MOBRIDGE REGIONAL HEALTH CARE FOUNDATION: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MOBRIDGE REGIONAL HEALTH CARE FOUNDATION (EIN 46-0416693)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-12
- IRS object ID
- 201332249349200213
- Schema version
- 2011v1.5
- 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 | 2013-08-12T08:44:03-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | 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 | 200 EAST 10TH ST PO BOX 5125 | AddressLine1 |
| City | SIOUX FALLS | City |
| State | SD | State |
| ZIP Code | 571175125 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460416693 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOBRIDGE REGIONAL HEALTHCARE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOBR | NameControl |
| Phone | 6058453692 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 580 | AddressLine1 |
| City | MOBRIDGE | City |
| State | SD | State |
| ZIP Code | 57601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHERINE GREGG | Name |
| Title | FOUNDATION DIRECTOR | Title |
| Phone | 6058453692 | Phone |
| Date Signed | 2013-08-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAURIE HANSON | Name |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | Phone |
| Date Prepared | 2013-08-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.MOBRIDGEHOSPITAL.ORG/FOUNDATION | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 20731 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 8117 | ContributionsGiftsGrantsEtc |
| Investment Income | 6846 | InvestmentIncome |
| Fundraising Gross Income | 5768 | FundraisingGrossIncome |
| Special Events Direct Expenses | 5768 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 0 | SpecialEventsNetIncomeLoss |
| Total Revenue | 14963 | TotalRevenue |
| Grants And Similar Amounts Paid | 3000 | GrantsAndSimilarAmountsPaid |
| Fees And Oth Pymt To Ind Contractors | 10 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 1007 | PrintingPublicationsPostage |
| Other Expenses Total | 17815 | OtherExpensesTotal |
| Total Expenses | 21832 | TotalExpenses |
| Excess Or Deficit For Year | -6869 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 486133 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 479264 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170187 | BOY |
| EOY | 160850 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315946 | BOY |
| EOY | 318414 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486133 | BOY |
| EOY | 479264 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486133 | BOY |
| EOY | 479264 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | THE FOUNDATION PROVIDES IMPORTANT FUNDRAISING OUTREACH SERVICES FOR THE MOBRIDGE REGIONAL HOSPITAL & CLINICS. ALL OF THE FOUNDATION FUNDS AND ACTIVITIES BENEFIT THE ENTIRE REGION THROUGH IMPROVED HEALTHCARE, EDUCATION, AND SCREENING. THE FOUNDATION PROVIDES VISIBILITY FOR THE HOSPITAL THROUGH ITS FUNDRAISING ACTIVITIES IN THE COMMUNITY, AND PROMOTES FUNDRAISING EFFORTS TO CREATE AN AWARENESS OF IMPROVED HEALTH FOR ALL PERSONS IN THE SERVICE AREA. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | ASSIST MOBRIDGE REGIONAL HOSPITAL IN PROVIDING QUALITY HEALTHCARE SERVICES IN THE MOBRIDGE, SD AREA THROUGH FINANCIAL SUPPORT. THE HOSPITAL FOUNDATION SHARES IN THE VISION OF MOBRIDGE REGIONAL HOSPITAL OF "BECOMING ONE OF AMERICA'S FINEST RURAL HEALTH PROVIDERS". SINCE 1991 THE ADVOCACY, PROMOTION AND INSPIRATION TO RAISE FUNDS AND POSITIVELY PROMOTE THE COMMUNITY OWNED MEDICAL FACILITY HAS BEEN THE #1 PRIORITY. | DescriptionProgramServiceAccom |
| Grants And Allocations | 3000 | GrantsAndAllocations |
| Program Service Expenses | 21832 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 21832 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| KATHERINE GREGG | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | FOUNDATION OFFICER | 10.00 | 0 | 0 | 0 |
| DON PAULSON | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | OFFICER | 0.30 | 0 | 0 | 0 |
| NICOLE SCHNEIDER | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | OFFICER | 0.30 | 0 | 0 | 0 |
| SARAH GIESE | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | TRUSTEE | 0.30 | 0 | 0 | 0 |
| JEAN TEHLE | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | TRUSTEE | 0.30 | 0 | 0 | 0 |
| DR LEONARD LINDE | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | TRUSTEE | 0.30 | 0 | 0 | 0 |
| REBECCA PEACOCK | ||||||||
| 1401 10TH AVE WEST | MOBRIDGE | SD | 57601 | TRUSTEE | 0.30 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHERINE GREGG | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 580 | AddressLine1 |
| City | MOBRIDGE | City |
| State | SD | State |
| ZIP Code | 57601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6058453692 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOBRIDGE REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460255944 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 1,378.. DIVIDEND INCOME 5,468.. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 6,846. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: VARIOUS INDIVIDUALS. AMOUNT GIVEN: 3,000. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: ANNUITY EXPENSE. AMOUNT: 14,342. DESCRIPTION: MEMORIAL TREES. AMOUNT: 3,265. DESCRIPTION: SERVICE CHARGE. AMOUNT: 208. TOTAL TO FORM 990-EZ, LINE 16: 17,815. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: PUBLICLY TRADED INVESTMENTS. BEG. OF YEAR AMOUNT: 284,568. END OF YEAR AMOUNT: 284,289. DESCRIPTION: ASSETS LIMITED TO USE - MEMORIAL SCHOLARSHIP. BEG. OF YEAR AMOUNT: 31,378. END OF YEAR AMOUNT: 34,125. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |