TY 2021 Form 990

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number

43-6054187

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	229,171	714,078	262,185	230,433	264,112	1,699,979
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	229,171	714,078	262,185	230,433	264,112	1,699,979
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..						381,121
6	Public support. Subtract line 5 from line 4.						1,318,858

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	229,171	714,078	262,185	230,433	264,112	1,699,979
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	342,424	314,470	341,775	310,637	291,497	1,600,803
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..				8,051	500	8,551
11	Total support. Add lines 7 through 10						3,309,333

Gross receipts from related activities, etc. (see instructions) ..................

55,415

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

39.850 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

41.600 %

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART II, LINE 10	ROOF REPAIR REIMBURSEMENT CLAIM 8,051 OTHER 500

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number

43-6054187

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization DEXTER COMMUNITY REGIONAL HEALTHCARE FOUNDATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization DEXTER COMMUNITY REGIONAL HEALTHCARE FOUNDATION		Employer identification number 43-6054187

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization DEXTER COMMUNITY REGIONAL HEALTHCARE FOUNDATION			Employer identification number 43-6054187
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number

43-6054187

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	146,973		146,973
b	Buildings ....	4,860,996	4,439,152	421,844
c	Leasehold improvements
d	Equipment ....	64,547	62,629	1,918
e	Other .....	64,561	64,561
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				570,735

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	950
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	861,405
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	76,840
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	29,102
e	Add lines 2a through 2d .....................			2e	105,942
3	Subtract line 2e from line 1..................			3	755,463
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	6,254
c	Add lines 4a and 4b....................			4c	6,254
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	761,717

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	657,734
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	33,935
e	Add lines 2a through 2d....................			2e	33,935
3	Subtract line 2e from line 1...................			3	623,799
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	15,344
c	Add lines 4a and 4b.....................			4c	15,344
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	639,143

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PAGE 4, PART XI, LINE 2D	RENTAL EXPENSES PART VIII LINE 6B 15,360 FUNDRAISING EXPENSES PART VIII LINE 8B 5,143 RECEIVABLE-12/31 8,599
SCHEDULE D, PAGE 4, PART XI, LINE 4B	RECEIVABLE-01/01 6,254
SCHEDULE D, PAGE 4, PART XII, LINE 2D	RENTAL EXPENSES PART VIII LINE 6B 15,360 FUNDRAISING EXPENSES PART VIII LINE 8B 5,143 PREPAID INSURANCE-01/01 5,784 ACCOUNTS PAYABLE-12/31 4,129 ACCRUED PAID TIME OFF-12/31 3,519
SCHEDULE D, PAGE 4, PART XII, LINE 4B	PREPAID INSURANCE-12/31 5,072 ACCOUNTS PAYABLE-01/01 6,356 ACCRUED PAID TIME OFF-01/01 3,916

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number

43-6054187

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) 2021

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF TOURNAMENT (event type)	(b) Event #2 M2M FUNDRAISER (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	11,300	5,860	17,160
2	Less: Contributions . . . .	7,700		7,700
3	Gross income (line 1 minus line 2) . . . . . .	3,600	5,860	9,460

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	4,486	657	5,143
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			5,143
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			4,317

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2021

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number
43-6054187

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CITY OF DEXTER 301 E STODDARD ST DEXTER,MO63841	43-6001012	GOV	5,050				PLAYGROUND CONSTRUCT
(2) STODDARD COUNTY CHILDRENS HOME PO BOX 164 DEXTER,MO63841	43-1208673	501C3		150,000	FMV	3 ACRES LAND	BUILDING SITE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SCHOLARSHIPS	3	3,000
(2) SPECIAL NEEDS ASSISTANCE	12		3,381	COST	MED SUPPLIES
(3) GENERIC MEDICATIONS	9	3,311
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PAGE 1, PART I, LINE 2	THE ORGANIZATION HAS DIRECT CONTACT AND KNOWLEDGE OF THE USE OF THIS FUNDING BY THE RECEPIENTS. THE NUMBER OF RECEPIENTS NOTED IN PART III ARE COMPUTED BASED UPON THE ORGANIZATION'S ACCOUNTING RECORDS.

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number

43-6054187

Part I

Types of Property

	(a) Check if applicable	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X	53,813	EST FAIR MARKET VALUE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2021)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

