Form 990 for tax year 2022
Filed by HIAWATHA COMMUNITY HOSPITAL FOUNDATION.
Totals
- Total revenue
- $148,589
- Total expenses
- $226,856
- Contributions and grants received
- $144,438
- Grants paid
- $224,393
- Program service revenue
- $0
- Investment income
- $11,505
- Other revenue
- -$7,354
- Total assets, end of year
- $488,996
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $488,996
- Program services expenses (Part IX)
- $224,768
- Management and general expenses
- $2,088
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $224,768
Program services were 99.1% 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.
-
1c · Fundraising events
$22,059
-
1e · Government grants (contributions)
$5,000
-
1f · All other contributions, gifts and grants
$117,379
-
3 · Investment income
total $11,505 · excluded $11,505
-
8a · Fundraising events: contributions included on line 1c
$22,059
-
8b · Fundraising events: direct expenses
$7,354
-
8c · Net income from fundraising events
total -$7,354 · excluded -$7,354
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $224,393 · program services $224,393
-
11c · Fees: accounting
total $1,500 · management and general $1,500
-
11f · Fees: investment management
total $548 · management and general $548
-
24a · Other expenses: CHAMBER OF COMMERCE
total $200 · program services $200
-
24b · Other expenses: MISCELLANEOUS
total $175 · program services $175
-
24c · Other expenses: KS ANNUAL REPORT FEE
total $40 · management and general $40
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year -$3 · end of year -$3
-
2 · Savings and temporary cash investments
beginning of year $165,841 · end of year $87,574
-
11 · Investments: publicly traded securities
beginning of year $384,568 · end of year $401,425
-
27 · Net assets without donor restrictions
beginning of year $550,406 · end of year $488,996
Mission and programs · 2022
Mission
TO PROMOTE AND FURTHER THE ADVANCEMENT OF THE SERVICES AND FACILITIES OF THE HIAWATHA HOSPITAL ASSOCIATION
-
AMBERWELL HIAWATHA HOSPITAL ASSN, POST-PARTUM HEMORRHAGE CART 2,077 AMBERWELL HIAWATHA HOSPITAL ASSN, CALL SYSTEM 204,286 AMBERWELL HIAWATHA HOSPITAL ASSN, ER BEDS 18,030
Expenses $224,393 · Grants $224,393
-
PROMOTION OF SERVICES & FACILITIES OF THE HIAWATHA HOSPITAL ASSN
Expenses $375
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Joyce BauerJOYCE BAUER
VICE PRES &
- Total calculated
- $0
-
Bob FreeseBOB FREESE
DIRECTOR
- Total calculated
- $0
-
Reid JagelsREID JAGELS
DIRECTOR
- Total calculated
- $0
-
Chelsea JamesCHELSEA JAMES
DIRECTOR
- Total calculated
- $0
-
Morgan PralleMORGAN PRALLE
TREASURER &
- Total calculated
- $0
-
Jan RankinJAN RANKIN
DIRECTOR
- Total calculated
- $0
-
Mark SudbeckMARK SUDBECK
PRESIDENT
- Total calculated
- $0
-
Denise TryonDENISE TRYON
SECRETARY
- Total calculated
- $0
-
Greg WilgaGREG WILGA
DIRECTOR
- 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
-
HIAWATHA COMMUNITY HOSPITAL ASSN
$224,393
EQUIPMENT PURCHASE
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202323199349307137
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.