2025-04-11T16:42:43-05:00 2024-06-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-07-01 237163421 Greene County Medical Center Foundation GREE 5153862114 1000 W Lincoln Way Jefferson IA 50129 Chad Butterfield CEO Greene County Medical Center 5153862114 2025-04-10 1 1 Mayumi Stella P00970938 6122536500 2025-04-02 2023 2025-03-06 01:10:19Z Chad Butterfield 1000 W Lincoln Way Jefferson IA 50129 949946 0 X www.gcmchealth.com X 1972 IA To solicit and receive contributions to benefit the health and well-being of our community. 6 6 0 7 0 0 191720 142655 653239 774158 13142 30172 -2994 -1242 855107 945743 49278 186450 0 0 166414 169229 0 0 6012 322053 351017 537745 706696 317362 239047 1074344 965767 1131114 783490 -56770 182277 X To solicit and receive contributions and gifts from individuals, institutions and organizations, all in an effort to benefit the health and well-being of our community through services and education. 0 0 622552 186450 774158 The Greene County Medical Center Foundation supports the mission of Greene County Medical Center. Green County Medical Center is a community-based system genuinely committed to enriching its community by providing quality, compassionate care to every patient and contributing to the well-being of every family. Funds are used exclusively for the benefit of charitable, scientific, or educational purposes that apply to health care at Greene County Medical Center.Greene County Medical Center Foundation Capital Campaign raises funds to expand and renovate Greene County Medical Center.(Statement continued on Schedule O)The Foundation operates Ever Greene Ridge, an independent living community for those age 55 years and older. This is a need in the community providing seniors with their own home without the burden of maintenance or repairs. Medical care is available nearby at Greene County Medical Center. 622552 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 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 1 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X Nancy Houska 5153862114 1000 W Lincolnway Jefferson IA 50129 Nancy Houska Foundation Director 13.00 X 88630 0 39145 Dave Pedersen President 1.00 X X 0 0 0 Teresa Hagen Vice President 1.00 X X 0 0 0 Jacob Bohnet Secretary until Oct 2023 1.00 X X 0 0 0 Nicole Uebel - Director then Secretary as of Oct 2023 1.00 X X 0 0 0 Al Robson Treasurer 1.00 X X 0 0 0 Scott Weber Director 1.00 X 0 0 0 Cara Reedy Director 1.00 X 0 0 0 Chad Butterfield - CEO Greene County Medical Center 1.00 X 0 0 0 88630 0 39145 0 0 0 1 0 20849 121806 142655 Independent Living 623000 556657 556657 EGR-Amortization of Ad 900099 187016 187016 Property tax reimburse 900099 15182 15182 Administrative Fees 900099 11370 11370 3933 3933 774158 23465 23465 6707 0 6707 6707 6707 2961 20849 4203 -1242 -1242 945743 774158 0 28930 180450 180450 6000 6000 121750 93782 27968 13558 10443 3115 23740 18286 5454 10181 7842 2339 2700 2700 3986 3986 347 347 27502 15190 6300 6012 125090 125090 1385 1385 930 930 105269 105269 112 112 Repairs and Maintenance 42443 41997 446 Food 41253 14217 27036 706696 622552 78132 6012 836404 802187 15625 10700 3333 2083 2932291 2781494 218982 150797 1074344 965767 357784 380281 140230 1809 633100 401400 1131114 783490 X -174181 144395 117411 37882 -56770 182277 1074344 965767 239047 0 X X 0 1 X 0 0 X 435869 111110 81866 191720 142655 963220 426286 421136 512988 653239 774158 2787807 862155 532246 594854 844959 916813 3751027 0 112065 201022 181174 261638 239333 995232 112065 201022 181174 261638 239333 995232 2755795 3966 2059 1479 2384 23465 33353 3966 2059 1479 2384 23465 33353 866121 534305 596333 847343 940278 3784380 0.72820 0.70060 0.00880 0.00560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2932291 2781494 150797 150797 Estimated refundable advance fees 399000 Prepaid Rent 2400 401400 X 949946 0 949946 -4203 -4203 945743 710899 4203 4203 706696 0 706696 Part X, Line 2: 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. Part XI, Line 4b - Other Adjustments: Fundraising expenses included in revenue on Form 990 -4,203. Part XII, Line 2d - Other Adjustments: Fundraising expenses included in revenue on Form 990 4,203. Golf Tournament 23810 20849 2961 726 2238 723 516 23810 20849 2961 726 2238 723 516 4203 -1242 1 Greene County Medical Center 1000 West Lincoln Way Jefferson IA 50129 426037888 Greene County 180450 0 Purchase of equipment 1 0 Health Care Scholarships 6 6000 Part I, Line 2: Grants to Greene County Medical Center are approved by the Board of Directors. The purpose of the Foundation is to benefit the health and well-being of the community through services and education. Grants to the Medical Center fulfills the exempt purpose of the Foundation. Greene County Medical Center Foundation offers a Health Care Scholarship to persons in the Medical Center service area that are entering or are already attending college in a health care field. The selection of the recipient is made by the selection committee, which consists of two trustees from the Greene County Medical Center Board and Administration. The selection is based on the application forms, references, and scholastic ability, and may or may not be based upon financial need. Disbursements are made by check payable to the college and mailed to the college. Confirmation from the college that the recipient is maintaining an academic standing required for graduation is required before a second or subsequent payment is made. 0 0 0 0 0 0 0 0 0 Nancy Houska Foundation Director 88630 0 0 0 0 0 35020 0 4126 0 127776 0 0 0 Form 990 Schedule J, Compensation Paid by Unrelated Organization: Nancy Houska, Foundation Director, is compensated by the Greene County Medical Center, an unrelated organization, for services to Greene County Medical Center and Greene County Medical Center Foundation. Nancy provides day to day financial and management oversight to the Foundation. Nancy's total compensation and benefits are reported on Schedule J, Part II and Part VII of the Form 990. Approximately 33% of Nancy's time is spent on Foundation activities. Compensation allocation for the Foundation is below. Base compensation $29,248 Deferred compensation 11,557 Nontaxable benefits 1,361 Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Board of Directors receives and reviews a copy of the Form 990 before it is filed. Form 990, Part VI, Section B, line 12c Conflict of interest statements are signed by all Board Members and officers annually. The statements are reviewed by the President of the Board. If a potential conflict arises the President of the Board follows up. Any duality of interest or potential conflict of interest on the part of any member of the Board of Directors or officer should be disclosed to the other Directors and made a matter of record, either through the annual disclosure procedure or when the interest becomes a matter of Board action. Any Director having an actual or possible conflict of interest on any matter should not vote or use his/her personal influence on any such matter, and he/she should not be counted in determining the quorum for the meeting, even when permitted by law. The minutes of the meeting should reflect that a disclosure was made, the Director's abstention from voting, and the quorum situation. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part XII, Line 2c: The CFO of Greene County Medical Center assumes responsibility for oversight of the audit and selection of an independent accountant.