2024-11-14T13:26:34-06:00 2023-12-31 990 2023-01-01 421429225 JONES REGIONAL MEDICAL CENTER FOUNDATION JONE 3194626131 1795 HIGHWAY 64 EAST ANAMOSA IA 52205 JAY WILLEMS BOARD CHAIR 3194623561 2024-11-11 0 2023 2024-10-15 13:58:12Z JAY WILLEMS 1795 HIGHWAY 64 EAST ANAMOSA IA 52205 588763 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1994 IA SUPPORT JONES REGIONAL MEDICAL CENTER IN PROVIDING HEALTH SERVICES & PROMOTING HEALTHY LIFESTYLES. 10 10 0 10 0 0 293623 391528 0 0 126337 77810 537 5444 420497 474782 61592 274565 0 0 51380 64584 0 0 112071 23439 71177 136411 410326 284086 64456 2947676 3265680 13596 60226 2934080 3205454 X TO SUPPORT JONES REGIONAL MEDICAL CENTER IN PROVIDING QUALITY HEALTH SERVICES AND PROMOTING HEALTHY LIFESTYLES TO THE JONES COUNTY AREA. 0 0 274565 274565 0 GRANTS, ALLOCATIONS AND PROGRAM SUPPORTJONES REGIONAL MEDICAL CENTER FOUNDATION'S PURPOSE IS TO RAISE FUNDS TO MAINTAIN, DEVELOP, INCREASE AND EXTEND THE FACILITIES AND SERVICES OF JONES REGIONAL MEDICAL CENTER IN ANAMOSA, IOWA AND TO PROVIDE BROADER HOSPITAL, MEDICAL AND EDUCATIONAL SERVICE OPPORTUNITIES TO ITS PATIENTS, STUDENTS, STAFF, FACULTY AND RESIDENTS OF THE GEOGRAPHICAL AREA IT SERVES. IT SUPPORTS THE MISSIONS OF THE IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES BY RAISING FINANCIAL CONTRIBUTIONS AND INVESTING THE PROCEEDS.THE GRANT, ALLOCATIONS AND PROGRAM SUPPORT SERVICES MAY INCLUDE:- CONTRIBUTIONS TO JONES REGIONAL MEDICAL CENTER FOR EQUIPMENT PURCHASES, TO OFFSET OPERATING EXPENSES AND MISCELLANEOUS- SCHOLARSHIPS AND/OR LECTURESHIPS AWARDED TO INDIVIDUALS ASSOCIATED WITH JONES REGIONAL MEDICAL CENTER- GRANTS TO LOCAL RURAL HEALTH COMMUNITIES ASSOCIATED WITH JONES REGIONAL MEDICAL CENTER- MISCELLANEOUS GRANTS AND CONTRIBUTIONS TO ORGANIZATIONS AND/OR INDIVIDUALS ASSOCIATED WITH JONES REGIONAL MEDICAL CENTER 274565 1 1 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 1 1 0 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 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X DAN LAGRANGE 5152416289 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 X CHARLIE BECKER BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 KIM BOYD BOARD MEMBER 1.00 0.00 X 0 0 0 ERIC BRIESEMEISTER BOARD MEMBER 1.00 0.00 X 0 0 0 VICTOR HAMRE BOARD TREASURER 1.00 0.00 X X 0 0 0 ANGIE MCDONOUGH BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID REMLEY BOARD MEMBER 1.00 0.00 X 0 0 0 AUDREY SAVAGE BOARD MEMBER 1.00 0.00 X 0 0 0 ANGELA SCHWENDINGER MD BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL WARNER DDS BOARD MEMBER 1.00 0.00 X 0 0 0 JAY WILLEMS BOARD CHAIR 1.00 0.00 X X 0 0 0 0 0 0 0 0 0 0 0 391528 391528 59042 59042 132749 113981 18768 18768 18768 MISCELLANEOUS 900099 5444 5444 5444 474782 0 0 83254 267778 267778 6787 6787 57849 14462 43387 2779 695 2084 -300 -75 -225 4256 1064 3192 7544 7544 25708 25708 8747 8747 116 116 1660 1660 1152 1152 MISCELLANEOUS EXPENSE 26250 26250 410326 274565 23690 112071 345866 402048 14424 2448 13814 11963 2284198 2546312 289374 302909 2947676 3265680 6139 7030 7457 53196 13596 60226 X -2478 