Civic Intelligence

Hansen Family Hospital Foundation

EIN 42-1520494 • 501(c)3 • Iowa Falls, IA

Profile

The mission of the hansen family hospital foundation is to foster charitable partnerships that enhance healthcare for those we have the privilege to serve.

920 South Oak StreetIowa Falls, IA 50126

n/A

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.06x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Liabilities / Revenue

88th percentile

0.54x

Higher debt load relative to revenue than 88% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Net Margin

36th percentile

-1.7%

Higher net margin than 36% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2025

Asset Growth

67th percentile

12%

Faster asset growth than 67% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Revenue Growth

91st percentile

111%

Faster revenue growth than 91% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Assets

Up

$862,654

Up $90,964 (+12%) from 2024

Liabilities

Up

$55,293

Up $55,293 from 2024

Net Assets

Up

$807,361

Up $35,671 (+4.6%) from 2024

Revenue

Up

$102,311

Up $53,841 (+111%) from 2024

Expenses

Up

$104,084

Up $84,439 (+430%) from 2024

Net Income

Down

-$1,773

Down $30,598 (-106%) from 2024

Trend Graphs

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2011: $716,401Liabilities 2011: $31,348Net Assets 2011: $685,0532011Assets 2012: $5,857,904Liabilities 2012: $126,821Net Assets 2012: $5,731,0832012Assets 2013: $2,668,505Liabilities 2013: $145,457Net Assets 2013: $2,523,0482013Assets 2014: $1,864,017Liabilities 2014: $370,678Net Assets 2014: $1,493,3392014Assets 2015: $1,323,449Liabilities 2015: $289,908Net Assets 2015: $1,033,5412015Assets 2016: $671,565Liabilities 2016: $6,600Net Assets 2016: $664,9652016Assets 2017: $653,940Liabilities 2017: $6,000Net Assets 2017: $647,9402017Assets 2018: $633,210Liabilities 2018: $10,086Net Assets 2018: $623,1242018Assets 2019: $584,550Liabilities 2019: $9,022Net Assets 2019: $575,5282019Assets 2020: $642,545Liabilities 2020: $3,730Net Assets 2020: $638,8152020Assets 2021: $690,085Liabilities 2021: $0Net Assets 2021: $690,0852021Assets 2022: $711,472Liabilities 2022: $0Net Assets 2022: $711,4722022Assets 2023: $717,920Liabilities 2023: $0Net Assets 2023: $717,9202023Assets 2024: $771,690Liabilities 2024: $0Net Assets 2024: $771,6902024Assets 2025: $862,654Liabilities 2025: $55,293Net Assets 2025: $807,3612025

Highlighted filing

2025

Assets$862,654
Liabilities$55,293
Net Assets$807,361

Operations Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2011: $618,9922011Expenses 2012: $526,8362012Revenue 2013: $388,847Expenses 2013: $3,612,940Net Income 2013: -$3,224,0932013Revenue 2014: $212,111Expenses 2014: $1,278,484Net Income 2014: -$1,066,3732014Revenue 2015: $211,569Expenses 2015: $718,701Net Income 2015: -$507,1322015Revenue 2016: $157,068Expenses 2016: $541,458Net Income 2016: -$384,3902016Revenue 2017: $118,056Expenses 2017: $174,939Net Income 2017: -$56,8832017Revenue 2018: $86,960Expenses 2018: $129,586Net Income 2018: -$42,6262018Revenue 2019: $102,647Expenses 2019: $153,681Net Income 2019: -$51,0342019Revenue 2020: $166,710Expenses 2020: $98,860Net Income 2020: $67,8502020Revenue 2021: $104,307Expenses 2021: $93,289Net Income 2021: $11,0182021Revenue 2022: $104,570Expenses 2022: $42,689Net Income 2022: $61,8812022Revenue 2023: $112,207Expenses 2023: $113,502Net Income 2023: -$1,2952023Revenue 2024: $48,470Expenses 2024: $19,645Net Income 2024: $28,8252024Revenue 2025: $102,311Expenses 2025: $104,084Net Income 2025: -$1,7732025

