MORRILL COUNTY HOSPITAL FOUNDATION: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MORRILL COUNTY HOSPITAL FOUNDATION (EIN 47-0808837)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-09-11
- IRS object ID
- 201742549349200814
- Schema version
- 2016v3.0
- 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 | 2017-09-11T14:59:14-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dana F Cole & Company LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 Broadway | AddressLine1Txt |
| City | Scottsbluff | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470808837 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRILL COUNTY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MORR | BusinessNameControlTxt |
| Phone | 3082621400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 75 1309 R STREET | AddressLine1Txt |
| City | BRIDGEPORT | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69336 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEN SESTAK | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Signature | 2017-09-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DENNIS HADDEN | PreparerPersonNm |
| PTIN | P00249553 | PTIN |
| Phone | 3086324400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | http://www.manta.com/c/mt7kczd/morrill-county | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $52,845 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $36,124 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $5,811 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $10,910 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $3,991 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $6,919 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $48,854 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $82,293 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $3,096 | OtherExpensesTotalAmt |
| Total Expenses | $85,389 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$36,535 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $510,807 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $474,272 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,807 | BOYAmt |
| EOY | $474,272 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,807 | BOYAmt |
| EOY | $474,272 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,807 | BOYAmt |
| EOY | $474,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE SUPPORT TO THE MORRILL COUNTY COMMUNITY HOSPITAL | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO SUPPORT THE ACTIVITIES OF THE MORRILL COUNTY COMMUNITY HOSPITAL | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $82,293 | GrantsAndAllocationsAmt |
| Program Service Expenses | $80,000 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $82,293 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (15 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| KAY ANDERSON | ||
| Director | 1.00 | $0 |
| KEN SESTAK | ||
| Director | 1.00 | $0 |
| DARRELL KRAUPIE | ||
| Director | 1.00 | $0 |
| TROY MALONE | ||
| Director | 1.00 | $0 |
| TREVOR EIRICH | ||
| Director | 1.00 | $0 |
| CANDACE BROZ | ||
| Director | 1.00 | $0 |
| MARY BETH MAU | ||
| Director | 1.00 | $0 |
| TODD HARLESS | ||
| Director | 1.00 | $0 |
| KATHLEEN BRANDT | ||
| Director | 1.00 | $0 |
| TAMMY LUTZ | ||
| Director | 1.00 | $0 |
| DOROTHY RETCHLESS | ||
| Director | 1.00 | $0 |
| CAMILLA SCHMUNK | ||
| Director | 1.00 | $0 |
| LELAND DOHSE | ||
| Director | 1.00 | $0 |
| KEVIN MEYERS | ||
| Director | 1.00 | $0 |
| KAITLYN PLUMMER | ||
| Director | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Organization Filed990 T | false | OrganizationFiled990TInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Initiation Fees And Cap Contri | $0 | InitiationFeesAndCapContriAmt |
| Gross Receipts For Public Use | $0 | GrossReceiptsForPublicUseAmt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | NE | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEN SESTAK | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 75 | AddressLine1Txt |
| City | BRIDGEPORT | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69336 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3082621400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Form720 Filed | false | Form720FiledInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Related Org Sect527 Org | false | RelatedOrgSect527OrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,040 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $187,017 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,424 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,124 | CurrentTaxYearAmt |
| Total | $381,435 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,040 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $187,017 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $64,424 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,124 | CurrentTaxYearAmt |
| Total | $381,435 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $381,435 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,541 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,930 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,488 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,811 | CurrentTaxYearAmt |
| Total | $50,042 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,272 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,541 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,930 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,488 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,811 | CurrentTaxYearAmt |
| Total | $50,042 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,595 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,919 | CurrentTaxYearAmt |
| Total | $30,393 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,205 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,131 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $217,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,138 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,854 | CurrentTaxYearAmt |
| Total | $461,870 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.82580 | PublicSupportCY509Pct |
| Public Support PY509 | 0.84960 | PublicSupportPY509Pct |
| Investment Income CY | 0.10830 | InvestmentIncomeCYPct |
| Investment Income PY | 0.09940 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Grants and Similar Amounts Paid In Excess of $5,000.1 | Class of Activity: Cash donation | Donee's Name: MORRILL COUNTY COMMUNITY HOSP | Donee's Address: 1309 R STREET BRIDGEPORT NE 69336 | Relationship of Donee: SUPPORTED ORGANIZATION | Cash Amount Given: $80000 |
| Other Expenses.1002 | Office Expenses $3096 |