DEXTER COMMUNITY REGIONAL
HEALTHCARE FOUNDATION

Employer identification number

43-6054187

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	THE ORGANIZATION'S STATEMENT OF PURPOSES, AS PRESENTED IN THE CORPORATE BY-LAWS, IS (1) TO ENSURE, AS OWNER AND LESSOR, THE VIABILITY OF THE COMMUNITY HOSPITAL LOCATED IN DEXTER, MISSOURI, FORMERLY KNOWN AS THE DEXTER MEMORIAL HOSPITAL, BY SCRUTINIZING THE LESSEE'S OPERATION OF THE HOSPITAL TO ENSURE THAT THE LESSEE ABIDES BY THE LEASE TERMS AND CONTINUES TO PROVIDE THE HEALTH CARE NEEDED IN THE DEXTER AREA; AND (2) TO BUILD HEALTHIER COMMUNITIES THROUGH THE IMPLEMENTATION OF PROGRAMS AND SERVICES DESIGNED TO ENHANCE OVERALL COMMUNITY HEALTH AND WELLNESS. THE ORGANIZATION ORIGINALLY OPERATED A FULL SERVICE 50 BED COMMUNITY HOSPITAL, INCLUDING PROVISION OF LIMITED CHARITABLE CARE TO THE DEXTER, MISSOURI COMMUNITY AS ITS PROGRAM SERVICE ACTIVITY DURING THE PERIOD 1968 - 1999. IN 1999, IN ORDER TO MAINTAIN THE OPERATIONS OF THE HOSPITAL WITHOUT CUTTING ESSENTIAL SERVICES TO THE DEXTER, MISSOURI COMMUNITY, THE ORGANIZATION LEASED THE HOSPITAL FACILITIES, INCLUDING LAND, BUILDINGS AND EQUIPMENT TO AN UNRELATED HEALTHCARE ORGANIZATION THAT OPERATED THE HOSPITAL. SINCE THEN, OTHER ORGANIZATIONS HAVE LEASED THE FACILITIES AND OPERATED THE HOSPITAL TO PROVIDE FOR THE HEALTH CARE NEEDS OF THE DEXTER COMMUNITY. THE ORGANIZATION PROVIDES CONTINUED SUPPORT FOR THE HEALTH AND WELLNESS OF PERSONS IN THE DEXTER, MISSOURI COMMUNITY THROUGH IMPLEMENTATION OF VARIOUS HEALTHCARE RELATED PROGRAMS THAT RELATE TO ITS TAX EXEMPT PURPOSE. PRIMARY AMONG THEM ARE MOTHER-TO-MOTHER, PRESCRIPTION DRUG ASSISTANCE AND HEALTHCARE RELATED GRANTS. OTHER PROGRAMS INCLUDE LICENSE TO CARE (CHILD ABUSE PREVENTION), SPECIAL MEDICAL NEEDS ASSISTANCE, AND SCHOLARSHIPS. THE ORGANIZATION'S THREE LARGEST PROGRAM SERVICES (BY EXPENSES) ARE MOTHER-TO-MOTHER, PRESCRIPTION DRUG ASSISTANCE AND HEALTHCARE RELATED GRANTS. THE ACTIVITIES IN THESE PROGRAMS ARE DESCRIBED IN PART III ITEM 4 AND ARE NOT REPEATED HERE. OTHER ORGANIZATION PROGRAMS INCLUDE: THE ORGANIZATION PARTNERS WITH THE CHILDREN'S TRUST FUND IN PROMOTING CHILD ABUSE AND PREVENTION. THE ORGANIZATION HAS BEEN AWARDED FOUR SOUTHEAST MISSOURI COUNTIES FROM WHICH THEY WILL RECEIVE 100% OF THE 25 DONATED TO THE CTF LICENSE PLATE PROGRAM. THE ORGANIZATION WILL USE THIS MONEY FOR CHILD ABUSE PREVENTION SERVICES. THE FOUNDATION ASSISTS SOME MEMBERS OF THE COMMUNITY WHO MEET 150% OF THE FEDERAL POVERTY GUIDELINE WITH GENERIC MEDICATIONS AND SPECIAL MEDICAL SUPPLIES SUCH AS ADULT DIAPERS OR HOME MEDICAL EQUIPMENT. THE FOUNDATION PROVIDES SCHOLARSHIP ASSISTANCE TO INDIVIDUALS TO ENCOURAGE AREA RESIDENTS TO PURSUE HEALTHCARE RELATED CAREERS. THE FOUNDATION SERVES AS THE STODDARD COUNTY HUB FOR THE BOOTHEEL BABIES AND FAMILIES INFANT MORTALITY REDUCTION INITIATIVE.
FORM 990, PAGE 2, PART III, LINE 4A	MOTHER-TO-MOTHER - THIS PROGRAM IS AN INCENTIVE BASED MENTORING PROGRAM FOR PREGNANT AND PARENTING YOUNG WOMEN. TRAINING, EDUCATION, AND EQUIPMENT ARE PROVIDED THAT ENABLE YOUNG MOTHERS TO BECOME BETTER PARENTS AND REDUCE THE OCCURRENCES OF CHILD ABUSE AND NEGLECT. TWO SCHEDULED GROUP MEETINGS EACH MONTH PROVIDE TIME AND INFORMATION FOR YOUNG MOTHERS AND THEIR CHILDREN TO INTERACT WITH STAFF AND OTHER YOUNG FAMILIES. BEING AN INCENTIVE BASED PROGRAM, MENTEES GO OVER AN INCENTIVE FORM ONCE A MONTH WITH THEIR MENTOR AND ARE AWARDED BABY BUCKS FOR DEVELOPING POSITIVE PARENTING SKILLS AND RESPONSIBILITIES. THEY IN TURN MAY SPEND THEIR BABY BUCKS IN THE BABY BOUTIQUE WHICH IS STOCKED WITH CLOTHING, DIAPERS, WIPES, EDUCATIONAL TOYS, SAFETY EQUIPMENT, AND INFANT SUPPLIES. YOUNG MOTHERS, FATHERS, AND CHILDREN VERY MUCH ENJOY COMING BY THE OFFICE TO VISIT AND PLAY IN THE RESOURCE CENTER. DURING THESE MEETINGS THE CHILDREN ENJOY THE PLAYROOM AND THE PARENTS GET TO INTERACT WITH STAFF IN A RELAXING, STRESS FREE ATMOSPHERE. MOTHER-TO-MOTHER IS A 4 PHASE PROGRAM. PHASE I IS WHEN A YOUNG WOMAN ENTERS THE PROGRAM DURING HER PREGNANCY. SHE ENTERS PHASE II WHEN THE CHILD IS BORN. WHEN THE CHILD REACHES ITS FIRST BIRTHDAY THE MOTHER THEN DECIDES IF SHE WANTS TO ENTER PHASE III OF THE PROGRAM. IF SHE CHOOSES TO ENTER PHASE III SHE MUST EITHER CONTINUE HER EDUCATION OR OBTAIN EMPLOYMENT. MOTHER-TO-MOTHER IS ALL ABOUT EDUCATION AND YOUNG MOTHERS CREATING SAFE AND STABLE HOMES FOR THEIR FAMILIES. EMPHASIS IS GIVEN TO PROMOTING POSITIVE TRAINING AND SKILLS THAT ENABLE THE YOUNG MOTHER TO DEVELOP A FINANCIALLY SECURE FUTURE FOR HER AND HER FAMILY. IF THEY WANT TO BEGIN OR CONTINUE WITH COLLEGE