2024-05-13T14:49:48-05:00 2023-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-07-01 237163421 Greene County Medical Center Foundation GREE 5153862114 1000 W Lincoln Way Jefferson IA 50129 Chad Butterfield CEO, Greene Co. Medical Center 5153862114 2024-05-13 1 Chad Butterfield 999009999 1 Kim Hunwardsen CPA P01264758 6122536500 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Chad Butterfield 1000 W Lincoln Way Jefferson IA 50129 860869 0 X www.gcmchealth.com X 1972 IA To solicit and receive contributions to benefit the health and well-being of our community. 6 6 0 7 0 0 81866 191720 512988 653239 65455 13142 -1352 -2994 658957 855107 1670 49278 0 0 144142 166414 0 0 719 334005 322053 479817 537745 179140 317362 1093093 1074344 1467225 1131114 -374132 -56770 X To solicit and receive contributions and gifts from individuals, institutions and organizations, all in an effort to benefit the health and well-being of our community through services and education. 0 0 463350 49278 653239 The Greene County Medical Center Foundation supports the mission of Greene County Medical Center. Green County Medical Center is a community-based system genuinely committed to enriching its community by providing quality, compassionate care to every patient and contributing to the well-being of every family. Funds are used exclusively for the benefit of charitable, scientific, or educational purposes that apply to health care at Greene County Medical Center.Greene County Medical Center Foundation Capital Campaign raises funds to expand and renovate Greene County Medical Center.(Statement continued on Schedule O)The Foundation operates Ever Greene Ridge, an independent living community for those age 55 years and older. This is a need in the community providing seniors with their own home without the burden of maintenance or repairs. Medical care is available nearby at Greene County Medical Center. 463350 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 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 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X Nancy Houska 5153862114 1000 W Lincolnway Jefferson IA 50129 Dave Pedersen President 1.00 X X 0 0 0 Teresa Hagen Vice President 1.00 X X 0 0 0 Jacob Bohnet Secretary 1.00 X X 0 0 0 Al Robson Treasurer 1.00 X X 0 0 0 Scott Weber Director 1.00 X 0 0 0 Nicole Uebel Director since Jul 2022 1.00 X 0 0 0 Nancy Houska Foundation Director 13.00 X 79806 0 42935 Chad Butterfield CEO Greene Co Medical Center 1.00 X 0 0 0 79806 0 42935 0 0 0 1 0 17321 174399 25425 191720 Independent Living 623000 503885 503885 EGR-Amortization of Ad 900099 116154 116154 Administrative Fees 900099 16735 16735 Property tax reimburse 900099 16465 16465 653239 2384 2384 10758 0 10758 10758 10758 2768 17321 5762 -2994 -2994 855107 653239 0 10148 46778 46778 2500 2500 121066 92533 28533 13142 10045 3097 22674 17330 5344 9532 7286 2246 2250 2250 1339 1339 1842 1842 17661 11130 5812 719 132349 132349 302 302 4067 4067 103707 103707 112 112 Food 31822 11751 20071 Repairs and Maintenance 26602 26602 537745 463350 73676 719 742008 836404 21730 15625 6666 3333 2895207 2676225 322689 218982 1093093 1074344 394141 357784 234374 140230 838710 633100 1467225 1131114 X -414691 -174181 40559 117411 -374132 -56770 1093093 1074344 317362 0 X X 0 1 X 0 0 X 57635 435869 111110 81866 191720 878200 406337 426286 421136 512988 653239 2419986 463972 862155 532246 594854 844959 3298186 0 212000 112065 201022 181174 261638 967899 212000 112065 201022 181174 261638 967899 2330287 8632 3966 2059 1479 2384 18520 8632 3966 2059 1479 2384 18520 9412 9412 482016 866121 534305 596333 847343 3326118 0.70060 0.68510 0.00560 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2895207 2676225 218982 218982 Estimated refundable advance fees 630700 Prepaid Rent 2400 633100 X 860869 0 860869 -5762 -5762 855107 543507 5762 5762 537745 0 537745 Part X, Line 2: The Foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 4b - Other Adjustments: Fundraising expenses included in revenue on Form 990 -5,762. Part XII, Line 2d - Other Adjustments: Fundraising expenses included in revenue on Form 990 5,762. Golf Tournament 20089 17321 2768 2258 2767 737 20089 17321 2768 2258 2767 737 5762 -2994 0 Greene County Medical Center 1000 West Lincoln Way Jefferson IA 50129 426037888 Greene County 42060 0 Purchase of equipment 1 0 Part I, Line 2: Grants to Greene County Medical Center are approved by the Board of Directors. The purpose of the Foundation is to benefit the health and well-being of the community through services and education. Grants to the Medical Center fulfills the exempt purpose of the Foundation. 0 0 0 0 0 0 0 0 0 Nancy Houska Foundation Director 79806 0 0 0 0 0 33079 0 9856 0 122741 0 0 0 Form 990 Schedule J, Compensation Paid by Unrelated Organization: Nancy Houska, Foundation Director, is compensated by the Greene County Medical Center, an unrelated organization, for services to Greene County Medical Center and Greene County Medical Center Foundation. Nancy provides day to day financial and management oversight to the Foundation. Nancy's total compensation and benefits are reported on Schedule J, Part II and Part VII of the Form 990. Approximately 33% of Nancy's time is spent on Foundation activities. Compensation allocation for the Foundation is below. Base compensation $26,336 Deferred compensation 10,916 Nontaxable benefits 3,252 X 1 25425 Fair Market Value 0 0 1 0 Part I, Column (b): The Organization is reporting in Part I, column (b) the number of contributions. Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Board of Directors receives and reviews a copy of the Form 990 before it is filed. Form 990, Part VI, Section B, line 12c Conflict of interest statements are signed by all Board Members and officers annually. The statements are reviewed by the President of the Board. If a potential conflict arises the President of the Board follows up. Any duality of interest or potential conflict of interest on the part of any member of the Board of Directors or officer should be disclosed to the other Directors and made a matter of record, either through the annual disclosure procedure or when the interest becomes a matter of Board action. Any Director having an actual or possible conflict of interest on any matter should not vote or use his/her personal influence on any such matter, and he/she should not be counted in determining the quorum for the meeting, even when permitted by law. The minutes of the meeting should reflect that a disclosure was made, the Director's abstention from voting, and the quorum situation. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part XII, Line 2c: The CFO of Greene County Medical Center assumes responsibility for oversight of the audit and selection of an independent accountant.