Totals
- Total revenue
- $278,993
- Total expenses
- $137,504
- Contributions and grants received
- $255,604
- Grants paid
- $132,115
- Program service revenue
- $0
- Investment income
- $6,039
- Other revenue
- $17,350
- Total assets, end of year
- $1,304,590
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $1,304,590
- Program services expenses (Part IX)
- $132,115
- Management and general expenses
- $5,389
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $132,115
Program services were 96.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$255,604
-
3 · Investment income
total $10,116 · excluded $10,116
-
7a · Gross sales of assets other than inventory
securities $285,749
-
7b · Less cost or other basis and sales expenses
securities $289,826
-
7c · Gain or loss
securities -$4,077
-
7d · Net gain or loss
total -$4,077 · excluded -$4,077
-
10a · Gross sales of inventory
$30,318
-
10b · Cost of goods sold
$12,968
-
10c · Net income from sales of inventory
total $17,350 · excluded $17,350
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $132,115 · program services $132,115
-
11f · Fees: investment management
total $4,260 · management and general $4,260
-
13 · Office expenses
total $1,129 · management and general $1,129
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $685,584 · end of year $823,016
-
11 · Investments: publicly traded securities
beginning of year $589,900 · end of year $481,574
-
27 · Net assets without donor restrictions
beginning of year $1,221,205 · end of year $1,147,841
-
28 · Net assets with donor restrictions
beginning of year $54,279 · end of year $156,749
Mission and programs · 2022
Mission
TO RAISE FUNDS AND PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS.
-
DONATED MONEY FOR HOSPITAL EQUIPMENT ADDITIONS AND HOSPITAL DEPARTMENTAL NEEDS.
Expenses $132,115 · Grants $132,115
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
KRISTI BARND
EX OFFICIO T
- Total calculated
- $0
-
JIM BURKHART
TRUSTEE
- Total calculated
- $0
-
CAMERON CARYER
TRUSTEE
- Total calculated
- $0
-
MELISSA PEPER FIRESTONE
TRUSTEE
- Total calculated
- $0
-
DR ERAST HAFTKOWYCZ
TRUSTEE
- Total calculated
- $0
-
JACK KRUEGER
VICE CHAIR
- Total calculated
- $0
-
TOM MORIARTY
TREASURER
- Total calculated
- $0
-
CONNIE PANNING
TRUSTEE
- Total calculated
- $0
-
KAYE WESCHE
SECRETARY
- Total calculated
- $0
-
TOM ZGELA
CHAIR
- Total calculated
- $0
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
Grants on this return
-
$132,115
EQUIP & DEPT NEEDS
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501C3 · HOSPITAL · OH
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303199349313420
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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