2026-08-13T16:57:44+00:00 2025-09-30 135565207 KPMG LLP 200 EAST RANDOLPH DRIVE SUITE 5500 CHICAGO IL 606016436 990 2024-10-01 421032878 PALMER MEMORIAL FOUNDATION PALM 5634223811 112 JEFFERSON ST WEST UNION IA 52175 BRENDA MOSER CFO 2026-08-13 true RILEY KOBRICK P02401884 3126651000 2026-08-12 2024 2025-03-06 01:10:19Z BRENDA MOSER 112 JEFFERSON ST WEST UNION IA 52175 271702 false X https://www.gundersenhealth.org/palmer/foundation X 1975 IA TO FUND THE HEALTHCARE NEEDS OF OUR COMMUNITY THAT ADVANCE HEALTH AND WELL-BEING IN OUR SERVICE AREA 11 11 0 24 0 64750 201860 0 0 80478 44166 9019 10625 154247 256651 43591 14503 0 0 0 0 0 0 0 32083 55881 75674 70384 78573 186267 1189732 1392318 3560 19879 1186172 1372439 PALMER MEMORIAL FOUNDATION'S MISSION IS TO FUND THE HEALTHCARE NEEDS OF OUR COMMUNITY THAT ADVANCE HEALTH AND WELL-BEING IN OUR SERVICE AREA THROUGH PARTICIPATION AND ORGANIZATION OF SUCH ACTIVITIES DESIGNATED TO PROMOTE HEALTH INITIATIVES. THIS MISSION WILL BE DONE WITH THE FOLLOWING VALUES IN THE FOREFRONT: COMPASSION, SUPPORT, GENEROSITY, GROWTH, INTEGRITY. false false 56271 14503 0 PALMER MEMORIAL FOUNDATION WAS ESTABLISHED IN 1975 AS A NON-PROFIT ORGANIZATION WHOSE SOLE OBJECTIVE AND PURPOSE IS TO FUND THE HEALTHCARE NEEDS OF NORTHEAST IOWA. OVER THE YEARS, GIFTS LARGE AND SMALL HAVE ASSISTED THE FOUNDATION IN PROVIDING NEW TECHNOLOGY, EDUCATION, SERVICES AND PROGRAMS TO THE COMMUNITY AND PALMER LUTHERAN HEALTH CENTER. DURING 2025, PALMER MEMORIAL FOUNDATION GRANTED FUNDS FOR THE FOLLOWING ITEMS: CARDIAC REHAB MONITOR, BOOKS AND VARIOUS SUPPLIES FOR HOSPICE PATIENTS, A DONOR BOARD, BEREAVEMENT GIFTS FOR HOSPICE FAMILIES, WAITING ROOM CHAIRS, MEALS FOR OB PATIENT FAMILIES, BEREAVEMENT GIFTS FOR HOSPICE FAMILIES, MEALS FOR OB PATIENT FAMILIES, CANCER AWARENESS ITEMS AND SUPPLIES FOR A TEDDY BEAR CLINIC. 56271 true true false false false false false false false false false false false false false false false false false false false false false false true false false true false false false false false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false true true false false false false false false X 11 11 true false false false true true false true true false false false false true true true true true false false false false X BRENDA MOSER 5634223811 112 JEFFERSON ST WEST UNION IA 52175 X MATT COWLEY TREASURER 2.0 0 X X 0 0 0 TANYA ROHWER PRESIDENT 2.0 0 X X 0 0 0 TINA JACOBS SECRETARY 2.0 0 X X 0 0 0 ABBY AMBROSON DIRECTOR 2.0 0 X 0 0 0 ANNE BRITT DIRECTOR 2.0 0 X 0 0 0 BETSY NEFZGER DIRECTOR 2.0 0 X 0 0 0 CLINT AMBROSON DIRECTOR 2.0 0 X 0 0 0 CYNDII LAMPHIER DIRECTOR 2.0 0 X 0 0 0 DEREK HEINS DIRECTOR 2.0 0 X 0 0 0 PATRICE KUENNEN ADMINISTRATOR 2.0 0 X 0 0 0 VIC PAVLOVEC DIRECTOR 2.0 0 X 0 0 0 BRENDA MOSER FINANCE ADMINISTRATOR 2.0 0 X 0 0 0 JAMIE HOEY FOUNDATION DIRECTOR 2.0 0 X 0 0 0 0 0 0 0 false false false 0 15210 186650 10980 201860 0 0 0 0 0 1706 1706 0 0 42460 0 0 0 42460 0 42460 42460 25676 15210 15051 10625 10625 0 0 0 0 0 256651 0 0 54791 14503 14503 2200 2200 0 0 0 0 9155 9155 2758 2758 EMPLOYEE RECOGNITION 15102 15102 COMMUNITY OUTREACH 14705 14705 FUND REQUEST 11961 11961 0 0 0 0 70384 56271 14113 0 516300 676426 0 0 0 0 0 673432 715892 0 0 0 0 1189732 1392318 3560 19879 0 0 0 3560 19879 X 1186172 1372439 1186172 1372439 1189732 1392318 186267 0 X false false false X 228142 99410 49830 64750 201860 