HENDERSON HEALTH CARE FOUNDATION: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HENDERSON HEALTH CARE FOUNDATION (EIN 47-0794089)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202313189349207576
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T18:02:39-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470557615PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LARRY R COX CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 88AddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

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
Signature2023-11-01SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCARLIPersonFirstNm
Person LastREINERSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLARRY R COX CPAPreparerPersonNm
PTINP01202036PTIN
Phone4027235311PhoneNum
Preparation2023-11-01PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$100,505GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$28,940ContributionsGiftsGrantsEtcAmt
Program Service Revenue$63,785ProgramServiceRevenueAmt
Investment Income$3,355InvestmentIncomeAmt
Sale Of Assets Gross$4,425SaleOfAssetsGrossAmt
Gain Or Loss From Sale Of Assets$4,425GainOrLossFromSaleOfAssetsAmt
Total Revenue$100,505TotalRevenueAmt
Grants And Similar Amounts Paid$104,207GrantsAndSimilarAmountsPaidAmt
Other Expenses Total$18,854OtherExpensesTotalAmt
Total Expenses$123,061TotalExpensesAmt
Excess Or Deficit For Year-$22,556ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$103,111NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$13,782OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$94,337NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$197,611BOYAmt
EOY$188,837EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$197,611BOYAmt
EOY$188,837EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,500BOYAmt
EOY$94,500EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$103,111BOYAmt
EOY$94,337EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeSUPPORT LOCAL HEALTH CARE ORGANIZATIONSPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomCHARITABLE PUBLIC HEALTH CARE THROUGH SUPPORT OF 501(C)(3) HOSPITAL AND RELATED FACILITIESDescriptionProgramSrvcAccomTxt
Grants And Allocations$104,207GrantsAndAllocationsAmt
Program Service Expenses$104,207ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$104,207TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DON REGIER
PRESIDENT000.00$0
LOREN HUBER
VICE PRESIDE000.00$0
JOAN FRIESEN
SECRETARY000.00$0
ARLYCE FRIESEN
TREASURER000.00$0
BLAINE FRIESEN
DIRECTOR000.00$0
JEN HIEBNER
DIRECTOR000.00$0
AUBREY ISOM
DIRECTOR000.00$0
DON NORRIS
DIRECTOR000.00$0
CARLI REINERS
DIRECTOR000.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCASEY KINNISONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11621 FRONT STREETAddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd
FieldValueIRS element (for citing)
Phone4027234512PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$569,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$321,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,033CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,733CurrentTaxYearMinus1YearAmt
Current Tax Year$28,940CurrentTaxYearAmt
Total$1,056,160TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$569,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$321,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,033CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,733CurrentTaxYearMinus1YearAmt
Current Tax Year$28,940CurrentTaxYearAmt
Total$1,056,160TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$454,379SubstantialContributorsTotAmt
Public Support Total170$601,781PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,855CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,249CurrentTaxYearMinus1YearAmt
Current Tax Year$3,355CurrentTaxYearAmt
Total$17,107TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,483CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,972CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,278CurrentTaxYearMinus1YearAmt
Current Tax Year$63,785CurrentTaxYearAmt
Total$172,302TotalAmt
FieldValueIRS element (for citing)
Total Support$1,245,569TotalSupportAmt
Gross Receipts Rltd Activities$132,142GrossReceiptsRltdActivitiesAmt
Public Support CY1700.48310PublicSupportCY170Pct
Public Support PY1700.47090PublicSupportPY170Pct
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
ExplanationFARMERS MARKET 1,143 GALA 3,850 GOLF TOURNAMENT 62,201 HOME SHOW 4,440 LIFE INSURANCE REDEMPTION 6,106 MYSTERY DINNER 15,662 PROGRAM SERVICE REVENUE 63,785 SPRING FLING 15,115ExplanationTxt

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10NAME: HENDERSON HEALTH CARE SERVICES ADDRESS: 1621 FRONT STREET HENDERSON, NE 68371 CASH CONTRIBUTION: 104,207
FORM 990-EZ, PART I, LINE 16EXPENSES FARMERS MARKET 320 GALA 12,459 GOLF TOURNAMENT EXPENSES 6,075 TOTAL 18,854
FORM 990-EZ, PART I, LINE 20PRIOR PERIOD ADJUSTMENTS 13,782
FORM 990-EZ, PART II, LINE 26UNSECURED NOTES AND LOANS PAYABLE 94,500 94,500

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