPITAL, A RELATED ORGANIZATION OF MEMORIAL HOSPITAL FOUNDATION, TO PARTICIPATE IN. NO CONTRIBUTIONS TO THE PLAN WERE PAID BY MEMORIAL HOSPITAL. INDIVIDUALS ELIGIBLE FOR THE PLAN INCLUDED PHYSICIANS EMPLOYED BY MEMORIAL HOSPITAL, PRESIDENT & CEO, EXECUTIVE VP & COO, VP & CFO, VP OF AMBULATORY SERVICES, VP AND CHIEF NURSING OFFICER, VP MEDICAL PRACTIVE MANAGEMENT AND SUPPORT SERVICES. NO PAYMENTS FROM THE PLAN WERE MADE TO ANY LISTED INDIVIDUALS IN 2021. X MEDICAL EQUIPMENT 14 36200 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 7A MEMORIAL HOSPITAL & HEALTH CARE CENTER'S BOARD OF DIRECTORS ELECTS THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMORIAL HOSPITAL & HEALTH CARE CENTER'S BOARD OF DIRECTORS APPROVES ALL FUND RAISING ENDEAVORS SUGGESTED BY VARIOUS COMMITTEES TO FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ORGANIZATION'S EXECUTIVE DIRECTOR AND THE CFO OF MEMORIAL HOSPITAL AND HEALTH CARE CENTER. THE GOVERNING BODY DOES NOT RECEIVE A COPY PRIOR TO FILING; BUT IS MADE AVAILABLE FOR REVIEW UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY OF THE FOUNDATION IS MONITORED BY MEMORIAL HOSPITAL AND HEALTH CARE CENTER. THE CHAIRPERSON EVALUATES SITUATIONS WHERE POSSIBLE CONFLICTS MAY EXIST, AND TRIES TO DISCUSS THESE SITUATIONS WITH BOARD MEMBERS BEFORE DISCUSSIONS MAY TAKE PLACE AT THE BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PROCESS IS CONDUCTED BY MEMORIAL HOSPITAL AND HEALTH CARE CENTER. THE HOSPITAL'S PROCESS IS TO USE THE COMPENSATION COMMITTEE, COMPOSED OF THE HOSPITAL BOARD'S EXECUTIVE COMMITTEE EXCLUDING THE HOSPITAL'S CEO, TO REVIEW EXTERNAL SURVEY INFORMATION PROVIDED BY AN INDEPEDENT COMPENSATION CONSULTANT, AND VOTE ON ANY COMPENSATION AND BENEFIT CHANGES FOR THE HOSPITAL'S CEO AND APPROVAL FOR ANY SIMILAR CHANGES TO THE HOSPITAL'S ADMINISTRATIVE STAFF MEMBERS AND THE FOUNDATION'S EXECUTIVE DIRECTOR. THESE ACTIONS ARE DOCUMENTED IN THE HOSPITAL'S COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MH FOUNDATION OTHER PURCHASED SERV: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 161,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 161,407. FORM 990, LINE XII, LINE 2C: THE BOARD OF DIRECTORS OF MEMORIAL HOSPITAL AND HEALTH CARE CENTER ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTS THE INDEPENDENT AUDITOR. NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. MEMORIAL HOSPITAL & HEALTH CARE CENTER 800 WEST NINTH STREET JASPER IN 47546 350985964 HOSPITAL IN 501C3 LINE 3 N/A 0 MEMORIAL HOSPITAL OUTPATIENT SURGERY CENTER MANAGEMENT COMPANY 600 WEST 13TH STREET JASPER IN 47546 274828606 SURGERY CENTER MANAGEMENT IN N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0