Civic Intelligence

Henry County Hospital Foundation

EIN 34-1919852 • 501(c)3 • Napoleon, OH

Profile

To raise funds and provide financial assistance to henry county hospital, inc. All funds raised are to be used for the benefit of, to perform the functions of, and to carry out the purpose of the hospital in providing health care to the residents of henry county and surrounding areas.

1600 East Riverview AvenueNapoleon, OH 43545

www.hchf.giftlegacy.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

19th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

8th percentile

-42%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

33rd percentile

-1.8%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

17th percentile

-18%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets19th percentile

Assets

Down

$1,423,107

Down $26,346 (-1.8%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$1,423,107

Down $26,346 (-1.8%) from 2023

Operations
Liabilities / Revenue20th percentileNet Margin8th percentile

Revenue

Down

$271,940

Down $58,174 (-18%) from 2023

Expenses

Up

$387,125

Up $121,504 (+46%) from 2023

Net Income

Down

-$115,185

Down $179,678 (-279%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth33rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5M$1.0M$500K$0Assets 2010: $428,787Net Assets 2010: $428,7872010Assets 2011: $476,845Liabilities 2011: $0Net Assets 2011: $476,8452011Assets 2012: $519,955Liabilities 2012: $0Net Assets 2012: $519,9552012Assets 2013: $627,061Liabilities 2013: $0Net Assets 2013: $627,0612013Assets 2014: $644,860Liabilities 2014: $0Net Assets 2014: $644,8602014Assets 2015: $696,436Liabilities 2015: $0Net Assets 2015: $696,4362015Assets 2016: $758,967Liabilities 2016: $0Net Assets 2016: $758,9672016Assets 2017: $875,261Liabilities 2017: $0Net Assets 2017: $875,2612017Assets 2018: $939,047Liabilities 2018: $0Net Assets 2018: $939,0472018Assets 2019: $919,677Liabilities 2019: $0Net Assets 2019: $919,6772019Assets 2020: $1,089,778Liabilities 2020: $0Net Assets 2020: $1,089,7782020Assets 2021: $1,275,484Liabilities 2021: $0Net Assets 2021: $1,275,4842021Assets 2022: $1,304,590Liabilities 2022: $0Net Assets 2022: $1,304,5902022Assets 2023: $1,449,453Liabilities 2023: $0Net Assets 2023: $1,449,4532023Assets 2024: $1,423,107Liabilities 2024: $0Net Assets 2024: $1,423,1072024

Highlighted filing

2024

Assets$1,423,107
Liabilities$0
Net Assets$1,423,107
Open 2024 Filing

Operations Trend

Revenue Growth17th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2010: $187,353Expenses 2010: $178,885Net Income 2010: $8,4682010Expenses 2011: $164,0062011Expenses 2012: $134,5642012Revenue 2013: $181,341Expenses 2013: $78,543Net Income 2013: $102,7982013Revenue 2014: $186,104Expenses 2014: $125,245Net Income 2014: $60,8592014Revenue 2015: $144,667Expenses 2015: $62,362Net Income 2015: $82,3052015Revenue 2016: $55,718Expenses 2016: $52,077Net Income 2016: $3,6412016Revenue 2017: $128,309Expenses 2017: $69,589Net Income 2017: $58,7202017Revenue 2018: $218,484Expenses 2018: $77,272Net Income 2018: $141,2122018Revenue 2019: $204,100Expenses 2019: $285,801Net Income 2019: -$81,7012019Revenue 2020: $172,822Expenses 2020: $76,749Net Income 2020: $96,0732020Revenue 2021: $329,195Expenses 2021: $103,184Net Income 2021: $226,0112021Revenue 2022: $278,993Expenses 2022: $137,504Net Income 2022: $141,4892022Revenue 2023: $330,114Expenses 2023: $265,621Net Income 2023: $64,4932023Revenue 2024: $271,940Expenses 2024: $387,125Net Income 2024: -$115,1852024