643992 0 0 228142 99410 49830 64750 201860 643992 332105 311887 1393 1934 1137 1565 1706 7735 10980 7359 0 18339 0 0 942 14103 0 15045 685111 0 0.45524 0.56469 X SCHEDULE A, PART II SHORT YEAR EXPLANATION THE 2022 COLUMN OF PART II REPRESENTS A SHORT-YEAR PERIOD FROM JANUARY 1, 2023 THROUGH SEPTEMBER 30, 2023 DUE TO A CHANGE IN YEAR END. THE REASON FOR THIS CHANGE IS DUE TO A MERGER WITH THE BELLIN GUNDERSEN HEALTH SYSTEM. SCHEDULE A, PART II, LINE 10 OTHER INCOME DESCRIPTION - OTHER INCOME, COLUMN A - , COLUMN B - , COLUMN C - 942.0, COLUMN D - 14103.0, COLUMN E - , COLUMN F - 15045.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GOLF TOURNAMENT 21635 5760 15875 2240 4505 5932 BASKET AUCTION 17120 17120 10240 650 1 9450 9450 0 416 48205 15210 32995 12480 4505 6998 23983 9012 true PALMER LUTHERAN HEALTH CENTER 112 JEFFERSON STREET WEST UNION IA 52175 421320763 501C3 14503 PURCHASE OF MEDICAL EQUIPMENT 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN ORDER FOR PALMER LUTHERAN HEALTH CENTER TO RECEIVE GRANT FUNDING FROM THE ORGANIZATION, IT IS REQUIRED TO PROVIDE PROOF OF PURCHASE PRIOR TO PURCHASING THE ITEM THE GRANT FUNDING IS FOR. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS JAMIE HOEY & TINA JACOBS ARE SISTERS. - FAMILY RELATIONSHIP, ABBY AND CLINT AMBROSON - FAMILY RELATIONSHIP FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS MEMBERSHIP IN THIS CORPORATION INCLUDES THOSE CITIZENS, EIGHTEEN (18) YEARS OF AGE OR OLDER, WHO HAVE PURCHASED AN ANNUAL TWENTY-FIVE DOLLAR ($25.00) VOTING MEMBERSHIP OR WHO HAVE CONTRIBUTED AN ANNUAL MINIMUM OF TWENTY-FIVE DOLLARS ($25.00) AS A DONATION TO THIS CORPORATION. MEMBERSHIP MAY ALSO INCLUDE AN ORGANIZATION, GROUP OR FAMILY CONTRIBUTING A MINIMUM OF TWENTY-FIVE ($25.00) AS A DONATION OR MEMORIAL TO THIS CORPORATION. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY EACH MEMBERSHIP SHALL AUTHORIZE THE HOLDER TO CAST ONE (1) VOTE PER VOTING MEMBERSHIP AT ANY DULY CALLED MEETING OF THE MEMBERSHIP OF THE CORPORATION. IN THE EVENT THAT THE MEMBERSHIP IS A GROUP, ORGANIZATION OR FAMILY, THE VOTE SHALL BE CAST BY ITS PRESIDENT OR DESIGNEE. THIS MEMBERSHIP WILL ALSO QUALIFY THE VOTING MEMBER TO HOLD ANY OFFICE IN THE CORPORATION TO WHICH HE OR SHE MAY BE ELECTED OR APPOINTED. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS REVIEWED BY THE ACCOUNTING MANAGER AND PRINCIPAL OFFICER. IT WILL BE MADE AVAILABLE FOR ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. (GLAS) ANNUALLY REQUIRES EXECUTIVE LEADERSHIP (VICE PRESIDENTS AND ABOVE), BOARD MEMBERS, MEDICAL GOVERNORS AND FOUNDATION BOARD MEMBERS TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. COMPLETED DISCLOSURE STATEMENTS ARE REVIEWED BY A CONFLICT OF INTEREST REVIEW PANEL WHICH INCLUDES REPRESENTATIVES FROM LEGAL, COMPLIANCE, MEDICAL LEADERSHIP, HUMAN RESOURCES AND SUPPLY CHAIN. INDIVIDUALS REPORTING A POTENTIAL CONFLICT OF INTEREST ARE SENT A RESOLUTION THANKING THEM FOR THEIR SERVICE TO THE ORGANIZATION, ADVISING THEM OF ANY RESTRICTIONS RELATED TO THEIR CONFLICT (I.E. INDIVIDUALS WITH A RELATIONSHIP TO ANOTHER ORGANIZATION ARE ADVISED THAT THEY MUST ABSTAIN FROM DECISION MAKING THAT WOULD DIRECTLY AND SOLELY IMPACT GLAS) AND REMINDING THEM OF THEIR CONFIDENTIALITY OBLIGATIONS WITH RESPECT TO GLAS' HEALTHCARE, EMPLOYMENT AND PROPRIETARY INFORMATION. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.