2024-07-12T08:23:18-05:00 2023-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-01-01 426122260 CASS COUNTY MEMORIAL HOSPITAL FOUNDATION CASS 7122433250 1501 E 10TH ST ATLANTIC IA 50022 LUCAS MOSIER TREASURER 7122433250 2024-07-09 1 LUCAS MOSIER 999009999 1 MEGAN L KOZIOL CPA P01544037 4023302660 2024-07-08 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z X CASS HEALTH FOUNDATION KRIS WERNIMONT 1501 E 10TH ST ATLANTIC IA 50022 130001 0 X WWW.CASSHEALTH.ORG X 1968 IA TO OBTAIN FUNDS TO BE USED IN SUPPORT OF CASS COUNTY MEMORIAL HOSPITAL. 8 8 0 20 0 0 385063 109629 20554 0 1900 7674 -5447 -6717 402070 110586 98987 117598 0 0 0 0 0 0 3074 36343 7624 135330 125222 266740 -14636 1148388 1223139 0 0 1148388 1223139 X TO PROVIDE FUNDING TO CASS COUNTY MEMORIAL HOSPITAL FOR EQUIPMENT, EDUCATION, SERVICE AND FACILITY NEEDS. 0 1 117598 117598 TO OBTAIN FUNDS TO BE USED IN SUPPORT OF CASS COUNTY MEMORIAL HOSPITAL AND ITS DIAGNOSTIC, RESEARCH, AND TREATMENT FACILITIES THROUGH SOLICITING FUNDS AND MAINTAINING AND INVESTING THOSE FUNDS SO AS TO PROVIDE FUNDING FOR PROGRAMS SPONSORED BY, AND EQUIPMENT NEEDED FOR THE OPERATIONS OF THE HOSPITAL. 117598 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 1 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X KOLTON HEWLETT 7122437406 1501 EAST 10TH STREET ATLANTIC IA 50022 BETH SPIEKER EXECUTIVE DIRECTOR 40.00 X 0 74878 12128 KRIS WERNIMONT PRESIDENT 1.00 X X 0 0 0 JO ANN POEPPE VICE PRESIDENT 1.00 X X 0 0 0 DAVE CHASE TREASURER THRU 9/2023 1.00 X X 0 0 0 LUCAS MOSIER BOARD MEMBER/ TREASURER 1.00 X X 0 0 0 LORILYN SCHULTES SECRETARY 1.00 X X 0 0 0 EARLENE KRAUTH BOARD MEMBER THRU 10/2023 1.00 X 0 0 0 NICK HUNT BOARD MEMBER 1.00 X 0 0 0 BRAD HENNINGSEN BOARD MEMBER 1.00 X 0 0 0 JERALD PUTNAM BOARD MEMBER THRU 2/2023 1.00 X 0 0 0 SID KNOP BOARD MEMBER 1.00 X 0 0 0 JODY LORENCE BOARD MEMBER 1.00 X 0 0 0 0 74878 12128 0 0 0 0 0 57893 51736 109629 7674 7674 12698 57893 19415 -6717 -6717 110586 0 0 957 107598 107598 10000 10000 5056 4550 506 HEALING GARDEN 2568 2568 125222 117598 4550 3074 6741 92115 1141647 1131024 1148388 1223139 0 0 X 1148388 1071693 151446 1148388 1223139 1148388 1223139 -14636 89387 0 X 0 0 0 X 86715 97739 79537 385063 109629 758683 92314 89086 75780 20554 0 277734 179029 186825 155317 405617 109629 1036417 16410 15351 10405 13140 8200 63506 0 16410 15351 10405 13140 8200 63506 972911 1361 3278 71 1900 7674 14284 1361 3278 71 1900 7674 14284 31139 3356 34495 211529 193459 155388 407517 117303 1085196 0.89650 0.89950 0.01320 0.00600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GOLF TOURNAMENT 27237 23337 3900 161 3052 687 5246 GALA 43354 34556 8798 3587 4560 650 1472 70591 57893 12698 161 6639 5247 650 6718 19415 -6717 1 CASS COUNTY MEMORIAL HOSPITAL 1501 EAST 10TH ST ATLANTIC IA 50022 420921296 GOVERNMENTAL 107598 0 PURCHASE OF EQUIPMENT 1 0 SCHOLARSHIPS TO PURSUE FURTHER EDUCATION IN THE HEALTHCARE FIELD 2 10000 PART I, LINE 2: GRANTS ARE ALL TO CASS COUNTY HEALTH SYSTEMS, A RELATED ORGANIZATION WHO SHARES A CLOSE RELATIONSHIP WITH THE FOUNDATION. THE FOUNDATION IS ABLE TO TRACE ALL FUNDS GIVEN TO THE HOSPITAL. 0 0 0 0 0 0 0 0 0 PART I, LINE 3: COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE ORGANIZATION, BETH SPIEKER, IS PAID BY CASS COUNTY HEALTH SYSTEMS, A RELATED ORGANIZATION. CASS COUNTY HEALTH SYSTEMS USES THE FOLLOWING TO ESTABLISH COMPENSATION: COMPENSATION SURVEY OR STUDY, APPROVAL BY THE ADMINISTRATIVE TEAM. FORM 990, PART III, LINE 3 CASS HEALTH FOUNDATION TERMINATED THE LIFELINE PROGRAM. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A CASS COUNTY HEALTH SYSTEM, A RELATED ORGANIZATION, HAS THE POWER TO APPOINT ONE MEMBER OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS E-MAILED TO ALL BOARD MEMBERS. THEY ARE GIVEN TIME TO REVIEW THE RETURN AND ASK ANY QUESTIONS BEFORE THE FORM 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. ANY CONFLICTS ARE REVIEWED BY THE BOARD. A MEMBER WITH A CONFLICT SHALL NOT VOTE ON THAT MATTER. FORM 990, PART VI, SECTION B, LINE 15A EACH YEAR, EMPLOYEES ARE ASSESSED VIA THEIR ACHIEVEMENT OF ORGANIZATIONAL, DEPARTMENTAL, AND INDIVIDUAL GOALS. THE ACHIEVEMENT OF GOALS (OR LACK THEREOF) ARE ONE FACTOR THAT IMPACT ANNUAL INCREASES. INDIVIDUAL ASSESSMENTS FOR STANDARDS OF BEHAVIOR, VIA THE EMPLOYEE'S ADMINISTRATIVE/MANAGERIAL LEADER COMPRISE ANOTHER COMPONENT OF THE ANNUAL INCREASE, AND THEY USE THE IHA SALARY SURVEY TO VALIDATE THAT EMPLOYEES, BASED UPON YEARS OF SERVICE AND EXPERIENCE, ARE PROPERLY COMPENSATED FROM A MARKET PERSPECTIVE. ADJUSTMENTS ARE PROPOSED BY THE CHRO AND APPROVED BY THE ADMINISTRATIVE TEAM, IF WARRANTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION ARE MADE AVAILABLE TO THE PUBLIC BY REQUEST AT THE ORGANIZATION'S BUSINESS OFFICE DURING NORMAL BUSINESS HOURS. CASS COUNTY MEMORIAL HOSPITAL 1501 EAST 10TH ST ATLANTIC IA 50022 420921296 HOSPITAL OPERATION IA GOVERNMENTAL N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0