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Nonprofiteer
← HENRY COUNTY HEALTH CENTER FOUNDATION

Form 990 for tax year 2022

Filed by HENRY COUNTY HEALTH CENTER FOUNDATION.

Totals

Total revenue
$288,791
Total expenses
$132,671
Contributions and grants received
$174,630
Grants paid
$45,688
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$75,688
Management and general expenses
$5,054
Fundraising expenses
$51,929
Program service expenses (Part III)
$75,688

Program services were 57.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MARK HEMPEN

    FOUNDATION D

    Total calculated
    $91,462
    From this org
    $64,187
    From related orgs
    $0
    Other
    $27,275
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $64,187
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $27,275
    Filer's total
    $91,462

  • KENDRA BONNESEN

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 40 related

  • TERESA COLGAN

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 40 related

  • JILL DANIEL

    PRESIDENT TH

    Total calculated
    $0
    Hours/week
    0.5 + 40 related

  • DAVID FILE

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    0.5

  • ROBB GARDNER

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 40 related

  • SYLVIA GRABER

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 40 related

  • KIRSTEN HEERDT

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 40 related

  • TOM HOLTKAMP

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • SALLY OLSON

    PRESIDENT AS

    Total calculated
    $0
    Hours/week
    0.3

  • LOIS ROTH

    SEC/TREAS AS

    Total calculated
    $0
    Hours/week
    0.3

  • MIKE VENS

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • ALAN WAGNER

    SEC/TREAS TH

    Total calculated
    $0
    Hours/week
    0.5

  • KEVIN WHEELER

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • LORI WHITE

    MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 40 related

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART III
MARK HEMPEN WAS PAID BY THE HENRY COUNTY SOLDEIRS AND SAILORS MEMORIAL HOSPITAL (HOSPITAL), AN UNRELATED ORGANIZATION. MR. HEMPEN RECEIVED BASE COMPENSATION OF 64,187 AND BENEFITS TOTALING 27,275 FOR HIS SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022. THE HOSPITAL PARTICIPATES IN THE IOWA HOSPITAL ASSOCIATION SALARY SURVEY PROCESS. SALARIES ARE BASED ON IHA FINDINGS, FACILITY SIZE AND TYPE, AND OTHER DEMOGRAPHIC AND LOCATION CRITERIA. A LOCAL MARKET REVIEW IS CONDUCTED FOR SOME POSITIONS. THE HOSPITAL BOARD OF TRUSTEES APPROVE SALARIES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202431369349315803

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