2024-05-15T17:17:31-04:00 2023-06-30 421029744 TDT CPAS AND ADVISORS PC 204 NORTH MAIN MT PLEASANT IA 52641 990 2022-07-01 421354383 HENRY COUNTY HEALTH CENTER FOUNDATI HENR 3193856541 407 S WHITE ST MT PLEASANT IA 52641 MARK HEMPEN FOUNDATION DIRECTOR 3193856541 2024-05-15 true MARK HEMPEN 999009999 false JAIME ACKLES CPA P00575252 3193859718 2024-05-15 2022 2023-04-26 12:10:37Z MARK HEMPEN 407 S WHITE ST MT PLEASANT IA 52641 661435 false X WWW.HCHC.ORG/FOUNDATION X 1990 IA THE FOUNDATION RAISES FUNDS FOR THE SUPPORT OF HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL (HOSPITAL), A CORNERSTONE OF THE LOCAL ECONOMY AND A NATIONALLY RECOGNIZED CENTER OF HEALTHCARE ADVANCEMENT AND INNOVATION. THE FOUNDATION, AS A SEPARATE ELEMENT OF THE HEALTH CENTER, PROMOTES AS PART OF ITS OVERALL PURPOSE, PROJECTS AND INITIATIVES WHICH BOTH ENHANCE THE HEALTH AND HEALTH AWARENESS OF HENRY COUNTY AND SURROUNDING AREAS; AND, COMPLIMENT AND HEIGHTEN AWARENESS OF THE HOSPITAL. 12 12 0 20 0 789755 174630 0 164665 119027 -2985 -4866 951435 288791 14600 45688 0 0 0 51929 135857 86983 150457 132671 800978 156120 2275989 2412670 0 2275989 2412670 X WITH INTEGRITY, RESPONSIBLE STEWARDSHIP, TRANSPARENCY AND CAPACITY BUILDING, THE HENRY COUNTY HEALTH CENTER FOUNDATION WILL PLAN, PROMOTE, DEVELOP, FUND AND DELIVER IMPORTANT HEALTH RELATED INITIATIVES FOR THE BENEFIT OF INDIVIDUALS AND FAMILIES OF HENRY COUNTY AND SURROUNDING AREAS. false false 45688 45688 THE FOUNDATION RAISES FUNDS AND MANAGES ASSETS FOR HEALTH RELATED INITIATIVES, INCLUDING THOSE OF HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL. 30000 LOAN FORGIVENESS/RECRUITING INCENTIVES: PROGRAM SERVICE EXPENSES 30,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,000. 30000 75688 true true false false false false false false false true false false false false false false false false false false false false false false true false false true false true false false false false false false false false false false false false false false false false false true 6 0 true 0 false false false false false true true false false false false false false false false X 12 12 false false false false false false false true false false false true true true true true true true false false X HENRY COUNTY SOLDIERS AND SAILORS M 3193853141 407 S WHITE STREET MOUNT PLEASANT IA 52641 MARK HEMPEN FOUNDATION D 40.00 X 64187 0 27275 KENDRA BONNESEN MEMBER 0.30 40.00 X 0 0 0 TERESA COLGAN MEMBER 0.30 40.00 X 0 0 0 JILL DANIEL PRESIDENT TH 0.50 40.00 X X 0 0 0 DAVID FILE VICE PRESIDE 0.50 X X 0 0 0 ROBB GARDNER MEMBER 0.30 40.00 X 0 0 0 SYLVIA GRABER MEMBER 0.30 40.00 X 0 0 0 KIRSTEN HEERDT MEMBER 0.30 40.00 X 0 0 0 TOM HOLTKAMP MEMBER 0.30 X 0 0 0 SALLY OLSON PRESIDENT AS 0.30 X X 0 0 0 LOIS ROTH SEC/TREAS AS 0.30 X X 0 0 0 MIKE VENS MEMBER 0.30 X 0 0 0 ALAN WAGNER SEC/TREAS TH 0.50 X X 0 0 0 KEVIN WHEELER MEMBER 0.30 X 0 0 0 LORI WHITE MEMBER 0.30 40.00 X 0 0 0 64187 27275 false false true 37985 136645 174630 38432 38432 436093 355498 80595 80595 80595 12280 37985 17146 -4866 -4866 288791 114161 X 45688 45688 4829 4829 30000 30000 5930 5930 4356 4356 225 225 GENERAL FUND EXPENSE 36527 36527 OTHER FUNDRAISING EXPENSE 5116 5116 132671 75688 5054 51929 956171 570183 164600 166600 1155218 1675887 2275989 2412670 0 0 X 2275989 2412670 2275989 2412670 2275989 2412670 156120 -19439 X false false false X 85730 131177 159038 163908 174630 714483 85730 131177 159038 163908 174630 714483 714483 28760 26226 20258 35204 38432 148880 6653 12940 19593 882956 0.80920 0.76770 X PART II, LINE 10 OTHER INCOME 19,593 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16758 671786 5630 1533 889 691861 20754 -2679 1067 250 16758 17277 4737 1010 250 20754 17844 628 945 250 17277 18037 