HOWARD MEMORIAL HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOWARD MEMORIAL HOSPITAL FOUNDATION (EIN 71-0644638)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-02-06
- IRS object ID
- 201400379349300040
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-06T17:10:51-06:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOODS & WOODS PA LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 182 | AddressLine1 |
| City | NASHVILLE | City |
| State | AR | State |
| ZIP Code | 718520182 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710644638 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOWARD MEMORIAL HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOWA | NameControl |
| Phone | 8708454400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 MEDICAL CIRCLE | AddressLine1 |
| City | NASHVILLE | City |
| State | AR | State |
| ZIP Code | 71852 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARY DAN FUTRELL | Name |
| Title | CHAIR | Title |
| Phone | 8708454400 | Phone |
| Date Signed | 2014-01-29 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DONNY WOODS | Name |
| Phone | 8708454422 | Phone |
| Date Prepared | 2014-01-29 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY DAN FUTRELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1109 JOHNSON STREET | AddressLine1 |
| City | NASHVILLE | City |
| State | AR | State |
| ZIP Code | 71852 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 221060 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE ASSISTANCE AND FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 111686 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 98196 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 33777 | InvestmentIncomePriorYear |
| Investment Income Current Year | 29374 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -396 | OtherRevenuePriorYear |
| Other Revenue Current Year | 20707 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 145067 | TotalRevenuePriorYear |
| Total Revenue Current Year | 148277 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 13000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 726 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 34701 | OtherExpensePriorYear |
| Other Expenses Current Year | 9931 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 47701 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16431 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 97366 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 131846 | RevenuesLessExpensesCY |
| Total Assets BOY | 521528 | TotalAssetsBOY |
| Total Assets EOY | 1175318 | TotalAssetsEOY |
| Total Liabilities EOY | 521943 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 521528 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 653375 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE ASSISTANCE AND FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITAL. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Description | TO PROVIDE ASSISTANCE AND FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITAL. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8563 | Expense |
| Grants | 6500 | Grants |
| Description | THE FOUNDATION HAS RAISED FUNDS TO CONSTRUCT A MEDICAL PHYSICIANS' OFFICE BUILDING NEAR THE HOSPITAL. THIS WILL HELP ATTRACT NEW PHYSICIANS TO THE AREA. CONSTRUCTION ON THE FACILITY BEGAN IN THE NOVEMBER OF 2012 AND IS SCHEDULED FOR COMPLETION IN 2013. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 8563 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 6500 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 8563 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | AMELIA MOORER | NamePerson |
| Telephone Number | 8708454400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 MEDICAL CIRCLE | AddressLine1 |
| City | NASHVILLE | City |
| State | AR | State |
| ZIP Code | 71852 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| GARY DAN FUTRELL | ||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 |
| CAY TEAGUE | ||||||
| VICE CHAIR | X | X | 0 | 0 | 0 | |
| JOHN R SCHIRMER | ||||||
| SECRETARY-TR | X | X | 0 | 0 | 0 | |
| FREDA DAVIS | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| RAY BLAKELY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| NATE STEEL | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| ELIZABETH OVERTON | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| JOHN HEARNSBERGER | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| PAUL BRITT | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| DEBBIE KINKADE | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| BARRY WRIGHT | ||||||
| DIRECTOR | X | 0 | 0 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Fundraising Events | 50366 | FundraisingEvents |
| All Other Contributions | 47830 | AllOtherContributions |
| Total Contributions | 98196 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7744 | TotalRevenueColumn |
| Exclusion | $7,744 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 68164 | Securities |
| Other | 13163 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 59697 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8467 | Securities |
| Other | 13163 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21630 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8467 | RelatedOrExemptFunctionIncome |
| Exclusion | $13,163 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 33793 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 50366 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 13086 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20707 | TotalRevenueColumn |
| Exclusion | $20,707 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 148277 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8467 | RelatedOrExemptFunctionIncome |
| Exclusion | $41,614 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6500 | Total |
| Program Services | 6500 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1100 | Total |
| Management And General | 1100 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2301 | Total |
| Management And General | 2301 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163 | Total |
| Program Services | 163 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 538 | Total |
| Management And General | 538 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1152 | Total |
| Management And General | 1152 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 909 | Total |
| Management And General | 909 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642 | Total |
| Management And General | 642 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| PROPERTY MAINTENANCE | 1900 | 1900 | ||
| DONOR RECOGNITION EXPENSE | 726 | 726 | ||
| PROFESSIONAL DEVELOPMENT | 500 | 500 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16431 | Total |
| Program Services | 8563 | ProgramServices |
| Management And General | 7142 | ManagementAndGeneral |
| Fundraising | 726 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34076 | BOY |
| EOY | 115032 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8980 | BOY |
| EOY | 8255 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1424 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 729995 | LandBuildingsEquipmentBasis |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175113 | BOY |
| EOY | 729995 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 301935 | BOY |
| EOY | 322036 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 521528 | BOY |
| EOY | 1175318 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3390 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 518553 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 521943 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 362507 | BOY |
| EOY | 495817 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159021 | BOY |
| EOY | 157558 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 521528 | BOY |
| EOY | 653375 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 521528 | BOY |
| EOY | 1175318 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 131846 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Audit Committee | false | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 175958 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2899 | InvestmentEarningsOrLosses |
| End Of Year Balance | 178857 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 158913 | OtherCostOrOtherBasis |
| Book Value | 158913 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 571082 | OtherCostOrOtherBasis |
| Book Value | 571082 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 729995 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NOTE PAYABLE MEDICAL OFFICE BLGD | Description |
| Amount | $518,553 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 518553 | TotalOfAmounts |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 47206 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 20366 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 26840 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 550 | CashPrizesEvent1 |
| Rent Facility Costs Event1 | 1469 | RentFacilityCostsEvent1 |
| Entertainment Event1 | 1000 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 6930 | OtherDirectExpensesEvent1 |
| Name Of Event2 | COMMUNITY CHALL | NameOfEvent2 |
| Gross Receipts Event2 | 32850 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 30000 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 2850 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 569 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 379 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 80056 | GrossReceiptsTotal |
| Charitable Contributions Total | 50366 | CharitableContributionsTotal |
| Gross Revenue Total Events | 29690 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 550 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 2038 | RentFacilityCostsTotalEvents |
| Entertainment Total Events | 1000 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 7309 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 10897 | DirectExpenseSummaryEvents |
| Net Income Summary | 18793 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 1 | NumberOfRecipients |
| Amount Of Cash Grant | 6500 | AmountOfCashGrant |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | THE FOUNDATION HAS RAISED FUNDS TO CONSTRUCT A MEDICAL PHYSICIANS' OFFICE BUILDING NEAR THE HOSPITAL. THIS WILL HELP ATTRACT NEW PHYSICIANS TO THE AREA. CONSTRUCTION ON THE FACILITY BEGAN IN THE NOVEMBER OF 2012 AND IS SCHEDULED FOR COMPLETION IN 2013. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE EXECUTIVE DIRECTOR, BOARD OF DIRECTORS, AND THE TAX PREPARER REVIEW THE YEAR-END FINANCIAL STATEMENTS BEFORE THE RETURN IS PREPARED. THE PREPARER THEN UTILIZES THE YEAR-END FINANCIAL STATEMENTS TO PREPARE FORM 990. THE EXECUTIVE DIRECTOR AND TAX PREPARER THEN CONDUCT A FINAL EXAMINATION OF THE RETURN BEFORE FILING. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE OFFICES OF THE FOUNDATION. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | ROUNDING 1 ROUNDING DIFFERENCE IN FRACTIONAL AMOUNTS. |
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