BOLIVAR MEDICAL CENTER FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BOLIVAR MEDICAL CENTER FOUNDATION (EIN 64-0923090)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-04-27
IRS object ID
202011189349301556
Schema version
2019v5.0
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)
Return2020-04-27T16:31:33-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN640869840PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JACKSON BRASWELL MULLINS & BAILEY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 298AddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38732ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640923090EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOLIVAR MEDICAL CENTER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOLIBusinessNameControlTxt
Phone6628431555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 298AddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38732ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK HARGETTPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone6628431555PhoneNum
Signature2020-02-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH E MULLINSPreparerPersonNm
PTINP00506313PTIN
Phone6628431555PhoneNum
Preparation2020-02-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.235.6.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-27IPDt
IP Tm16:31:33IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id12135B08BD75AE5340A12798DC07AFECAAB245B9AtSubmissionCreationDeviceId
At Submission Filing Device Id12135B08BD75AE5340A12798DC07AFECAAB245B9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK HARGETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113 OAKRIDGEAddressLine1Txt
CityBOYLECityNm
State AbbreviationMSStateAbbreviationCd
ZIP38730ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,788,707GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BOLIVARMEDICALCENTERFOUNDATION.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THE FOUNDATION IS TO PROMOTE THE HEALTH OF THE CITIZENS OF BOLIVAR COUNTY, MISSISSIPPI.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$2,643,778PYInvestmentIncomeAmt
CY Investment Income$9,589,549CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue-$2,643,778PYTotalRevenueAmt
CY Total Revenue$9,589,549CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,849,278PYOtherExpensesAmt
CY Other Expenses$1,527,077CYOtherExpensesAmt
PY Total Expenses$1,849,278PYTotalExpensesAmt
CY Total Expenses$1,527,077CYTotalExpensesAmt
PY Revenues Less Expenses-$4,493,056PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,062,472CYRevenuesLessExpensesAmt
Total Assets BOY$47,752,137TotalAssetsBOYAmt
Total Assets EOY$55,814,609TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$47,752,137NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$55,814,609NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE OF THE FOUNDATION IS TO PROMOTE THE HEALTH OF THE CITIZENS OF BOLIVAR COUNTY, MISSISSIPPI.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,375,816ExpenseAmt
DescBOLIVAR COUNTY, MISSISSIPPIDesc
Total Program Service Expenses$1,375,816TotalProgramServiceExpensesAmt
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 StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document1IRPDocumentCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACKSON BRASWELL MULLINS & BAILEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6628431555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 298AddressLine1Txt
CityCLEVELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38732ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
E E CASTON
DIRECTORYes (X)$0$0$0
GEORGENNE CLARK
DIRECTORYes (X)$0$0$0
CHRIS COLLINS
DIRECTORYes (X)$0$0$0
NORMA R EVANS
DIRECTORYes (X)$0$0$0
MARK HARGETT
CHAIRMANYes (X)$0$0$0
ADOLPH HILLIARD
DIRECTORYes (X)$0$0$0
DARRYL JOHNSON
DIRECTORYes (X)$0$0$0
DERICK MILES
VICE CHAIRMAYes (X)$0$0$0
JAMIE RUTLEDGE
DIRECTORYes (X)$0$0$0
NED TOLLIVER
TREASURERYes (X)$0$0$0
BENNIE WRIGHT
SECRETARYYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,553,510TotalRevenueColumnAmt
Related Or Exempt Func Income$8,553,510RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,999,786SecuritiesAmt
Other$235,411OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,199,158SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$800,628SecuritiesAmt
Other$235,411OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,036,039TotalRevenueColumnAmt
Related Or Exempt Func Income$1,036,039RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,589,549TotalRevenueColumnAmt
Related Or Exempt Func Income$9,589,549RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,248TotalAmt
Management And General$12,248ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,080TotalAmt
Management And General$23,080ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$108,280TotalAmt
Management And General$108,280ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$160TotalAmt
Management And General$160ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$144TotalAmt
Management And General$144ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,349TotalAmt
Management And General$7,349ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DELTA HEALTH CENTER$614,001$614,001
DELTA FRESH FOODS ISTITUT$250,000$250,000
INDIGENT CARE$200,000$200,000
AMBULATORY CARE$135,477$135,477

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$176,338TotalAmt
Program Services$176,338ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,527,077TotalAmt
Program Services$1,375,816ProgramServicesAmt
Management And General$151,261ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50,091BOYAmt
EOY$158,669EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,672,046BOYAmt
EOY$55,655,940EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,752,137BOYAmt
EOY$55,814,609EOYAmt

Total Liabilities TotalLiabilitiesGrp

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,752,137BOYAmt
EOY$55,814,609EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,752,137BOYAmt
EOY$55,814,609EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,752,137BOYAmt
EOY$55,814,609EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,062,472ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Governmental UnitYes (X)GovernmentalUnitInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$9,589,549TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$9,589,549RevenueSubtotalAmt
Total Revenue Per Form990$9,589,549TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,527,077TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,527,077ExpensesSubtotalAmt
Total Expenses Per Form990$1,527,077TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART IX, LINE 24EDSU ATHLETIC DEPARTMENT 120,000 0 0 NURSING SCHORLARSHIPS 34,338 0 0 BOL COUNTY COUNCIL ON AGI 22,000 0 0 TOTAL 176,338 0 0

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