Highlighted filing

2024

Revenue$271,940
Expenses$387,125
Net Income-$115,185
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,423,107
Liabilities
$0
Net assets
$1,423,107
Revenue
$271,940
Expenses
$387,125
Net income
-$115,185
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.42$0.00$1.42$0.27$0.39$0.12
2023Detailed filing. Detailed filing data is available for this year.$1.45$0.00$1.45$0.33$0.27$0.06
2022Detailed filing. Detailed filing data is available for this year.$1.30$0.00$1.30$0.28$0.14$0.14
2021Detailed filing. Detailed filing data is available for this year.$1.28$0.00$1.28$0.33$0.10$0.23
2020Detailed filing. Detailed filing data is available for this year.$1.09$0.00$1.09$0.17$0.08$0.10
2019Detailed filing. Detailed filing data is available for this year.$0.92$0.00$0.92$0.20$0.29$0.08
2018Detailed filing. Detailed filing data is available for this year.$0.94$0.00$0.94$0.22$0.08$0.14
2017Detailed filing. Detailed filing data is available for this year.$0.88$0.00$0.88$0.13$0.07$0.06
2016Detailed filing. Detailed filing data is available for this year.$0.76$0.00$0.76$0.06$0.05$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.70$0.00$0.70$0.14$0.06$0.08
2014Detailed filing. Detailed filing data is available for this year.$0.64$0.00$0.64$0.19$0.13$0.06
2013Detailed filing. Detailed filing data is available for this year.$0.63$0.00$0.63$0.18$0.08$0.10
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.52$0.00$0.52$0.13
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.48$0.00$0.48$0.16
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.43$0.43$0.19$0.18$0.01
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.0
Gross Receipts
$291,534
Mission and Program Overview

Mission

To raise funds and provide financial assistance to henry county hospital, inc. All funds raised are to be used for the benefit of, to perform the functions of, and to carry out the purpose of the hospital in providing health care to the residents of henry county and surrounding areas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$881,209$766,024▼ $115,185
Investments in Publicly Traded Securities$568,244$657,083▲ $88,839
Total Assets$1,449,453$1,423,107▼ $26,346
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,055,899$1,181,042▲ $125,143
Net Assets With Donor Restrictions$393,554$242,065▼ $151,489
Total Net Assets Fund Balance$1,449,453$1,423,107▼ $26,346
Total Liabilities and Net Assets / Fund Balance$1,449,453$1,423,107▼ $26,346

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$1,047,745$61,381▲ $88,839-$1,115,574
2023$955,028$44,268▲ $95,593-$1,047,745
2022$1,049,723$44,799▼ $98,470-$955,028
2021$861,487$89,722▲ $106,940-$1,049,723
2020$739,521$57,126▲ $74,626-$861,487
Compensation and Service Providers
Top Officer Pay40th percentile

Board Members and Trustees

NameTitle
Tom ZgelaChairman
Jack KruegerVice Chair
Cameron CaryerTrustee
Connie PanningTrustee
Dr Erast HaftkowyczTrustee
Jim BurkhartTrustee
Melissa Peper FirestoneTrustee
Kristi BarndEx Officio T
Kaye WescheSecretary
Tom MoriartyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$226,306
Program Service Revenue
$0
Investment Income
$30,480
Other Revenue
$15,154
All Other Contributions
$226,306
Change in Net Assets
$-115,185
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$374,112
Other Expenses$13,013
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$374,112--$374,112
Office Expenses$7,450--$7,450
Fees for Service Investment Mgmnt Fees-$5,563-$5,563
Total Functional Expenses$381,562$5,563$0$387,125
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Henry County Hospital IncNapoleon, OH3Equip & Dept Needs$374,112
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

“Members include individuals and entities who make an annual contribution to the foundation in such amounts as the board of trustees shall determine (100).”

Form 990, Page 6, Part VI, Line 7A

“Each member is entitled to one vote on the election of trustees.”

Form 990, Page 6, Part VI, Line 7B

“Each member is entitled to one vote on each matter properly submitted to the members for their vote, consent, release or other action.”

