BUCHANAN COUNTY HEALTH TRUST INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BUCHANAN COUNTY HEALTH TRUST INC (EIN 42-1340993)
Tax period
2020-05-01 to 2021-04-30
Filed
2022-06-13
IRS object ID
202241649349300439
Schema version
2020v4.0
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)
Return2022-06-13T13:32:38-07:00ReturnTs
Tax Period End2021-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421042703PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RFSW & Co CPAs PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114 East Charles StAddressLine1Txt
CityOelweinCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50662ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421340993EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUCHANAN COUNTY HEALTH TRUST INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBUCHBusinessNameControlTxt
Phone3193320905PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 1ST STREET EASTAddressLine1Txt
CityINDEPENDENCECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50644ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK COLLETTPersonNm
Person TitlePresidentPersonTitleTxt
Signature2022-06-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastCOLLETTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCecily M CorkeryPreparerPersonNm
PTINP02383852PTIN
Phone3192831173PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 1ST STREET EASTAddressLine1Txt
CityINDEPENDENCECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50644ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$155,035GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionENSURE ALL CITIZENS MAINTAIN ACCESS TO QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$27,868PYContributionsGrantsAmt
CY Contributions Grants$17,124CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$81,147PYInvestmentIncomeAmt
CY Investment Income$137,911CYInvestmentIncomeAmt
PY Other Revenue-$5,993PYOtherRevenueAmt
CY Other Revenue-$1,514CYOtherRevenueAmt
PY Total Revenue$103,022PYTotalRevenueAmt
CY Total Revenue$153,521CYTotalRevenueAmt
PY Grants And Similar Paid$42,511PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$55,125CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,081PYOtherExpensesAmt
CY Other Expenses$8,752CYOtherExpensesAmt
PY Total Expenses$47,592PYTotalExpensesAmt
CY Total Expenses$63,877CYTotalExpensesAmt
PY Revenues Less Expenses$55,430PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$89,644CYRevenuesLessExpensesAmt
Total Assets BOY$3,014,519TotalAssetsBOYAmt
Total Assets EOY$3,102,468TotalAssetsEOYAmt
Total Liabilities BOY$1,695TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,012,824NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,102,468NetAssetsOrFundBalancesEOYAmt
MissionENSURE ALL CITIZENS MAINTAIN ACCESS TO QUALITY HEALTH CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$56,524ExpenseAmt
Grant$55,125GrantAmt
DescBUCHANAN COUNTY HEALTH TRUST ORIGINATED WITH THE FORESIGHT OF PROVIDING FUNDS FOR HEALTH-RELATED PROJECTS ACROSS BUCHANAN COUNTY. GIFTS HELP ENSURE THAT ALL CITIZENS MAINTAIN ACCESS TO QUALITY HEALTH CARE.GIFTS TO THE HEALTH TRUST ARE NOT SPENT, BUT INSTEAD ADDED TO OUR ENDOWMENT. THE INTEREST GENERATED IS THEN USED TO SUPPORT ORGANIZATIONS THAT ARE DEDICATED TO IMPROVING THE HEALTH OF ALL BUCHANAN COUNTY CITIZENS.SINCE IT'S INCEPTION, THE TOTAL FUND BALANCE HAS GROWN TO APPROXIMATELY $3 MILLION.Desc
Total Program Service Expenses$56,524TotalProgramServiceExpensesAmt
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 ActivitiesYes (true)FundraisingActivitiesInd
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 RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBEN STEVENSPersonNm
Phone3193320905PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 1ST STREETAddressLine1Txt
CityINDEPENDENCECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50644ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARK COLLETT
President0.300.00Yes (X)Yes (X)$0$0$0
ZAK KNUTSON
Vice President0.000.00Yes (X)Yes (X)$0$0$0
MICHELLE MCBRIDE
Treasurer0.000.00Yes (X)Yes (X)$0$0$0
KRISTEN JENSEN
Secretary0.000.00Yes (X)$0$0$0
TRICIA BEATTY
Director0.000.00Yes (X)$0$0$0
JLLL LOUVAR
Director0.000.00Yes (X)$0$0$0
KAY DOLAN
Director0.000.00Yes (X)$0$0$0
TANYA GREINER
Director0.000.00Yes (X)$0$0$0
BRIAN MEYER
Director0.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$16,917FundraisingAmt
All Other Contributions$207AllOtherContributionsAmt
Total Contributions$17,124TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$137,911TotalRevenueColumnAmt
Exclusion$137,911ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$16,917ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,514FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,514TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,521TotalRevenueColumnAmt
Exclusion$137,911ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$55,125TotalAmt
Program Services$55,125ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,060TotalAmt
Management And General$1,060ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,074TotalAmt
Management And General$6,074ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$215TotalAmt
Program Services$215ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$219TotalAmt
Management And General$219ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,184TotalAmt
Program Services$1,184ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,877TotalAmt
Program Services$56,524ProgramServicesAmt
Management And General$7,353ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$319,059BOYAmt
EOY$104,601EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,591,770BOYAmt
