2024-02-09T12:47:00-06:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-07-01 421481803 HANCOCK COUNTY HEALTH SYSTEM FOUNDATION HANC 6418435000 532 1ST ST NW BRITT IA 50423 LAURA ZWIEFEL CEO/CNO 6418435000 2024-02-01 1 LAURA ZWIEFEL 999009999 0 RYAN ENGEBRETSON P01585625 6123764500 2024-02-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LAURA ZWIEFEL 532 1ST ST NW BRITT IA 50423 140853 0 X WWW.TRUSTHCHS.COM X 1998 IA CULTIVATE FUNDING FOR HEALTH CARE SERVICES, MEDICAL EQUIPMENT, AND COMMUNITY NEEDS/PROGRAMS. 7 7 0 12 0 0 59000 84309 0 0 1467 2229 -16129 42115 44338 128653 22437 347162 0 0 0 0 0 0 0 10000 6839 32437 354001 11901 -225348 989450 764102 0 0 989450 764102 X THE MISSION OF THE HANCOCK COUNTY HEALTH SYSTEM FOUNDATION IS TO CULTIVATE FUNDING FOR HANCOCK COUNTY HEALTH SYSTEM FOR HEALTH CARE SERVICES, MEDICAL EQUIPMENT, AND/OR COMMUNITY NEEDS AND PROGRAMS. 0 0 347162 347162 41220 THE HANCOCK COUNTY HEALTH SYSTEM FOUNDATION WAS ORGANIZED AND INCORPORATED IN 1998. THE BOARD OF DIRECTORS ARE VOLUNTEER COMMUNITY LEADERS WHO SUPPORT THE MISSION OF THE FOUNDATION AND ITS GOALS. THE MISSION OF THE HANCOCK COUNTY HEALTH SYSTEM FOUNDATION IS TO CULTIVATE FUNDING FOR HANCOCK COUNTY MEMORIAL HOSPITAL AND ITS CLINICS FOR HEALTH CARE SERVICES, MEDICAL EQUIPMENT, AND/OR COMMUNITY NEEDS AND PROGRAMS. THIS IS DONE THROUGH EDUCATING, INITIATING AND FOSTERING RELATIONSHIPS WITH PROSPECTIVE AND PREVIOUS DONORS, THEREBY IDENTIFYING THEIR NEEDS IN RELATION TO THEIR GIFT MAKING. THIS RELATIONSHIP-BUILDING WILL ALSO FACILITATE, ENCOURAGE AND RECOGNIZE PRIVATE PHILANTHROPIC GIFTS. THE GOAL OF THE FOUNDATION IS TO GROW THE ENDOWMENT TO THE POINT WHERE THE INCOME IT GENERATES FOR THE HOSPITAL CAN FUND NOT ONLY THE CAPITAL SPENDING BUDGET BUT ALSO FOR THE FUTURE HEALTHCARE NEEDS OF THIS COMMUNTIY. 347162 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X JULIA BOWMAN 6418435000 532 1ST ST NW BRITT IA 50423 DEANNA KELLY PRESIDENT 7.00 0.00 X X 0 0 0 CHRISTIE HOBSCHEIDT VICE PRESIDENT 7.00 0.00 X X 0 0 0 JEAN BAACK SECRETARY/TREASURER 0.50 0.00 X X 0 0 0 ERIC NEWTON DIRECTOR 0.50 0.00 X 0 0 0 CHIP THIEDEMAN DIRECTOR 0.50 0.00 X 0 0 0 JENNIFER ROSENMEYER DIRECTOR 0.50 0.00 X 0 0 0 NATHAN DYSKTRA DIRECTOR 0.50 0.00 X 0 0 0 LAURA ZWIEFEL CEO/CNO 0.50 40.00 X 0 0 0 JODI BALL FOUNDATION DIRECTOR 7.00 29.00 X 13681 0 2308 13681 0 2308 0 0 0 0 0 24139 60170 84309 2229 2229 41220 0 41220 41220 41220 0 24139 8047 -8047 -8047 6278 4153 2125 2125 GIFT SHOP & VENDING 900099 6817 6817 6817 128653 41220 0 3124 347162 347162 GIFT SHOP EXPENSES 4059 4059 VENDING EXPENSES 2201 2201 VOLUNTEER EXPENSES 579 579 354001 347162 6839 0 375323 116605 368345 397012 245244 249100 538 1385 989450 764102 0 0 X 621105 367090 368345 397012 989450 764102 989450 764102 -225348 0 X 0 1 X 1 0 X X 1 HANCOCK COUNTY HEALTH