Form 990, Page 6, Part VI, Line 11B

“The 990 is reviewed by the signing officer prior to filing and is available for trustee review upon completion.”

Form 990, Page 6, Part VI, Line 12C

“Trustees are required to submit an annual form to disclose potential conflicts related to decisions that arise during the course of the year. The governing board reviews potential conflicts and covered persons do not participate in any deliberation or decisions regarding related transactions.”

Form 990, Page 6, Part VI, Line 19

“Governing documents, conflict of interest policy and financial statements are available upon request.”

Filing and Contact Details

Filer

Filer Name
Henry County Hospital Foundation
EIN
34-1919852
Phone
4195924015
Address
1600 EAST RIVERVIEW AVENUE, NAPOLEON, OH 43545

Signing Officer

Name
Tom Zgela
Title
Chairman
Phone
4195913840
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tom Zgela
Formed
2000
Legal Domicile
Oh
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
54

Preparer

Firm
Penrod & George
Address
421 INDEPENDENCE DR, NAPOLEON, OH 43545-9297
Preparer
Carma Rupp
Phone
4195998045
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“To raise funds and provide financial assistance to henry county hospital, inc. All funds raised are to be used for the benefit of, to perform the functions of, and to carry out the purpose of the hospital in providing health care to the residents of henry county and surrounding areas.”

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

“The foundation intends to accumulate a threshold amount to ensure the long-term support of henry county hospital. To achieve this goal, all unrestricted donations and half of the annual campaign donations received each year are board-designated for endowment.”

