BUCHANAN COUNTY HEALTH TRUST INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BUCHANAN COUNTY HEALTH TRUST INC (EIN 42-1340993)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2013-09-13
- IRS object ID
- 201322569349301102
- 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 | 2013-09-13T14:36:54-05:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3999 PENNSYLVANIA AVE SUITE 100 | AddressLine1 |
| City | DUBUQUE | City |
| State | IA | State |
| ZIP Code | 52002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421340993 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCHANAN COUNTY HEALTH TRUST INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BUCH | NameControl |
| Phone | 3193347204 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 1ST STREET EAST | AddressLine1 |
| City | INDEPENDENCE | City |
| State | IA | State |
| ZIP Code | 506443155 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DON SABIN | Name |
| Title | PRESIDENT | Title |
| Phone | 3193347204 | Phone |
| Date Signed | 2013-08-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARMEN KRANTZ | Name |
| PTIN | P00031958 | PTIN |
| Phone | 5635561790 | Phone |
| Date Prepared | 2013-08-22 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DON SABIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 1ST STREET EAST | AddressLine1 |
| City | INDEPENDENCE | City |
| State | IA | State |
| ZIP Code | 506443155 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48956 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BCHEALTH.INFO/HEALTHTRUST.ASP | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | ENSURE ALL CITIZENS MAINTAIN ACCESS TO QUALITY HEALTH CARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 30432 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 25276 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 12167 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12665 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -335 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2493 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 42264 | TotalRevenuePriorYear |
| Total Revenue Current Year | 40434 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15253 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19629 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3596 | OtherExpensePriorYear |
| Other Expenses Current Year | 1775 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18849 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21404 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 23415 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19030 | RevenuesLessExpensesCY |
| Total Assets BOY | 1508005 | TotalAssetsBOY |
| Total Assets EOY | 1539674 | TotalAssetsEOY |
| Total Liabilities BOY | 9805 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22444 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1498200 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1517230 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | BUCHANAN COUNTY HEALTH TRUST IS ORGANIZED EXCLUSIVELY TO BENEFIT AND SUPPORT THE MEDICAL AND HEALTH CARE NEEDS FOR PERSONS WITHIN BUCHANAN COUNTY AND OTHER EXEMPT ORGANIZATIONS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19804 | Expense |
| Description | BUCHANAN COUNTY HEALTH TRUST ORIGINATED WITH THE FORESIGHT OF PROVIDING FUNDS FOR HEALTH-RELATED PROJECTS ACROSS BUCHANAN COUNTY. GIFTS HELP ENSURE THAT ALL CITIZENS MAINTAIN ACCESS TO QUALITY HEALTH CARE. SINCE ITS INCEPTION, THE TRUST HAS LOANED OR GRANTED FUNDS TO SEVERAL NON-PROFIT ORGANIZATIONS IN BUCHANAN COUNTY PROVIDING HEALTH CARE SERVICES, SUCH AS: - A LOAN TO BUCHANAN COUNTY HEALTH CENTER HELPED WITH CONSTRUCTION COSTS OF THE LONG TERM CARE UNIT. - A GRANT HELPED THE BRANDON FIRST RESPONDERS PURCHASE A JAWS-OF-LIFE UNIT. - A GRANT ASSISTED WITH PHYSICIAN RECRUITMENT. - A GRANT HELPED THE WINTHROP SWIMMING POOL BUY BACKBOARDS AND RESCUE EQUIPMENT. - GRANTS TO HELP THE COUNTY'S SCHOOLS AND FIRST RESPONDER UNITS PURCHASE 12 SEPARATE DEFIBRILLATORS. - GRANTS TO PURCHASE CPR TRAINING EQUIPMENT FOR EAST BUCHANAN, JESUP AND INDEPENDENCE SCHOOL DISTRICTS, AS WELL AS THE BUCHANAN COUNTY CHAPTER OF THE AMERICAN RED CROSS. - GRANTS TO THE BUCHANAN COUNTY VOLUNTEER CO-OP TO SUPPORT CRISIS CHILD CARE SERVICES, MEDICAL ASSISTANCE AND PARENTING CLASSES. - GRANTS TO HELP WITH THE PURCHASE OF EMERGENCY VEHICLES IN INDEPENDENCE, STANLEY AND LAMONT. - GRANTS TO HELP PURCHASE GENERATORS FOR BUCHANAN COUNTY EMERGENCY MANAGEMENT. - GRANTS TO HELP PURCHASE A MAMMOGRAPHY MACHINE, AN AMBULANCE AND THE NEW HELIPAD AT THE BUCHANAN COUNTY HEALTH CENTER. - A MORE THAN $30,000 TOTAL INVESTMENT IN FITNESS EQUIPMENT AT THE THERAPY & WELLNESS CONNECTION, THE AURORA COMET CENTER AND THE INDEPENDENCE HIGH SCHOOL WEIGHT ROOM. - FIRST AID SUPPLIES FOR ST. JOHN'S SCHOOL, INDEPENDENCE, KID'S CORNER DAYCARE, WINTHROP, AND BOY SCOUT TROOP 95, JESUP. - PURCHASED MORE THAN $13,000 WORTH OF VACCINE OVER 5 YEARS ALLOWING HUNDREDS OF UNPROTECTED 7TH AND 8TH GRADERS ACROSS BUCHANAN COUNTY TO RECEIVE THE HEPATITIS B VACCINE SERIES AT NO COST TO THEIR FAMILIES. - TO DATE, THE TRUST HAS PARTNERED WITH LOCAL HEALTH AND HEALTH-RELATED ORGANIZATIONS TO INVEST NEARLY $373,000 IN 90 SEPARATE PROJECTS WHICH IMPROVE HEALTH CARE FOR ALL BUCHANAN COUNTY RESIDENTS. | Description |
| Total Program Service Expense | 19804 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | 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 | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ED COOPER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3193320880 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 1ST STREET EAST | AddressLine1 |
| City | INDEPENDENCE | City |
| State | IA | State |
| ZIP Code | 506443155 | 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 |
|---|---|---|---|---|---|---|
| DON SABIN | ||||||
| PRESIDENT | 0.30 | X | X | 0 | 0 | 0 |
| PAUL GUDENKAUF | ||||||
| VICE PRESIDENT | 0.30 | X | X | 0 | 0 | 0 |
