PLUMAS HEALTH CARE FOUNDATION INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PLUMAS HEALTH CARE FOUNDATION INC (EIN 94-2820896)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2022-10-14
- IRS object ID
- 202232879349200548
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-14T15:15:49-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271599134 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREAUX GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2056 E MAIN ST 1 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95971 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942820896 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLUMAS HEALTH CARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PLUM | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 BUCKS LAKE RD | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95971 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILL WICKMAN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5302832121 | PhoneNum |
| Signature | 2022-10-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BILL | PersonFirstNm |
| Person Last | WICKMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER M SHEA EA | PreparerPersonNm |
| PTIN | P02050937 | PTIN |
| Phone | 5302833965 | PhoneNum |
| Preparation | 2022-10-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $67,487 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $67,478 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $9 | InvestmentIncomeAmt |
| Special Events Direct Expenses | $1,449 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$1,449 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $66,038 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $6,100 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $9,062 | OtherExpensesTotalAmt |
| Total Expenses | $15,162 | TotalExpensesAmt |
| Excess Or Deficit For Year | $50,876 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $210,984 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $261,860 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,984 | BOYAmt |
| EOY | $261,860 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,984 | BOYAmt |
| EOY | $261,860 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,984 | BOYAmt |
| EOY | $261,860 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE PLUMAS HEALTH CARE FOUNDATION SHALL PROMOTE THE HOSPITAL IN THE COMMUNITY, AND ENHANCE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN QUALITY HEALTH CARE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SUPPORT PLUMAS DISTRICT HOSPITAL PER ORGINAZATION'S MISSION. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $14,207 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $14,207 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| BILL WICKMAN | ||
| PRESIDENT | 000.00 | $0 |
| SUE WICKMAN | ||
| SECRETARY/TR | 000.00 | $0 |
| DWIGHT PEIRSON | ||
| VICE PRESIDE | 000.00 | $0 |
| JENNIFER MCQUARRIE | ||
| BOARD MEMBER | 000.00 | $0 |
| RUSSELL REID | ||
| BOARD MEMBER | 000.00 | $0 |
| RICK FOSTER | ||
| BOARD MEMBER | 000.00 | $0 |
| KIM KRAUL | ||
| BOARD MEMBER | 000.00 | $0 |
| GUY MCNETT | ||
| BOARD MEMBER | 000.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIFFANY LEONHARDT | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 BUCKS LAKE RD | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95971 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5302832121 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $102,078 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,323 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,478 | CurrentTaxYearAmt |
| Total | $451,082 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $12 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9 | CurrentTaxYearAmt |
| Total | $21 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $13,086 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,443 | CurrentTaxYearMinus2YearsAmt |
| Total | $26,529 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,487 | CurrentTaxYearAmt |
| Total | $477,632 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $477,632 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17 | CurrentTaxYearMinus2YearsAmt |
| Total | $53 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17 | CurrentTaxYearMinus2YearsAmt |
| Total | $53 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,382 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,538 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,487 | CurrentTaxYearAmt |
| Total | $477,685 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES BANK FEES 5 ADMINISTRATIVE EXPENSE 1,998 RENT 2,000 STIPENDS 2,000 CATERING 2,809 MISC CONFERENCE EXPENSES 250 TOTAL 9,062 |
| FORM 990-EZ, PART I, LINE 20 | ADJUSTMENT 0 |
| FORM 990-EZ, PART III | THE PLUMAS HEALTH CARE FOUNDATION SHALL PROMOTE THE HOSPITAL IN THE COMMUNITY, AND ENHANCE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN QUALITY HEALTH CARE. |
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