PLUMAS HEALTH CARE FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PLUMAS HEALTH CARE FOUNDATION INC (EIN 94-2820896)
Tax period
2022-07-01 to 2023-06-30
Filed
2023-10-23
IRS object ID
202342969349300134
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-10-23T12:14:58-04:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271599134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BREAUX GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12056 E MAIN ST 1AddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942820896EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLUMAS HEALTH CARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPLUMBusinessNameControlTxt
Phone5302837127PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDWIGHT PIERSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5302837127PhoneNum
Signature2023-08-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDWIGHTPersonFirstNm
Person LastPIERSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER M SHEA EAPreparerPersonNm
PTINP02050937PTIN
Phone5302833965PhoneNum
Preparation2023-08-22PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PLUMAS HEALTH CARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDWIGHT PIERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$71,191GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Activity Or MissionTHE PLUMAS HEALTH CARE FOUNDATION SHALL PROMOTE THE HOSPITAL IN THE COMMUNITY, AND ENHANCE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$63,503CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$17CYInvestmentIncomeAmt
CY Other Revenue$750CYOtherRevenueAmt
CY Total Revenue$64,270CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$18,780CYOtherExpensesAmt
CY Total Expenses$18,780CYTotalExpensesAmt
CY Revenues Less Expenses$45,490CYRevenuesLessExpensesAmt
Total Assets BOY$261,859TotalAssetsBOYAmt
Total Assets EOY$307,548TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$261,859NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$307,548NetAssetsOrFundBalancesEOYAmt
MissionTHE PLUMAS HEALTH CARE FOUNDATION SHALL PROMOTE THE HOSPITAL IN THE COMMUNITY, AND ENHANCE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN QUALITY HEALTH CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,767ExpenseAmt
DescSUPPORT PLUMAS DISTRICT HOSPITAL PER ORGINAZATION'S MISSION.Desc
Total Program Service Expenses$17,767TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSIERRA BLANTONPersonNm
Phone5302837127PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SIERRA BLANTON
FOUNDATION DYes (X)$0$0$0
RICK FOSTER
SECRETARY/TRYes (X)$0$0$0Yes (X)
DWIGHT PIERSON
PRESIDENT$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$63,503AllOtherContributionsAmt
Total Contributions$63,503TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17TotalRevenueColumnAmt
Related Or Exempt Func Income$17RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,671FundraisingGrossIncomeAmt
Fundraising Direct Expenses$6,921FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$750TotalRevenueColumnAmt
Exclusion$750ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,270TotalRevenueColumnAmt
Related Or Exempt Func Income$17RelatedOrExemptFuncIncomeAmt
Exclusion$750ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,006TotalAmt
Program Services$1,003ProgramServicesAmt
Management And General$1,003ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,097TotalAmt
Program Services$6,097ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,834TotalAmt
Program Services$1,834ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$344TotalAmt
Program Services$334ProgramServicesAmt
Management And General$10ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$510TotalAmt
Program Services$510ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$906TotalAmt
Program Services$906ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,115TotalAmt
Program Services$5,115ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescDIRECT PROGRAM EXPENSESDesc
Total$1,968TotalAmt
Program Services$1,968ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,780TotalAmt
Program Services$17,767ProgramServicesAmt
Management And General$1,013ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$238,178BOYAmt
EOY$283,850EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,705BOYAmt
EOY$17,722EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,976BOYAmt
EOY$5,976EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$261,859BOYAmt
EOY$307,548EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$244,154BOYAmt
EOY$289,826EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,705BOYAmt
EOY$17,722EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$261,859BOYAmt
EOY$307,548EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$261,859BOYAmt
EOY$307,548EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$45,490ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$199OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$67,478CurrentTaxYearMinus1YearAmt
Current Tax Year$63,503CurrentTaxYearAmt
Total$374,221TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$12CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9CurrentTaxYearMinus1YearAmt
Current Tax Year$17CurrentTaxYearAmt
Total$38TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,086CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,443CurrentTaxYearMinus3YearsAmt
Current Tax Year$7,671CurrentTaxYearAmt
Total$34,200TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,521CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$67,487CurrentTaxYearMinus1YearAmt
Current Tax Year$71,191CurrentTaxYearAmt
Total$408,459TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$408,459PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17CurrentTaxYearMinus3YearsAmt
Total$35TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17CurrentTaxYearMinus3YearsAmt
Total$35TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,943CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$115,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$67,487CurrentTaxYearMinus1YearAmt
Current Tax Year$71,191CurrentTaxYearAmt
Total$408,494TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART IX, LINE 11GHOSPITAL IMPROVEMENTS 5,005 0 0 EQUIPMENT RENTAL & MAINTENANC 1,040 0 0 SUPPLIES & MATERIALS 52 0 0 TOTAL 6,097 0 0
FORM 990, PART XI, LINE 9PREVIOUS PERIOD ADJUSTMENT 199

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