2025-11-13T17:20:02-06:00 2024-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2024-01-01 351543591 HANCOCK REGIONAL HOSPITAL FOUNDATION HANC 3174684583 801 N STATE STREET GREENFIELD IN 46140 TONYA GALBRAITH CHAIR 3174684583 2025-11-13 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2025-11-13 2024 2025-03-06 01:10:19Z KEVIN HARVEY 801 N STATE STREET GREENFIELD IN 46140 539588 0 X WWW.HANCOCKREGIONALHOSPITAL.ORG/FOUNDATION X 1982 IN TO SUPPORT THE ADVANCEMENT OF HEALTHCARE AND WELLNESS IN THE COMMUNITIES WE SERVE. 19 19 0 105 0 0 2453815 271757 0 0 72115 68485 107964 -13464 2633894 326778 1030481 760451 0 0 0 0 0 0 0 625501 568048 1655982 1328499 977912 -1001721 21657046 23043875 389776 234636 21267270 22809239 TO SUPPORT THE ADVANCEMENT OF HEALTHCARE AND WELLNESS IN THE COMMUNITIES WE SERVE. 0 0 1073909 760451 18454 THE HANCOCK REGIONAL HOSPITAL FOUNDATION WAS INCORPORATED IN SEPTEMBER 1982. AS OUTLINED IN THE ARTICLES OF INCORPORATION FOR THE HOSPITAL FOUNDATION, ARTICLE 2, SECTION 1, STATES THE PURPOSE OF THE CORPORATION BEING:TO RAISE AND EXPEND FUNDS FOR THE BENEFIT OF HANCOCK REGIONAL HOSPITAL AND ANY ORGANIZATION OPERATED, SUPERVISED, OR CONTROLLED BY OR IN CONNECTION WITH IT. SAID FUNDS ARE TO BE EXPENDED FOR THE FOLLOWING PURPOSES -(1) CAPITAL IMPROVEMENTS (2) EDUCATIONAL PROGRAMS INCLUDING SCHOLARSHIPS (3) MEDICAL OR HOSPITAL RELATED RESEARCH OR (4) INITIAL CAPITALIZATION FOR NEW OR EXPERIMENTAL SERVICES. 1073909 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 26 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 IN X NANCY DAVIS 3174684583 801 N STATE STREET GREENFIELD IN 46140 TONYA GALBRAITH CHAIR/OFFICER 2.00 0.00 X X 0 0 0 DENISE ARLAND VICE CHAIR/OFFICER 2.00 0.00 X X 0 0 0 JOHN DAVIS SECRETARY/OFFICER 2.00 0.00 X X 0 0 0 JENNA GANNON TREASURER/OFFICER 2.00 0.00 X X 0 0 0 MIKE GRAF BOARD MEMBER 2.00 0.00 X 0 0 0 JAMIE BELL BOARD MEMBER 2.00 0.00 X 0 0 0 DEE CARMICHAEL BOARD MEMBER 2.00 0.00 X 0 0 0 TIM CLARK BOARD MEMBER 2.00 0.00 X 0 0 0 DR MEG FITZSIMMONS BOARD MEMBER 2.00 0.00 X 0 0 0 SCOTT KLEINE BOARD MEMBER 2.00 0.00 X 0 0 0 CAROL SENG BOARD MEMBER 2.00 0.00 X 0 0 0 JEFF MUEGGE BOARD MEMBER 2.00 0.00 X 0 0 0 RAY POHLAND BOARD MEMBER 2.00 0.00 X 0 0 0 DAVID STILLINGER BOARD MEMBER 2.00 0.00 X 0 0 0 GUY TITUS BOARD MEMBER 2.00 0.00 X 0 0 0 JASON WHITE BOARD MEMBER 2.00 0.00 X 0 0 0 KEVIN HARVEY BOARD MEMBER 2.00 0.00 X 0 0 0 PETER SHELBY BOARD MEMBER 2.00 0.00 X 0 0 0 PEGGY CARSON BOARD MEMBER 2.00 0.00 X X 0 0 0 NANCY DAVIS EXECUTIVE DIRECTOR 40.00 0.00 X 0 161825 26006 0 161825 26006 0 0 1 0 0 271757 271757 68485 68485 37920 271757 69838 -31918 -31918 161426 142972 18454 18454 326778 18454 0 36567 663000 663000 97451 97451 91500 91500 4000 4000 14408 14408 4815 4815 392382 196191 196191 2764 1382 1382 DONOR RECOGNITION 14743 14743 PASS THROUGH GRANT EXPE 11670 11670 CARING COMMUNITY PARTNE 7900 7900 DUES & SUBSCRIPTIONS 2766 2766 21100 21100 1328499 1073909 254590 0 73788 0 19914834 22879492 1557799 40486 110625 123897 35840 35840 0 0 21657046 23043875 22084 31072 367692 203564 389776 234636 X 7246572 