2024-01-16T09:24:18-06:00 2023-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2022-07-01 421345788 GRUNDY COUNTY MEMORIAL HOSPITAL FOUNDATION GRUN 3198245421 201 EAST J AVENUE GRUNDY CENTER IA 50638 ADAM SCHERLING ADMINISTRATOR 3198245421 2023-12-20 1 ADAM SCHERLING 999009999 1 MEGAN L KOZIOL CPA P01544037 4023302660 2023-12-20 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADAM SCHERLING 201 EAST J AVENUE GRUNDY CENTER IA 50638 1217663 0 X WWW.UNITYPOINT.ORG/GRUNDYCOUNTY/FOUNDATION X 1990 IA TO CULTIVATE RELATIONSHIPS AND GIFTS TO SUPPORT GRUNDY COUNTY MEMORIAL HOSPITAL. 15 14 0 54 0 0 280651 1146192 0 0 20153 49941 -12652 -28250 288152 1167883 194929 236615 0 0 0 0 0 0 0 38288 43833 233217 280448 54935 887435 1326255 2259918 0 0 1326255 2259918 TO CULTIVATE RELATIONSHIPS AND GIFTS TO SUPPORT GRUNDY COUNTY MEMORIAL HOSPITAL'S VISION OF BEST OUTCOME FOR EVERY PATIENT EVERY TIME. 0 0 270235 236615 TO PROVIDE GRUNDY COUNTY MEMORIAL HOSPITAL WITH ADDITIONAL FINANCIAL RESOURCES TO HELP CARRY OUT ITS WORK AND TO IMPROVE STAFFING, EQUIPMENT AND FACILITY RESOURCES. 270235 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 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 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X LISA A ZINKULA 3198245421 201 EAST J AVENUE GRUNDY CENTER IA 50638 X ADAM SCHERLING MEMBER; GCMH ADMINISTRATOR 1.00 X X 196853 0 18865 MARY ZIMMERMANN PRESIDENT 1.00 X X 0 0 0 AMY SWANSON HAAN VICE PRESIDENT 1.00 X X 0 0 0 TONI NEDERHOFF SECRETARY 1.00 X X 0 0 0 KYLE RASMUSSEN TREASURER 1.00 X X 0 0 0 MARY DOAK MEMBER 0.20 X 0 0 0 JAN EHRIG MEMBER 0.20 X 0 0 0 RICK SMITH MEMBER 0.20 X 0 0 0 CINDY SIMMS MEMBER 0.20 X 0 0 0 JODY ANDERSON MEMBER 0.20 X 0 0 0 ABBY WESSEL MEMBER 0.20 X 0 0 0 MINDY WHITEHILL MEMBER 0.20 X 0 0 0 BEV MEESTER MEMBER 0.20 X 0 0 0 RUTH WILCOX MEMBER 0.20 X 0 0 0 JANE LINNERBRINK MEMBER 0.20 X 0 0 0 LISA ZINKULA GCMH CONTROLLER 1.00 X 187982 0 35965 384835 0 54830 2 0 1 1 0 116215 1029977 24923 1146192 49941 49941 21530 116215 49780 -28250 -28250 1167883 0 0 21691 236615 236615 33620 33620 ACCOUNT MANAGEMENT 10213 10213 280448 270235 10213 0 100 100 877150 1599888 2000 16000 447005 643930 1326255 2259918 0 0 X 0 0 0 0 1326255 2259918 1326255 2259918 1326255 2259918 887435 46228 0 X 0 0 0 X 249492 194499 230730 280651 1146192 2101564 249492 194499 230730 280651 1146192 2101564 588190 1513374 27393 27223 22081 20153 49941 146791 88993 134935 30981 254909 2503264 0.60460 0.70040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 835864 346689 34918 22049 815 1194607 904635 37535 -51954 54165 187 835864 751931 40000 157282 44412 166 904635 752162 1778 28167 30019 157 751931 709601 26137 43963 27381 158 752162 1.00000 0.00000 0.00000 1 0 0 PART V, LINE 4: THE PURPOSE OF THE SARA LEE YODER SCHOLARSHIP ENDOWMENT FUND IS TO GENERATE SUFFICIENT EARNINGS TO AWARD HEALTH CARE CAREER SCHOLARSHIPS ANNUALLY. THE SARA LEE YODER FOCUS GRANT ENDOWMENT FUND'S PURPOSE IS TO GENERATE SUFFICIENT EARNINGS TO AWARD FOCUS GRANTS FOR GCMH DEPARTMENTS ANNUALLY. THE PURPOSE OF THE