2025-11-13T13:56:36-06:00 2024-12-31 752570395 D & CO LLP 1500 BROADWAY SUITE 1000 LUBBOCK TX 79401 990EZ 2024-01-01 474935090 OTTO KAISER MEMORIAL HOSPITAL FOUNDATION OTTO 8305833401 3349 S HWY 181 KENEDY TX 78119 DAVID LEE CEO 8305833401 2025-11-13 1 0 DAVIS TOMMY P03007276 8067911591 2024 2025-03-06 01:10:19Z X X OKMH.ORG X X 138279 X 138279 138279 83144 1100 10213 94457 43822 34127 0 77949 34127 77949 34127 77949 0 0 34127 77949 X TO SUPPORT, PROMOTE AND IMPROVE ACCESS TO HEALTH CARE AND REDUCE HEALTH DISPARITIES FOR RESIDENTS OF THE KARNES COUNTY REGION OF TEXAS ("COMMUNITY") BY SUPPORTING HEALTHCARE FACILITY DEVELOPMENT AND SERVICE DELIVERY BY KARNES COUNTY HOSPITAL DISTRICT D/B/A OTTO KAISER MEMORIAL HOSPITAL ("HOSPITAL"). TO SUPPORT, PROMOTE AND IMPROVE ACCESS TO HEALTH CARE AND REDUCE HEALTH DISPARITIES FOR RESIDENTS OF THE KARNES COUNTY REGION OF TEXAS ("COMMUNITY") BY SUPPORTING HEALTHCARE FACILITY DEVELOPMENT AND SERVICE DELIVERY BY KARNES COUNTY HOSPITAL DISTRICT D/B/A OTTO KAISER MEMORIAL HOSPITAL ("HOSPITAL"). 0 0 DAVID LEE CEO 1.00 0 0 0 AILEEN JENDRUSCH PRESIDENT 1.00 0 0 0 STACEY SCHULTZ VICE PRESIDENT 1.00 0 0 0 RITA JORDAN SECRETARY/TREASURER 1.00 0 0 0 MARK WITTE DIRECTOR 1.00 0 0 0 CHERYL MOY DIRECTOR 1.00 0 0 0 GRETCHEN DUPNICK DIRECTOR 1.00 0 0 0 MARGIE TAMEZ DIRECTOR 1.00 0 0 0 BARBARA JAMES DIRECTOR 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE ORGANIZATION 3349 S HWY 181 KENEDY TX 78119 8305833401 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X X 1 OTTO KAISER MEMORIAL HOSPITAL 741718215 3 1 70144 0 1 70144 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION B, LINE 1: THE FOUNDATION OPERATES FOR THE BENEFIT OF THE HOSPITAL. THE HOSPITAL SUBMITS REQUESTS FOR PAYMENTS FROM THE FOUNDATION TO BENEFIT THE HOSPITAL AND ITS SURROUNDING COMMUNITY. THE FOUNDATION VOTES ON WHETHER OR NOT TO APPROVE THESE PAYMENTS. THE HOSPITAL REVIEWS THE FINANCIALS OF THE FOUNDATION TO ENSURE THE FOUNDATION DOES NOT MAKE ANY PAYMENTS THAT ARE NOT FOR THE BENEFIT OF THE HOSPITAL AND ITS SURROUNDING COMMUNITY. FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: OTTO KAISER MEMORIAL HOSPITAL. AFFILIATE ADDRESS: 3349 S HWY 181 KENEDY, TX 78119. AMOUNT OF PAYMENT: 70,144. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: BIANCE FLORES. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: JUDY TREVINO. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: DECIDERIO RODRIGUEZ. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: CINDY DAVILA. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: MARK RAMIREZ. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: MONICA FARIAS. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ELOISA SALAS. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: CAROLYN HONEYCUTT. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: JOSE NUNEZ. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: LESLIE GLENN. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: CRYSTAL LEE MAINKA. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: CEDRIC MEJIA. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: DENISE CORTEZ. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ARTHUR GUTIERREZ. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: DELIA FOLEY. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: REBECCA MENDIOLA. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 13,000. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: ACCOUNTING. AMOUNT: 5,500. DESCRIPTION: PROFESSIONAL FEES. AMOUNT: 1,450. DESCRIPTION: SUPPLIES. AMOUNT: 698. DESCRIPTION: FRONTIER PHARMACY. AMOUNT: 329. DESCRIPTION: TAX. AMOUNT: 1,580. DESCRIPTION: TRAVEL / EDUCATION. AMOUNT: 656. TOTAL TO FORM 990-EZ, LINE 16: 10,213. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.