HENDERSON HEALTH CARE FOUNDATION: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
HENDERSON HEALTH CARE FOUNDATION (EIN 47-0794089)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-07-20
IRS object ID
202642019349300864
Schema version
2025v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-07-20T09:46:36-04:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470817269PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KOPSA OTTE ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1306 E 7TH STAddressLine1Txt
CityYORKCityNm
State AbbreviationNEStateAbbreviationCd
ZIP684673024ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470794089EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HENDERSON HEALTH CARE FOUNDATIONBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHENDBusinessNameControlTxt
Phone4027234512PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 423AddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARLI REINERSPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone4027234512PhoneNum
Signature2026-05-15SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASSANDRA OTTEPreparerPersonNm
PTINP00106391PTIN
Phone4023626636PhoneNum
Preparation2026-05-18PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAPHNE HALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 423AddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$217,652GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionTO RAISE FUNDS AND AWARENESS FOR THE BENEFIT OF HENDERSON HEALTH CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$327,249PYContributionsGrantsAmt
CY Contributions Grants$145,021CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$37,971PYInvestmentIncomeAmt
CY Investment Income$35,466CYInvestmentIncomeAmt
PY Other Revenue$976PYOtherRevenueAmt
CY Other Revenue-$8,913CYOtherRevenueAmt
PY Total Revenue$366,196PYTotalRevenueAmt
CY Total Revenue$171,574CYTotalRevenueAmt
PY Grants And Similar Paid$225,523PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$426,769CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,633PYOtherExpensesAmt
CY Other Expenses$32,704CYOtherExpensesAmt
PY Total Expenses$259,156PYTotalExpensesAmt
CY Total Expenses$459,473CYTotalExpensesAmt
PY Revenues Less Expenses$107,040PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$287,899CYRevenuesLessExpensesAmt
Total Assets BOY$357,590TotalAssetsBOYAmt
Total Assets EOY$80,020TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$357,590NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$80,020NetAssetsOrFundBalancesEOYAmt
MissionTO RAISE FUNDS AND AWARENESS FOR THE BENEFIT OF HENDERSON HEALTH CARE SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$426,769ExpenseAmt
Grant$426,769GrantAmt
DescCHARITABLE PUBLIC HEALTH CARE THROUGH SUPPORT OF 501(C)(3) HOSPITAL AND RELATED FACILITIESDesc
Total Program Service Expenses$426,769TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G2IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCASEY KINNISONPersonNm
Phone4027234512PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11621 FRONT STREETAddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANGELA ALLGOOD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TAYLOR CHRISMAN
TREASURER1.00Yes (X)Yes (X)$0$0$0
DAPHNE HALL
BOARD MEMBER1.00Yes (X)$0$0$0
JEN HIEBNER
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
JAYDON JANZEN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
GLEN OTT
BOARD MEMBER1.00Yes (X)$0$0$0
CARLI REINERS
DIRECTOR1.00Yes (X)$0$0$0
JULIA RODEHORST
BOARD MEMBER1.00Yes (X)$0$0$0
KRISTI WALTERS
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$91,454FundraisingAmt
All Other Contributions$53,567AllOtherContributionsAmt
Noncash Contributions$49,642NoncashContributionsAmt
Total Contributions$145,021TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,245TotalRevenueColumnAmt
Exclusion$9,245ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$26,221SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$26,221SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,221TotalRevenueColumnAmt
Related Or Exempt Func Income$26,221RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$37,165FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$91,454ContriRptFundraisingEventAmt
Fundraising Direct Expenses$46,078FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,913TotalRevenueColumnAmt
Exclusion-$8,913ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$171,574TotalRevenueColumnAmt
Related Or Exempt Func Income$26,221RelatedOrExemptFuncIncomeAmt
Exclusion$332ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$426,769TotalAmt
Program Services$426,769ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$123TotalAmt
Management And General$123ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$598TotalAmt
Management And General$598ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$72TotalAmt
Management And General$72ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$30,580$30,580
MISCELLANEOUS$1,331$1,331

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$459,473TotalAmt
Program Services$426,769ProgramServicesAmt
Management And General$32,704ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$119,173BOYAmt
EOY$13,753EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,357BOYAmt
EOY$18,397EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$228,060BOYAmt
EOY$47,870EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$357,590BOYAmt
EOY$80,020EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$357,590BOYAmt
EOY$80,020EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$357,590BOYAmt
EOY$80,020EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$357,590BOYAmt
EOY$80,020EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$287,899ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$10,329OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$327,249CurrentTaxYearMinus1YearAmt
Current Tax Year$145,021CurrentTaxYearAmt
Total$678,688TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$327,249CurrentTaxYearMinus1YearAmt
Current Tax Year$145,021CurrentTaxYearAmt
Total$678,688TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$678,688PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,249CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,355CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,764CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,188CurrentTaxYearMinus1YearAmt
Current Tax Year$9,245CurrentTaxYearAmt
Total$27,801TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,278CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,537CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,042CurrentTaxYearMinus1YearAmt
Current Tax Year$37,165CurrentTaxYearAmt
Total$256,807TotalAmt
FieldValueIRS element (for citing)
Total Support$963,296TotalSupportAmt
Gross Receipts Rltd Activities$132,281GrossReceiptsRltdActivitiesAmt
Public Support CY1700.70450PublicSupportCY170Pct
Public Support PY1700.70100PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
Explanation219,642ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescLPL FINANCIALDesc
Book Value$47,870BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Program Rltd$47,870TotalBookValueProgramRltdAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALA EVENTEvent1Nm
Gross Receipts Event1$96,383GrossReceiptsEvent1Amt
Charitable Contri Event1$76,714CharitableContriEvent1Amt
Gross Revenue Event1$19,669GrossRevenueEvent1Amt
Cash Prizes Event1$7,495CashPrizesEvent1Amt
Rent Facility Costs Event1$2,891RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,909FoodAndBeverageEvent1Amt
Entertainment Event1$9,750EntertainmentEvent1Amt
Other Direct Expenses Event1$6,924OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$29,940GrossReceiptsEvent2Amt
Charitable Contri Event2$14,740CharitableContriEvent2Amt
Gross Revenue Event2$15,200GrossRevenueEvent2Amt
Non Cash Prizes Event2$5,381NonCashPrizesEvent2Amt
Rent Facility Costs Event2$1,940RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,216FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,018OtherDirectExpensesEvent2Amt
Gross Receipts Total$126,323GrossReceiptsTotalAmt
Charitable Contributions Tot$91,454CharitableContributionsTotAmt
Gross Revenue Total Events$34,869GrossRevenueTotalEventsAmt
Cash Prizes Total Events$7,495CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$5,381NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,831RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,125FoodAndBeverageTotalEventsAmt
Entertainment Total Events$9,750EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$8,942OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$45,524DirectExpenseSummaryEventsAmt
Net Income Summary-$10,655NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HENDERSON HEALTH CARE SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11621 FRONT STREETAddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd
FieldValueIRS element (for citing)
Recipient EIN470366569RecipientEIN
Cash Grant$426,769CashGrantAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMISC GALADesc
Contribution50ContributionCnt
Noncash Contributions Rpt F990$49,642NoncashContributionsRptF990Amt
Method Of Determining RevenuesPAST EVENTSMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE RETURN IS PRESENTED AT A BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC WHEN AND IF THEY ARE REQUESTED. COPIES WILL AVAILABLE FOR PICK UP WITHIN A WEEK OF WRITTEN REQUEST.
FORM 990, PART XI, LINE 9PRIOR PERIOD ADJUSTMENTS 10,329

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