MAYERS HEALTHCARE FOUNDATION INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MAYERS HEALTHCARE FOUNDATION INC (EIN 91-1839151)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349324796
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T17:03:58-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 680397834 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DH SCOTT & COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 MARKET ST | AddressLine1Txt |
| City | REDDING | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 960010530 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911839151 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYERS HEALTHCARE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAYE | BusinessNameControlTxt |
| Phone | 5303365211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 77 | AddressLine1Txt |
| City | FALL RIVER MILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96028 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL KERNS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5303365511 | PhoneNum |
| Signature | 2021-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PAUL | PersonFirstNm |
| Person Last | KERNS | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL J CATANESE CPA | PreparerPersonNm |
| PTIN | P00735076 | PTIN |
| Phone | 5302434300 | PhoneNum |
| Preparation | 2021-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEITH EARNEST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 77 | AddressLine1Txt |
| City | FALL RIVER MILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $402,659 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUPPORTMAYERSFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SUPPORT FOR THE OPERATIONS OF MAYERS MEMORIAL HOSPITAL DISTRICT | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 109 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $298,187 | PYContributionsGrantsAmt |
| CY Contributions Grants | $122,664 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,541 | PYInvestmentIncomeAmt |
| CY Investment Income | $152,722 | CYInvestmentIncomeAmt |
| PY Other Revenue | $131,676 | PYOtherRevenueAmt |
| CY Other Revenue | $95,062 | CYOtherRevenueAmt |
| PY Total Revenue | $447,404 | PYTotalRevenueAmt |
| CY Total Revenue | $370,448 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,250,328 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $623,579 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,006 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,246 | PYOtherExpensesAmt |
| CY Other Expenses | $33,070 | CYOtherExpensesAmt |
| PY Total Expenses | $1,304,574 | PYTotalExpensesAmt |
| CY Total Expenses | $656,649 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$857,170 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$286,201 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $844,790 | TotalAssetsBOYAmt |
| Total Assets EOY | $573,179 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,438 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,477 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $842,352 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $570,702 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE SUPPORT FOR THE OPERATIONS OF MAYERS MEMORIAL HOSPITAL DISTRICT | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $69,113 | ExpenseAmt |
| Grant | $69,113 | GrantAmt |
| Desc | EQUIPMENT: PROVIDED NEW EQUIPMENT TO VARIOUS DEPARTMENTS INCLUDING: SKILLED NURSING, CARDIAC REHAB, RESPIRATORY, OUTPATIENT MEDICAL/WOUND CARE, ENVIRONMENTAL SERVICES, IMAGING, TECHNOLOGY UPGRADES, PHYSICAL THERAPY, MICROBIOLOGY & MOLECULAR BIOLOGY LAB, EMERGENCY SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $520,456 | ExpenseAmt |
| Grant | $520,456 | GrantAmt |
| Desc | NEW HOSPITAL WING(NHW): PROVIDED SECONDARY FUNDING FOR THE NEW HOSPITAL WING BEING CONSTRUCTED BY MAYERS MEMORIAL HOSPITAL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,860 | ExpenseAmt |
| Grant | $22,860 | GrantAmt |
| Desc | HOSPICE: PROVIDED SUPPORT TO MAYERS MEMORIAL HOSPITAL DISTRICT'S HOSPICE PROGRAM THAT PROVIDES SERVICE AND CARE 24/7 365 DAYS PER YEAR SERVING 18,000 RESIDENTS IN THE FORM OF: HOSPICE TRAINING, INCLUDING TRAVEL, FOR STAFF AND MUCH NEEDED EQUIPMENT AND SUPPLIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,150 | ExpenseAmt |
| Grant | $11,150 | GrantAmt |
| Desc | ALL OTHER PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,150 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $11,150 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $623,579 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACY GEISLER | PersonNm |
| Phone | 5303365511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43563 HIGHWAY 299 EAST | AddressLine1Txt |
| City | FALL RIVER MILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| LINDA ADAMS | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| MONA CARR | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| JAMES HAMLIN | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| RANDALL HARR | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| MARTIN JOHNSON | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| ELSIE MATTHEWS | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| GAIL MCCLUNG | ||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||
| RENEE COE | ||||||
| SECRETARY | $0 | $0 | $0 | 0.25 | Yes (X) | |
| KEITH EARNEST | ||||||
| PRESIDENT | $0 | $0 | $0 | 0.50 | Yes (X) | |
| PAUL KERNS | ||||||
| TREASURER | $0 | $0 | $0 | 0.25 | Yes (X) | |
| STEVEN RAFFIN MD | ||||||
| VICE-PRESIDE | $0 | $0 | $0 | 0.25 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $122,664 | AllOtherContributionsAmt |
| Total Contributions | $122,664 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $142,651 | TotalRevenueColumnAmt |
| Exclusion | $142,651 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,071 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,071 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,071 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,071 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $15,274 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,966 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,308 | TotalRevenueColumnAmt |
