PLUMAS HEALTH CARE FOUNDATION INC: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PLUMAS HEALTH CARE FOUNDATION INC (EIN 94-2820896)
Tax period
2018-07-01 to 2019-06-30
Filed
2019-10-15
IRS object ID
201942889349200444
Schema version
2018v3.1
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)
Return2019-10-15T12:30:11-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271599134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BREAUX GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1372 MAIN STAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942820896EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLUMAS HEALTH CARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPLUMBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBILL WICKMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5302832121PhoneNum
Signature2019-10-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER M SHEA EAPreparerPersonNm
PTINP02050937PTIN
Phone5302833965PhoneNum
Preparation2019-10-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.127.112.37IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-15IPDt
IP Tm12:30:11IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA729AD6C535F97C7133919C13B07602F3221007DAtSubmissionCreationDeviceId
At Submission Filing Device Id8A4E9B7F05CF65F66A715AD75C37C8D2E4457573AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$74,943GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$61,839ContributionsGiftsGrantsEtcAmt
Investment Income$18InvestmentIncomeAmt
Fundraising Gross Income$13,086FundraisingGrossIncomeAmt
Special Events Direct Expenses$1,816SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$11,270SpecialEventsNetIncomeLossAmt
Total Revenue$73,127TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$104,137FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$374PrintingPublicationsPostageAmt
Other Expenses Total$8,312OtherExpensesTotalAmt
Total Expenses$112,823TotalExpensesAmt
Excess Or Deficit For Year-$39,696ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$157,758NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$118,062NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$157,758BOYAmt
EOY$118,062EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$157,758BOYAmt
EOY$118,062EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$157,758BOYAmt
EOY$118,062EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE 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

FieldValueIRS element (for citing)
Description Program Srvc AccomSUPPORT PLUMAS DISTRICT HOSPITAL PER ORGINAZATION'S MISSION.DescriptionProgramSrvcAccomTxt
Program Service Expenses$107,544ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$107,544TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
BILL WICKMAN
PRESIDENT000.00$0
SUE WICKMAN
SECRETARY/TR000.00$0
WILLIAM KEITH NICOLES
VICE PRESIDE000.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTIFFANY LEONHARDTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
Phone5302832121PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$155,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$140,364CurrentTaxYearMinus1YearAmt
Current Tax Year$61,839CurrentTaxYearAmt
Total$357,962TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$13,086CurrentTaxYearAmt
Total$13,086TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$155,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$140,364CurrentTaxYearMinus1YearAmt
Current Tax Year$74,925CurrentTaxYearAmt
Total$371,048TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$371,048PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$18CurrentTaxYearMinus1YearAmt
Current Tax Year$18CurrentTaxYearAmt
Total$36TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$18CurrentTaxYearMinus1YearAmt
Current Tax Year$18CurrentTaxYearAmt
Total$36TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$155,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$140,382CurrentTaxYearMinus1YearAmt
Current Tax Year$74,943CurrentTaxYearAmt
Total$371,084TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES ADVERTISING 633 BANK FEES 63 SUPPLIES & MATERIALS 3,716 SNMC 1,350 STIPENDS 2,550 TOTAL 8,312
FORM 990-EZ, PART IIITHE 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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