2023-01-25T12:55:41-05:00 2021-12-31 352151701 ARANOWSKI & COMPANY 212 E LASALLE AVE STE 220 SOUTH BEND IN 466173562 990 2021-01-01 356042246 HENRY COUNTY MEMORIAL HOSP FOUNDAT HENR 7655211501 PO BOX 490 NEW CASTLE IN 47362 PAUL JANSSEN PRESIDENT 7655211501 2023-01-25 true PAUL JANSSEN XXX-XX-XXXX DAVID P ARANOWSKI CPA P00240735 5742894821 2023-01-25 2021 2023-03-07 01:45:13Z PAUL JANSSEN PO BOX 490 NEW CASTLE IN 47362 29407628 false X X 1954 IN CORPORATION HAS BEEN ORGANIZED TO AND OPERATES FOR THE USE AND BENEFIT OF THE HENRY COUNTY HOSPITAL, A COUNTY OWNED HOSPITAL IN NEW CASTLE, IN, AND OTHER FACILITIES AND SERVICES OPERATED AS NON-PROFITS THAT SERVE THE HEALTH CARE NEEDS OF THE CITIZENS OF HENRY COUNTY, IN. 18 15 4 5 0 37371 57466 222248 402390 642534 5950538 2710531 2683015 3612684 9093409 116802 118719 0 163375 168990 0 0 1044440 915333 1324617 1203042 2288067 7890367 66671261 73435320 3701934 5090191 62969327 68345129 X CORPORATION HAS BEEN ORGANIZED TO AND OPERATES FOR THE USE AND BENEFIT OF THE HENRY COUNTY HOSPITAL, A COUNTY OWNED HOSPITAL IN NEW CASTLE, IN, AND OTHER FACILITIES AND SERVICES OPERATED AS NON-PROFITS THAT SERVE THE HEALTH CARE NEEDS OF THE CITIZENS OF HENRY COUNTY, IN. false false 228346 263858 LIFE LINE PROGRAM THE FOUNDATION RENTS LIFE LINE PERSONAL CALL UNITS TO RESIDENTS OF HENRY COUNTY. THE UNITS ARE LEASED AND THEN RENTED ON A MONTHLY BASIS TO ELDERLY PERSONS FOR USE IN THEIR HOMES SO THAT THEY ARE ABLE TO QUICKLY CALL AND RECEIVE MEDICAL AND OTHER TYPES OF ASSISTANCE. THIS SYSTEM IS DESIGNED TO KEEP PEOPLE IN THEIR HOMES LONGER RATHER THAN INCUR THE ADDITIONAL COSTS ASSOCIATED WITH AN ASSISTED LIVING FACILITY OR NURSING HOME. THE YEAR WAS STARTED WITH 700 SUBSCRIBERS AND ENDED WITH 566. 104156 SCHOLARSHIP AWARDS, MEDICAL EDUCATION-GRANT TO IVY TECH NURSING PROGRAM, MEDICATIONS FOR THE NEEDY, HOSPICE, AND OTHER SCHOLARSHIPS WERE AWARDED TO 24 HEALTHCARE PROGRAM UNDERGRADUATE STUDENTS. TO ENCOURAGE AND SUPPORT THE TRAINING OF NURSES WHO WOULD WANT TO PURSUE A CAREER IN THE NEW CASTLE COMMUNITY, THE FOUNDATION COMMITTED ON A LONG TERM BASIS TO SUPPORT THE ESTABLISHMENT OF LOCAL CLASSES. THE TOTAL AMOUNT GIVEN TO IVY TECH COMMUNITY COLLEGE DURING 2021 WAS 80,000 FOR THE SALARY OF AN INSTRUCTOR AND RENT OF OFFICE SPACE FOR THE PROGRAM. 553899 DIRECT SUPPORT FOR HOSPITAL THE FOUNDATION PAYS FOR PHYSICIAN RECRUITMENT EXPENSES AND FOR MARKETING & PUBLIC RELATIONS EXPENSES TO ATTRACT, RECRUIT AND HIRE PHYSICIANS NEEDED TO PROVIDE QUALITY CARE IN THE COMMUNITY AND TO ATTRACT AND ENCOURAGE MEMBERS OF THE COMMUNITY TO USE THE SERVICES PROVIDED BY THE HENRY COUNTY HOSPITAL. 18766 TO PROMOTE PUBLIC RELATIONS AND TO PROVIDE SERVICE EQUIPMENT TO THE HOSPITAL. 18766 905167 true true false false false false false false false false true false false false true true false false false false false false false false false false false true true false false false false false false false false false false false false false false true false false false true 20 0 4 true false false false false false true true false false false false false false false false X 18 15 false false false false true false false true true false false true true true true true true false