HENRY COUNTY MEMORIAL HOSPITAL FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: HENRY COUNTY MEMORIAL HOSPITAL FOUNDATION INC (EIN 35-6042246)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-04-25
IRS object ID: 202321159349300122
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-04-25T10:20:39-04:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	352151701	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ARANOWSKI & COMPANY	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	212 E LASALLE AVE STE 220	AddressLine1Txt
City	SOUTH BEND	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	466173562	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	356042246	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HENRY COUNTY MEMORIAL HOSP FOUNDAT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HENR	BusinessNameControlTxt
Phone	7655211501	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 490	AddressLine1Txt
City	NEW CASTLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47362	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRIAN RING	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	7655211501	PhoneNum
Signature	2023-04-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BRIAN	PersonFirstNm
Person Last	RING	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID P ARANOWSKI CPA	PreparerPersonNm
PTIN	P00240735	PTIN
Phone	5742894821	PhoneNum
Preparation	2023-04-25	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRIAN RING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 490	AddressLine1Txt
City	NEW CASTLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47362	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$19,377,879	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or 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.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	4	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$57,466	PYContributionsGrantsAmt
CY Contributions Grants	$39,502	CYContributionsGrantsAmt
PY Program Service Revenue	$402,390	PYProgramServiceRevenueAmt
CY Program Service Revenue	$267,676	CYProgramServiceRevenueAmt
PY Investment Income	$5,950,538	PYInvestmentIncomeAmt
CY Investment Income	-$190,306	CYInvestmentIncomeAmt
PY Other Revenue	$2,683,015	PYOtherRevenueAmt
CY Other Revenue	$2,746,831	CYOtherRevenueAmt
PY Total Revenue	$9,093,409	PYTotalRevenueAmt
CY Total Revenue	$2,863,703	CYTotalRevenueAmt
PY Grants And Similar Paid	$118,719	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$99,931	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$168,990	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$154,445	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$915,333	PYOtherExpensesAmt
CY Other Expenses	$1,293,619	CYOtherExpensesAmt
PY Total Expenses	$1,203,042	PYTotalExpensesAmt
CY Total Expenses	$1,547,995	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,890,367	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,315,708	CYRevenuesLessExpensesAmt
Total Assets BOY	$73,435,320	TotalAssetsBOYAmt
Total Assets EOY	$69,613,126	TotalAssetsEOYAmt
Total Liabilities BOY	$5,090,191	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,394,350	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$68,345,129	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$64,218,776	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$137,790	ExpenseAmt
Revenue	$119,510	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$107,855	ExpenseAmt
Grant	$99,931	GrantAmt
Desc	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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$720,717	ExpenseAmt
Desc	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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	TO PROMOTE PUBLIC RELATIONS AND TO PROVIDE SERVICE EQUIPMENT TO THE HOSPITAL.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$966,362	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	12	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PAUL JANSSEN	PersonNm
Phone	7655211501	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 490	AddressLine1Txt
City	NEW CASTLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47362	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
BRIAN RING
PRESIDENT	7.50	Yes (X)	Yes (X)	$31,750	$0	$0
VANESSA TUCKER
ASST SEC/TRE	3.85	Yes (X)	Yes (X)	$20,220	$0	$0
DARIN BROWN
TREASURER	3.50	Yes (X)	Yes (X)	$20,000	$0	$0
SARAH BOWMAN
TRUSTEE	2.00	Yes (X)		$0	$0	$0
JOSH ESTELLE
SECRETARY	3.50	Yes (X)	Yes (X)	$0	$0	$0
ERIKA GILMAN
TRUSTEE	2.00	Yes (X)		$0	$0	$0
DUKE HAMM
VICE CHAIRMA	2.00	Yes (X)		$0	$0	$0
JOEL HARVEY
TRUSTEE	2.00	Yes (X)		$0	$0	$0
SCOTT KOONTZ
CHAIRMAN	2.00	Yes (X)	Yes (X)	$0	$0	$0
WYLIE MCGLOTHLIN MD
TRUSTEE	2.00	Yes (X)		$0	$0	$0
KYLE SIEWERT MD
TRUSTEE	2.00	Yes (X)		$0	$0	$0
DEBBIE MARGISON
TRUSTEE	2.00	Yes (X)		$0	$0	$0
TODD MYERS
TRUSTEE	2.00	Yes (X)		$0	$0	$0
JOHN PIDGEON
TRUSTEE	2.00	Yes (X)		$0	$0	$0
DR NATHAN RICH
TRUSTEE	2.00	Yes (X)		$0	$0	$0
DAVE WEIMER
TRUSTEE	2.00	Yes (X)		$0	$0	$0
BRENDA WILKINSON
TRUSTEE	2.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$71,970	TotalReportableCompFromOrgAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
DUKE ENERGY
PO BOX 1326	CHARLOTTE	NC	28201	UTILITIES	$310,278
AMERICAN STRUCTUREPOINT INC
9025 RIVER ROAD SUITE 200	INDIANAPOLIS	IN	462406443	BUILDING CONTRA	$259,602
BOXCRUSH
3905 VINCENNES ROAD	INDIANAPOLIS	IN	46268	MARKETING	$174,517	SUITE 502