OR TECHNICAL SCHOOL CLASSES A STAFF PERSON IS AVAILABLE TO PROVIDE THEM WITH ASSISTANCE TO FURTHER THEIR EDUCATION OR TECHNICAL SKILLS. ASSISTANCE IS PROVIDED TO THOSE THAT ARE LOOKING FOR EMPLOYMENT BY HELPING WITH JOB SEARCHES, RESUMES, APPROPRIATE CLOTHING FOR INTERVIEWS, AND TIPS ON GOOD INTERVIEW PRESENTATIONS. PHASE IV, THE FINAL COMPONENT IN THE MOTHER TO MOTHER PROGRAM, PREPARES PARTICIPANTS FOR EXIT FROM THE PROGRAM, OFFERS PEER MONITORING AND/OR VOLUNTEERING OPPORTUNITIES. PARTICIPANTS WILL REMAIN IN PHASE IV FOR NO LONGER THAN ONE YEAR. DURING 2021 A TOTAL OF 78 PARENTS AND 81 CHILDREN PARTICIPATED IN THE MOTHER-TO-MOTHER PROGRAM. THE MOTHER TO MOTHER PROGRAM IS PRIMARILY FUNDED BY GRANTS AND DONOR CONTRIBUTIONS.
FORM 990, PAGE 2, PART III, LINE 4B	HEALTHCARE RELATED GRANTS - TO FURTHER ITS HEALTHCARE MISSION, THE FOUNDATION PROVIDES GRANT FUNDING TO OTHER HEALTHCARE RELATED EXEMPT ORGANIZATIONS. DURING 2021 GRANTS WERE PROVIDED TO LOCAL SCHOOLS FOR THE BACKPACKS FOR FRIDAY PROGRAM WHICH PROVIDES FOOD TO SCHOOL CHILDREN EACH FRIDAY BEFORE THEY LEAVE SCHOOL TO HELP ALLEVIATE HUNGER OVER THE WEEKEND. FUNDING WAS ALSO PROVIDED TO THE CITY OF DEXTER MO TO ASSIST IN FUNDING THE BOON PARK UNIVERSAL PLAYGROUND PROJECT, A LOCAL PROJECT TO DEVELOP A PARK WITH PLAYGROUND EQUIPMENT ACCESSABLE AND ACCOMODATING TO HANDICAPPED INDIVIDUALS. AN AWARD WAS ALSO GIVEN TO AN EXEMPT ORGANIZATION TO ASSIST IN FIRE SAFETY EDUCATION. TO ASSIST THE STODDARD COUNTY CHILDREN'S HOME TO DELIVER SERVICES TO ABUSED, NEGLECTED AND ABANDONED CHILDREN IN THE COUNTY, THE FOUNDATION TRANSFERRED OWNERSHIP OF A THREE ACRE TRACT OF LAND TO THE CHILDREN'S HOME THAT WILL BE USED TO CONSTRUCT A NEW RESIDENTIAL FACILITY ADJACENT TO THE HOSPITAL CAMPUS IN DEXTER, MO.
FORM 990, PAGE 2, PART III, LINE 4D	THE FOUNDATION SERVES AS THE STODDARD COUNTY HUB FOR THE BOOTHEEL BABIES AND FAMILIES INFANT MORTALITY REDUCTION INITIATIVE. AS THE HUB, THE FOUNDATION FACILITATES THE ACTIVITIES OF THE STODDARD COUNTY COMMUNITY TASK FORCE, WHOSE GOAL IS TO REDUCE THE OCCURRENCE OF INFANT MORTALITY IN THE COUNTY. THE TASK FORCE'S RESPONSIBILITIES INCLUDE IDENTIFYING COUNTY AND REGIONAL ASSETS, GAPS IN SERVICES, CAPACITY NEEDS AND FACTORS RELATED TO HEALTH DISPARITIES IN AN OVERALL EFFORT TO IMPROVE BIRTH OUTCOMES IN STODDARD COUNTY. FUNDING FOR THE HUB'S EFFORTS IS PROVIDED THROUGH GRANTS FROM MISSOURI FOUNDATION FOR HEALTH. THE FOUNDATION PROVIDES SCHOLARSHIPS TO ENCOURAGE RESIDENTS TO PURSUE HEALTHCARE RELATED CAREERS. THREE FOUNDATION SCHOLARSHIPS TOTALING 3,000 WERE AWARDED IN 2021 TO GRADUATING SENIORS AND TO CURRENT COLLEGE STUDENTS WHO MET THE 3.25 GPA REQUIREMENT FOR SCHOLARSHIP RENEWAL. HIGH SCHOOL SENIORS WHO ARE RESIDENTS OF STODDARD COUNTY MAY APPLY FOR THIS 4,000 SCHOLARSHIP IF THEY HAVE MINIMUM ACT TEST SCORES OF 25, ARE ATTENDING A STODDARD COUNTY HIGH SCHOOL, OR ARE HOME SCHOOLED IN STODDARD COUNTY, AND PLAN TO PURSUE HEALTH CARE RELATED CAREERS. OTHER SCHOLARSHIPS ARE AVAILABLE FOR INDIVIDUALS WORKING IN THE HEALTH CARE FIELD IN STODDDARD COUNTY WHO WANT TO PURSUE ADDITIONAL TRAINING. THE ORGANIZATION FOUNDED THE STODDARD COUNTY HEALTH COALITION TO ADDRESS HEALTH CONCERNS ESTABLISHED BY A COUNTY NEEDS ASSESSMENT PREPARED BY SEHEALTH AND ST. FRANCIS HOSPITALS. MEMBERS OF THIS COALITION INCLUDE DEXTER CHAMBER OF COMMERCE, SOUTHEAST HEALTH OF STODDARD COUNTY, STODDARD COUNTY HEALTH CENTER, PARENTS AS TEACHERS, SOUTHEAST MISSOURI BEHAVIORAL HEALTH, CYPRESS POINT NURSING CENTER, STODDARD COUNTY EMS, DEXTER PUBLIC SCHOOLS, AND BLOOMFIELD PUBLIC SCHOOLS. COMMUNITY EFFORTS TO EDUCATE THE PUBLIC REGARDING THE DANGERS OF SMOKING IN PUBLIC PLACES WERE THE PRIMARY ACTIVITIES. THE STODDARD COUNTY HEALTH COALITION PROMOTED SMOKE FREE ISSUES AT VARIOUS EVENTS.
FORM 990, PAGE 6, PART VI, LINE 6	THE ORGANIZATION'S BY-LAWS AT ARTICLE IV MEMBERSHIP, SECTION 1 MEMBERS STATES: THE CORPORATION SHALL OPERATE UPON A MEMBERSHIP BASIS. THERE SHALL BE ONE CLASS OF MEMBERS AS FOLLOWS: REGULAR MEMBERSHIPS WITH VOTING PRIVILEGES, WHO SHALL INCLUDE THOSE CHARTER MEMBERS WHO SIGNED THE ARTICLES OF INCORPORATION AND ALSO THOSE PERSONS WHO MAKE CONTRIBUTIONS IN MONEY, PROPERTY OR SERVICES IN THE MINIMUM CUMULATIVE SUM OR VALUE OF FIFTY (50.00) DOLLARS OR MORE AND APPLY FOR MEMBERSHIP AND ARE DULY REGISTERED AS SUCH. THE BOARD OF DIRECTORS SHALL MAKE THE DETERMINATION AS TO THE VALUE OF THE PROPERTY OR SERVICES GIVEN. NO PERSON SHALL BE ELIGIBLE FOR MEMBERSHIP UNTIL THE MONEY, PROPERTY OR SERVICES CONTRIBUTED IS ACTUALLY RECEIVED AND VALUED BY THE CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7A	ARTICLE IV:MEMBERSHIP SECTION 2. MEETINGS OF MEMBERS: THE ANNUAL MEETING OF THE MEMBERS OF THIS CORPORATION FOR THE PURPOSE OF ELECTING DIRECTORS, IS HELD ON THE FOURTH THURSDAY OF APRIL EACH YEAR.