898 841 250 17844 1.00000 true false GALA 36230 25950 10280 7329 1500 1900 GOLF 14035 12035 2000 1901 1453 2886 177 50265 37985 12280 1901 1453 10215 1500 2077 17146 -4866 false HENRY COUNTY SOLDIERS & SAILERS MEM 407 S WHITE ST MOUNT PLEASANT IA 52641 426038202 GOV 45688 CARDIAC SYSTEM SCHEDULE I, PAGE 4, PART IV ORGANIZATIONS ARE REQUIRED TO PROVIDE A PROGRESS REPORT EVERY 90 DAYS UNTIL THE PROGRAM HAS BEEN COMPLETED, AT WHICH TIME A COMPLETION REPORT MUST BE SUBMITTED. HCHC FOUNDATION RESERVES THE RIGHT TO MONITOR BOTH PROGRESS AND COMPLETION REPORTS THROUGH APPROPRIATE MEANS, INCLUDING SITE VISITS, WRITTEN COMMUNICATION AND TELEPHONE INQUIRIES BY STAFF, BOARD DIRECTORS, AND VOLUNTEERS. THE GRANTEE ORGANIZATION IS RESPONSIBLE FOR THE EXPENDITURE OF FUNDS AND FOR MAINTAINING ADQUATE SUPPORTING RECORDS CONSISTENT WITH GENERALLY ACCEPTED ACCOUNTING PRACTICES. THE GRANTEE ORGANIZATION MUST PROVIDE COPIES OF ALL INVOICES AND RECORDS THAT CORRESPOND WITH EXPENSES RELATED TO THE PROGRAM FUNDED BY HCHC FOUNDATION UPON REQUEST. false false false false false false false false false MARK HEMPEN FOUNDATION DIRECTOR 64187 27275 91462 SCHEDULE J, PART III MARK HEMPEN WAS PAID BY THE HENRY COUNTY SOLDEIRS AND SAILORS MEMORIAL HOSPITAL (HOSPITAL), AN UNRELATED ORGANIZATION. MR. HEMPEN RECEIVED BASE COMPENSATION OF 64,187 AND BENEFITS TOTALING 27,275 FOR HIS SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022. THE HOSPITAL PARTICIPATES IN THE IOWA HOSPITAL ASSOCIATION SALARY SURVEY PROCESS. SALARIES ARE BASED ON IHA FINDINGS, FACILITY SIZE AND TYPE, AND OTHER DEMOGRAPHIC AND LOCATION CRITERIA. A LOCAL MARKET REVIEW IS CONDUCTED FOR SOME POSITIONS. THE HOSPITAL BOARD OF TRUSTEES APPROVE SALARIES. FORM 990 - ORGANIZATION'S MISSION WITH INTEGRITY, RESPONSIBLE STEWARDSHIP, TRANSPARENCY AND CAPACITY BUILDING, THE HENRY COUNTY HEALTH CENTER FOUNDATION WILL PLAN, PROMOTE, DEVELOP, FUND AND DELIVER IMPORTANT HEALTH RELATED INITIATIVES FOR THE BENEFIT OF INDIVIDUALS AND FAMILIES OF HENRY COUNTY AND SURROUNDING AREAS. FORM 990, PAGE 2, PART III, LINE 4D LOAN FORGIVENESS/RECRUITING INCENTIVES: PROGRAM SERVICE EXPENSES 30,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,000. FORM 990, PAGE 6, PART VI, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 11B THE IRS FORM 990 WILL BE COMPLETED BY AN EXTERNAL ACCOUNTING FIRM. BEFORE THE FORM 990 IS FILED, IT WILL BE REVIEWED BY THE FOUNDATION BOARD AT A REGULARLY SCHEDULED BOARD MEETING, THE FOUNDATION DIRECTOR WILL PROVIDE A SECTION BY SECTION REVIEW OF THE PUBLIC DISCLOSURE COPY OF THE FORM 990, ENTERTAIN QUESTIONS BY THE BOARD, ADN RECOMMEND TO THE BOARD WHETHER OR NOT THE 990 SHOULD BE FILED AS IS. ANY BOARD ACTION WILL BE REPORTED BACK TO THE ACCOUNTING FIRM FOR FURTHER PROCESSING. FORM 990, PAGE 6, PART VI, LINE 12C THE FOUNDATION REQUIRES ALL BOARD MEMBERS TO SIGN THE POLICY AND DISCLOSE THEIR RESPECTIVE TO SIGN THE POLICY AND DISCLOSE THEIR RESPECTIVE FINANCIAL INTERESTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. TO ENSURE THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITES THAT COULD JEOPARDIZE ITS TAX-EXEMEPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. FORM 990, PAGE 6, PART VI, LINE 15A THE FOUNDATION DIRECTOR IS COMPENSATED BY HENRY COUNTY SOLDIERS AND SAILORS MEMORIAL HOSPITAL, AN UNRELATED ENTITY. THE HOSPITAL PARTICIPATES IN THE IOWA HOSPITAL ASSOCIATION SALARY SURVEY PROCESS. SALARIES ARE BASED ON IHA FINDINGS, FACILITY SIZE AND TYPE, AND OTHER DEMOGRAPHIC AND LOCATION CRITERIA. A LOCAL MARKET REVIEW IS CONDUCTED FOR SOME POSITIONS. THE HOSPITAL BOARD OF TRUSTEES APPROVE SALARIES. FORM 990, PAGE 6, PART VI, LINE 19 HENRY COUNTY HEALTH CENTER FOUNDATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G 30,000 0 0