Highlighted filing

2025

Revenue$102,311
Expenses$104,084
Net Income-$1,773

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0.86$0.06$0.81$0.10$0.10$0.00
2024Detailed filing. Detailed filing data is available for this year.$0.77$0.00$0.77$0.05$0.02$0.03
2023Detailed filing. Detailed filing data is available for this year.$0.72$0.00$0.72$0.11$0.11$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.71$0.00$0.71$0.10$0.04$0.06
2021Detailed filing. Detailed filing data is available for this year.$0.69$0.00$0.69$0.10$0.09$0.01
2020Detailed filing. Detailed filing data is available for this year.$0.64$0.00$0.64$0.17$0.10$0.07
2019Detailed filing. Detailed filing data is available for this year.$0.58$0.01$0.58$0.10$0.15$0.05
2018Detailed filing. Detailed filing data is available for this year.$0.63$0.01$0.62$0.09$0.13$0.04
2017Detailed filing. Detailed filing data is available for this year.$0.65$0.01$0.65$0.12$0.17$0.06
2016Detailed filing. Detailed filing data is available for this year.$0.67$0.01$0.66$0.16$0.54$0.38
2015Detailed filing. Detailed filing data is available for this year.$1.32$0.29$1.03$0.21$0.72$0.51
2014Summary only. Only limited summary data is available for this year.$1.86$0.37$1.49$0.21$1.28$1.07
2013Summary only. Only limited summary data is available for this year.$2.67$0.15$2.52$0.39$3.61$3.22
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.86$0.13$5.73$0.53
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.72$0.03$0.69$0.62
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Feb 23, 2026
Return Version
2024v5.5
Gross Receipts
$102,311
Mission and Program Overview

Mission

The mission of the hansen family hospital foundation is to foster charitable partnerships that enhance healthcare for those we have the privilege to serve.

Foster charitable partnerships that enhance health care for those we have the privilege to serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$351,465$382,982▲ $31,517
Savings and Temporary Cash Investments$291,843$345,363▲ $53,520
Investments Other Securities$128,382$134,309▲ $5,927
Total Assets$771,690$862,654▲ $90,964
Liabilities
Other Liabilities$0$55,200▲ $55,200
Accounts Payable and Accrued Expenses-$93-
Total Liabilities$0$55,293▲ $55,293
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$572,903$581,735▲ $8,832
Net Assets With Donor Restrictions$198,787$225,626▲ $26,839
Total Net Assets Fund Balance$771,690$807,361▲ $35,671
Total Liabilities and Net Assets / Fund Balance$771,690$862,654▲ $90,964

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$134,309--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$128,382-▲ $13,888-$134,309
2023$120,890$2,500▲ $12,711-$128,382
2022$118,822$50▲ $9,107-$120,890
2021$146,353$1,000▼ $19,640-$118,822
2020$117,981$1,000▲ $35,808-$146,353
Compensation and Service Providers

Board Members and Trustees

NameTitle
Dr Quinn HoverstenChair
Molly AckersonVice Chair
Dan QuinlinDirector
Wyatt AubertDirector
George Von MockHfh CEO/board Director
Shane R CoughenourHfh CFO/board Director
Sara KelseySecretary
Janelle ChaplinTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$100,022
Program Service Revenue
$0
Investment Income
$2,289
Other Revenue
$0
All Other Contributions
$70,679
Change in Net Assets
$-1,773

Audited Revenue Reconciliation

Revenue per Audited Statements
$102,311
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$31,517
Total Revenue per Audited Statements
$133,828
Total Revenue per Form 990
$102,311
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$103,958
Other Expenses$126
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$101,958--$101,958
Grants to Domestic Individuals$2,000--$2,000
Other Expenses-$126-$126
Total Functional Expenses$103,958$126$0$104,084

