2013-12-15T08:23:11-06:00 2013-07-31 470526649 DANA F COLE & COMPANY LLP 1248 O STREET SUITE 500 LINCOLN NE 68508 990 2012-08-01 470846080 Crete Area Health Care Foundation CRET 4028266581 2910 Betten Drive Crete NE 68333 Michelle McIntire 4028266581 2013-11-06 1 RYAN BRUNS P00735693 4024799300 2012 2016-03-07 17:11:31Z Michelle McIntire 2910 Betten Drive Crete NE 68333 227868 0 X www.creteareamedicalcenter.com X 2001 NE Preserving and enhancing health care in Saline Co. 18 18 0 0 0 0 115770 46976 0 0 28907 91569 0 0 144677 138545 135173 121862 0 0 0 0 0 0 0 16934 8689 152107 130551 -7430 7994 2171069 2435406 0 0 2171069 2435406 To solicit and raise funds for the benefit of the Crete Area Medical Center. 0 0 121862 121862 Grants to Crete Area Medical Center 121862 1 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 1 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 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X Michelle McIntire 4028266581 2910 Betten Drive Crete NE 68333 X Thomas Klein 0.00 X X 0 0 0 Mary Yank 0.00 X X 0 0 0 Jeff Schultz 0.00 X X 0 0 0 Bradley T Kalkwarf 0.00 X 0 0 0 Ann Kelsall 0.00 X 0 0 0 Thomas N Sorensen 0.00 X 0 0 0 Alene Lothrop 0.00 X 0 0 0 Shirley Siedhoff 0.00 X X 0 0 0 Robert Tuma 0.00 X 0 0 0 Marva Kasl 0.00 X 0 0 0 Dan Papik 0.00 X 0 0 0 Karen Morris 0.00 X 0 0 0 Walter A Harris 0.00 X 0 0 0 Gale Lothrop 0.00 X 0 0 0 Deb Bessler 0.00 X 0 0 0 Manuel Dimas 0.00 X 0 0 0 Jim Fahrnbruch 0.00 X 0 0 0 Walt Harris 0.00 X 0 0 0 0 0 0 0 0 0 0 0 46976 46976 77043 77043 103849 89323 14526 14526 14526 138545 0 0 91569 121862 121862 985 985 Miscellaneous expenses 7704 7704 130551 121862 8689 0 139788 145418 15104 326 2016177 2289662 2171069 2435406 0 0 X 49537 23916 90251 379930 2031281 2031560 2171069 2435406 2171069 2435406 7994 256343 0 X 1 X 0 0 0 X X 0 0 0 Crete Area Medical Center Crete Nebraska 470841285 7 0 1 1 121862 1 121862 2031281 279 347408 347408 2031560 2055133 50000 30212 104064 2031281 1723085 108811 223237 2055133 1420883 144501 157701 1723085 1751851 2000 -283798 49170 1420883 1.00000 0 0 0 Description of Intended Use of Endowment Funds: Part V, Line 4: Preserve and enhance health care in Saline Co. 0 Crete Area Medical Center 2910 Betten Drive Crete NE 68333 470841285 121862 Support 1 1 Form 990, Part VI, Section B, line 11 After compilation by an independent party, the Form 990 is circulated and approved by the Crete Area Health Care Foundation Executive Board which is comprised of four directors serving as president, vice-president, secretary and treasurer. Ex-officio directors - Crete Area Health Care Foundation Director and Crete Area Medical Center CEO are also present to review Form 990. The remaining Board of Directors receive a full copy of approved Form 990 prior to submittal. Form 990, Part VI, Section B, line 12c At the Crete Area Health Care Foundation annual meeting held in November, the Crete Area Medical Center Compliance officer addresses the Foundation board regarding conflicts of interest. At this time, all board memebers are required to disclose any conflicts of interest. Those disclosing a conflict agree to abstain from voting on issues directly related to the conflict. New board members are also screened for any conflicts of interest. Form 990, Part VI, Section C, line 19 Upon request