2024-11-12T15:21:47-06:00 2023-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-01-01 421471184 SHENANDOAH MEDICAL CENTER FOUNDATION SHEN 7122461230 300 PERSHING AVENUE SHENANDOAH IA 51601 KALEY NEAL CFO-SHENANDOAH MEDICAL CENTER 7122461230 2024-11-08 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2024-11-06 2023 2024-10-15 13:58:12Z KALEY NEAL 300 PERSHING AVENUE SHENANDOAH IA 51601 1287526 0 X SMCHOSPITAL.COM/FOUNDATION X 1997 IA TO SUPPORT SHENANDOAH MEDICAL CENTER & COMMUNITY HEALTH. 8 6 0 50 0 0 551465 1234586 0 0 4334 12507 -8308 -11653 547491 1235440 461723 2368306 0 0 0 0 0 0 0 14636 26011 476359 2394317 71132 -1158877 1847203 725916 3369 18702 1843834 707214 TO PROVIDE ASSISTANCE AND ENSURE THE LONG-TERM SUSTAINABILITY OF SHENANDOAH MEDICAL CENTER BY SECURING FINANCIAL RESOURCES, DONOR ENGAGEMENT, AND HEALTH CARE PROMOTION. 0 0 2381940 2368306 TO SUPPORT SHENANDOAH MEDICAL CENTER & COMMUNITY HEALTH. 2381940 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 6 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 1 1 0 X MARCIE SHIRLEY 7122467164 300 PERSHING AVENUE SHENANDOAH IA 51601 MATTHEW SELLS DIRECTOR / HOSPITAL CEO 10.00 40.00 X X 0 338608 39610 TIMOTHY SMITH MD DIRECTOR 10.00 40.00 X 0 254378 19769 CRAIG HARRIS CHAIRPERSON 10.00 0.00 X X 0 0 0 DENNIS CHRISTIANSEN VICE CHAIRPERSON 10.00 0.00 X X 0 0 0 ADAM WRIGHT SECRETARY/TREASURER 10.00 0.00 X X 0 0 0 JUDI WISCHIK DIRECTOR 10.00 0.00 X 0 0 0 DENNIS GREBERT DIRECTOR 10.00 3.00 X 0 0 0 ELEANOR SHIRLEY DIRECTOR 10.00 0.00 X 0 0 0 KALEY NEAL HOSPITAL CFO 1.00 40.00 X 0 166528 11222 0 759514 70601 0 0 1 0 0 54248 1000000 180338 1234586 13930 13930 21210 22633 -1423 -1423 -1423 17800 54248 29453 -11653 -11653 1235440 0 0 854 2368306 2368306 1226 1226 11151 11151 8795 8795 3890 3890 EDUCATION 550 550 SUPPLIES 335 335 DUES AND SUBSCRIPTIONS 64 64 2394317 2381940 12377 0 1226374 298157 9518 11600 358418 100512 252893 315647 1847203 725916 3369 18702 3369 18702 X 697102 602642 1146732 104572 1843834 707214 1847203 725916 -1158877 22257 0 X X 0 1 X 1 1 1 X X 1 SHENANDOAH MEDICAL CENTER 421101835 3 1 2361774 0 1 2361774 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6: THE FOUNDATION ALSO PROVIDED GRANTS TO OTHER CHARITABLE ORGANIZATIONS WHO ARE SUPPORTING THE INDIVIDUALS IN THE SURROUNDING COMMUNITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 141388 13412 154800 141934 546 141388 127757 14177 141934 130985 3228 127757 90939 40046 130985 1.00000 0.00000 0.00000 0 0 0 X PART V, LINE 4: THE ENDOWMENT FUNDS WERE DESIGNATED AS SUCH BY THE FOUNDATION BOARD OF DIRECTORS. THE INCOME IS TYPICALLY REINVESTED IN THE ENDOWMENT FUNDS ON AN ANNUAL BASIS, BUT THE BOARD OF DIRECTORS HAS THE ABILITY TO DETERMINE THAT THE INCOME COULD BE USED IN SUPPORT OF THE FOUNDATION'S PROGRAMS AND PROJECTS. PART X, LINE 2: THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2023 AND 2022, THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GOLF BENEFIT 35704 28504 7200 1950 9699 1313 FALL HARVEST 23620 18270 5350 7188 714 1 12724 7474 5250 155 3660 2500 2274 72048 54248 17800 2105 20547 2500 4301 29453 -11653 1 SHENANDOAH MEDICAL CENTER 300 PERSHING AVE SHENANDOAH IA 51601 421101835 501(C)(3) 2361774 0 GENERAL PURPOSES 1 0 PART I, LINE 2: THE FOUNDATION MADE GRANTS TO SHENANDOAH MEDICAL CENTER, THE SUPPORTED ORGANIZATION. 0 0 0 0 0 0 0 0 0 MATTHEW SELLS DIRECTOR / HOSPITAL CEO 0 308159 0 30000 0 449 0 16139 0 26265 0 381012 0 0 TIMOTHY SMITH MD DIRECTOR 0 237123 0 17255 0 0 0 12019 0 10411 0 276808 0 0 KALEY NEAL HOSPITAL CFO 0 161251 0 5000 0 277 0 8464 0 4487 0 179479 0 0 PART I, LINE 3 THE CEO OF SHENANDOAH MEDICAL CENTER (SMC), A RELATED ORGANIZATION, AND THE TOP MANAGEMENT OFFICIAL OF THE FOUNDATION, IS COMPENSATED BY SMC. SMC USES THE FOLLOWING TO DETERMINE THE CEO'S COMPENSATION: FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7A SHENANDOAH MEDICAL CENTER, A RELATED ORGANIZATION, APPOINTS ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE SHENANDOAH MEDICAL CENTER'S (RELATED ENTITY) CEO AND CFO AND THE FOUNDATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION BOARD OF DIRECTOR'S HAS A WRITTEN CONFLICT OF INTEREST POLICY INCLUDED IN THE BYLAWS OF THE ORGANIZATION. ALTHOUGH NOT DISCLOSED ANNUALLY, DIRECTORS IDENTIFY CONFLICTS AS THEY ARISE AND THE CONFLICTED MEMBER REFRAINS FROM VOTING ON MATTERS INVOLVING A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS PAID BY THE SHENANDOAH MEDICAL CENTER (SMC), A RELATED ORGANIZATION. THE COMPENSATION OF SMC'S CEO WAS REVIEWED AND AUTHORIZED BY SMC'S BOARD OF DIRECTORS. SMC ALSO UTILITIZES THE IOWA HOSPITAL ASSOCIATION SALARY SURVEY DATA TO APPROPRIATELY SET COMPENSATION FOR ITS OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINES 13 AND 14: THE FOUNDATION DOES NOT HAVE WRITTEN WHISTLEBLOWER OR DOCUMENT RETENTION AND DESTRUCTION POLICIES, BUT THE ORGANIZATION FOLLOWS THE WRITTEN POLICIES OF SHENANDOAH MEDICAL CENTER, A RELATED ORGANIZATION. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF THE SHENANDOAH MEDICAL CENTER (SMC), A RELATED ENTITY, ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FOUNDATION'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHENANDOAH MEDICAL CENTER 300 PERSHING AVENUE SHENANDOAH IA 51601 421101835 TO PROVIDE HEALTHCARE SERVICES TO THE PEOPLE OF SHENANDOAH IA 501(C)(3) LINE 3 NONE 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0