MOUNTAINS COMMUNITY HOSPITAL FOUNDATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAINS COMMUNITY HOSPITAL FOUNDATION (EIN 33-0530904)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201621379349302862
- Schema version
- 2014v6.0
- 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 | 2016-05-16T10:03:42-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8010 | AddressLine1Txt |
| City | WAUSAU | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 544028010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330530904 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAINS COMMUNITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 9093363651 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 70 | AddressLine1Txt |
| City | LAKE ARROWHEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 923520070 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YVONNE WAGGENER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 9093363651 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN J LABRAKE CPA | PreparerPersonNm |
| PTIN | P00164006 | PTIN |
| Phone | 7158453111 | PhoneNum |
| Preparation | 2016-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | YVONNE WAGGENER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 70 | AddressLine1Txt |
| City | LAKE ARROWHEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 923520070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $714,149 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCHCARES.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | MOUNTAINS COMMUNITY HOSPITAL FOUNDATION'S MISSION IS TO SECURE HEALTH CARE FOR THE MOUNTAINS COMMUNITY BY PROVIDING CONSISTENT FINANCIAL SUPPORT TO THE SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 30 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $418,685 | PYContributionsGrantsAmt |
| CY Contributions Grants | $465,426 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $33,447 | PYInvestmentIncomeAmt |
| CY Investment Income | $55,510 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $452,132 | PYTotalRevenueAmt |
| CY Total Revenue | $520,936 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $435,836 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $490,630 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,483 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,316 | PYOtherExpensesAmt |
| CY Other Expenses | $44,644 | CYOtherExpensesAmt |
| PY Total Expenses | $490,152 | PYTotalExpensesAmt |
| CY Total Expenses | $535,274 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$38,020 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,338 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $685,334 | TotalAssetsBOYAmt |
| Total Assets EOY | $738,957 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $40,616 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $155,179 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $644,718 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $583,778 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MOUNTAINS COMMUNITY HOSPITAL FOUNDATION'S MISSION IS TO SECURE HEALTH CARE FOR THE MOUNTAINS COMMUNITY BY PROVIDING CONSISTENT FINANCIAL SUPPORT TO THE SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $490,630 | ExpenseAmt |
| Grant | $490,630 | GrantAmt |
| Desc | CONTRIBUTIONS TO SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT FOR CAPITAL PURPOSES. | Desc |
| Total Program Service Expenses | $490,630 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 30 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YVONNE WAGGENER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9093363651 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 70 | AddressLine1Txt |
| City | LAKE ARROWHEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 923520070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| DON WILLERTH | ||||||
| PRESIDENT | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GLENN GOODWIN | ||||||
| VICE PRESIDENT | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NEALE PERKINS | ||||||
| VICE PRESIDENT | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GEORGE MEDAK | ||||||
| VICE PRESIDENT | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JIM GIBSON | ||||||
| VICE PRESIDENT | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAT DAVIS | ||||||
| SECRETARY | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| YVONNE WAGGENER | ||||||
| TREASURER | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROB ROY | ||||||
| PAST PRESIDENT | 0.10 | Yes (X) | $0 | $0 | $0 | |
| PAT WELSH | ||||||
| PAST PRESIDENT | 0.10 | Yes (X) | $0 | $0 | $0 | |
| CHARLIE HARRISON | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| TOM BACHMAN | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| HARRY BRADLEY | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| JOHN BROWN | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| KIETH BURKART OD | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| KEN CAMARELLA | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| BARRY ROBINSON | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| PATTI CRAINE | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| BILL DAVIS | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| GINNY DURAND | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| SANDY FULTON | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| JOHN GOOD III | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| BOB MALONE | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| HOWARD MILLER | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| JEFF PERLIS | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| MIDGE REISMAN | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| LAWRENCE WALKER MD | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| IRENE WIRTENBERGER | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| ELSBETH WITTLER | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| GLORIA WOLEN | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| CINDY SWAIN | ||||||
| MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $44,213 | FundraisingAmt |
| All Other Contributions | $421,213 | AllOtherContributionsAmt |
| Total Contributions | $465,426 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,683 | TotalRevenueColumnAmt |
| Exclusion | $17,683 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $225,132 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $187,305 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $37,827 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,827 | TotalRevenueColumnAmt |
| Exclusion | $37,827 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,908 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $44,213 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,908 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $520,936 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $55,510 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,630 | TotalAmt |
