2025-10-17T07:54:32-05:00 2024-12-31 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2024-01-01 611157518 MARSHALL COUNTY HOSPITAL & HEALTHCARE FOUNDATION INC MARS 2705274800 615 OLD SYMSONIA ROAD BENTON KY 42025 DAVID FUQUA CEO 2705274800 2025-10-16 1 0 ABIGAIL CAMPBELL P01296738 6153774600 2025-10-13 2024 2025-03-06 01:10:19Z DAVID FUQUA 615 OLD SYMSONIA ROAD BENTON KY 42025 485490 0 X N/A X 1988 KY SOLICIT CHARITABLE CONTRIBUTIONS FOR THE BENEFIT OF MARSHALL COUNTY HOSPITAL DISTRICT 5 5 0 0 0 0 547003 376482 0 0 96966 109008 0 0 643969 485490 0 320461 0 0 0 0 0 0 0 1020 0 1020 320461 642949 165029 2923932 3089987 0 0 2923932 3089987 SOLICIT CHARITABLE CONTRIBUTIONS FOR THE BENEFIT OF MARSHALL COUNTY HOSPITAL DISTRICT 0 0 320461 320461 THE FOUNDATION SOLICITS CHARITABLE CONTRIBUTIONS TO BE USED FOR THE BENEFIT OF MARSHALL COUNTY HOSPITAL DISTRICT, AN EXEMPT HOSPITAL. 320461 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 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 0 0 X 5 5 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 KY X THE ORGANIZATION 2705274800 615 OLD SYMSONIA ROAD BENTON KY 42025 X LAUREN MANN CHAIR 1.00 1.00 X X 0 0 0 BLAKE WISEMAN SECRETARY 1.00 1.00 X X 0 0 0 PAM SIRLS TREASURER 1.00 1.00 X X 0 0 0 DAVID G FUQUA CEO 1.00 40.00 X 0 286648 45579 JANICE KELLEY CFO 1.00 40.00 X 0 149302 10186 PEYTON PORTER MEMBER 1.00 1.00 X 0 0 0 JERRY SELLS MEMBER 1.00 1.00 X 0 0 0 0 435950 55765 0 0 1 0 0 376482 376482 109008 109008 485490 0 0 109008 319461 319461 1000 1000 320461 320461 0 0 2923932 3089987 2923932 3089987 0 0 X 2923932 3089987 2923932 3089987 2923932 3089987 165029 1026 0 X 0 1 X 1 0 X X 1 MARSHALL COUNTY HOSPITAL 610601267 3 1 1 319461 1 1 319461 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: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. HOWEVER, THE FOUNDATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MANAGEMENT BELIEVES THEY DO NOT HAVE ANY UNRELATED BUSINESS TAXABLE INCOME. 1 MARSHALL COUNTY HOSPITAL DISTRICT 615 OLD SYMSONIA ROAD BENTON KY 42025 610601267 501(C)(3) 319461 0 SUPPORT FOR OPERATIONS 1 PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES ASSISTANCE TO ITS SUPPORTED ORGANIZATION, MARSHALL COUNTY HOSPITAL. 0 0 0 0 0 0 0 0 0 DAVID G FUQUA CEO 0 286148 0 500 0 0 0 15937 0 29642 0 332227 0 0 JANICE KELLEY CFO 0 148802 0 500 0 0 0 3119 0 7067 0 159488 0 0 FORM 990, PART VI, SECTION A, LINE 2 LAUREN MANN IS THE DAUGHTER OF PAM SIRLS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD CHAIR AND CHIEF FINANCIAL OFFICER REVIEW THE 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION PROVIDES THE CONFLICT OF INTEREST POLICY TO THE BOARD. BOARD MEMBERS FILL OUT THE CONFLICT OF INTEREST POLICY ANNUALLY. THE FOUNDATION'S COMPLIANCE MANUAL HAS A SECTION ON CONFLICTS OF INTERST AND DEPARTMENT DIRECTORS ARE REQUIRED TO SIGN THAT THEY HAVE READ AND WILL ABIDE BY IT. IF A CONFLICT ARISES, THOSE INVOLVED ARE RECUSED FROM THE DISCUSSION AND ANY VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE DISCRETION OF THE BOARD OF DIRECTORS AND MANAGEMENT. FORM 990, PART VII: THE CEO AND CFO ARE COMPENSATED THROUGH A RELATED ORGANIZATION, THE MARSHALL COUNTY HOSPITAL DISTRICT. THESE OFFICERS SPEND APPROXIMATELY ONE HOUR PER WEEK ON FOUNDATION ACTIVITIES. MARSHALL COUNTY HOSPITAL DISTRICT 615 OLD SYMSONIA ROAD BENTON KY 42025 610601267 PROVIDE MEDICAL CARE KY 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 MARSHALL COUNTY HOSPITAL B 319461 CASH