WRAY COMMUNITY DISTRICT HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- WRAY COMMUNITY DISTRICT HOSPITAL (EIN 46-3225995)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-08-21
- IRS object ID
- 202542339349301124
- Schema version
- 2024v5.0
- 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 | 2025-08-21T13:13:26-04:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DZA PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463225995 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRAY COMMUNITY LONG TERM CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WRAY | BusinessNameControlTxt |
| Phone | 9703324856 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1017 W 7TH STREET | AddressLine1Txt |
| City | WRAY | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80758 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN EVERETT | PersonNm |
| Person Title | CFO (BEGAN 11/2024) | PersonTitleTxt |
| Phone | 9703324856 | PhoneNum |
| Signature | 2025-08-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RIKKI PATCH | PreparerPersonNm |
| PTIN | P01472231 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2025-08-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLCREST CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1017 W 7TH STREET | AddressLine1Txt |
| City | WRAY | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,720,955 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://HILLCRESTCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE AN ELDER-CENTERED CARE COMMUNITY WHERE RESIDENTS FEEL LOVED, SECURE AND CONTENT WHILE MAINTAINING INDEPENDENCE AND CHOICE IN DAILY LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 122 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,604,172 | PYContributionsGrantsAmt |
| CY Contributions Grants | $145,612 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,014,777 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,931,047 | CYProgramServiceRevenueAmt |
| PY Investment Income | $882 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,864 | CYInvestmentIncomeAmt |
| PY Other Revenue | $37,286 | PYOtherRevenueAmt |
| CY Other Revenue | $638,475 | CYOtherRevenueAmt |
| PY Total Revenue | $6,657,117 | PYTotalRevenueAmt |
| CY Total Revenue | $6,719,998 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,969,519 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,053,457 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,918,082 | PYOtherExpensesAmt |
| CY Other Expenses | $2,303,000 | CYOtherExpensesAmt |
| PY Total Expenses | $5,887,601 | PYTotalExpensesAmt |
| CY Total Expenses | $6,356,457 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $769,516 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $363,541 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,310,038 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,467,088 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,391,069 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,261,578 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,918,969 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,205,510 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE HEALTHIER SENIOR LIVING THROUGH COMPASSIONATE, QUALITY, PERSON DIRECTED CARE...FAMILY CARE WITH A FAMILY TOUCH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,797,437 | ExpenseAmt |
| Revenue | $5,931,047 | RevenueAmt |
| Desc | WRAY COMMUNITY LONG TERM CARE, INC. D/B/A HILLCREST CARE CENTER AND THE TOWERS OPERATES A 45-BED SKILLED NURSING FACILITY AND A 24-UNIT ASSISTED LIVING FACILITY. THE PURPOSE OF HILLCREST CARE CENTER IS TO MAINTAIN AN ENVIRONMENT THAT WILL BE RESPONSIVE TO THE NEEDS OF OUR RESIDENTS AND THEIR FAMILIES, THUS ALLOWING PEOPLE TO BE IN THIS COMMUNITY AND TO LIVE WHERE FAMILIES AND FRIENDS CAN VISIT WITHOUT HAVING TO TRAVEL A LONG DISTANCE. HILLCREST CARE CENTER AND THE TOWERS SERVED 135 RESIDENTS AND PROVIDED 19,274 DAYS OF RESIDENT SERVICES TO AGING ADULTS DURING THE YEAR. | Desc |
| Total Program Service Expenses | $4,797,437 | 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 | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | 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 | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 | Yes (true) | 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 | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 122 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | 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 | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELE STAGGS | PersonNm |
| Phone | 9703324856 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1017 W 7TH STREET | AddressLine1Txt |
| City | WRAY | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80758 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN HART | |||||||||
| CEO | 1.00 | 39.00 | Yes (X) | $0 | $229,679 | $8,799 | |||
| JENNIFER KRAMER | |||||||||
| CCO | 1.00 | 39.00 | $0 | $195,910 | $21,352 | Yes (X) | |||
| TOBY STULTS | |||||||||
| CFO (ENDED 1 | 1.00 | 39.00 | Yes (X) | $0 | $115,805 | $12,779 | |||
| ANA RYDQUIST | |||||||||
| DIRECTOR OF | 40.00 | $112,181 | $0 | $15,178 | Yes (X) | ||||
| HORACIO REYNOSOS JR | |||||||||
| RN | 40.00 | $107,444 | $0 | $16,085 | Yes (X) | ||||
| DELORES WILLIAMS | |||||||||
| ASSISTED LIV | 40.00 | $106,451 | $0 | $15,617 | Yes (X) | ||||
| JOHN EVERETT | |||||||||
| CFO (BEGAN 1 | 1.00 | 39.00 | Yes (X) | $0 | $46,219 | $2,633 | |||
| CRAIG SOEHNER | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| AMANDA KERBS | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES HENDRIX | |||||||||
| SECRETARY/TR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LAURIE JONES | |||||||||
| MEMBER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| RANDY DEASON | |||||||||
| MEMBER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $326,076 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $587,613 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $92,443 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIME TIME HEALTHCARE | |||||
| PO BOX 3544 | OMAHA | NE | 68103 | NURSING | $421,127 |
| COLAVRIA HOSPITALITY INC | |||||
| 1127 E 16TH AVE | DENVER | CO | 80218 | TEMP. ADMIN. | $172,105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $100,000 | RelatedOrganizationsAmt |