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$39,502	AllOtherContributionsAmt
Total Contributions	$39,502	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LIFELINE SERVICES	624100	$157,676	$157,676
CONTRACT SERVICES	900099	$110,000	$110,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$267,676	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,203,004	TotalRevenueColumnAmt
Related Or Exempt Func Income	$175,552	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,027,452	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,745,860	RealAmt
Personal	$1,432,515	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,051,481	RealAmt
Personal	$394,853	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,694,379	RealAmt
Personal	$1,037,662	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,732,041	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,732,041	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,674,532	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$14,067,842	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,393,310	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,393,310	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,393,310	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$14,790	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,790	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,790	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,863,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,796,749	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,027,452	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$60,000	TotalAmt
Program Services	$60,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$39,931	TotalAmt
Program Services	$39,931	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$71,970	TotalAmt
Management And General	$71,970	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$43,500	TotalAmt
Management And General	$43,500	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,497	TotalAmt
Program Services	$18,497	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,376	TotalAmt
Program Services	$1,376	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,251	TotalAmt
Program Services	$8,251	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,851	TotalAmt
Program Services	$2,029	ProgramServicesAmt
Management And General	$8,822	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$27,483	TotalAmt
Management And General	$27,483	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$25,093	TotalAmt
Management And General	$25,093	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$138,622	TotalAmt
Management And General	$138,622	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$554,246	TotalAmt
Program Services	$518,851	ProgramServicesAmt
Management And General	$35,395	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,904	TotalAmt
Program Services	$5,904	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,373	TotalAmt
Management And General	$1,373	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER OPERATING EXPENSES	$288,390	$107,637	$180,753
PHYSICIAN RECRUITMENT	$195,962	$195,962
DONATION EXPENSE	$47,195		$47,195
NEEDY MEDS	$6,663	$6,663

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,688	TotalAmt
Program Services	$1,261	ProgramServicesAmt
Management And General	$1,427	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,547,995	TotalAmt
Program Services	$966,362	ProgramServicesAmt
Management And General	$581,633	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,176,124	BOYAmt
EOY	$504,514	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$759,399	BOYAmt
EOY	$40,853	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$9,493	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$42,130,657	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$14,775,862	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$27,180,951	BOYAmt
EOY	$27,354,795	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,295,737	BOYAmt
EOY	$41,655,057	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,109	BOYAmt
EOY	$48,414	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,435,320	BOYAmt
EOY	$69,613,126	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$925,200	BOYAmt
EOY	$577,972	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$893,532	BOYAmt
EOY	$805,752	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,271,459	BOYAmt
EOY	$4,010,626	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,090,191	BOYAmt
EOY	$5,394,350	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$66,887,969	BOYAmt
EOY	$62,917,444	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,457,160	BOYAmt
EOY	$1,301,332	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$68,345,129	BOYAmt
EOY	$64,218,776	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$73,435,320	BOYAmt
EOY	$69,613,126	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,315,708	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,442,061	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type2	Yes (X)	SupportingOrgType2Ind
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HENRY COUNTY HOSPITAL	BusinessNameLine1Txt
Business Name Line2	HENRY COUNTY HOSPITAL	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
EIN	356001583	EIN
Organization Type	3	OrganizationTypeCd
Governing Document Listed	false	GoverningDocumentListedInd
Support	$0	SupportAmt
Other Support	$720,718	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Other Support Sum	$720,718	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Field	Value	IRS element (for citing)
Majority Dir Trst Supported Org	false	MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, SECTION C, LINE 1	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,405,574	OtherCostOrOtherBasisAmt
Book Value	$4,405,574	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,274,426	OtherCostOrOtherBasisAmt
Depreciation	$10,735,382	DepreciationAmt
Book Value	$22,539,044	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,450,657	OtherCostOrOtherBasisAmt
Depreciation	$4,040,480	DepreciationAmt
Book Value	$410,177	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$27,354,795	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO HCH	Desc
Amt	$4,010,626	Amt

Field	Value	IRS element (for citing)
Total Liability	$4,010,626	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	-$270,648	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$5,442,061	NetUnrealizedGainsInvstAmt
Other Revenue	$2,446,332	OtherRevenueAmt
Revenue Not Reported	-$2,995,729	RevenueNotReportedAmt
Revenue Subtotal	$2,725,081	RevenueSubtotalAmt
Investment Expenses Not Incld	$138,622	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$138,622	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,863,703	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$3,855,705	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,446,332	OtherExpensesIncludedAmt
Expenses Not Reported	$2,446,332	ExpensesNotReportedAmt
Expenses Subtotal	$1,409,373	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$138,622	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$138,622	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,547,995	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 STATEMENT 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 THE TAX YEARS BEFORE 2019.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	RENTAL EXPENSES 2,446,332
SCHEDULE D, PAGE 4, PART XII, LINE 2D	RENTAL EXPENSES 2,446,332

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	IVY TECH COMMUNITY COLLEGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3325 IN-3	AddressLine1Txt
City	NEW CASTLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47362	ZIPCd

Field	Value	IRS element (for citing)
Cash Grant	$60,000	CashGrantAmt
Purpose Of Grant	NURSE TRAINING PROGR	PurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	16	RecipientCnt
Cash Grant	$39,931	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2,446,332 RENTAL EXPENSES -2,446,332

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HENRY COUNTY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 N 16TH STREET	AddressLine1Txt
City	NEW CASTLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47362	ZIPCd

Field	Value	IRS element (for citing)
EIN	356001583	EIN
Primary Activities	COUNTY GOV	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HCMH DIVERSIFIED MANAGEMENT CORPORA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 490	AddressLine1Txt
City	NEW CASTLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47362	ZIPCd

Field	Value	IRS element (for citing)
EIN	351640749	EIN
Primary Activities	PHYSICIANS	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HENRY COUNTY HOSPITAL
J	$2,941,541	AMOUNT RECEIVED
HENRY COUNTY HOSPITAL
L	$110,000	AMOUNT RECEIVED
HENRY COUNTY HOSPITAL
M	$129,912	AMOUNT PAID
HCMH DIVERSIFIED MGMT CORP
J	$4,550	AMOUNT RECEIVED