FORM 990, PAGE 6, PART VI, LINE 7B	ACTIONS OF OUR MEMBER ELECTED BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE ORGANIZATION'S MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE DRAFT COPY OF FORM 990 IS REVIEWED BY THE PREPARER, EXECUTIVE DIRECTOR AND OTHER ORGANIZATION STAFF PRIOR TO ITS COMPLETION. A COPY OF THE FORM 990 IS EMAILED TO THE MEMBERS OF THE BOARD OF DIRECTORS AND STAFF PRIOR TO ITS FILING. RETURN WILL BE REVIEWED BY BOARD OF DIRECTORS IN ITS NEXT SCHEDULED MEETING.
FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION'S BY-LAWS ARTICLE IX, SECTION 2 "DUALITY OF INTEREST" STATES ITS CONFLICT OF INTEREST POLICY. THE POLICY REQUIRES ANY MEMBER TO DISCLOSE CONFLICTS BEFORE DISCUSSIONS OR ACTIONS ARE TAKEN. THAT POLICY IS STATED AS FOLLOWS: ANY DIRECTOR, OFFICER, EMPLOYEE, OR COMMITTEE MEMBER HAVING AN INTEREST, DIRECT OR INDIRECT, IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR AUTHORIZATION, APPROVAL, OR RATIFICATION SHALL MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF HIS INTEREST TO THE BOARD OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL INCLUDE ANY RELEVANT AND MATERIAL FACTS, KNOWN TO SUCH PERSON, ABOUT THE CONTRACT OR TRANSACTION WHICH MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO THE CORPORATION'S INTEREST. AFTER MAKING SUCH DISCLOSURE, OR IN THE ABSENCE OF SUCH A DISCLOSURE A DETERMINATION BY A MAJORITY OF THE OTHER BOARD MEMBERS PRESENT THAT SUCH A CONFLICT DOES EXIST, SUCH DIRECTOR, OFFICER, EMPLOYEE OR COMMITTEE MEMBER HAVING SUCH CONFLICT SHALL REMOVE HIMSELF/HERSELF FROM THE MEETING DURING THE DISCUSSION AND VOTE ON THE MATTER AT HAND. THE FACT OF SUCH REMOVAL SHALL BE NOTED IN THE MINUTES OF THE MEETING. THE BOARD MAY ADOPT DUALITY OF INTEREST POLICIES REQUIRING: (A) REGULAR ANNUAL STATEMENTS FROM DIRECTORS, OFFICERS, AND EMPLOYEES THAT DISCLOSE EXISTING AND POTENTIAL DUALITIES OF INTEREST. (B) CORRECTIVE AND DISCIPLINARY ACTIONS WITH RESPECT TO TRANSGRESSIONS OF SUCH POLICIES. FOR THE PURPOSE OF THIS SECTION, A PERSON SHALL BE DEEMED TO HAVE AN "INTEREST" IN A CONTRACT OR OTHER TRANSACTION IF HE IS THE PARTY (OR ONE OF THE PARTIES) CONTRACTING OR DEALING WITH THE FOUNDATION, OR IS A DIRECTOR, OFFICER, OR HAS A SIGNIFICANT FINANCIAL OR INFLUENTIAL INTEREST IN OR WITH THE ENTITY CONTRACTING OR DEALING WITH THE FOUNDATION.
FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD OF DIRECTORS INCLUDES A NUMBER OF LOCAL BUSINESSMEN AND WOMEN. THEY CONSIDER THE PAY LEVELS OF SIMILAR POSITIONS IN LOCAL BUSINESSES AS WELL AS OTHER LOCAL NOT FOR PROFIT ORGANIZATIONS IN THEIR DETERMINATION OF THE COMPENSATION AND BENEFIT PACKAGE PROVIDED TO THE EXECUTIVE DIRECTOR. THIS PROCESS IS DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15B	FOR OTHER THAN THE EXECUTIVE DIRECTOR, COMPENSATION LEVELS ARE DETERMINED ON AN ANNUAL BASIS BY THE EXECUTIVE DIRECTOR, IN CONSULTATION WITH THE MEMBERS OF THE BOARD. THESE COMPENSATION LEVELS ARE BASED UPON SIMILAR POSITIONS IN THE FOR PROFIT ARENA, AS WELL AS FUNDING SOURCE GUIDELINES FOR THOSE WHOSE COMPENSATION IS FUNDED BY GRANT REVENUES.
FORM 990, PAGE 6, PART VI, LINE 19	ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY (WHICH IS INCLUDED IN OUR BY-LAWS) AND DETAILED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT OUR OFFICES, LOCATED AT 215 WEST GRANT STREET IN DEXTER MO. THIS IS COMMUNICATED TO THE GENERAL MEMBERSHIP EACH YEAR AT THE ANNUAL MEMBERSHIP MEETING.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	230,433	264,112
9	Program service revenue (Part VIII, line 2g) .........	3,649	1,138
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	59,237	252,795
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	243,937	243,672
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	537,256	761,717
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	184,838	170,425
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	310,566	286,744
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	211,593	181,974
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	706,997	639,143
19	Revenue less expenses. Subtract line 18 from line 12.......	-169,741	122,574
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,995,946	3,056,050
21	Total liabilities (Part X, line 26).............	64,288	1,818
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,931,658	3,054,232