2399 2936558 3203055 2934080 3205454 2947676 3265680 X 64456 193383 13535 X 0 0 0 X 192879 248659 462613 293623 391528 1589302 192879 248659 462613 293623 391528 1589302 209975 1379327 27538 24533 42541 44606 59042 198260 1787562 0.77160 0.76800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 108110 15120 12439 135669 118623 -10513 108110 104287 72 14264 118623 94334 9953 104287 91325 3009 94334 0.00000 0.80731 0.19269 0 0 0 BENEFICIAL INTEREST 302909 F 302909 DUE TO AFFILIATES 53196 53196 1 ST LUKE'SJONES REGIONAL MEDICAL CENTER 1795 HIGHWAY 64 EAST ANAMOSA IA 52205 421487967 501(C)(3) 252143 0 PROGRAM SUPPORT ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA IA 52205 421466284 501(C)(3) 12664 0 PROGRAM SUPPORT 2 0 SCHOLARSHIPS 7 5250 EMPLOYEE ASSISTANCE 2 1537 PART I, LINE 2: JONES REGIONAL MEDICAL CENTER FOUNDATION REQUIRES EACH RECIPIENT OF THE GRANTS (OTHER THAN ASSISTANCE TO ST. LUKE'S/JONES REGIONAL MEDICAL CENTER IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINE A SERIES OF ELIGIBILITY STANDARDS THAT ARE REQUIRED TO BE MET. THE ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. FORM 990, LINE J, WEBSITE: WWW.UNITYPOINT.ORG/GIVING/JONES-REGIONAL-MEDICAL-CENTER-FOUNDATION FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY UNITYPOINT HEALTH'S CORPORATE SERVICES TAX DEPARTMENT AND GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE DEPARTMENT WITH ULTIMATE APPROVAL BY THE DIRECTOR OF TAX SERVICES. THE DIRECTOR OF TAX SERVICES MEETS WITH THE FINANCE EXECUTIVE AND REVIEWS KEY PARTS OF THE FORM 990 UTILIZING A PRESENTATION SUMMARY. A COPY OF THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD VIA THE BOARD PORTAL ALONG WITH A REVIEW GUIDE. FORM 990, PART VI, SECTION B, LINE 12C A DESIGNATED PERSON WITHIN THE ORGANIZATION AND OTHER RELATED ORGANIZATIONS SUBJECT TO THIS POLICY SHALL SEND DISCLOSURE QUESTIONNAIRES TO ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES. PERSONS REQUIRED TO REPORT WHO HAVE NOT RETURNED QUESTIONNAIRES WILL BE CONTACTED AND FOLLOW-UP WILL CONTINUE ON A REGULAR BASIS IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE INFORMATION DISCLOSED WILL BE USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICARE QUESTIONNAIRES. THE DUTY TO IDENTIFY AND DISCLOSE POTENTIAL CONFLICTS OF INTEREST IS A DUTY THAT IS ONGOING. ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES SHALL IMMEDIATELY DISCLOSE SUCH POTENTIAL CONFLICT OR DUALITY OF INTEREST AS SOON AS THE INTEREST OCCURS. DISCLOSURE SHOULD BE MADE TO THE COVERED PERSON'S SUPERVISOR, THE CHIEF EXECUTIVE OFFICER OF THE COMPANY, OR THE BOARD CHAIR OF THE COMPANY, AS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 JONES REGIONAL MEDICAL CENTER FOUNDATION MAKES AVAILABLE TO THE PUBLIC THE ORGANIZATION'S BOARD OF DIRECTORS LIST ON ITS WEBSITE. FORM 990 TAX INFORMATION, CONFLICT OF INTEREST POLICY, AND WHISTLEBLOWER POLICY ARE AVAILABLE TO THE PUBLIC THROUGH JONES REGIONAL MEDICAL CENTER'S WEBSITE (WWW.UNITYPOINT.ORG/ANAMOSA). FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN COMMUNITY FOUNDATION FUNDS 13,535.