HENDERSON HEALTH CARE FOUNDATION: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HENDERSON HEALTH CARE FOUNDATION (EIN 47-0794089)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202213189349208896
Schema version
2021v4.0
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)
Return2022-11-14T22:22:34-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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
Phone4027234414PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRIESEN ARLYCEPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4027234414PhoneNum
Signature2022-11-01SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstARLYCEPersonFirstNm
Person LastFRIESENPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLARRY R COX CPAPreparerPersonNm
PTINP01202036PTIN
Phone4027235311PhoneNum
Preparation2022-11-01PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$87,217GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$49,733ContributionsGiftsGrantsEtcAmt
Program Service Revenue$25,278ProgramServiceRevenueAmt
Investment Income$3,249InvestmentIncomeAmt
Sale Of Assets Gross$8,957SaleOfAssetsGrossAmt
Gain Or Loss From Sale Of Assets$8,957GainOrLossFromSaleOfAssetsAmt
Total Revenue$87,217TotalRevenueAmt
Grants And Similar Amounts Paid$60,384GrantsAndSimilarAmountsPaidAmt
Other Expenses Total$8,031OtherExpensesTotalAmt
Total Expenses$68,415TotalExpensesAmt
Excess Or Deficit For Year$18,802ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$84,308NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$103,110NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$199,808BOYAmt
EOY$197,610EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$199,808BOYAmt
EOY$197,610EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,500BOYAmt
EOY$94,500EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$84,308BOYAmt
EOY$103,110EOYAmt
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$60,384GrantsAndAllocationsAmt
Program Service Expenses$60,404ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$60,404TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
REGIER DON
PRESIDENT000.00$0
HUBER LOREN
VICE PRESIDE000.00$0
FRIESEN JOAN
SECRETARY000.00$0
FRIESEN ARLYCE
TREASURER000.00$0
FRIESEN BLAINE
DIRECTOR000.00$0
HIEBNER JEN
DIRECTOR000.00$0
NORRIS DON
DIRECTOR000.00$0
OTT TAMMY
DIRECTOR000.00$0
VANDERNECK LINDA
DIRECTOR000.00$0
BROWN CHERYL
CEO/ADMINIST000.00$0
MYERS JILL
CFO/COO000.00$0
FOCHTMAN LUKE
HHCS MARKETI000.00$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)
PersonFRIESEN ARLYCEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 488AddressLine1Txt
CityHENDERSONCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68371ZIPCd
FieldValueIRS element (for citing)
Phone4027234414PhoneNum
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$18,465CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$569,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$321,602CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,033CurrentTaxYearMinus1YearAmt
Current Tax Year$49,733CurrentTaxYearAmt
Total$1,045,685TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,465CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$569,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$321,602CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,033CurrentTaxYearMinus1YearAmt
Current Tax Year$49,733CurrentTaxYearAmt
Total$1,045,685TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$489,866SubstantialContributorsTotAmt
Public Support Total170$555,819PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,707CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,855CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,149CurrentTaxYearMinus1YearAmt
Current Tax Year$3,249CurrentTaxYearAmt
Total$16,459TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,784CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,972CurrentTaxYearMinus1YearAmt
Current Tax Year$25,278CurrentTaxYearAmt
Total$118,067TotalAmt
FieldValueIRS element (for citing)
Total Support$1,180,211TotalSupportAmt
Gross Receipts Rltd Activities$67,709GrossReceiptsRltdActivitiesAmt
Public Support CY1700.47090PublicSupportCY170Pct
Public Support PY1700.45020PublicSupportPY170Pct
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 71,751 HOME SHOW 4,440 LIFE INSURANCE REDEMPTION 6,106 MYSTERY DINNER 15,662 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 (3 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: 60,384
FORM 990-EZ, PART I, LINE 16EXPENSES ADVERTISING AND PROMOTION 92 FARMERS MARKET 373 GALA 2,495 GOLF TOURNAMENT EXPENSES 5,051 OCCUPATION FEE 20 TOTAL 8,031
FORM 990-EZ, PART II, LINE 26UNSECURED NOTES AND LOANS PAYABLE 115,500 94,500

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