| Exclusion | $13,308 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $111,999 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $30,245 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,754 | TotalRevenueColumnAmt |
| Exclusion | $81,754 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $370,448 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,071 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $237,713 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,429 | TotalAmt |
| Program Services | $612,429 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,150 | TotalAmt |
| Program Services | $11,150 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,982 | TotalAmt |
| Management And General | $1,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,732 | TotalAmt |
| Management And General | $17,728 | ManagementAndGeneralAmt |
| Fundraising | $4 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595 | TotalAmt |
| Management And General | $595 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,147 | TotalAmt |
| Management And General | $145 | ManagementAndGeneralAmt |
| Fundraising | $7,002 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,614 | TotalAmt |
| Management And General | $5,614 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,649 | TotalAmt |
| Program Services | $623,579 | ProgramServicesAmt |
| Management And General | $26,064 | ManagementAndGeneralAmt |
| Fundraising | $7,006 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,804 | BOYAmt |
| EOY | $355,067 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,656 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,330 | BOYAmt |
| EOY | $218,112 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,790 | BOYAmt |
| EOY | $573,179 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,438 | BOYAmt |
| EOY | $2,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,438 | BOYAmt |
| EOY | $2,477 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,083 | BOYAmt |
| EOY | $107,157 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $765,269 | BOYAmt |
| EOY | $463,545 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $842,352 | BOYAmt |
| EOY | $570,702 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,790 | BOYAmt |
| EOY | $573,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$286,201 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,551 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAYERS MEMORIAL HOSPITAL DISTRICT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941634940 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $612,429 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $612,429 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | false | TimelyProvidedDocumentsInd |
| Officers Close Relationship | false | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | false | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Governmental Entity | Yes (X) | GovernmentalEntityInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION D, LINE 2 | THE ORGANIZATION'S BYLAWS INCLUDES A PROVISION THAT STATES THAT AT ALL TIMES,THE CHIEF EXECUTIVE OFFICE OF THE SUPPORTED ORGANIZATION, AND ONE (1) OR TWO (2) MEMBERS OF THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATION SHALL BE EX OFFICIO NON-VOTING DIRECTORS OF THE CORPORATION (ORGANIZATION). THIS PROVISION WAS COMPLIED WITH IN 2020 AND INCLUDED THE CEO AND ONE (1) MEMBER OF THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATION DURING ALL DIRECTOR'S MEETINGS AND BUSINESS. |
| PART IV, SECTION E, LINE 1C | THE ORGANIZATION SUPPORTS MAYERS MEMORIAL HOSPITAL DISTRICT BY PROVIDING SERVICE AND CARE IN THE FORM OF HOSPICE TRAINING FOR STAFF, MUCH NEEDED SUPPLIES FOR HOSPICE PATIENT CARE, NEW EQUIPMENT TO VARIOUS DEPARTMENTS INCLUDING ACUTE CARE, PHARMACY, RESPIRATORY, TELEMEDICINE, SKILLED NURSING, CARDIAC REHAB, PHYSICAL THERAPY, ER, RADIOLOGY, DIETARY, SURGERY, AND INFRASTRUCTURE IMPROVEMENTS. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPECIAL EVENTS | Event1Nm |
| Gross Receipts Event1 | $15,274 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $15,274 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $1,966 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $15,274 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $15,274 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,966 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $1,966 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $13,308 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|
| MAYERS MEMORIAL HOSPITAL DISTRICT | ||||||
| 43563 HWY 299 EAST | FALL RIVER MILLS | CA | 96028 | 941634940 | $22,860 | HOSPICE ASSISTANCE |
| MAYERS MEMORIAL HOSPITAL DISTRICT | ||||||
| 43563 HWY 299 EAST | FALL RIVER MILLS | CA | 96028 | 941634940 | $69,113 | PURCHASE EQUIPMENT |
| MAYERS MEMORIAL HOSPITAL DISTRICT | ||||||
| 43563 HWY 299 EAST | FALL RIVER MILLS | CA | 96028 | 941634940 | $520,456 | NEWHOSP.WINGCONSTR.. |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 13 | RecipientCnt |
| Cash Grant | $11,150 | CashGrantAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | ALL OTHER PROGRAMS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD MEMBERS RECEIVE A COPY OF FORM 990 DRAFT FOR REVIEW AND COMMENT PRIOR TO FILING OF INFORMATION RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | TO ENSURE COMPLIANCE WITH THIS POLICY, BOARD MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. RESPONSES ARE REVIEWED BY THE FOUNDATION CEO AND THE FOUNDATION BOARD OF DIRECTORS. THE FOUNDATION BOARD SHALL MAKE THE FINAL DECISION IN ALL MATTERS OF CONFLICT OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND TAX RETURNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE FOUNDATION'S OFFICE AT ANY TIME, OR VIA GUIDESTAR'S WEBSITE, WHICH IS A GLOBAL DATABASE FOR NONPROFITS WITH INFORMATION AND TAX RETURNS. |
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