SYSTEM 426037646 3 1 347162 0 1 347162 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 368345 28667 397012 414383 -46038 368345 323315 91068 414383 328013 -4698 323315 324250 3763 328013 0.00000 1.00000 0.00000 0 0 0 X PART V, LINE 4: TO HELP FUND HANCOCK COUNTY HEALTH SYSTEM FOR HEALTH CARE SERVICES, MEDICAL EQUIPMENT, AND/OR COMMUNITY NEEDS AND PROGRAMS. PART X, LINE 2: THE FOUNDATION IS AN IOWA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3). THE FOUNDATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE, AS APPLICABLE. 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. GOLF TOURNAMENT 24139 24139 1200 2460 500 902 2985 24139 24139 1200 2460 500 902 2985 8047 -8047 1 HANCOCK COUNTY HEALTH SYSTEM 1ST STREET NW BRITT IA 50423 426037646 GOVERNMENTAL ENTITY 0 347162 CAPITAL AND NON CAPITAL EQUIPMENT PURCHASES 1 0 PART I, LINE 2: HANCOCK COUNTY HEALTH SYSTEM FOUNDATION PROVIDES GRANTS TO HANCOCK COUNTY HEALTH SYSTEM FOR MEDICAL AND EQUIPMENT NEEDS. THE FOUNDATION WAS ESTABLISHED TO SUPPORT THE HANCOCK COUNTY HEALTH SYSTEM. THE BOARD OF DIRECTORS DETERMINES FUNDING AND DOCUMENTATION OF THE USE OF THE FUNDS IS PROVIDED TO THE FOUNDATION TO CONFIRM THE FUNDS WERE USED APPROPRIATELY. FORM 990, PART VI, SECTION A, LINE 7B HANCOCK COUNTY HEALTH SYSTEM REQUIRES THE APPROVAL OF THE EXPENDITURE OF FUNDS, SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF PROPERTY AND ASSETS OTHER THAN THE DIRECT SUPPORT AND BENEFIT OF THE HOSPITAL AND THE AMENDMENT OF THE ARTICLES OF INCORPORATION AND BY-LAWS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE 990 BEFORE IT IS FILED. THE 990 IS REVIEWED BY THE CEO OF HANCOCK COUNTY HEALTH SYSTEM AND THE FOUNDATION DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE AND DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR WHEN A POTENTIAL CONFLICT SITUATION OCCURES. CONFLICTS OF INTEREST INCLUDE BUSINESS ARRANGEMENTS BETWEEN AN OFFICER OR BOARD MEMBER OR A FAMILY MEMBER OF THESE INDIVIDUALS AND THE FOUNDATION. CONFLICT OF INTEREST FORMS ARE REVIEWED BY THE BOARD AND IF THE BOARD DETERMINES THERE IS A CONFLICT THAT INDIVIDUAL MAY NEED TO LEAVE THE MEETING DURING THAT DISCUSSION OR NOT VOTE ON THE MATTER THAT INVOLVES THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY THROUGH THE HOSPITAL. THE FOUNDATION DIRECTOR IS COMPENSATED BY HANCOCK COUNTY HEALTH SYSTEM, A RELATED ORGANIZATION. THE RESPECTIVE ORGANIZATIONS HAVE A COMPENSATION PROCESS IN PLACE FOR THESE INDIVIDUALS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FINANCIAL INFORMATION IS AVAILABLE BY REVIEWING THE PUBLIC DISCLOSURE COPY OF THE 990. HANCOCK COUNTY HEALTH SYSTEM 532 1ST STREET NW BRITT IA 50423 426037646 PROVISION OF HEALTH CARE SERVICES IA GOVERNMENTAL N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 HANCOCK COUNTY HEALTH SYSTEM B 347162