MORRILL COUNTY HOSPITAL FOUNDATION: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MORRILL COUNTY HOSPITAL FOUNDATION (EIN 47-0808837)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-28
- IRS object ID
- 201321799349200507
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2013-06-28T09:34:47-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dana F Cole & Company LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2009 | AddressLine1 |
| City | Scottsbluff | City |
| State | NE | State |
| ZIP Code | 693632009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470808837 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MORRILL COUNTY HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MORR | NameControl |
| Phone | 3082621400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 75 1309 R STREET | AddressLine1 |
| City | BRIDGEPORT | City |
| State | NE | State |
| ZIP Code | 69336 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEN SESTAK | Name |
| Title | Treasurer | Title |
| Date Signed | 2013-06-28 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENNIS HADDEN | Name |
| PTIN | P00249553 | PTIN |
| Phone | 3086324400 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | http://www.manta.com/c/mt7kczd/morrill-county | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 54491 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 44830 | ContributionsGiftsGrantsEtc |
| Investment Income | 1272 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 8389 | FundraisingGrossIncome |
| Special Events Direct Expenses | 3286 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 5103 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 51205 | TotalRevenue |
| Grants And Similar Amounts Paid | 37781 | GrantsAndSimilarAmountsPaid |
| Fees And Oth Pymt To Ind Contractors | 395 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 389 | OtherExpensesTotal |
| Total Expenses | 38565 | TotalExpenses |
| Excess Or Deficit For Year | 12640 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 242768 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 255408 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242768 | BOY |
| EOY | 255408 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242768 | BOY |
| EOY | 255408 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 242768 | BOY |
| EOY | 255408 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE SUPPORT TO THE MORRILL COUNTY COMMUNITY HOSPITAL | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | TO SUPPORT THE ACTIVITIES OF THE MORRILL COUNTY COMMUNITY HOSPITAL | DescriptionProgramServiceAccom |
| Grants And Allocations | 784 | GrantsAndAllocations |
| Program Service Expenses | 37781 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 784 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (14 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| KEVIN MEYERS | ||
| Director | 1.00 | 0 |
| LELAND DOHSE | ||
| Director | 1.00 | 0 |
| CAMILLA SCHMUNK | ||
| Director | 1.00 | 0 |
| DOROTHY RETCHLESS | ||
| Director | 1.00 | 0 |
| TAMMY LUTZ | ||
| Director | 1.00 | 0 |
| KATHLEEN BRANDT | ||
| Vice President | 1.00 | 0 |
| TODD HARLESS | ||
| Director | 1.00 | 0 |
| MARY BETH MAU | ||
| Director | 1.00 | 0 |
| HELEN PLUMMER | ||
| Director | 1.00 | 0 |
| ELDON EVERS | ||
| Director | 1.00 | 0 |
| FRANK LUSSETTO | ||
| President | 1.00 | 0 |
| DARRELL KRAUPIE | ||
| Director | 1.00 | 0 |
| KEN SESTAK | ||
| Treasurer | 1.00 | 0 |
| KAY ANDERSON | ||
| Secretary | 1.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KEN SESTAK | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 75 | AddressLine1 |
| City | BRIDGEPORT | City |
| State | NE | State |
| ZIP Code | 69336 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3082621400 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 35493 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 28672 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27865 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 45540 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44830 | CurrentTaxYear |
| Total | 182400 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 35493 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 28672 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27865 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 45540 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44830 | CurrentTaxYear |
| Total | 182400 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 182400 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 747 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -6044 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1502 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1272 | CurrentTaxYear |
| Total | -362 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 747 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | -6044 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1502 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1272 | CurrentTaxYear |
| Total | -362 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2941 | CurrentTaxYearMinus4Years |
| Current Tax Year | 5103 | CurrentTaxYear |
| Total | 8044 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40595 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29419 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21821 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47042 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51205 | CurrentTaxYear |
| Total | 190082 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95960 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.93500 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.05250 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part I, Line 16.1002 | Other Expenses.1002 | Office Expenses $389 |
| Form 990-EZ, Part I, Line 10.1 | 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: $37781 |