PHELPS COUNTY HOSPITAL FOUNDATION: Form 990EZ, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
PHELPS COUNTY HOSPITAL FOUNDATION (EIN 43-1696258)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201102279349202615
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-08-15T15:23:07-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431696258EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHELPS COUNTY HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHELNameControl
Phone5733648899Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 WEST 10TH STREETAddressLine1
CityROLLACity
StateMOState
ZIP Code65401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD CLAYTONName
TitleCFO/VPTitle
Phone5733648899Phone
Date Signed2011-08-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Web SiteWWW.PCRMC.COMWebSite
Organization501cXOrganization501c
Gross Receipts197019GrossReceipts
Contributions Gifts Grants Etc180257ContributionsGiftsGrantsEtc
Investment Income3400InvestmentIncome
Special Events Gross Revenue13360SpecialEventsGrossRevenue
Special Events Direct Expenses34854SpecialEventsDirectExpenses
Special Events Net Income Loss-21494SpecialEventsNetIncomeLoss
Other Revenue Total2OtherRevenueTotal
Total Revenue162165TotalRevenue
Grants And Similar Amounts Paid83435GrantsAndSimilarAmountsPaid
Salaries Other Comp Empl Benefits149636SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors19626FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint3818OccupancyRentUtilitiesAndMaint
Printing Publications Postage4582PrintingPublicationsPostage
Other Expenses Total37670OtherExpensesTotal
Total Expenses298767TotalExpenses
Excess Or Deficit For Year-136602ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY-158793NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-295395NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY658790BOY
EOY653521EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY82612BOY
EOY75499EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY741402BOY
EOY729020EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY900195BOY
EOY1024415EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY-158793BOY
EOY-295395EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeOUR MISSION IS TO SERVE AS THE PHILANTHROPIC ORGANIZATION THAT FACILITATES CHARITABLE DONATIONS TO SUPPORT AND ASSIST THE MISSIONS OF PHELPS COUNTY REGIONAL MEDICAL CENTER IN PROVIDING FOR THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (4 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
SEE ATTACHMENT 17030075841
COMPREHENSIVE BREAST CENTER PROVIDES WOMEN WITH A CHANCE AGAINST BREAST CANCER, THROUGH MANY COMMUNITY LEADERS' COMMITMENT. A KEY ELEMENT OF THE CENTER IS MAMMOGRAMS. THIRTY PEOPLE WERE SERVED THIS YEAR.8427
THE JOY OF CARING CANCER FUND OFFERS FINANCIAL ASSISTANCE FOR CANCER PATIENTS WHO MAY HAVE DIFFICULTY MANAGING THEIR DAILY ACTIVITIES AND CAPITAL NEEDS RELATED TO CANCER SERVICES. APPROXIMATELY 150 PEOPLE RECEIVED BENEFITS FROM THIS FUND THIS YEAR.1313513135
THE GUARDIAN ANGEL FUND PROVIDES A PHILANTHROPIC OPPORTUNITY FOR GRATEFUL PATIENTS TO RECOGNIZE A SPECIAL CAREGIVER WHO THEY BELIEVE MADE A DIFFERENCE IN THEIR STAY OR VISIT.12316
FieldValueIRS element (for citing)
Total Program Service Expenses109719TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
DEBBIE SCHUETZ
1000 WEST 10TH STREETROLLAMO65401TREASURER1.0000
DR MARY GRAHAM
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
GERALD PAULE
1000 WEST 10TH STREETROLLAMO65401CFO/EX-OFFICIO - 02/13/101.0000
MARK RIEFER
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
JOHN DENBO
1000 WEST 10TH STREETROLLAMO65401CEO/EX-OFFICIO MEMBER1.0000
TED DAY
1000 WEST 10TH STREETROLLAMO65401PRESIDENT1.0000
DR JOHN PARK
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
JO ANN BRAND-HOERTEL
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
TINA PRIDGEON
1000 WEST 10TH STREETROLLAMO65401SECRETARY1.0000
PATRICIA LEADERS
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
FRANK LAZARRO
1000 WEST 10TH STREETROLLAMO65401VICE-PRESIDENT1.0000
LORRIE HARTLEY
1000 WEST 10TH STREETROLLAMO65401DIRECTOR40.073861131460
KEITH STRASSNER
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
JOE PHELPS
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
YVONNE DAWDY
1000 WEST 10TH STREETROLLAMO65401MEMBER1.0000
EDWARD CLAYTON
1000 WEST 10TH STREETROLLAMO65401CFO/EX-OFFICIO BEG 06/06/101.0000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Initiation Fees And Capital Contri0InitiationFeesAndCapitalContri
Gross Receipts For Public Use0GrossReceiptsForPublicUse
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEDWARD CLAYTONNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 WEST 10TH STREETAddressLine1
CityROLLACity
StateMOState
ZIP Code65401ZIPCode
FieldValueIRS element (for citing)
Telephone Number5733648899TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHELPS COUNTY REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN436004435EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$83,435Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts83435SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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