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$104,084
Total Expenses per Audited Statements$104,084
Total Expenses per Form 990$104,084
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ellsworth Municipal Hospital Dba Hansen Family HospitalIowas Falls, IA501(c)(3)Summer Meal Program to Feed Local Children$55,750
Ellsworth Municipal Hospital Dba Hansen Family HospitalIowas Falls, IA501(c)(3)Avera E-pharmacy$46,208
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Pink Ribbon Event$29,343---
Total Events$29,343---
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$55,200
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee consists of two or more directors elected by the board of directors. The committee has the powers and duties delegated to it by the board of directors.

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is ellsworth municipal hospital dba: hansen family hospital.

Form 990, Part VI, Section A, Line 7A

The following officers of ellsworth municipal hospital appointed as ex-officio, voting members of the foundation are chief executive officer (administrator), one member of the hospital staff, one member of the hospital medical staff and one member of the hospital board of trustees. The remaining foundation directors are appointed from a list of persons nominated by the hospital's nominating committee, and hold office for one year or until their successor is appointed and qualified, or until their death or until they resign. All foundation directors appointed by the hospital may be removed with or without cause when the hospital deems their removal to be in the best interests of the foundation.

Form 990, Part VI, Section A, Line 7B

Approval by the sole member, ellsworth municipal hospital, is required to approve any amendment of the articles of incorporation or the by-laws, to approve any dissolution, consolidation, merger, acquisition or creation of any wholly-owned or controlled corporations, approve the annual operating and capital budgets and all material variations from these budgets, approve all non-budgeted capital expenditures, and approve all loans.

Form 990, Part VI, Section A, Line 8B

There are no committees with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, Line 11B

The form 990 is presented to the full board before it is filed. The cfo of ellsworth municipal hospital dba: hansen family hospital, a related organization, and the foundation director also review the form 990.

Form 990, Part VI, Section B, Line 12C

Directors and officers are required to sign a conflict of interest policy annually. Any director or officer having an existing or potential interest in a contract or other transaction presented to the foundation's board of directors or a committee thereof for deliberation, authorization, approval, or ratification, or any such person who reasonably believes such an interest exists in another person, should make a prompt, full, and frank disclosure of the interest to the foundation board or committee prior to its acting on such contract or transaction. The interested party is required to disclose the nature and extent of his/her interest about the contract or transaction which might reasonably be construed to be adverse to the foundation's interest. The body to which such disclosure is made should determine, by majority vote, whether the disclosure shows that the non-voting and non-participation provisions below must be observed. If so, such person should not vote on, or use his/her personal influence on, nor participate (other than to present factual information or to respond to questions) in the discussions or deliberations with respect to, such contract or transaction. Such person may be counted in determining the existence of a quorum at any meeting where the contract or transaction under discussion are to be voted upon. The minutes of the meeting should reflect the disclosure made, the vote, and where applicable, the abstention from voting and participantion, and whether a quorum was present.

Form 990, Part VI, Section B, Line 15

Compensation and benefits for the foundation director are determined by ellsworth municipal hospital dba: hansen family hospital, a related organization. Ellsworth municipal hospital dba: hansen family hospital uses these methods to determine compensation and benefits for the foundation director. The administrator is compensated through an unrelated management company for services to the hospital. The time spent on the foundation is volunteer. The process described here was last completed in 2024.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are available to the public.

Filing and Contact Details

Filer

Filer Name
Hansen Family Hospital Foundation
EIN
42-1520494
Phone
6416487188
Address
920 SOUTH OAK STREET, IOWA FALLS, IA 50126

Signing Officer

Name
Noah Goedken
Title
Foundation Director
Phone
6416487188
Signed
2026-02-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Noah Goedken
Formed
2001
Legal Domicile
Ia
Voting Board Members
8
Independent Board Members
6
Employees
0
Volunteers
20

Preparer

Firm
Cliftonlarsonallen Llp
Address
2689 COMMERCE DRIVE NW SUITE 201, ROCHESTER, MN 55901
Preparer
Katherine Lutzke CPA
Phone
5072802300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in beneficial interest in assets of community foundation 5,927.

Financial Statement Notes

PART V, LINE 4:

Interest from the endowment funds is used as needed for hospital operations requested of the foundation.

PART X, LINE 2:

The foundation is an iowa non-profit corporation and has been recognized by the internal revenue service (irs) as exempt from federal income taxes under internal revenue code section 501(c)(3). The foundation is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose, as applicable. The foundation follows the income tax standard for uncertain tax positions. As a result of the application of the standard, the foundation has recognized no liability for unrecognized tax benefits. The foundation believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The foundation would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

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IRS990/Desc0TO RECEIVE CONTRIBUTIONS, GIFTS, AND GRANTS AND DISBURSE FUNDS FOR THE WELFARE AND IMPROVEMENT OF ELLSWORTH MUNICIPAL HOSPITAL DBA: HANSEN FAMILY HOSPITAL. HANSEN FAMILY HOSPITAL FOUNDATION ASSISTS AND PROMOTES WELLNESS, CARE, TREATMENT, AND REHABILITATION OF SICK, AFFLICTED AND INJURED, IN HARDIN COUNTY AND THE AREA SERVED BY HANSEN FAMILY HOSPITAL. DURING THE YEAR, THE FOUNDATION'S FOCUS WAS SUPPORTING THE OPERATIONS OF THE HANSEN FAMILY HOSPITAL. PURCHASES MADE DURING THE YEAR, WITH DONOR-RESTRICTED GIFTS, WERE TO SUPPORT THE COMMUNITY CONCUSSION SCREENING PROGRAM, THE PATIENT ADVOCATE PROGRAM AND MAMMOGRAM SUPPORT FOR PATIENTS OF THE HOSPITAL.THE FOUNDATION IS GOVERNED BY A BOARD OF DIRECTORS MADE UP OF MEMBERS OF THE COMMUNITY, LOCAL BUSINESS, AND REPRESENTATIVES FROM THE MEDICAL STAFF, ADMINISTRATION, BOARD OF DIRECTORS AND EMPLOYEES OF HANSEN FAMILY HOSPITAL.
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IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0102311
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt02289
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt02289
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0128382
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0134309
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0351465
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0382982
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IA
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE MISSION OF THE HANSEN FAMILY HOSPITAL FOUNDATION IS TO FOSTER CHARITABLE PARTNERSHIPS THAT ENHANCE HEALTHCARE FOR THOSE WE HAVE THE PRIVILEGE TO SERVE.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetAssetsOrFundBalancesEOYAmt0807361
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
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IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt05927
IRS990/OtherExpensesGrp/Desc0OTHER EXPENSES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0126
IRS990/OtherExpensesGrp/TotalAmt0126
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt055200
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0NOAH GOEDKEN
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt046297
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt018645
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IRS990/PYOtherExpensesAmt01000
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IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-1773
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0291843
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0345363
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt046297
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt081974
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt085034
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0102829
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0416156
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt02289
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt02173
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt02898
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0466
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0879
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt08705
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.65800
IRS990ScheduleA/PublicSupportPY170Pct00.71450
IRS990ScheduleA/PublicSupportTotal170Amt0310116
IRS990ScheduleA/SubstantialContributorsTotAmt0106040
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0100022
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt046297
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt081974
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt085034
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0102829
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0416156
IRS990ScheduleA/TotalSupportAmt0471266
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus2YearsAmt027335
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt019070
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt046405
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
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
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BoardDesignatedBalanceEOYPct00.00000
IRS990ScheduleD/CYEndwmtFundGrp/AdministrativeExpensesAmt01320
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0128382
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0134309
IRS990ScheduleD/CYEndwmtFundGrp/GrantsOrScholarshipsAmt06641
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt013888
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/AdministrativeExpensesAmt01247
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0120890
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt02500
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0128382
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt06472
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt012711
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/AdministrativeExpensesAmt01189
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0118822
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt050
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0120890
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/GrantsOrScholarshipsAmt05900
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt09107
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/AdministrativeExpensesAmt01403
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0146353
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt01000
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0118822
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt07488
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-19640
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/AdministrativeExpensesAmt01366
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0117981
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt01000
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0146353
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt07070
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt035808
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0104084
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt031517
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt055200
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO RELATED PARTY
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0134309
IRS990ScheduleD/OtherSecuritiesGrp/Desc0BENEFICIAL INTEREST IN NET ASSETS OF COMMUNITY FOUNDATION
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/RevenueNotReportedAmt031517
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0102311
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0INTEREST FROM THE ENDOWMENT FUNDS IS USED AS NEEDED FOR HOSPITAL OPERATIONS REQUESTED OF THE FOUNDATION.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION IS AN IOWA NON-PROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE FOUNDATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE, AS APPLICABLE. THE FOUNDATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. AS A RESULT OF THE APPLICATION OF THE STANDARD, THE FOUNDATION HAS RECOGNIZED NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE FOUNDATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt0134309
IRS990ScheduleD/TotalExpensesPerForm990Amt0104084
IRS990ScheduleD/TotalLiabilityAmt055200
IRS990ScheduleD/TotalRevenuePerForm990Amt0102311
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0133828
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0104084
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt029343
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt029343
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0PINK RIBBON EVENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt029343
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt029343
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt046208
IRS990ScheduleI/RecipientTable/CashGrantAmt155750
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/IRCSectionDesc1501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt10
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0AVERA E-PHARMACY
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1SUMMER MEAL PROGRAM TO FEED LOCAL CHILDREN
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0ELLSWORTH MUNICIPAL HOSPITAL DBA HANSEN FAMILY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1ELLSWORTH MUNICIPAL HOSPITAL DBA HANSEN FAMILY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0426005855
IRS990ScheduleI/RecipientTable/RecipientEIN1426005855
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0920 SOUTH OAK STREET
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt1920 SOUTH OAK STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0IOWAS FALLS
IRS990ScheduleI/RecipientTable/USAddress/CityNm1IOWAS FALLS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IA
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1IA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd050126
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd150126
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0HANSEN FAMILY HOSPITAL IS THE PRIMARY BENEFICIARY OF THE FOUNDATION'S DONATIONS. THE FOUNDATION PROVIDES GRANTS TO THE HOSPITAL TO ADVANCE AND IMPROVE HEALTH CARE TO THOSE SERVED BY THE HOSPITAL. BILLS AND RECEIPTS FOR THE ITEMS PURCHASED ARE PROVIDED FOR PROOF THE FUNDS WERE USED APPROPRIATELY.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE EXECUTIVE COMMITTEE CONSISTS OF TWO OR MORE DIRECTORS ELECTED BY THE BOARD OF DIRECTORS. THE COMMITTEE HAS THE POWERS AND DUTIES DELEGATED TO IT BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE SOLE MEMBER OF THE CORPORATION IS ELLSWORTH MUNICIPAL HOSPITAL DBA: HANSEN FAMILY HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FOLLOWING OFFICERS OF ELLSWORTH MUNICIPAL HOSPITAL APPOINTED AS EX-OFFICIO, VOTING MEMBERS OF THE FOUNDATION ARE CHIEF EXECUTIVE OFFICER (ADMINISTRATOR), ONE MEMBER OF THE HOSPITAL STAFF, ONE MEMBER OF THE HOSPITAL MEDICAL STAFF AND ONE MEMBER OF THE HOSPITAL BOARD OF TRUSTEES. THE REMAINING FOUNDATION DIRECTORS ARE APPOINTED FROM A LIST OF PERSONS NOMINATED BY THE HOSPITAL'S NOMINATING COMMITTEE, AND HOLD OFFICE FOR ONE YEAR OR UNTIL THEIR SUCCESSOR IS APPOINTED AND QUALIFIED, OR UNTIL THEIR DEATH OR UNTIL THEY RESIGN. ALL FOUNDATION DIRECTORS APPOINTED BY THE HOSPITAL MAY BE REMOVED WITH OR WITHOUT CAUSE WHEN THE HOSPITAL DEEMS THEIR REMOVAL TO BE IN THE BEST INTERESTS OF THE FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3APPROVAL BY THE SOLE MEMBER, ELLSWORTH MUNICIPAL HOSPITAL, IS REQUIRED TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR THE BY-LAWS, TO APPROVE ANY DISSOLUTION, CONSOLIDATION, MERGER, ACQUISITION OR CREATION OF ANY WHOLLY-OWNED OR CONTROLLED CORPORATIONS, APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS AND ALL MATERIAL VARIATIONS FROM THESE BUDGETS, APPROVE ALL NON-BUDGETED CAPITAL EXPENDITURES, AND APPROVE ALL LOANS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990 IS PRESENTED TO THE FULL BOARD BEFORE IT IS FILED. THE CFO OF ELLSWORTH MUNICIPAL HOSPITAL DBA: HANSEN FAMILY HOSPITAL, A RELATED ORGANIZATION, AND THE FOUNDATION DIRECTOR ALSO REVIEW THE FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DIRECTORS AND OFFICERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. ANY DIRECTOR OR OFFICER HAVING AN EXISTING OR POTENTIAL INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE FOUNDATION'S BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR DELIBERATION, AUTHORIZATION, APPROVAL, OR RATIFICATION, OR ANY SUCH PERSON WHO REASONABLY BELIEVES SUCH AN INTEREST EXISTS IN ANOTHER PERSON, SHOULD MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF THE INTEREST TO THE FOUNDATION BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. THE INTERESTED PARTY IS REQUIRED TO DISCLOSE THE NATURE AND EXTENT OF HIS/HER INTEREST ABOUT THE CONTRACT OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE FOUNDATION'S INTEREST. THE BODY TO WHICH SUCH DISCLOSURE IS MADE SHOULD DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT THE NON-VOTING AND NON-PARTICIPATION PROVISIONS BELOW MUST BE OBSERVED. IF SO, SUCH PERSON SHOULD NOT VOTE ON, OR USE HIS/HER PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO, SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT ANY MEETING WHERE THE CONTRACT OR TRANSACTION UNDER DISCUSSION ARE TO BE VOTED UPON. THE MINUTES OF THE MEETING SHOULD REFLECT THE DISCLOSURE MADE, THE VOTE, AND WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPANTION, AND WHETHER A QUORUM WAS PRESENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7COMPENSATION AND BENEFITS FOR THE FOUNDATION DIRECTOR ARE DETERMINED BY ELLSWORTH MUNICIPAL HOSPITAL DBA: HANSEN FAMILY HOSPITAL, A RELATED ORGANIZATION. ELLSWORTH MUNICIPAL HOSPITAL DBA: HANSEN FAMILY HOSPITAL USES THESE METHODS TO DETERMINE COMPENSATION AND BENEFITS FOR THE FOUNDATION DIRECTOR. THE ADMINISTRATOR IS COMPENSATED THROUGH AN UNRELATED MANAGEMENT COMPANY FOR SERVICES TO THE HOSPITAL. THE TIME SPENT ON THE FOUNDATION IS VOLUNTEER. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9CHANGE IN BENEFICIAL INTEREST IN ASSETS OF COMMUNITY FOUNDATION 5,927.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 1A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0ELLSWORTH MUNICIPAL HOSPITAL DBA HANSEN FAMILY HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0426005855
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVISION FOR HEALTH CARE SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0920 SOUTH OAK STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0IOWA FALLS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd050126
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01

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