GREENE COUNTY HEALTH INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GREENE COUNTY HEALTH INC (EIN 47-4673365)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-11
IRS object ID
201602249349201430
Schema version
2015v2.1
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)
Return2016-08-11T14:53:47-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 N Hurstbourne Parkway 350AddressLine1Txt
CityLouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40222ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474673365EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREENE COUNTY HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ELIZABETH CUMMINGSInCareOfNm
Business Name ControlGREEBusinessNameControlTxt
Phone8126694153PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11210 NORTH 1000 WAddressLine1Txt
CityLINTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47441ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER BRINEGARPersonNm
Person TitleBOARD CHAIRMANPersonTitleTxt
Phone8126994153PhoneNum
Signature2016-08-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Scifres CPAPreparerPersonNm
PTINP01316095PTIN
Phone5025810435PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website Addressgreenecountyhospital.com/clinics/WebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$30,096GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Program Service Revenue$30,096ProgramServiceRevenueAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$30,096TotalRevenueAmt
Salaries Other Comp Empl Bnft$10,098SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$19,355FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$11,136OccupancyRentUtltsAndMaintAmt
Other Expenses Total$25,020OtherExpensesTotalAmt
Total Expenses$65,609TotalExpensesAmt
Excess Or Deficit For Year-$35,513ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$35,513NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$23,628EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$36,508EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$60,136EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$95,649EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY-$35,513EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeThe Organization provides medical services to area residents. With practice locations in six locations throughout Greene County, Indiana, the physicians, advance practice providers and other healthcare professionals provide family practice and obstetrical care for the area's residents.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomThe Organization provides medical services to area residents. With practice locations in six locations throughout Greene County, Indiana, the physicians, advance practice providers and other healthcare professionals provide family practice and obstetrical care for the area's residents.DescriptionProgramSrvcAccomTxt
Program Service Expenses$65,609ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$65,609TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JENNIFER BRINEGAR
CHAIR5.0$0$0$0
NATE ABRAMS
VICE CHAIR5.0$0$0$0
JOSEPH WISE
TREASURER5.0$0$0$0
LINDA BEDWELL
SECRETARY5.0$0$0$0
STEVEN LINDSAY
DIRECTOR5.0$0$0$0
RICHARD GRAVES
DIRECTOR5.0$0$0$0
MARY LOU QUIEL
DIRECTOR5.0$0$0$0
LIANNE WILSON
DIRECTOR5.0$0$0$0
SUSAN SLINKARD
DIRECTOR5.0$0$0$0
DIANNE LANGER
DIRECTOR5.0$0$0$0
HARRY HUBER
DIRECTOR5.0$0$0$0
MARK FRITZ
CEO40.0$9,129$0$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
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELIZABETH CUMMINGSPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11210 NORTH 1000 WAddressLine1Txt
CityLINTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47441ZIPCd
FieldValueIRS element (for citing)
Phone8126994153PhoneNum
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
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Other Employee Paid Over100k0OtherEmployeePaidOver100kCnt
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCH A, PART I, LINE 3FormAndLineReferenceDesc
ExplanationGREENE COUNTY HEALTH, INC. IS NOT A LICENSED HOSPITAL FACILITY, THEREFORE NO SCHEDULE H HAS BEEN PREPARED AND AUDITED FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE ATTACHED TO THE FORM 990.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990EZ PART I LINE 16Description:INSURANCE Amount:6057
FORM 990EZ PART I LINE 16Description:PURCHASED MEDICAL SERVICES Amount:13886
FORM 990EZ PART I LINE 16Description:SCHOOL WELLNESS LABS/PRESCRIPTIONS Amount:4421
FORM 990EZ PART II LINE 26Description:DUE TO HOSPITAL BOY Amount:EOY Amount:40000

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