NAMED SCHOLARSHIP ENDOWMENT IS TO GENERATE SUFFICIENT EARNINGS TO AWARD A HEALTH CARE CAREER SCHOLARSHIP ANNUALLY. THE COMMUNITY FOUNDATION'S GRUNDY COUNTY MEMORIAL HOSPITAL FOUNDATION ENDOWMENT WAS CREATED FOR DONORS WHO WANT TO DONATE TO AN ENDOWMENT. THE PURPOSE OF THE LEGACY PARTNERS ENDOWMENT FUND IS TO GENERATE SUFFICIENT EARNINGS TO BE AWARDED TO GCMH FOR IDENTIFIED SPECIAL PROJECTS IN THE FOLLOWING YEAR. THE FOUNDATION BOARD OF DIRECTORS WILL DETERMINE THE AMOUNT AVAILABLE FOR DISTRIBUTION FROM THESE ENDOWMENT FUNDS BASED ON THE INVESTMENT COMMITTEE'S RECOMMENDATIONS. GALA 104755 87325 17430 23582 827 7525 13398 FALL FLING 32990 28890 4100 1311 250 1583 1304 137745 116215 21530 24893 1077 9108 14702 49780 -28250 1 GRUNDY COUNTY MEMORIAL HOSPITAL 201 EAST J AVENUE GRUNDY CENTER IA 50638 426006485 GOVERNMENT ENTITY 236615 0 GRANTS FOR REIMBURSEMENTS AND EQUIPMENT PURCHASES 1 0 PART I, LINE 2: THE MISSION OF THE HOSPITAL IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES IT SERVES. THE FUNDS RECEIVED BY THE HOSPITAL WERE USED TO HELP SUPPORT THIS MISSION. BOTH GRUNDY COUNTY MEMORIAL HOSPITAL FOUNDATION AND GRUNDY COUNTY MEMORIAL HOSPITAL ARE LOCATED IN GRUNDY COUNTY, IOWA AND THE SUPPORT SERVES THE COMMUNITY IN THIS AREA. 0 0 0 0 0 0 0 0 0 LISA ZINKULA GCMH CONTROLLER 166751 0 21141 0 90 0 9514 0 26451 0 223947 0 0 0 ADAM SCHERLING MEMBER; GCMH ADMINISTRATOR 174682 0 22123 0 48 0 9939 0 8926 0 215718 0 0 0 PART I, LINE 3 THE ADMINISTRATOR AND CONTROLLER RECEIVE COMPENSATION FROM ALLEN MEMORIAL HOSPITAL, AN UNRELATED ENTITY, WHICH LEASES EMPLOYEES TO GRUNDY COUNTY MEMORIAL HOSPITAL, ALSO AN UNRELATED ENTITY. THE GRUNDY COUNTY MEMORIAL HOSPITAL'S BOARD OF COMMISSIONERS SET THE SALARY AND BENEFITS FOR MR. SCHERLING AND MS. ZINKULA. ALLEN MEMORIAL HOSPITAL CHARGES GRUNDY COUNTY MEMORIAL HOSPITAL FOR THE SERVICES THEY PROVIDE TO THE HOSPITAL AND TO THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR AND ACTING TREASURER REVIEW THE RETURN AS PREPARED BY THE FOUNDATION'S ACCOUNTING FIRM. THE INVESTMENT COMMITTEE REVIEWS THE RETURN IN DETAIL. THE ADMINISTRATOR AND ACTING TREASURER THEN PRESENT THE HIGHLIGHTS OF THE FORM 990 AND PROVIDE A COMPLETED COPY TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION BOARD IS ASKED TO UPDATE THEIR CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE QUESTIONNAIRES ARE THEN DISCUSSED AND SHARED AT A BOARD MEETING. THE ACTING TREASURER EVALUATES TO SEE WHAT CONFLICTS EXIST AND DISCUSSES THEM WITH THE BOARD MEMBERS FOLLOWING THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 GRUNDY COUNTY MEMORIAL HOSPITAL FOUNDATION DOES NOT PAY A CEO, EXECUTIVE DIRECTOR, OFFICERS, TOP MANAGEMENT OFFICIAL, OR ANY KEY EMPLOYEES. THEREFORE, THERE IS NOT A PROCESS IN PLACE FOR DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: ADAM SCHERLING, ADMINISTRATOR OF GRUNDY COUNTY MEMORIAL HOSPITAL (GCMH), AN UNRELATED ENTITY, SERVED ON THE BOARD OF DIRECTORS OF THE GRUNDY COUNTY MEMORIAL HOSPITAL FOUNDATION. HE WAS NOT COMPENSATED FOR HIS SERVICES ON THE BOARD OF DIRECTORS.