2025-08-15T08:47:35-05:00 2024-12-31 480928496 WOODS & DURHAM CHTD 619 LINCOLN AVE CLAY CENTER KS 67432 990 2024-01-01 481035296 CLAY COUNTY HOSPITAL FOUNDATION CLAY 7856322144 PO BOX 512 CLAY CENTER KS 67432 BRYCE DOLAN DIRECTOR 7856322144 2025-08-07 1 1 CORRINE E URBAN P01226863 7856325657 2024 2025-03-06 01:10:19Z BRYCE DOLAN PO BOX 512 CLAY CENTER KS 67432 529746 0 X N/A X 1987 KS TO PROVIDE VOLUNTARY GIFT SUPPORT FOR THE CLAY COUNTY MEDICAL CENTER 14 14 0 16 0 0 30160 382488 0 0 25163 54272 -2482 5639 52841 442399 0 31071 0 0 0 3251 0 0 0 8723 8997 8723 43319 44118 399080 1393740 1792820 0 0 1393740 1792820 TO PROVIDE VOLUNTARY GIFT SUPPORT FOR THE CLAY COUNTY MEDICAL CENTER 0 0 31071 31071 CAPITAL AND GENERAL IMPROVEMENTS TO CLAY COUNTY MEDICAL CENTER 31071 1 1 0 0 0 1 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 KS X BRYCE DOLAN 7856322144 617 LIBERTY CLAY CENTER KS 67432 BRYCE DOLAN DIRECTOR 1.00 10.00 X 0 3251 0 SCOTT PATTERSON PRESIDENT 0.00 X X 0 0 0 SCOTT LEITZEL SECRETARY 0.00 X X 0 0 0 SANDY FOX TREASURER 0.00 X X 0 0 0 AUSTIN GILLARD CHIEF EXECUTIVE OFFICER 0.00 X 0 0 0 JIM GIERHAN BOARD MEMBER 0.00 X 0 0 0 JOHN KELLEY CHIEF MEDICAL OFFICER 0.00 X 0 0 0 STEVE MCMAHAN BOARD MEMBER 0.00 X 0 0 0 DUSTIN MULLIN BOARD MEMBER 0.00 X 0 0 0 TERRI PARRY BOARD MEMBER 0.00 X 0 0 0 MARIA PFIZENMAIER BOARD MEMBER 0.00 X 0 0 0 KYLIE PRUSER BOARD MEMBER 0.00 X 0 0 0 MIKE RYAN BOARD MEMBER 0.00 X 0 0 0 TIM SHARP BOARD MEMBER 0.00 X 0 0 0 LES SPENCE BOARD MEMBER 0.00 X 0 0 0 SUSAN SWANSON BOARD MEMBER 0.00 X 0 0 0 0 3251 0 0 0 0 0 0 382488 382488 54272 54272 13835 19347 -5512 -5512 -5512 68000 68000 0 0 MARKET VALUE ADJUSTMEN 523920 11151 11151 11151 442399 59911 0 0 31071 31071 3251 3251 7825 7825 1135 1135 12 12 UNRESTRICTED EXPENSES 25 25 43319 31071 12248 0 19735 22239 640644 22511 20000 29500 243423 84155 167283 159268 546078 1559302 1393740 1792820 0 0 X 0 0 0 0 1393740 1792820 1393740 1792820 1393740 1792820 399080 0 X 0 0 0 X 134721 592371 36033 30160 382488 1175773 134721 592371 36033 30160 382488 1175773 25700 282525 7200 223195 538620 0 25700 282525 7200 223195 538620 637153 21285 38707 32147 38883 68107 199129 21285 38707 32147 38883 68107 199129 7537 33405 11151 52093 163543 664483 68180 69043 461746 1426995 0.44650 0.13950 X PART IV, SECTION C, LINE 1 THE CHIEF MEDICAL OFFICER OF THE HOSPITAL IS ON THE FOUNDATION'S BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2 7 0 382488 139576 1464477 0 0 X 0 2700499 282637 25 2983111 2686797 14202 500 2700499 2846176 -157614 1765 2686797 2385394 462217 1435 2846176 2300185 86084 875 2385394 0.04000 0.96000 0 0 23017 23017 220406 84155 136251 159268 INVESTMENT IN CD - UNRESTRICTED 266355 F INVESTMENT IN CD - UNRESTRICTED 703315 F INVESTMENT IN OSAIC WEALTH, INC - UNRESTRICTED 450033 F INVESTMENT IN EDWARD JONES - UNRESTRICTED 24 F INVESTMENT IN AMERICAN FUNDS - ENDOWED 66889 