8069154 14020698 14740085 21267270 22809239 21657046 23043875 -1001721 2543690 0 X X 0 1 X 1 0 X 1880341 3041128 3358203 2453815 271757 11005244 1880341 3041128 3358203 2453815 271757 11005244 794984 10210260 97320 616 7037 72115 68485 245573 11250817 816297 0.90750 0.92330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14020698 319316 2543690 567553 319188 15996963 12581097 2855225 2329536 3745160 14020698 13361484 2744009 -2622032 902364 12581097 10847173 3197953 2370173 3053815 13361484 9388028 1876075 984205 1401135 10847173 0.25700 0.74200 0.00100 0 0 31650 31650 0 4190 4190 0 0 RELATED PARTY PAYABLE 203564 203564 X PART V, LINE 4: RESTRICTED FUNDS INCLUDE DONATIONS TO THE FOUNDATION THAT HAVE BEEN RESTRICTED BY DONORS FOR A SPECIFIC PURPOSE. GENERALLY, THESE DONATIONS ARE FOR ADDITIONS TO HOSPITAL PROPERTY AND EQUIPMENT. TRANSFERS ARE MADE TO UNRESTRICTED FUNDS AS EXPENDITURES ARE MADE IN ACCORDANCE WITH THE DONOR RESTRICTIONS. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, 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 HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. WOMEN HELPING WOMEN 222289 200689 21600 3607 30107 3385 3770 GOLF BENEFIT 87388 71068 16320 2400 15124 9264 2181 309677 271757 37920 2400 18731 39371 3385 5951 69838 -31918 1 HANCOCK REGIONAL HOSPITAL 801 N STATE STREET GREENFIELD IN 46140 351092610 501(C)(3) 663000 0 ASSIST WITH HEALTH RELATED PROGRAMS 1 0 ASSOCIATE CRISIS FUND-TO ASSIST THE COMMUNITY IN EDUCATION, HEALTH, AND WELL 38 44985 JOHN F STICKFORD NURSING SCHOLARSHIP 1 17411 EDITH ZIKE SCHOLARSHIP 6 12000 HEALTH AND WELLNESS SCHOLARSHIP 8 23055 PART I, LINE 2: GRANTS ARE REVIEWED ON A SCHEDULED BASIS (AT LEAST QUARTERLY). THE MONETARY AMOUNT REQUESTED IS SUBJECT TO CHANGE AFTER EVALUATION BY THE GRANT COMMITTEE. 0 0 0 0 0 0 0 0 0 NANCY DAVIS EXECUTIVE DIRECTOR 0 155825 0 6000 0 0 0 9421 0 16585 0 187831 0 0 SCHEDULE J, PART I, LINE 3: ALL EMPLOYEES ARE EMPLOYED BY A RELATED ORGANIZATION. THAT ORGANIZATION PARTICIPATES IN SALARY SURVEYS TO ANALYZE AND ADJUST PAY RANGES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CLASSES OF VOTING MEMBERS: HOSPITAL MEMBERS AND NON-HOSPITAL MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A HANCOCK REGIONAL HOSPITAL'S BOARD OF DIRECTORS CAN ELECT ONE OF ITS MEMBERS TO SERVE AS A VOTING BOARD MEMBER ON THE FOUNDATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C, OVERSIGHT OF AUDIT: THE HANCOCK REGIONAL HOSPITAL'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. HANCOCK REGIONAL HOSPITAL 801 N STATE STREET GREENFIELD IN 46140 351092610 COUNTY HOSPITAL IN 501(C)(3) LINE 3 N/A 0 HANCOCK HEALTH GATEWAY SERVICES INC 6189 W JOHN L MEDGLIN DR GREENFIELD IN 46140 831904165 HEALTH SERVICES IN 501(C)(3) LINE 12A, I HANCOCK REGIONAL HOSPITAL 0 SUBURBAN HOSPICE 801 N STATE STREET GREENFIELD IN 46140 834035873 HEALTH SERVICES IN 501(C)(3) LINE 12A, I HANCOCK REGIONAL HOSPITAL 0 HANCOCK REGIONAL SURGERY CENTER LLC 626 EAST 75TH STREET INDIANAPOLIS IN 46140 205425450 SURGERY CENTER IN N/A 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0