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 250,421 including grants of $ ) (Revenue $ 1,138 )
	MOTHER-TO-MOTHER - THIS PROGRAM IS AN INCENTIVE BASED MENTORING PROGRAM FOR PREGNANT AND PARENTING YOUNG WOMEN. TRAINING, EDUCATION, AND EQUIPMENT ARE PROVIDED THAT ENABLE YOUNG MOTHERS TO BECOME BETTER PARENTS AND REDUCE THE OCCURRENCES OF CHILD ABUSE AND NEGLECT. TWO SCHEDULED GROUP MEETINGS EACH MONTH PROVIDE TIME AND INFORMATION FOR YOUNG MOTHERS AND THEIR CHILDREN TO INTERACT WITH STAFF AND OTHER YOUNG FAMILIES. BEING AN INCENTIVE BASED PROGRAM, MENTEES GO OVER AN INCENTIVE FORM ONCE A MONTH WITH THEIR MENTOR AND ARE AWARDED BABY BUCKS FOR DEVELOPING POSITIVE PARENTING SKILLS AND RESPONSIBILITIES. THEY IN TURN MAY SPEND THEIR BABY BUCKS IN THE BABY BOUTIQUE WHICH IS STOCKED WITH CLOTHING, DIAPERS, WIPES, EDUCATIONAL TOYS, SAFETY EQUIPMENT, AND INFANT SUPPLIES. YOUNG MOTHERS, FATHERS, AND CHILDREN VERY MUCH ENJOY COMING BY THE OFFICE TO VISIT AND PLAY IN THE RESOURCE CENTER. DURING THESE MEETINGS THE CHILDREN ENJOY THE PLAYROOM AND THE PARENTS GET TO INTERACT WITH STAFF IN A RELAXING, STRESS FREE ATMOSPHERE. MOTHER-TO-MOTHER IS A 4 PHASE PROGRAM. PHASE I IS WHEN A YOUNG WOMAN ENTERS THE PROGRAM DURING HER PREGNANCY. SHE ENTERS PHASE II WHEN THE CHILD IS BORN. WHEN THE CHILD REACHES ITS FIRST BIRTHDAY THE MOTHER THEN DECIDES IF SHE WANTS TO ENTER PHASE III OF THE PROGRAM. IF SHE CHOOSES TO ENTER PHASE III SHE MUST EITHER CONTINUE HER EDUCATION OR OBTAIN EMPLOYMENT. MOTHER-TO-MOTHER IS ALL ABOUT EDUCATION AND YOUNG MOTHERS CREATING SAFE AND STABLE HOMES FOR THEIR FAMILIES. EMPHASIS IS GIVEN TO PROMOTING POSITIVE TRAINING AND SKILLS THAT ENABLE THE YOUNG MOTHER TO DEVELOP A FINANCIALLY SECURE FUTURE FOR HER AND HER FAMILY. IF THEY WANT TO BEGIN OR CONTINUE WITH COLLEGE OR TECHNICAL SCHOOL CLASSES A STAFF PERSON IS AVAILABLE TO PROVIDE THEM WITH ASSISTANCE TO FURTHER THEIR EDUCATION OR TECHNICAL SKILLS. ASSISTANCE IS PROVIDED TO THOSE THAT ARE LOOKING FOR EMPLOYMENT BY HELPING WITH JOB SEARCHES, RESUMES, APPROPRIATE CLOTHING FOR INTERVIEWS, AND TIPS ON GOOD INTERVIEW PRESENTATIONS. PHASE IV, THE FINAL COMPONENT IN THE MOTHER TO MOTHER PROGRAM, PREPARES PARTICIPANTS FOR EXIT FROM THE PROGRAM, OFFERS PEER MONITORING AND/OR VOLUNTEERING OPPORTUNITIES. PARTICIPANTS WILL REMAIN IN PHASE IV FOR NO LONGER THAN ONE YEAR. DURING 2021 A TOTAL OF 78 PARENTS AND 81 CHILDREN PARTICIPATED IN THE MOTHER-TO-MOTHER PROGRAM. THE MOTHER TO MOTHER PROGRAM IS PRIMARILY FUNDED BY GRANTS AND DONOR CONTRIBUTIONS.