F INVESTMENT IN EDWARD JONES - ENDOWED 72686 F 1559302 PART III, LINE 1A: FOOTNOTE TEXT: THE FOUNDATION HAS RECEIVED DONATIONS OF ARTWORK OVER THE YEARS. THESE WORKS HAVE BEEN INVENTORIED AND ARE DISPLAYED AROUND THE HOSPITAL FACILITIES. THESE ITEMS INCLUDE FRAMED PHOTOS AND PAINTINGS. THESE ARE GIFTED ITEMS AND, ACCORDINGLY, NO "INVENTORY" OF ARTWORK IS RECORDED IN THESE FINANCIAL STATEMENTS. THE COLLECTION WOULD NOT BE MATERIAL IN VALUE TO THESE FINANCIAL STATEMENTS. PART III, LINE 4: THE ARTWORK THAT THE FOUNDATION HAS RECEIVED OVER THE YEARS INCLUDES FRAMED PHOTOS AND PAINTINGS. THE ARTWORK IS ON DISPLAY AROUND THE HOSPITAL. PART V, LINE 4: TO PROVIDE SUPPORT FOR THE CLAY COUNTY MEDICAL CENTER. 1 CLAY COUNTY MEDICAL CENTER 617 LIBERTY ST CLAY CENTER KS 67432 486023060 31071 0 CAPITAL AND GENERAL IMPROVEMENTS TO CLAY COUNTY MEDICAL CENTER FORM 990, PART VI, SECTION B, LINE 11B A COPY IS NOT MADE AVAILABLE TO ALL MEMBERS FOR REVIEW BEFORE FILING FORM 990, PART VI, SECTION C, LINE 19 THE CLAY COUNTY HOSPITAL FOUNDATION BYLAWS WILL BE MADE AVAILABLE TO THE PUBLIC WHEN REQUESTED ALONG WITH ANY FINANCIAL INFORMATION CONTAINED IN THE ANNUAL FORM 990 FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC BRYCE DOLAN - 716 A STREET, CLAY CENTER, KS 67432. SCOTT PATTERSON - 204 FREDERICK ST, CLAY CENTER, KS 67432. SCOTT LEITZEL - 1569 PAWNEE DR, CLAY CENTER, KS 67432. SANDY FOX - 1310 13TH ST, CLAY CENTER, KS 67432. AUSTIN GILLARD - 2510 8TH ST, CLAY CENTER, KS 67432. JIM GIERHAN - 1010 NAVAJO RD, CLAY CENTER, KS 67432. JOHN KELLEY - 1677 PRAIRIE RD, CLAY CENTER, KS 67432. STEVE MCMAHAN - 1807 POGUE RD, CLAY CENTER, KS 67432. DUSTIN MULLIN - 494 8TH RD, CLAY CENTER, KS 67432. TERRI PARRY - 945 26TH RD, MORGANVILLE, KS 67468. MARIA PFIZENMAIER - 1277 HACKBERRY RD, CLAY CENTER, KS 67432. KYLIE PRUSER - 234 E 12TH ST, CONCORDIA, KS 66901. MIKE RYAN - PO BOX 205, CLAY CENTER, KS 67432. TIM SHARP - 7024 PHEASANT RIDGE RD, RILEY, KS 66531. LES SPENCE - PO BOX 55, LINN, KS 66953. SUSAN SWANSON - 1421 5TH ST, CLAY CENTER, KS 67432. FEDERAL ELECTION SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION FOR THE YEAR ENDING DECEMBER 31, 2024 CLAY COUNTY HOSPITAL FOUNDATION IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F). FEDERAL ELECTION SECTION 1.263(A)-3(H) SAFE HARBOR ELECTION FOR SMALL TAXPAYERS FOR THE YEAR ENDING DECEMBER 31, 2024 CLAY COUNTY HOSPITAL FOUNDATION IS MAKING THE SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-3(H) FOR THE FOLLOWING ELEGIBLE BUILDING PROPERTY(S). DESCRIPTION OF ELIGIBLE PROPERTY(S): RESIDENTIAL RENTAL REAL ESTATE LAFAYETTE SQUARE LLC 617 LIBERTY STREET CLAY CENTER KS 67432 454007818 RENTAL REAL ESTATE KS 13835 181506 CLAY COUNTY HOSPITAL FOUNDATION CLAY COUNTY MEDICAL CENTER 617 LIBERTY CLAY CENTER KS 67432 486023060 ACCUTE CARE HOSPITAL KS N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1