EOY$1,950,795EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,103,690BOYAmt
EOY$1,047,072EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,014,519BOYAmt
EOY$3,102,468EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,695BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,695BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,012,824BOYAmt
EOY$3,102,468EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,012,824BOYAmt
EOY$3,102,468EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,014,519BOYAmt
EOY$3,102,468EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$89,644ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,024CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,776CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,468CurrentTaxYearMinus1YearAmt
Current Tax Year$16,917CurrentTaxYearAmt
Total$137,929TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,024CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,776CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,468CurrentTaxYearMinus1YearAmt
Current Tax Year$16,917CurrentTaxYearAmt
Total$137,929TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$137,929PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,529CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,529CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,260CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87,149CurrentTaxYearMinus1YearAmt
Current Tax Year$65,522CurrentTaxYearAmt
Total$251,989TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$389,918TotalSupportAmt
Public Support CY1700.35370PublicSupportCY170Pct
Public Support PY1700.41380PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER/AUCTIONEvent1Nm
Gross Receipts Event1$16,917GrossReceiptsEvent1Amt
Charitable Contri Event1$16,917CharitableContriEvent1Amt
Other Direct Expenses Event1$1,514OtherDirectExpensesEvent1Amt
Gross Receipts Total$16,917GrossReceiptsTotalAmt
Charitable Contributions Tot$16,917CharitableContributionsTotAmt
Oth Direct Expnss Total Events$1,514OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,514DirectExpenseSummaryEventsAmt
Net Income Summary-$1,514NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Client Note 1Client Note 1 - THE INTIAL PAPER FILING OF THE 990 WAS NECESSARY BECAUSE THE IRS WAS CLOSED FOR EFILE AT THE TIME AND NO CONTACT COULD BE MADE TO RECIEVE THE SPECIAL PERMISSION TO PAPER FILE. WE ARE NOW RESUBMITTING BASED ON NOTICE RECEIVED FROM THE IRS.
Client Note 2Client Note 2 - Request for reasonable cause penalty abatement COVID-19 To Whom It May Concern:We are writing on behalf of the Buchanan County Health Trust. We respectfully request that the late filing penalty be abated based on the IRSs reasonable cause criteria. COVID-19 challenges meet the IRSs reasonable cause standard.According to IRM 20.1.1.3.2, Reasonable cause, the IRS provides relief from a penalty based on reasonable cause when the taxpayer exercised ordinary business care and prudence in determining his or her tax obligations but was nevertheless unable to comply with those obligations.The COVID-19 pandemic impacted all aspects of life and created many uncertainties and challenges. Although the taxpayer exercised ordinary business care and prudence and made a good-faith effort to meet their tax deadlines, they were unable to do so due to COVID-19 impacts.Ben Stevens, the party responsible for maintaining the records for the Organization, was forced to take on the role of interim hospital CEO, while still expecting to maintain his duties as hospital CFO and record keeper of the Organization. The hospital and dealing with COVID-19 became the primary focus of the Custodian of the books. The Organization and its Board of Directors believed that they were in compliance and with COVID-19 impacting their ability to meet in person and run the Organization as they were accustomed to, they were not aware of any missed compliance. Once aware that an extension had not been properly filed, records were gathered and updated as quickly as possible for the the tax return to be filed to comply with the law. Since e-file was closed they opted to mail the return in order to attempt to comply as soon as possible. once recieving notice from the IRS that they must e-file. The return was then e-filed the same day. Based on the facts presented above, we respectfully request that the taxpayers penalty be removed based on reasonable cause. Thank you for your consideration.Sincerely, Cecily M Corkery, CPA
Form 990, Part VI, Line 8: Explanation of No Contemporaneously Documentation of MeetingsTHE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE FORM 990 IS PRESENTED AND REVIEWED BY ALL BOARD MEMBERS BEFORE IT IS FILED. THE 990 IS ALSO REVIEWED BY THE ASSOCIATE ADMINISTRATOR - CFO OF BUCHANAN COUNTY HEALTH CENTER.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM AND DISCLOSE TO THE BOARD ANY INTEREST IN A CONTRACT OR OTHER TRANSACTIONS THAT COULD CAUSE A CONFLICT OF INTEREST. THE BOARD THEN DETERMINES BY MAJORITY VOTE WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER IS NOT ALLOWED TO VOTE ON OR USE PERSONAL INFLUENCE OR PARTICIPATE IN THE DISCUSSION OR DELIBERATIONS WITH RESPECT TO THE CONTRACT OR TRANSACTIONS. THE BOARD MEMBER MAY BE ASKED TO LEAVE THE MEETING AND THE DISCUSSION AND DETERMINATION IS DOCUMENTED IN THE MINUTES.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
PART II SIGNATURE OF OFFICERPAPER FILING WAS REQUIRED BECAUSE IRS HAS CLOSED E-FILING

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationCOVID-19 - see attached noteExplanationTxt

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