2023-05-09T08:59:31-05:00 2022-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2021-07-01 391904074 PARTNERS IN EXCEPTIONAL CARE PART 7125422176 17TH AND WELLS STREETS PO BOX 217 CLARINDA IA 51632 RITA SHULL PRESIDENT 7125422176 2023-05-05 1 RITA SHULL 999009999 MEGAN L KOZIOL CPA P01544037 4023302660 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z RITA SHULL 17TH AND WELLS STREETS PO BOX 217 CLARINDA IA 51632 394797 0 X WWW.CLARINDAHEALTH.COM/GIVING X 1996 IA TO PROVIDE SUPPORT AND FURTHER THE MISSION AND VISION OF CLARINDA REGIONAL HEALTH CENTER THROUGH VOLUNTEERED TIME AND FUNDRAISING EFFORTS TO ENHANCE THE HEALTH AND WELFARE OF THE COMMUNITIES IT SERVES. 6 6 0 85 0 0 121649 285955 0 0 8350 4445 7513 14073 137512 304473 33410 389473 0 0 0 0 1346 0 0 21648 33906 56404 423379 81108 -118906 533289 378799 0 0 533289 378799 X THE MISSION OF THE PARTNERS IN EXCEPTIONAL CARE ORGANIZATION IS TO PROVIDE SUPPORT AND FURTHER THE MISSION AND VISION OF CLARINDA REGIONAL HEALTH CENTER THROUGH VOLUNTEERED TIME AND FUNDRAISING EFFORTS TO ENHANCE THE HEALTH AND WELFARE OF THE COMMUNITIES IT SERVES. 0 0 423379 389473 34 PARTNERS IN EXCEPTIONAL CARE MANAGES THE COLLECTION AND DISBURSEMENT OF CONTRIBUTIONS FOR CLARINDA REGIONAL HEALTH CENTER. 423379 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X JEN MCCALL 7125422176 220 ESSIE DAVISON DRIVE CLARINDA IA 51632 JEN MCCALL FOUNDATION DIRECTOR 40.00 X 0 95000 39885 RANDY WALTERS PRESIDENT (THRU MAY) 0.30 X X 0 0 0 RITA SHULL PRESIDENT (AS OF JUNE) 0.30 X X 0 0 0 BONNY WILLIAMS VICE PRESIDENT (AS OF JUNE) 0.30 X X 0 0 0 DEE HUGHES SECRETARY/ TREASURER (AS OF JUNE) 0.30 X X 0 0 0 BRITTANY HILL BOARD MEMBER 0.30 X 0 0 0 PAM CLEMONS BOARD MEMBER (THRU MAY) 0.30 X 0 0 0 SANDY HOOKHAM BOARD MEMBER (THRU MAY) 0.30 X 0 0 0 MELISSA GARNER BOARD MEMBER (AS OF JUNE) 0.30 X 0 0 0 ERIN KIRSCH BOARD MEMBER (AS OF JUNE) 0.30 X 0 0 0 0 95000 39885 0 0 0 0 0 1030 65565 219360 285955 1115 1115 19064 15734 3330 3330 3330 13651 65565 26728 -13077 -13077 74978 47862 27116 27116 MISCELLANEOUS 900099 34 34 34 304473 34 0 18484 389473 389473 2015 2015 2617 2617 2295 2295 1024 1024 SPECIAL PROJECT EXPENSE 8353 8353 MEMBERSHIPS & DUES 260 260 17342 17342 423379 423379 0 0 52373 35261 277911 172788 311 311 2136 2136 200558 168303 533289 378799 0 0 X 533289 378799 533289 378799 533289 378799 -118906 -35584 0 X X 0 1 X 1 0 X 27924 31856 48638 121649 285955 516022 18409 42178 74978 135565 27924 31856 67047 163827 360933 651587 942 820 1200 2900 5862 0 942 820 1200 2900 5862 645725 1752 2971 2369 1459 1115 9666 1752 2971 2369 1459 1115 9666 1627 1162 4599 34 7422 31303 34827 70578 169885 362082 668675 0.96570 0.93210 0.01450 0.03090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED PLATINUM BALL 53547 45597 7950 2872 1700 6432 281 7930 GOLF TOURNAMENT 25669 19968 5701 2146 3305 250 1812 79216 65565 13651 5018 5005 6682 281 9742 26728 -13077 1 CLARINDA REGIONAL HEALTH CENTER 220 ESSIE DAVISON DR CLARINDA IA 51635 426005819 GOVERNMENTAL 389473 0 SUPPLIES AND EQUIPMENT TO SUPPORT HOSPITAL OPERATIONS 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES FUNDS TO CLARINDA REGIONAL HEALTH CENTER, A RELATED ENTITY. THE FUNDS ARE UTILIZED FOR ASSET PURCHASES AND OPERATIONS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE PRESIDENT, VICE PRESIDENT, AND SECRETARY/TREASURER, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE CORPORATION SHALL BE OPEN TO ALL INDIVIDUALS WHO ARE DEDICATED TO THE CHARITABLE PURPOSES OF THE COPRPORATION, AND WHO SUCCSESSFULLY APPLY FOR MEMBERSHIP THEREIN. NO PERSON SHALL BE ADMITTED AS A MEMBER WITHOUT THE PERSON'S CONSENT OR AFFIRMATIVE ACTION EVIDENCING CONSENT. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS SHALL HAVE THE RIGHT TO HOLD OFFICE. THOSE MEMBERS WITH VOTING RIGHTS AND IN GOOD STANDING SHALL HAVE THE RIGHT TO VOTE. FORM 990, PART VI, SECTION A, LINE 7B MAJORITY OF THOSE PRESENT ARE ENTITLED TO VOTE AND CONSTITUTE A QUORUM FOR THE TRANSACTION OF ANY BUSINESS AT THE MEETING OF THE MEMBERSHIP. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS PRESENT IN PERSON SHALL BE THE ACT OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B WHEN THE FORM 990 IS PREPARED, IT IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND ACCEPTANCE PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL BOARD MEMBERS REVIEW THE CONFLICT OF INTEREST STATEMENT IN THE ORGANIZATION BYLAWS AND SIGN A STATEMENT TESTIFYING TO SUCH UPON INDUCTION TO THE BOARD. MEMBERS WITH A DIRECT OR INDIRECT CONFLICT OF INTEREST MUST ABSTAIN FROM AUTHORIZING, APPROVING OR RATIFYING THE TRANSACTION. PARTNERS IN EXCEPTIONAL CARE HAS NOT FORMALLY ADOPTED THE WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES OF CLARINDA REGIONAL HEALTH CENTER, HOWEVER, THE ORGANIZATION DOES ADHERE TO THESE POLICIES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF CLARINDA REGIONAL HEALTH CENTER, A RELATED ORGANIZATION, IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CLARINDA REGIONAL HEALTH CENTER 220 ESSIE DAVISON DRIVE CLARINDA IA 51635 426005819 HOSPITAL IA GOVERNMENTAL N/A N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0