| All Other Contributions | $45,612 | AllOtherContributionsAmt |
| Total Contributions | $145,612 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET RESIDENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $5,931,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,931,047 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,931,047 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,864 | TotalRevenueColumnAmt |
| Exclusion | $4,864 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $1,350 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $957 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $393 | TotalRevenueColumnAmt |
| Exclusion | $393 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INSURANCE PROCEEDS | 900099 | $580,660 | $580,660 |
| OTHER | 900099 | $54,275 | $54,275 |
| GIFT SHOP | 900099 | $2,026 | $2,026 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,121 | TotalRevenueColumnAmt |
| Exclusion | $1,121 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $638,082 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,719,998 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,931,047 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $643,339 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,164,808 | TotalAmt |
| Program Services | $2,833,467 | ProgramServicesAmt |
| Management And General | $331,341 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,080 | TotalAmt |
| Program Services | $61,374 | ProgramServicesAmt |
| Management And General | $520,706 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,569 | TotalAmt |
| Program Services | $215,145 | ProgramServicesAmt |
| Management And General | $91,424 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,293 | TotalAmt |
| Management And General | $14,293 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,900 | TotalAmt |
| Management And General | $13,900 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $935,824 | TotalAmt |
| Program Services | $684,847 | ProgramServicesAmt |
| Management And General | $250,977 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,732 | TotalAmt |
| Management And General | $32,732 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,880 | TotalAmt |
| Program Services | $50,963 | ProgramServicesAmt |
| Management And General | $17,917 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,488 | TotalAmt |
| Program Services | $101,964 | ProgramServicesAmt |
| Management And General | $15,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,684 | TotalAmt |
| Program Services | $5,985 | ProgramServicesAmt |
| Management And General | $1,699 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,900 | TotalAmt |
| Program Services | $4,753 | ProgramServicesAmt |
| Management And General | $19,147 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,703 | TotalAmt |
| Program Services | $4,422 | ProgramServicesAmt |
| Management And General | $56,281 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,899 | TotalAmt |
| Program Services | $302,899 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,482 | TotalAmt |
| Management And General | $129,482 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY SUPPLIES | $215,311 | $215,311 | |
| MEDICAL SUPPLIES & DRUGS | $145,622 | $145,622 | |
| REPAIRS & MAINTENANCE | $100,518 | $98,644 | $1,874 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,764 | TotalAmt |
| Program Services | $72,041 | ProgramServicesAmt |
| Management And General | $61,723 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,356,457 | TotalAmt |
| Program Services | $4,797,437 | ProgramServicesAmt |
| Management And General | $1,559,020 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,883 | BOYAmt |
| EOY | $17,216 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,694 | BOYAmt |
| EOY | $1,352,171 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,044,976 | BOYAmt |
| EOY | $1,044,976 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,503 | BOYAmt |
| EOY | $538,438 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,979 | BOYAmt |
| EOY | $119,797 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,869,683 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,475,193 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,588,003 | BOYAmt |
| EOY | $3,394,490 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,310,038 | BOYAmt |
| EOY | $6,467,088 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $519,015 | BOYAmt |
| EOY | $1,774,270 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,000 | BOYAmt |
| EOY | $18,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,144 | BOYAmt |
| EOY | $4,503 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,849,910 | BOYAmt |
| EOY | $1,464,805 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,391,069 | BOYAmt |
| EOY | $3,261,578 | 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 | $2,866,464 | BOYAmt |
| EOY | $3,143,724 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,505 | BOYAmt |
| EOY | $61,786 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,918,969 | BOYAmt |
| EOY | $3,205,510 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,310,038 | BOYAmt |
| EOY | $6,467,088 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $363,541 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$77,000 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $146,750 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,135,164 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $717,368 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,604,172 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $145,612 | CurrentTaxYearAmt |
| Total | $3,749,066 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,596,592 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,651,466 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,208,058 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,014,777 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,931,047 | CurrentTaxYearAmt |
| Total | $23,401,940 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,743,342 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,786,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,925,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,618,949 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,076,659 | CurrentTaxYearAmt |