| Program Services | $490,630 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,771 | TotalAmt |
| Management And General | $4,771 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,051 | TotalAmt |
| Management And General | $14,051 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,583 | TotalAmt |
| Management And General | $5,583 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,570 | TotalAmt |
| Management And General | $4,570 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,186 | TotalAmt |
| Management And General | $8,186 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,483 | TotalAmt |
| Fundraising | $7,483 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,274 | TotalAmt |
| Program Services | $490,630 | ProgramServicesAmt |
| Management And General | $37,161 | ManagementAndGeneralAmt |
| Fundraising | $7,483 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,038 | BOYAmt |
| EOY | $16,552 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,639 | BOYAmt |
| EOY | $137,453 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $100,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $436,291 | BOYAmt |
| EOY | $407,054 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,366 | BOYAmt |
| EOY | $77,898 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $685,334 | BOYAmt |
| EOY | $738,957 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $116,180 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,616 | BOYAmt |
| EOY | $38,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,616 | BOYAmt |
| EOY | $155,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $588,291 | BOYAmt |
| EOY | $514,276 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,427 | BOYAmt |
| EOY | $69,502 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,718 | BOYAmt |
| EOY | $583,778 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $685,334 | BOYAmt |
| EOY | $738,957 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$14,338 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$46,602 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $240,702 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $382,361 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $418,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $465,426 | CurrentTaxYearAmt |
| Total | $1,672,582 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $73,980 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80,400 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $99,600 | CurrentTaxYearAmt |
| Total | $415,980 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $239,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $318,702 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $462,761 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $502,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $565,026 | CurrentTaxYearAmt |
| Total | $2,088,562 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $417,279 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,671,283 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,234 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,538 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,683 | CurrentTaxYearAmt |
| Total | $99,370 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,187,932 | TotalSupportAmt |
| Public Support CY170 | 0.76390 | PublicSupportCY170Pct |
| Public Support PY170 | 0.81590 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS HELD UNDER CHARITABLE REMAINDER TRUST | $76,676 |
| PREPAID EXPENSE | $1,222 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $77,898 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ANNUITY OBLIGATION UNDER CHARITABLE REMAINDER TRUST | $27,574 |
| DEFERRED INCOME | $11,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,999 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $574,259 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$46,602 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $99,600 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $5,908 | OtherRevenueAmt |
| Revenue Not Reported | $58,906 | RevenueNotReportedAmt |
| Revenue Subtotal | $515,353 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $5,583 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $5,583 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $520,936 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $635,199 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $99,600 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $5,908 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $105,508 | ExpensesNotReportedAmt |
| Expenses Subtotal | $529,691 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $5,583 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $5,583 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $535,274 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 5,908. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 5,908. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | LEGRAND PICNIC & AUCTION | Event1Nm |
| Gross Receipts Event1 | $50,121 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $44,213 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,908 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $5,908 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $50,121 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $44,213 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,908 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,908 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,908 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29101 HOSPITAL ROAD | AddressLine1Txt |
| City | LAKE ARROWHEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 262201665 | RecipientEIN |
| IRC Section | GOVERNMENTAL | IRCSectionDesc |
| Cash Grant | $490,630 | CashGrantAmt |
| Purpose Of Grant | TO PROVIDE FUNDING TO THE SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FUNDING IS PROVIDED TO MOUNTAINS COMMUNITY HOSPITAL. MONITORING IS DONE BY THE FOUNDATION'S BOARD. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORGAN STANLEY SMITH BARNEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | KEN CAMARELLA, A MEMBER, IS SR. VP AT SMITH BARNEY, FND INVESTMENT HOLDER | RelationshipDescriptionTxt |
| Transaction | $5,583 | TransactionAmt |
| Transaction | SMITH BARNEY CHARGES INVESTMENT MANAGEMENT FEES TO THE FOUNDATION. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR THEIR REVIEW PRIOR TO FILING THE FINAL FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST STATEMENT IS REVIEWED AND SIGNED BY ALL BOARD MEMBERS WHEN THEY ARE FIRST AFFILIATED WITH THE ORGANIZATION AND ANNUALLY THEREAFTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | NO EMPLOYEES WERE COMPENSATED BY THE FOUNDATION, THEREFORE THIS PROCESS IS NOT APPLICABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, ETC. AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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