2024-11-19T10:18:01-06:00 2024-06-30 420794029 DENMAN CPA LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990 2023-07-01 263296941 CLARKE COUNTY HOSPITAL FOUNDATION CLAR 6413425342 800 S FILLMORE STREET OSCEOLA IA 502131694 BRIAN EVANS VICE CHAIR 6413425342 2024-11-19 1 0 STEVE SCHWEIZER P01238619 5152258400 2023 2024-10-15 13:58:12Z BRIAN EVANS 800 S FILLMORE STREET OSCEOLA IA 50213 248894 0 X N/A X 2008 IA TO PROMOTE AND ADVANCE THE WELFARE OF THE CLARKE COUNTY HOSPITAL. 7 7 0 0 0 0 191238 176314 26465 41863 2458 5763 19249 18255 239410 242195 330544 193002 0 0 0 0 0 0 0 13710 15889 344254 208891 -104844 33304 209588 242892 0 0 209588 242892 TO PROMOTE AND TO ADVANCE THE WELFARE OF THE CLARKE COUNTY HOSPITAL. 0 0 204341 188502 41863 TO PROMOTE AND ADVANCE THE WELFARE OF CLARKE COUNTY PUBLIC HOSPITAL. 4500 4500 TO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING A CAREER IN THE MEDICAL FIELD. 208841 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X BRIAN EVANS 6413425342 800 S FILLMORE STREET OSCEOLA IA 50213 X RON SCHLICHTE PRESIDENT 0.50 X X 0 0 0 BRIAN EVANS VICE PRESIDENT 1.00 X X 0 0 0 VICKY HALVERSON TREASURER 1.00 X X 0 0 0 MELLONY KLEMESRUD DIRECTOR 0.50 X 0 0 0 NANCY MCKNIGHT DIRECTOR 0.50 X 0 0 0 MELANIE BOYD DIRECTOR 0.50 X 0 0 0 MIKE THILGES DIRECTOR 0.50 X 0 0 0 0 0 0 0 0 0 0 0 176314 176314 GIFT SHOP REVENUE 459420 41863 41863 41863 5763 5763 24954 6699 18255 18255 242195 41863 0 24018 188502 188502 4500 4500 50 50 SNACK SHOP EXPENSE 11028 11028 GIFT SHOP EXPENSE 4160 4160 SHIRT SALE 651 651 208891 208841 50 0 209588 242892 209588 242892 0 0 X 209588 242892 209588 242892 209588 242892 33304 0 X X 0 1 X 1 0 X X 1 CLARKE COUNTY HOSPITAL 426037982 3 0 188502 0 1 188502 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) FOR AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURES IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. GOLF EVENT 17552 17552 2724 PLANT SALE 3733 3733 2303 3 3669 3669 1672 24954 24954 6699 6699 18255 0 CLARKE COUNTY PUBLIC HOSPITAL 800 S FILLMORE STREET OSCEOLA IA 50213 426037982 188502 0 TO PROMOTE AND TO ADVANCE THE WELFARE OF THE CLARKE COUNTY PUBLIC HOSPITAL COLLEGE SCHOLARSHIPS 3 4500 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT AND THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE UPDATED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL RECORDS AND OTHER OFFICIAL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE SELECTION OR OVERSIGHT OF THE INDEPENDENT ACCOUNTANT FROM THE PRIOR REPORTING PERIOD. CLARKE COUNTY PUBLIC HOSPITAL 800 S FILLMORE STREET OSCEOLA IA 50213 426037982 HEALTHCARE IA 115 MUNICIPAL HOSPITAL 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 CLARKE COUNTY PUBLIC HOSPITAL B 188502 CASH DISBURSEMENTS