| TAMI YOUNG | ||||||
| SECRETARY/TREASURER | 0.30 | X | X | 0 | 0 | 0 |
| SUSIE TOALE | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| DENISE RORABAUGH | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| JOHN CHRISTENSEN | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| DR ERICA SMITH | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| SHERRI KAVALIER | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| JUDY FERRETER | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| SUSIE BEVANS | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| DANIELLE GEARHART | ||||||
| DIRECTOR | 0.30 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 24766 | FundraisingEvents |
| All Other Contributions | 510 | AllOtherContributions |
| Total Contributions | 25276 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12665 | TotalRevenueColumn |
| Exclusion | $12,665 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 11015 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 24766 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 8522 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2493 | TotalRevenueColumn |
| Exclusion | $2,493 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40434 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $15,158 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14318 | Total |
| Program Services | 14318 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4216 | Total |
| Program Services | 4216 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1095 | Total |
| Program Services | 1095 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1600 | Total |
| Management And General | 1600 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175 | Total |
| Program Services | 175 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21404 | Total |
| Program Services | 19804 | ProgramServices |
| Management And General | 1600 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1508005 | BOY |
| EOY | 1539674 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1508005 | BOY |
| EOY | 1539674 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9805 | BOY |
| EOY | 2815 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 19629 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9805 | BOY |
| EOY | 22444 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1498200 | BOY |
| EOY | 1517230 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1498200 | BOY |
| EOY | 1517230 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1508005 | BOY |
| EOY | 1539674 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 19030 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12604 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 68531 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38822 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30432 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25276 | CurrentTaxYear |
| Total | 175665 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12604 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 68531 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38822 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30432 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25276 | CurrentTaxYear |
| Total | 175665 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 16726 | AmountsSubstContributorsTotal |
| Public Support Total170 | 158939 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 57038 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21883 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12167 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12665 | CurrentTaxYear |
| Total | 144356 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 320021 | TotalSupport |
| Gross Receipts From Admissions Etc | 59830 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.49670 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.42920 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO PEOPLE'S MEMORIAL HOSPITAL | Description |
| Amount | $19,629 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19629 | TotalOfAmounts |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DINNER/AUCTION | NameOfEvent1 |
| Gross Receipts Event1 | 35781 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 24766 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 11015 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 1798 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 4317 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 1100 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 1307 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 35781 | GrossReceiptsTotal |
| Charitable Contributions Total | 24766 | CharitableContributionsTotal |
| Gross Revenue Total Events | 11015 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 1798 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 4317 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 1100 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 1307 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 8522 | DirectExpenseSummaryEvents |
| Net Income Summary | 2493 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PRESENTED AND REVIEWED BY ALL BOARD MEMBERS BEFORE IT IS FILED. THE 990 IS ALSO REVIEWED BY THE ASSOCIATE ADMINISTRATOR - CFO OF BUCHANAN COUNTY HEALTH CENTER. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM AND DISCLOSE TO THE BOARD ANY INTEREST IN A CONTRACT OR OTHER TRANSACTIONS THAT COULD CAUSE A CONFLICT OF INTEREST. THE BOARD THEN DETERMINES BY MAJORITY VOTE WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT EXISTS, THE BOARD MEMBER IS NOT ALLOWED TO VOTE ON OR USE PERSONAL INFLUENCE OR PARTICIPATE IN THE DISCUSSION OR DELIBERATIONS WITH RESPECT TO THE CONTRACT OR TRANSACTION. THE BOARD MEMBER MAY BE ASKED TO LEAVE THE MEETING AND THE DISCUSSION AND DETERMINATION IS DOCUMENTED IN THE MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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