4b	(Code: ) (Expenses $ 160,733 including grants of $ 160,733 ) (Revenue $ )
	HEALTHCARE RELATED GRANTS - TO FURTHER ITS HEALTHCARE MISSION, THE FOUNDATION PROVIDES GRANT FUNDING TO OTHER HEALTHCARE RELATED EXEMPT ORGANIZATIONS. DURING 2021 GRANTS WERE PROVIDED TO LOCAL SCHOOLS FOR THE BACKPACKS FOR FRIDAY PROGRAM WHICH PROVIDES FOOD TO SCHOOL CHILDREN EACH FRIDAY BEFORE THEY LEAVE SCHOOL TO HELP ALLEVIATE HUNGER OVER THE WEEKEND. FUNDING WAS ALSO PROVIDED TO THE CITY OF DEXTER MO TO ASSIST IN FUNDING THE BOON PARK UNIVERSAL PLAYGROUND PROJECT, A LOCAL PROJECT TO DEVELOP A PARK WITH PLAYGROUND EQUIPMENT ACCESSABLE AND ACCOMODATING TO HANDICAPPED INDIVIDUALS. AN AWARD WAS ALSO GIVEN TO AN EXEMPT ORGANIZATION TO ASSIST IN FIRE SAFETY EDUCATION. TO ASSIST THE STODDARD COUNTY CHILDREN'S HOME TO DELIVER SERVICES TO ABUSED, NEGLECTED AND ABANDONED CHILDREN IN THE COUNTY, THE FOUNDATION TRANSFERRED OWNERSHIP OF A THREE ACRE TRACT OF LAND TO THE CHILDREN'S HOME THAT WILL BE USED TO CONSTRUCT A NEW RESIDENTIAL FACILITY ADJACENT TO THE HOSPITAL CAMPUS IN DEXTER, MO.

