HENDERSON HEALTH CARE FOUNDATION: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HENDERSON HEALTH CARE FOUNDATION (EIN 47-0794089)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202103169349202840
Schema version
2020v4.0
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)
Return2021-11-12T12:43:51-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-11-04SignatureDt

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
Preparation2021-11-04PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$127,773GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$86,033ContributionsGiftsGrantsEtcAmt
Program Service Revenue$16,866ProgramServiceRevenueAmt
Investment Income$3,149InvestmentIncomeAmt
Sale Of Assets Gross$15,619SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$13,072CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$2,547GainOrLossFromSaleOfAssetsAmt
Other Revenue Total$6,106OtherRevenueTotalAmt
Total Revenue$114,701TotalRevenueAmt
Grants And Similar Amounts Paid$78,589GrantsAndSimilarAmountsPaidAmt
Other Expenses Total$10,775OtherExpensesTotalAmt
Total Expenses$89,364TotalExpensesAmt
Excess Or Deficit For Year$25,337ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$58,974NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,311NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$174,474BOYAmt
EOY$199,811EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$174,474BOYAmt
EOY$199,811EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$58,974BOYAmt
EOY$84,311EOYAmt
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$78,589GrantsAndAllocationsAmt
Program Service Expenses$78,589ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$78,589TotalProgramServiceExpensesAmt

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$10,805CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$569,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$321,602CurrentTaxYearMinus1YearAmt
Current Tax Year$86,033CurrentTaxYearAmt
Total$1,006,757TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,805CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$569,852CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$321,602CurrentTaxYearMinus1YearAmt
Current Tax Year$86,033CurrentTaxYearAmt
Total$1,006,757TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$498,869SubstantialContributorsTotAmt
Public Support Total170$507,888PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,414CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,707CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,855CurrentTaxYearMinus1YearAmt
Current Tax Year$3,149CurrentTaxYearAmt
Total$15,624TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,082CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,483CurrentTaxYearMinus1YearAmt
Current Tax Year$22,972CurrentTaxYearAmt
Total$105,871TotalAmt
FieldValueIRS element (for citing)
Total Support$1,128,252TotalSupportAmt
Gross Receipts Rltd Activities$36,182GrossReceiptsRltdActivitiesAmt
Public Support CY1700.45020PublicSupportCY170Pct
Public Support PY1700.44050PublicSupportPY170Pct
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
ExplanationGOLF TOURNAMENT 62,536 HOME SHOW 4,440 HUMAN FOOSBALL 1,310 LIFE INSURANCE REDEMPTION 6,106 MISCELLANEOUS INCOME 702 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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 8LIFE INSURANCE REDEMPTION 6,106 TOTAL 6,106
FORM 990-EZ, PART I, LINE 10NAME: HENDERSON HEALTH CARE SERVICES ADDRESS: 1621 FRONT STREET HENDERSON, NE 68371 CASH CONTRIBUTION: 78,589
FORM 990-EZ, PART I, LINE 16EXPENSES GOLF TOURNAMENT EXPENSES 3,220 HOME SHOW 455 LIFE INSURANCE REDEMPTION 5,300 MYSTERY DINNER ESPENSES 1,800 TOTAL 10,775
FORM 990-EZ, PART II, LINE 26UNSECURED NOTES AND LOANS PAYABLE 115,500 115,500

Compensation Explanation CompensationExplanation

Compensation Explanation CompensationExplanationGrp (12 entries)

REGIER DON
HUBER LOREN
FRIESEN JOAN
FRIESEN ARLYCE
FRIESEN BLAINE
HIEBNER JEN
NORRIS DON
OTT TAMMY
VANDERNECK LINDA
BROWN CHERYL
MYERS JILL
FOCHTMAN LUKE

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