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0IN ACCORDANCE WITH THE ORGANIZATION'S CODE OF REGULATIONS, ONE OF THE TRUSTEES SHALL BE A MEMBER OF THE BOARD OF TRUSTEES OF THE SUPPORTED ORGANIZATION AND THE CEO OF THE SUPPORTED ORGANIZATION SHALL BE AN EX OFFICIO TRUSTEE WITHOUT VOTE. SIMILAR TO ALL TRUSTEES, THESE INDIVIDUALS ATTEND AND PARTICIPATE IN MEETINGS OF THE BOARD AND VARIOUS COMMITTEES. ANNUAL MEMBERSHIP AND CAPITAL IMPROVEMENT CAMPAIGNS, AS WELL AS THE RELATED GRANTS TO THE SUPPORTED ORGANIZATION, ARE BASED ON PROJECTS, EQUIPMENT NEEDS OR DEPARTMENTAL NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE SUPPORTED ORGANIZATION'S CAPITAL BUDGETING PROCESS.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1THE FOUNDATION'S MISSION IS TO PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS. WORKING WITH THE DIRECTOR OF DEVELOPMENT AND COMMUNITY RELATIONS FOR HENRY COUNTY HOSPITAL, INC., THE FOUNDATION SERVES AS THE STEWARD OF GIFTS TO HELP THE HOSPITAL RESPOND TO COMMUNITY HEALTH NEEDS. ALL OF THE FOUNDATION'S ACTIVITIES ARE IN FURTHERANCE OF ITS MISSION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2THE PROJECT ASSOCIATED WITH THE ANNUAL MEMBERSHIP CAMPAIGN WAS IDENTIFIED THROUGH THE SUPPORTED ORGANIZATION'S CAPITAL BUDGETING PROCESS. GRANTS TO THE SUPPORTED ORGANIZATION WERE BASED ON PROJECTS OR DEPARTMENTAL NEEDS IDENTIFIED THROUGH THE BUDGETING PROCESS OR OTHERWISE IN ACCORDANCE WITH DONOR INTENTIONS. DONOR EDUCATION AND ENGAGEMENT IS COORDINATED WITH, AND WOULD NORMALLY BE PROVIDED BY, THE HOSPITAL'S DIRECTOR OF DEVELOPMENT AND PUBLIC RELATIONS. HOSPITAL EQUIPMENT WOULD BE ACQUIRED WITHOUT DONOR/MEMBER PARTICIPATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION D, LINE 3
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION E, LINE 2A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION E, LINE 2B
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0HENRY COUNTY HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine2Txt0HENRY COUNTY HOSPITAL INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt0374112
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleD/BoardDesignatedBalanceEOYPct01.00000
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IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt01047745
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt061381
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt01115574
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt076301
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt088839
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/AdministrativeExpensesAmt05085
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0955028
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt044268
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt01047745
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt042059
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/AdministrativeExpensesAmt04260
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0955028
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IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/AdministrativeExpensesAmt04402
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0861487
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt089722
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt01049723
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt04024
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0106940
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/AdministrativeExpensesAmt03692
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0739521
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt057126
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0861487
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IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd0false
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION INTENDS TO ACCUMULATE A THRESHOLD AMOUNT TO ENSURE THE LONG-TERM SUPPORT OF HENRY COUNTY HOSPITAL. TO ACHIEVE THIS GOAL, ALL UNRESTRICTED DONATIONS AND HALF OF THE ANNUAL CAMPAIGN DONATIONS RECEIVED EACH YEAR ARE BOARD-DESIGNATED FOR ENDOWMENT.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 2, PART V, LINE 4
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt0374112
IRS990ScheduleI/RecipientTable/IRCSectionDesc03
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0EQUIP & DEPT NEEDS
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HENRY COUNTY HOSPITAL INC
IRS990ScheduleI/RecipientTable/RecipientEIN0344477047
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt01600 EAST RIVERVIEW AVENUE
IRS990ScheduleI/RecipientTable/USAddress/CityNm0NAPOLEON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0OH
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd043545
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0GRANTS TO THE HOSPITAL ARE BASED ON PROJECTS OR EQUIPMENT NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE HOSPITAL'S CAPITAL BUDGETING PROCESS. THE FOUNDATION BOARD ACTS ON THE REQUESTS FOR FUNDING PRIOR TO ACQUISITION OR COMMENCEMENT OF THE PROJECT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 1, PART I, LINE 2
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO RAISE FUNDS AND PROVIDE FINANCIAL ASSISTANCE TO HENRY COUNTY HOSPITAL, INC. ALL FUNDS RAISED ARE TO BE USED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSE OF THE HOSPITAL IN PROVIDING HEALTH CARE TO THE RESIDENTS OF HENRY COUNTY AND SURROUNDING AREAS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS INCLUDE INDIVIDUALS AND ENTITIES WHO MAKE AN ANNUAL CONTRIBUTION TO THE FOUNDATION IN SUCH AMOUNTS AS THE BOARD OF TRUSTEES SHALL DETERMINE (100).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH MEMBER IS ENTITLED TO ONE VOTE ON THE ELECTION OF TRUSTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EACH MEMBER IS ENTITLED TO ONE VOTE ON EACH MATTER PROPERLY SUBMITTED TO THE MEMBERS FOR THEIR VOTE, CONSENT, RELEASE OR OTHER ACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE 990 IS REVIEWED BY THE SIGNING OFFICER PRIOR TO FILING AND IS AVAILABLE FOR TRUSTEE REVIEW UPON COMPLETION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5TRUSTEES ARE REQUIRED TO SUBMIT AN ANNUAL FORM TO DISCLOSE POTENTIAL CONFLICTS RELATED TO DECISIONS THAT ARISE DURING THE COURSE OF THE YEAR. THE GOVERNING BOARD REVIEWS POTENTIAL CONFLICTS AND COVERED PERSONS DO NOT PARTICIPATE IN ANY DELIBERATION OR DECISIONS REGARDING RELATED TRANSACTIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 19
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0true
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0HENRY COUNTY HOSPITAL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0344477047
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
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IRS990/TotalContributionsAmt0226306
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt05563
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IRS990/TotalFunctionalExpensesGrp/TotalAmt0387125
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IRS990/TotalVolunteersCnt054
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IRS990/USAddress/AddressLine1Txt07-202 STATE ROUTE 281
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IRS990/WebsiteAddressTxt0WWW.HCHF.GIFTLEGACY.COM

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