4c	(Code: ) (Expenses $ 118,055 including grants of $ ) (Revenue $ )
	PRESCRIPTION DRUG ASSISTANCE PROGRAM - THIS PROGRAM HELPS THE UNINSURED AND LOW-INCOME TO SECURE PRESCRIPTION MEDICATIONS AVAILABLE THROUGH VARIOUS PHARMACEUTICAL COMPANY INDIGENT PROGRAMS. DURING 2021 THE VOLUNTEERS AND STAFF ASSISTED 190 INDIVIDUALS IN SECURING 1,709 PRESCRIPTION MEDICATIONS, AT A WHOLESALE VALUE OF 2,905,593.

	(Code: ) (Expenses $ 57,093 including grants of $ 9,692 ) (Revenue $ )
	THE FOUNDATION SERVES AS THE STODDARD COUNTY HUB FOR THE BOOTHEEL BABIES AND FAMILIES INFANT MORTALITY REDUCTION INITIATIVE. AS THE HUB, THE FOUNDATION FACILITATES THE ACTIVITIES OF THE STODDARD COUNTY COMMUNITY TASK FORCE, WHOSE GOAL IS TO REDUCE THE OCCURRENCE OF INFANT MORTALITY IN THE COUNTY. THE TASK FORCE'S RESPONSIBILITIES INCLUDE IDENTIFYING COUNTY AND REGIONAL ASSETS, GAPS IN SERVICES, CAPACITY NEEDS AND FACTORS RELATED TO HEALTH DISPARITIES IN AN OVERALL EFFORT TO IMPROVE BIRTH OUTCOMES IN STODDARD COUNTY. FUNDING FOR THE HUB'S EFFORTS IS PROVIDED THROUGH GRANTS FROM MISSOURI FOUNDATION FOR HEALTH. THE FOUNDATION PROVIDES SCHOLARSHIPS TO ENCOURAGE RESIDENTS TO PURSUE HEALTHCARE RELATED CAREERS. THREE FOUNDATION SCHOLARSHIPS TOTALING 3,000 WERE AWARDED IN 2021 TO GRADUATING SENIORS AND TO CURRENT COLLEGE STUDENTS WHO MET THE 3.25 GPA REQUIREMENT FOR SCHOLARSHIP RENEWAL. HIGH SCHOOL SENIORS WHO ARE RESIDENTS OF STODDARD COUNTY MAY APPLY FOR THIS 4,000 SCHOLARSHIP IF THEY HAVE MINIMUM ACT TEST SCORES OF 25, ARE ATTENDING A STODDARD COUNTY HIGH SCHOOL, OR ARE HOME SCHOOLED IN STODDARD COUNTY, AND PLAN TO PURSUE HEALTH CARE RELATED CAREERS. OTHER SCHOLARSHIPS ARE AVAILABLE FOR INDIVIDUALS WORKING IN THE HEALTH CARE FIELD IN STODDDARD COUNTY WHO WANT TO PURSUE ADDITIONAL TRAINING. THE ORGANIZATION FOUNDED THE STODDARD COUNTY HEALTH COALITION TO ADDRESS HEALTH CONCERNS ESTABLISHED BY A COUNTY NEEDS ASSESSMENT PREPARED BY SEHEALTH AND ST. FRANCIS HOSPITALS. MEMBERS OF THIS COALITION INCLUDE DEXTER CHAMBER OF COMMERCE, SOUTHEAST HEALTH OF STODDARD COUNTY, STODDARD COUNTY HEALTH CENTER, PARENTS AS TEACHERS, SOUTHEAST MISSOURI BEHAVIORAL HEALTH, CYPRESS POINT NURSING CENTER, STODDARD COUNTY EMS, DEXTER PUBLIC SCHOOLS, AND BLOOMFIELD PUBLIC SCHOOLS. COMMUNITY EFFORTS TO EDUCATE THE PUBLIC REGARDING THE DANGERS OF SMOKING IN PUBLIC PLACES WERE THE PRIMARY ACTIVITIES. THE STODDARD COUNTY HEALTH COALITION PROMOTED SMOKE FREE ISSUES AT VARIOUS EVENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 57,093 including grants of $ 9,692 ) (Revenue $ )
4e	Total program service expenses586,302

