2011-11-14T09:43:50-06:00 2010-12-31 BLUE & CO LLC 2650 EASTPOINT PARKWAY SUITE 300 LOUISVILLE KY 40223 990 2010-01-01 311506378 PATTIE A CLAY FOUNDATION INC PATT 8596233131 PO BOX 1600 RICHMOND KY 404762603 CHRISTOPHER T JONES 8596233131 2011-11-14 1 CARRIE A MERRILL CPA 3176334705 2010 2016-03-07 17:11:31Z CHRISTOPHER T JONES PO BOX 1600 RICHMOND KY 404762603 492427 0 X WWW.PATTIEACLAY.ORG X 1999 KY PATTIE A. CLAY FOUNDATION INITIATES DEVELOPMENT OPPORTUNITIES AND ACHIEVES FUND RAISING GOALS TO ENHANCE, PROMOTE AND FINANCIALLY SUPPORT THE MISSION OF THE NOT-FOR-PROFIT PATTIE A. CLAY REGIONAL MEDICAL CENTER, THE ASSUMED NAME OF PATTIE A. CLAY INFIRMARY ASSOCIATION, INC. 21 19 0 0 0 0 90517 91000 0 0 6501 -26022 38666 -1046 135684 63932 870068 100826 0 0 0 0 0 0 0 3100 29486 873168 130312 -737484 -66380 1121631 1102891 10449 6274 1111182 1096617 X PATTIE A. CLAY FOUNDATION INITIATES DEVELOPMENT OPPORTUNITIES AND ACHIEVES FUND RAISING GOALS TO ENHANCE, PROMOTE AND FINANCIALLY SUPPORT THE MISSION OF THE NOT-FOR-PROFIT PATTIE A. CLAY REGIONAL MEDICAL CENTER, THE ASSUMED NAME OF PATTIE A. CLAY INFIRMARY ASSOCIATION, INC. 0 0 115466 100826 0 FOUNDATION STAFF WORK EXTENSIVELY WITH GRANT MAKERS, BUSINESSES AND INDIVIDUALS TO DEVELOP LONG LASTING PARTNERSHIPS TO ENHANCE THE SERVICES PROVIDED AT PATTIE A. CLAY REGIONAL MEDICAL CENTER. THE FOUNDATION IS GOVERNED BY A 22 MEMBER BOARD OF DIRECTORS, WITH DIVERSE REPRESENTATION FROM THE MEDICAL, BUSINESS AND PHILANTHROPIC COMMUNITY. 115466 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 21 19 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X KARL LAINHART 8596233131 PO BOX 1600 RICHMOND KY 404762603 BILL WALTERS 2.00 X X 0 0 0 EARL BALDWIN 2.00 X X 0 0 0 DOT BENNETT 2.00 X X 0 0 0 ALEX FASSAS 2.00 X X 0 0 0 ALICE JANE BALLEW 2.00 X 0 0 0 DAVID BOHANNON 2.00 X 0 0 0 RAY DESLOOVER 2.00 X 0 0 0 KATHY EDISON 2.00 X 0 0 0 PAUL ESKER 2.00 X 0 0 0 MAYOR CONNIE LAWSON 2.00 X 0 0 0 PAULA MAIONCHI MD 2.00 X 0 60720 1855 JOHN WILSON 2.00 X 0 0 0 KS PARK JR 2.00 X 0 0 0 GEORGE E RIDINGS JR 2.00 X 0 0 0 MARC ROBBINS 2.00 X 0 0 0 LAURA STEIDLE 2.00 X 0 0 0 RICHARD THOMAS 2.00 X 0 0 0 AARON THOMPSON 2.00 X 0 0 0 BILLY RAY HUGHES 2.00 X 0 0 0 JEFF FULTZ 2.00 X 0 0 0 LARRY BAILEY 40.00 X 0 54203 1984 ROBERT HUDSON 2.00 X X 0 159751 33167 CHRISTOPHER T JONES 2.00 X X 0 19235 3585 0 293909 40591 0 0 1 0 0 40203 50797 91000 20737 20737 5295 7965 -2670 -2670 -2670 281565 59000 288650 98674 -7085 -39674 -46759 -46759 34830 40203 33206 1624 1624 63932 0 0 -27068 100826 100826 9007 9007 143 143 20336 5490 14846 130312 115466 14846 0 196233 373990 52071 138428 40000 97000 606209 661386 31690 27515 1121631 1102891 10449 6274 10449 6274 X 1111182 1096617 1111182 1096617 1121631 1102891 X -66380 51815 X X 0 1 1 X 0 X X X 0 0 0 PATTIE A CLAY INFIRMARY ASSOCIATION 610461940 3 1 1 1 100826 1 100826 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 353547 8804 10991 3540 369802 349603 1979 3705 1740 353547 293960 38995 16648 349603 1.00000 0 0 0 CHARITABLE GIFT ANNUITY 6274 6274 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE BOARD DESIGNATED FUNDS INCLUDE ASSETS SET ASIDE BY THE ORGANIZATION'S BOARD OF DIRECTORS FOR LONG-TERM USES, OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES AND BOARD-DESIGNATED ASSETS ESTABLISHED FOR THE HOSPITAL THIRD AND FOURTH FLOOR RENOVATION PROJECT. FORM 990, PART IV LINE 12A HAS BEEN CHECKED YES. PART XI, XII, AND XIII OF SCHEDULE D ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. PRO AM GOLF TOURNAMENT 75033 40203 34830 33206 75033 40203 34830 33206 33206 1624 1 PATTIE A CLAY INFIRMARY ASSOCIATION INC PO BOX 1600 RICHMOND KY 404762603 610461940 501(C)(3) 100826 TO FUND CONSTRUCTION PROJECTS TO BENEFIT THE HOSPITAL. 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FOUNDATION PROVIDES ASSISTANCE TO PATTIE A. CLAY INFIRMARY ASSOCIATION, INC. AS OUTLINED IN THE FOUNDATION'S MISSION STATEMENT. 0 0 0 0 0 0 0 0 0 ROBERT HUDSON 0 159751 0 0 0 0 0 29687 0 3480 0 192918 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 51,815. AUDIT OVERSIGHT FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS OF PATTIE A. CLAY REGIONAL MEDICAL CENTER ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. PATTIE A CLAY INFIRMARY ASSOCIATION INC PO BOX 1600 RICHMOND KY 404762603 610461940 HOSPITAL KY 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0