2021-11-09T13:13:19-06:00 2020-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-01-01 473010424 Memorial Hospital Foundation MEMO 2173578573 PO Box 160 Carthage IL 62321 Teresa Smith CFO 2173578573 2021-10-11 1 Teresa Smith 999009999 Kim Hunwardsen CPA P00484560 6122536500 2021-10-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Ada Bair PO Box 160 Carthage IL 62321 218190 0 X N/A X 2014 IL Support Memorial Hospital Assoc and the general health of the citizens of Hancock County, IL. 17 17 0 30 0 0 91205 189300 0 0 1299 2956 18826 -806 111330 191450 96982 42425 0 0 0 0 0 0 19614 295 19614 97277 62039 14053 129411 156799 290737 0 0 156799 290737 Enhancing the health and wellness of our communities through charitable giving. 0 0 42425 42425 0 The Memorial Hospital Foundation was established to support Memorial Hospital, Hancock County Senior Services and the general health and well-being of the citizens of Hancock County, Illinois. Donations to the foundation are used to meet short and long-term goals for the benefit of quality local healthcare, health and wellness provisions for our communities, and to build stability and a financial legacy for future generations. 42425 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X Teresa Smith 2173578573 PO Box 160 Carthage IL 62321 X X Joe Zumwalt President (Jan-Aug)/Dir (Sept-Dec) 0.50 X X 0 0 0 Ron Starr V.P. (Jan-Aug)/President (Sept-Dec) 0.50 X X 0 0 0 Callie Connor Director (Jan-Aug)/V.P. (Sept-Dec) 0.50 X X 0 0 0 Charles Gilbert Secretary/Treasurer 0.50 X X 0 0 0 Terry Pope Director 0.50 X 0 0 0 David Fox Director 0.50 X 0 0 0 Sharon Morrison Director 0.50 X 0 0 0 Casey Yager Director 0.50 X 0 0 0 Jim Nightingale Director 0.50 X 0 0 0 Monica Crim Director 0.50 X 0 0 0 Krista Carle Director 0.50 X 0 0 0 John Dittmer Director 0.50 X 0 0 0 Elaine Ferguson Director 0.50 X 0 0 0 Mattie Haas Director 0.50 X 0 0 0 Mary Jo Scheetz Director 0.50 X 0 0 0 Shellie Wear Director 0.50 X 0 0 0 Ada Bair Director/Hospital CEO 0.50 X X 0 0 0 Teresa Smith Hospital CFO 0.50 X 0 0 0 0 0 0 0 0 0 0 0 189300 189300 2956 2956 25934 26740 -806 -806 191450 0 0 2150 37974 37974 4451 4451 350 350 Campaign expenses 10687 10687 Fundraising expenses 7261 7261 1316 1316 62039 42425 0 19614 156799 290737 156799 290737 0 0 X 156799 290737 156799 290737 156799 290737 129411 4527 0 X 0 0 0 X 99421 110047 41674 91205 189300 531647 99421 110047 41674 91205 189300 531647 87360 444287 278 474 1374 1299 2956 6381 11212 22922 18826 52960 590988 0.75180 0.77560 X Schedule A, Part II The organization has chosen to change their tax year to a December 31st year end, starting with the short period 7/1/18 - 12/31/18. Columns 2015 - 2016 include June 30 year ends. The 2017 column is for the 6 month period ending 12/31/18. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 104037 122229 7106 233372 88100 4008 11929 104037 92139 10000 -4039 10000 88100 86453 5686 92139 1.00000 0.00000 0.00000 0 0 0 1 Memorial Hospital Association 1454 N County Rd 2050 Carthage IL 62321 370684691 501(c)3 21245 General Support 1 0 Part I, Line 2: The Foundation's purpose is to make grants to organizations that qualify as 501(c)(3) organizations. The income of the Foundation is dedicted to charitable purposes and to support Memorial Hospital Association to further the Hospital's short-term and long-term goals and to implement programs relating to the general health and well-being of the citizens of Hancock County, IL. The Hospital's CEO is on the board for the Foundation and documentation is provided as to the proper use of the funds. Form 990, Part VI, Section A, line 1 The Corporation has an Executive Committee that is composed of the following members: the President, Vice President, Secretary, and Treasurer of the Corporation; the Chairs of the Corporation's Annual Gifts Committee, Major Gifts Committee, Estate Gifts Committee, and Personnel Committee; and the Immediate Past President of the Corporation if such person is a Board Member or, if not, one additional Board Member selected by the Board. Except as otherwise provided, and in any Board resolution limiting the powers of the Executive Committee, such committee shall, during intervals between the meetings of the Board, possess and may exercise all of the powers of the Board in the management of the Corporation's affairs. However, the Executive Committee does not have the authority of the Board in reference to electing, appointing, or removing any member of the Executive Committee, Board Member, or officer of the Corporation; authorizing the sale, lease, exchange, or mortgage of all or substantially all of the Corporation's property and assets; authorizing the voluntary dissolution of the Corporation or revoking proceedings therefor; adopting a plan for the distribution of the Corporation's assets; or amending, altering, or repealing any resolution of the Board. All action by the Executive Committee should be reported to the Board at its meeting next succeeding such action and be subject to control, revision, and alteration by the Board, provided that no rights of third parties shall be prejudicially affected thereby. Subject to the provisions contained herein, the Executive Committee will fix its own rules of procedure and meet as provided by such rules or by resolutions of the Board, and also meet at the call of the Chair or any two members of the Executive Committee. Form 990, Part VI, Section A, line 7a Three of the board members must be members of the Board of Memorial Hospital Association. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the Board of Directors before it is filed. The final return is reviewed and signed by the Hospital CFO. Form 990, Part VI, Section B, line 12c Board members are required to sign a conflict of interest statement upon becoming a Board member. The disclosure is updated annually. Any possible conflict of interest is disclosed to the other Board members and made a matter of record through an annual procedure and also when the interest becomes a matter of Board action. Disclosures are reviewed by the Board of Directors and any Member for whom conflicts have been identified leaves and abstains from voting. Appropriate documentation of the handling of the conflict is kept to protect the interested party and Memorial Hospital Foundation. Form 990, Part VI, Section C, line 19 The Foundation provides the governing documents, conflict of interest policy and financial statement upon request. Form 990, Part VII: Ada Bair, Hospital CEO, and Teresa Smith, Hospital CFO, are compensated for their services to Memorial Hospital Association. They are not compensated for their services to the Foundation.