2024-12-13T13:34:35-06:00 2024-06-30 420794029 DENMAN CPA LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990 2023-07-01 421402336 HOSPITAL FOUNDATION OF CRAWFORD COUNTY HOSP 7122652500 100 MEDICAL PKWY DENISON IA 51442 JON HOAGLUND CHAIRMAN 7122652500 2024-12-13 1 0 STEVE BRUNER P01266887 5152258400 2023 2024-10-15 13:58:12Z JON HOAGLUND 100 MEDICAL PARKWAY DENISON IA 51442 488246 0 X WWW.CCMHIA.COM X 1992 IA SEE FORM 990, PART III, LINE 1 9 9 0 10 0 0 32792 44587 300005 321313 7385 12380 0 87000 340182 465280 8250 7854 0 0 0 0 0 0 36567 283271 326426 291521 334280 48661 131000 559065 738587 126052 163495 433013 575092 TO PROVIDE FINANCIAL SUPPORT FOR CRAWFORD COUNTY MEMORIAL HOSPITAL. 0 0 278553 7854 321313 FINANCIAL AID FOR OPERATIONS, RECRUITMENT, MAINTENANCE, AND EXPANSION OF THE HEALTHCARE FACILITIES AND SERVICES OF THE CRAWFORD COUNTY MEMORIAL HOSPITAL. 278553 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X CRAWFORD CO MEM HOSPITAL 7122652500 100 MEDICAL PARKWAY DENISON IA 51442 ERIN MUCK PRESIDENT/CCMH CEO 1.00 X X 0 383508 120532 DIANE ARKFELD SECRETARY/CCMH EMPL 1.00 X X 0 9072 856 JON HOAGLUND CHAIRMAN 1.00 X X 0 0 0 TYSON PREUL VICE CHAIRMAN 1.00 X X 0 0 0 ANNIE SCHRUM TREASURER 1.00 X X 0 0 0 LARRY ABBE DIRECTOR 1.00 X 0 0 0 JOE FERGUSON DIRECTOR 1.00 X 0 0 0 MARIO FLORES DIRECTOR 1.00 X 0 0 0 LORENA LOPEZ DIRECTOR 1.00 X 0 0 0 0 392580 121388 0 0 1 0 0 44587 44587 THRIFT STORE SALES 459510 321313 321313 321313 10935 10935 24411 22966 1445 1445 1445 FORGIVENESS OF DEBT 459510 87000 87000 87000 465280 408313 0 12380 7854 7854 4800 4800 4817 4817 2291 2291 17672 17672 4100 3981 119 CONTRACT LABOR 212395 212395 FUNDRAISING EXPENSES 36567 36567 THRIFT STORE EXPENSES 30286 30286 MISCELLANEOUS 7133 7133 6365 6365 334280 278553 19160 36567 132492 168946 81490 84546 442234 140727 179488 301507 154456 172068 11139 11520 559065 738587 7336 10073 87000 120000 31716 33422 126052 163495 X 344263 492707 88750 82385 433013 575092 559065 738587 131000 11079 0 X X 0 1 X 1 0 X X 1 CRAWFORD COUNTY MEMORIAL HOSPITAL 426037896 3 1 15600 0 1 15600 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X PART IV, SECTION E, LINE 1C THE FOUNDATION PROVIDED FINANCIAL AID FOR OPERATIONS, RECRUITMENT, MAINTENANCE, AND EXPANSION OF THE HEALTHCARE FACILITIES AND SERVICES OF THE CRAWFORD MEMORIAL HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 442234 140727 301507 301507 MUTUAL FUNDS 172068 F 172068 DUE TO CRAWFORD COUNTY HOSPITAL 33422 33422 X 474068 11079 11079 462989 2291 2291 465280 331989 0 331989 2291 2291 334280 PART X, LINE 2: THE FOUNDATION IS A NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND DOES NOT PAY INCOME TAX ON EXEMPT-PURPOSE INCOME. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS POTENTIALLY SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED PRIOR TO 2020. 1 SCHOLARSHIPS TO EMPLOYEES OF CRAWFORD COUNTY MEMORIAL HOSPITAL 3 7854 PART I, LINE 2: IN ACCORDANCE WITH ITS MISSION, THE FOUNDATION IS TO PROVIDE FINANCIAL SUPPORT FOR CRAWFORD COUNTY MEMORIAL HOSPITAL. 0 0 0 0 0 0 0 0 0 ERIN MUCK PRESIDENT/CCMH CEO 0 383508 0 0 0 0 0 94967 0 25565 0 504040 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 TAX RETURN WAS REVIEWED BY THE BOARD OF DIRECTORS AND APPROVED PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE FOUNDATION'S OFFICE. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDIT FIRM. THIS PROCEDURE HAS NOT CHANGED FROM PRIOR YEAR. CRAWFORD COUNTY MEMORIAL HOSPITAL 100 MEDICAL PARKWAY DENISON IA 51442 HOSPITAL IA 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 CRAWFORD COUNTY MEMORIAL HOSPITAL P 269134 DIRECT EXPENSES CRAWFORD COUNTY MEMORIAL HOSPITAL B 15600 CONTRIBUTED AMOUNT