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) AARON MATHIS...................................................................... DIRECTOR/PRE	5.00 .................	X	X	0	0	0
(2) CHRIS BRANNAN...................................................................... DIRECTOR/VIC	3.00 .................	X	X	0	0	0
(3) LARRY THOMPSON...................................................................... DIRECTOR/SEC	3.00 .................	X	X	0	0	0
(4) JIM HALL...................................................................... DIRECTOR/TRE	3.00 .................	X	X	0	0	0
(5) CHRIS GUETHLE...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(6) JUSTIN TRAMMELL...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(7) KAY ASBELL...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(8) WILLIAM T KANE...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(9) CAROL DEAN...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(10) JOSH MILLER...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(11) MARY ANN TAYLOR...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(12) KRISTIN GILL...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(13) MELINDA SWEENEY...................................................................... EXECUTIVE DI	40.00 .................		X	45,189	0	0
(14) KELLIE REESE...................................................................... ADMINISTRATI	24.00 .................		X	16,709	0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)						(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION'S STATEMENT OF PURPOSES, AS PRESENTED IN THE CORPORATE BY-LAWS, IS (1) TO ENSURE, AS OWNER AND LESSOR, THE VIABILITY OF THE COMMUNITY HOSPITAL LOCATED IN DEXTER, MISSOURI, FORMERLY KNOWN AS THE DEXTER MEMORIAL HOSPITAL, BY SCRUTINIZING THE LESSEE'S OPERATION OF THE HOSPITAL TO ENSURE THAT THE LESSEE ABIDES BY THE LEASE TERMS AND CONTINUES TO PROVIDE THE HEALTH CARE NEEDED IN THE DEXTER AREA; AND (2) TO BUILD HEALTHIER COMMUNITIES THROUGH THE IMPLEMENTATION OF PROGRAMS AND SERVICES DESIGNED TO ENHANCE OVERALL COMMUNITY HEALTH AND WELLNESS. THE ORGANIZATION ORIGINALLY OPERATED A FULL SERVICE 50 BED COMMUNITY HOSPITAL, INCLUDING PROVISION OF LIMITED CHARITABLE CARE TO THE DEXTER, MISSOURI COMMUNITY AS ITS PROGRAM SERVICE ACTIVITY DURING THE PERIOD 1968 - 1999. IN 1999, IN ORDER TO MAINTAIN THE OPERATIONS OF THE HOSPITAL WITHOUT CUTTING ESSENTIAL SERVICES TO THE DEXTER, MISSOURI COMMUNITY, THE ORGANIZATION LEASED THE HOSPITAL FACILITIES, INCLUDING LAND, BUILDINGS AND EQUIP
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	12
6	Total number of volunteers (estimate if necessary) .............	6	35
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	61,898

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

1a	Federated campaigns..		1a
b	Membership dues..		1b	50
c	Fundraising events..		1c	7,700
d	Related organizations		1d
e	Government grants (contributions)		1e	109,117

f	All other contributions, gifts, grants, and similar amounts not included above		1f	147,245

g	Noncash contributions included in lines 1a - 1f:$		1g	53,813

h Total. Add lines 1a-1f.......		264,112

		Business Code
2a	RENT INCOME	531120	1,138	1,138
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,138

3 Investment income (including dividends, interest, and othersimilar amounts) ......			39,897			39,897
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		251,600	6a
b	Less: rental expenses		15,360	6b
c	Rental income or (loss)		236,240	6c
d	Net rental income or (loss).......			236,240			236,240
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	410,681	148,000	7a
b	Less: cost or other basis and sales expenses	239,898	105,885	7b
c	Gain or (loss)	170,783	42,115	7c
d	Net gain or (loss).........			212,898			212,898
8a	Gross income from fundraising events (not including $ 7,700of contributions reported on line 1c). See Part IV, line 18 ....
			8a	9,460
b	Less: direct expenses ...		8b	5,143
c	Net income or (loss) from fundraising events..			4,317			5,203
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	2,615
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..			2,615			2,615
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS INCOME		531120	500	500
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			500
12	Total revenue. See instructions.....			761,717	1,638		496,853

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	160,733	160,733
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	9,692	9,692
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	61,898	47,762	14,136
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	204,568	198,998	5,570
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........	20,278	18,878	1,400
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	450		450
c	Accounting ...........	19,887	13,258	6,629
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	22,103	15,193	6,910
12	Advertising and promotion ....	1,660	1,454	206
13	Office expenses .......	10,739	8,567	2,172
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	34,783	24,530	10,253
17	Travel ............	4,697	4,559	138
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,664	4,033	631
23	Insurance ...	4,946	2,909	2,037
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	OPERATING SUPPLIES	76,718	74,806	1,912
b	DUES AND SUBSCRIPTIONS	690	324	366
c	MISCELLANEOUS	551	551
d	TAXES AND LICENSES	60	30	30
e	All other expenses	26	25	1
25	Total functional expenses. Add lines 1 through 24e	639,143	586,302	52,841	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			100	1	100
2	Savings and temporary cash investments .........			712,688	2	694,294
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............				4
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,137,077
b	Less: accumulated depreciation	10b	4,566,342	816,260	10c	570,735
11	Investments—publicly traded securities .			1,465,558	11	1,789,661
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,340	15	1,260
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,995,946	16	3,056,050

17	Accounts payable and accrued expenses .....	938	17	868
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	62,400	24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	950	25	950
26	Total liabilities. Add lines 17 through 25..	64,288	26	1,818

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,931,658	27	3,054,232
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,931,658	32	3,054,232
33	Total liabilities and net assets/fund balances ........	2,995,946	33	3,056,050