true false IN X PAUL JANSSEN 7655211501 PO BOX 490 NEW CASTLE IN 47362 PAUL JANSSEN PRESIDENT 7.50 X X 43500 0 0 VANESSA TUCKER ASST SEC/TRE 3.85 X X 34635 0 0 DARIN BROWN TREASURER 3.50 X X 20000 0 0 BRIANNA CHAPMAN CHAIRMAN 2.00 X X 0 0 0 JOSH ESTELLE TRUSTEE 2.00 X 0 0 0 DUKE HAMM TRUSTEE 2.00 X 0 0 0 JOEL HARVEY TRUSTEE 2.00 X 0 0 0 SCOTT KOONTZ SECRETARY 2.00 X X 0 0 0 JANA LUELLEN TRUSTEE 2.00 X 0 0 0 WYLIE MCGLOTHLIN MD TRUSTEE 2.00 X 0 0 0 KYLE SIEWERT MD TRUSTEE 2.00 X 0 0 0 DEBBIE MARGISON TRUSTEE 2.00 X 0 0 0 TODD MYERS TRUSTEE 2.00 X 0 0 0 JOHN PIDGEON TRUSTEE 2.00 X 0 0 0 DR NATHAN RICH TRUSTEE 2.00 X 0 0 0 DEBI WARE TRUSTEE 2.00 X 0 0 0 DAVE WEIMER TRUSTEE 2.00 X 0 0 0 BRENDA WILKINSON TRUSTEE 2.00 X 0 0 0 98135 false false false AMERICAN STRUCTUREPOINT INC 9025 RIVER ROAD SUITE 200 INDIANAPOLIS IN 462406443 BUILDING CONTRA 683459 DUKE ENERGY PO BOX 1326 CHARLOTTE NC 28201 UTILITIES 248850 ENQUIRER MEDIA PO BOX 677342 DALLAS TX 752677342 MARKETING 172214 VALUED RELATIONSHIPS 1400 COMMERCE DRIVE FRANKLIN OH 45005 CONTRACT SERVIC 113407 4 57466 57466 LIFELINE SERVICES 624100 292390 292390 CONTRACT SERVICES 900099 110000 110000 402390 1667220 894941 772279 3661353 1388315 1996112 383034 1665241 1005281 2670522 2670522 22218391 17935073 4283318 4283318 4283318 OTHER INCOME 900099 12493 12493 12493 9093409 8263664 772279 95484 95484 23235 23235 98135 98135 42585 42585 2000 2000 14055 14055 12215 3042 9173 607 607 23808 23808 139951 139951 483318 483318 1656 1656 OTHER OPERATING EXPENSES 188032 164580 23452 PHYSICIAN RECRUITMENT 68924 68924 MAINTENANCE 6113 5915 198 INSURANCE 1648 1648 1276 373 903 1203042 905167 297875 0 496457 1176124 1580483 759399 1396 40934365 13753414 26838121 27180951 37754804 44295737 23109 66671261 73435320 208564 925200 978728 893532 2514642 3271459 3701934 5090191 X 61637561 66887969 1331766 1457160 62969327 68345129 66671261 73435320 X 7890367 -2514566 1 X false true X true false X X 1 HENRY COUNTY HOSPITAL HENRY COUNTY HOSPITAL 356001583 3 false 0 553899 1 553899 true false false false false false false false false false false false false false false false PART IV, SECTION C, LINE 1 THE HENRY COUNTY MEMORIAL HOSPITAL FOUNDATION, INC., IS A SIGNIFICANT COMPONENT UNIT OF HENRY COUNTY MEMORIAL HOSPITAL. THE HOSPITAL APPOINTS A VOTING MAJORITY OF THE FOUNDATION'S BOARD OF DIRECTORS. THE FOUNDATION BOARD OF DIRECTORS INCLUDE THE CEO OF THE HOSPITAL WHO SERVES AS PRESIDENT OF THE FOUNDATION, AND THE CFO OF THE HOSPITAL WHO SERVES AS THE TREASURER OF THE FOUNDATION'S BOARD OF DIRECTORS. IN ADDITION TO THE BOARD OF DIRECTORS OF THE FOUNDATION, THE FOUNDATION IS SUPPORTED AND MANAGED BY AN ACCOUNTANT THAT PREPARES THE BUDGETS AND FINANCIAL STATEMENTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4405574 4405574 32105834 9909637 22196197 4422957 3843777 579180 27180951 DUE TO HCH 3271459 3271459 X 8818036 -2514566 2379144 -135422 8953458 139951 139951 9093409 3442234 2379144 2379144 1063090 139951 1 139952 1203042 SCHEDULE D, PAGE 3, PART X THE FOUNDATION IS EXEMPT FROM INCOME TAXES AS A CHARITABLE ORGANIZATION UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. MANAGEMENT HAS EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ASC 740-10. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES ARE INCLUDED IN OPERATING EXPENSES, IF INCURRED. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO FEDERAL AND STATE INCOME TAX EXAMINATION FOR TAX YEARS BEFORE 2018. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL EXPENSES 2,379,144 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSES 2,379,144 SCHEDULE D, PAGE 4, PART XII, LINE 4B BOOK / TAX DEPRECIATION DIFFERENCE 1 false IVY TECH COMMUNITY COLLEGE 3325 IN-3 NEW CASTLE IN 47362 95484 NURSE TRAINING PROGR SCHOLARSHIPS 24 23235 SCHEDULE I, PAGE 1, PART I, LINE 2 SCHOLARSHIP PAYMENTS ARE MADE DIRECTLY TO EDUCATION INSTITUTIONS. STUDENT'S PROGRESS IS MONITORED TO OBTAIN SCHOLARSHIP REPAYMENTS WHEN STUDENTS DO NOT COMPLY WITH THE TERMS OF THEIR SCHOLARSHIP. GRANTS TO ORGANIZATIONS ARE MONITORED ON AN INFORMAL BASIS BY VERBAL REPORTS OF THE SPECIFIC PROGRAM OR EXPENSES TO BE FUNDED. FORM 990 - ORGANIZATION'S MISSION CORPORATION HAS BEEN ORGANIZED TO AND OPERATES FOR THE USE AND BENEFIT OF THE HENRY COUNTY HOSPITAL, A COUNTY OWNED HOSPITAL IN NEW CASTLE, IN, AND OTHER FACILITIES AND SERVICES OPERATED AS NON-PROFITS THAT SERVE THE HEALTH CARE NEEDS OF THE CITIZENS OF HENRY COUNTY, IN. FORM 990, PAGE 2, PART III, LINE 4D TO PROMOTE PUBLIC RELATIONS AND TO PROVIDE SERVICE EQUIPMENT TO THE HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 6 ALL OF THE MEMBERS OF THE BOARD MUST BE RESIDENTS OF HENRY COUNTY, INDIANA AND BE PERSONS INTERESTED IN THE HEALTH, SAFETY AND GENERAL WELFARE OF THE CITIZENS OF HENRY COUNTY, INDIANA AND BE SUPPORTIVE OF THE POLICIES OF THE HENRY COUNTY HOSPITAL IN ITS PROGRAMS TO PROVIDE HIGH-QUALITY HOSPITAL CARE AND TO AID IN THE ALLEVIATION OF HUMAN SUFFERING OF ALL THOSE PERSONS USING THE FACILITIES OR SERVICES ORGANIZED, MANAGED OR OPERATED BY IT FOR SUCH PURPOSE. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE ASISTANT SEC/TREASURER, TREASURER, PRESIDENT, AND THE CHAIRMAN OF THE BOARD; AND THEN IT IS SIGNED AND FILED BY THE TREASURER. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY IS EXPLAINED AND DISCUSSED AT THE NEW BOARD MEMBER ORIENTATION MEETING AND AT THE ANNUAL MEETING OF BOARD HELD EACH YEAR DURING MARCH. EACH MEMBER IS INFORMED THAT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST BE APPROPRIATELY AND TIMELY DISCLOSED. FORM 990, PAGE 6, PART VI, LINE 15B THE ANNUAL COMPENSATION IS APPROVED BY THE BOARD. FORM 990, PAGE 6, PART VI, LINE 19 THE FOUNDATION PROVIDES COPIES OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO ANY MEMBER OF THE PUBLIC WHO REQUESTS SUCH INFORMATION. FORM 990, PART XI, LINE 9 RENTAL EXPENSES 2,379,144 RENTAL EXPENSES -2,379,144 BOOK / TAX DEPRECIATION DIFFERENCE 1 TOTAL 1 HENRY COUNTY HOSPITAL 1000 N 16TH STREET NEW CASTLE IN 47362 356001583 COUNTY GOV IN N/A false HCMH DIVERSIFIED MANAGEMENT CORPORA PO BOX 490 NEW CASTLE IN 47362 351640749 PHYSICIANS IN N/A false false false false false false false false false false true false true true false false false false false false HENRY COUNTY HOSPITAL J 2891818 AMOUNT RECEIVED HENRY COUNTY HOSPITAL L 110000 AMOUNT RECEIVED HENRY COUNTY HOSPITAL M 156075 AMOUNT PAID HCMH DIVERSIFIED MGMT CORP J 5750 AMOUNT RECEIVED