| Total | $27,151,006 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,656,436 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,360,902 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,323,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $982,207 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,697,349 | CurrentTaxYearAmt |
| Total | $7,019,962 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,656,436 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,360,902 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,323,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $982,207 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,697,349 | CurrentTaxYearAmt |
| Total | $7,019,962 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $20,131,044 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,566 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $280 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $882 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,864 | CurrentTaxYearAmt |
| Total | $7,940 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,566 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $280 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $882 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,864 | CurrentTaxYearAmt |
| Total | $7,940 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,884 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,101 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,286 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $638,475 | CurrentTaxYearAmt |
| Total | $803,212 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,780,374 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,845,794 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,958,875 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,657,117 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,719,998 | CurrentTaxYearAmt |
| Total | $27,962,158 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.71990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.74770 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MEAL INCOME 4,062 GIFT SHOP REVENUE 10,884 OTHER REVENUE 204,349 FUNDRAISING EVENT REVENUE 3,257 INSURANCE PROCEEDS 580,660 | ExplanationTxt |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,177 | OtherCostOrOtherBasisAmt |
| Book Value | $13,177 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,703,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,188,747 | DepreciationAmt |
| Book Value | $2,514,574 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $371,268 | OtherCostOrOtherBasisAmt |
| Depreciation | $286,446 | DepreciationAmt |
| Book Value | $84,822 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $781,917 | OtherCostOrOtherBasisAmt |
| Book Value | $781,917 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,394,490 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART IV, LINE 2B | ARRANGEMENT FOR CUSTODIAL ACCOUNT LIABILITY: HILLCREST ACTS AS CUSTODIAN FOR THE FUNDS OF THE NURSING FACILITY RESIDENTS. THESE FUNDS ARE INCLUDED IN CASH AND CASH EQUIVALENTS AND ACCOUNTS PAYABLE IN THE BALANCE SHEET. RESIDENT TRUST TOTALED 4,504 AT DECEMBER 2024. |
| SCHEDULE D, PAGE 3, PART X | HILLCREST IS A COLORADO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|
| JOHN HART | |||||
| CEO | $209,679 | $20,000 | $8,001 | $798 | $238,478 |
| JENNIFER KRAMER | |||||
| CCO | $185,910 | $10,000 | $6,697 | $14,655 | $217,262 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION IS PAID BY A RELATED ORGANIZATION. THE SHARED BOARD OF WRAY DISTRICT HOSPITAL AND WRAY COMMUNITY LONG TERM CARE REVIEWS COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS BEFORE APPROVING THE COMPENSATION OF THE CEO AND ADMINISTRATOR. THIS PROCESS AND THE DECISION REACHED ARE DOCUMENTED IN THE BOARD MINUTES AND PERSONNEL FILES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | FOR FORM 990 PURPOSES, WRAY COMMUNITY HOSPITAL DISTRICT IS A MEMBER OF WRAY COMMUNITY LONG TERM CARE. WRAY COMMUNITY HOSPITAL DISTRICT'S BOARD OF DIRECTORS SERVE AS THE GOVERNING BODY OF WRAY COMMUNITY LONG TERM CARE. |
| FORM 990, PAGE 6, PART VI, LINE 7A | AT ALL TIMES, THE MEMBERS OF THE BOARD OF DIRECTORS SHALL HOLD OFFICE FOR A TERM CONCURRENT WITH THEIR TERM ON THE BOARD OF WRAY COMMUNITY HOSPITAL DISTRICT. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO, CFO, AND ADMINISTRATOR WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHEMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS THEN APPROVED BY THE BOARD. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | TO PROTECT THE IMPARTIAL DECISION MAKING AND REPUTATION OF BOTH THE ORGANIZATION AND THOSE INVOLVED WITH IT, TRANSACTIONS WITH RELATED PARTIES WHERE A POTENTIAL CONFLICT OF INTERESTS EXISTS OR MAY APPEAR TO EXIST ARE REVIEWED BY THE CFO. IF A CONFLICT IS DEEMED TO EXIST, THE INDIVIDUAL WILL RECUSE THEMSELVES FROM VOTING OR DISCUSSING THOSE PARTICULAR MATTERS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE SHARED BOARD OF WRAY DISTRICT HOSPITAL AND WRAY COMMUNITY LONG TERM CARE REVIEW COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS BEFORE APPROVING THE COMPENSATION OF THE CEO AND ADMINISTRATOR. THIS PROCESS AND DECISION REACHED ARE DOCUMENTED IN THE BOARD MINUTES AND PERSONNEL FILES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE IRS FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | NURSING SERVICES 518,406 0 0 PHYSICIAN SERVICES 21,500 0 0 MEDICAL DIRECTOR SERVICES 115,374 0 0 OTHER PROFESSIONAL SERVICES 29,567 250,977 0 TOTAL 684,847 250,977 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WRAY COMMUNITY DISTRICT HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1017 WEST 7TH STREET | AddressLine1Txt |
| City | WRAY | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840370617 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | GOV | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WRAY COMMUNITY DISTRICT HOSPITAL | ||
| C | $100,000 | GAAP |
| WRAY COMMUNITY DISTRICT HOSPITAL | ||
| O | $633,176 | GAAP |
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