RICHLAND HOSPITAL FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- RICHLAND HOSPITAL FOUNDATION INC (EIN 39-1567249)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-04-28
- IRS object ID
- 201111189349300211
- Schema version
- 2010v3.2
- 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 | 2011-04-28T10:37:26-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GROBE & ASSOCIATES LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 WATER STREET SUITE 111 | AddressLine1 |
| City | PRAIRIE DU SAC | City |
| State | WI | State |
| ZIP Code | 53578 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391567249 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHLAND HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RICH | NameControl |
| Phone | 6086476321 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 EAST SECOND STREET | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARILYN RINEHART | Name |
| Title | PRESIDENT | Title |
| Phone | 6086476321 | Phone |
| Date Signed | 2011-04-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM K CAMPBELL | Name |
| Phone | 6086438557 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NANCY KEEGAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 EAST SECOND STREET | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 292415 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | RICHLANDHOSPITAL.COM/FOUNDATION | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | THE PURPOSE OF THE ORGANIZATION IS TO SOLICIT, HOLD, MANAGE, INVEST AND EXPEND CONTRIBUTIONS, GRANTS AND BEQUESTS FOR THE MAINTENANCE, BENEFIT AND SUPPORT OF THE RICHLAND HOSPITAL, INC, AND SUCH OF ITS PROGRAMS AS THE BOARD OF DIRECTORS OF THIS ORGANIZATION FROM TIME TO TIME DEEM TO BE SUITABLE AND APPROPRIATE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1428499 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 258169 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5504 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6652 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 16324 | OtherRevenuePriorYear |
| Other Revenue Current Year | 17161 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1450327 | TotalRevenuePriorYear |
| Total Revenue Current Year | 281982 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 339932 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 206903 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 25790 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 33819 | OtherExpensePriorYear |
| Other Expenses Current Year | 32129 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 373751 | TotalExpensesPriorYear |
| Total Expenses Current Year | 239032 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1076576 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 42950 | RevenuesLessExpensesCY |
| Total Assets BOY | 1772033 | TotalAssetsBOY |
| Total Assets EOY | 1814983 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1772033 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1814983 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE PURPOSE OF THE ORGANIZATION IS TO SOLICIT, HOLD, MANAGE, INVEST AND EXPEND CONTRIBUTIONS, GRANTS AND BEQUESTS FOR THE MAINTENANCE, BENEFIT AND SUPPORT OF THE RICHLAND HOSPITAL, INC, AND SUCH OF ITS PROGRAMS AS THE BOARD OF DIRECTORS OF THIS ORGANIZATION FROM TIME TO TIME DEEM TO BE SUITABLE AND APPROPRIATE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 187778 | Expense |
| Grants | 187778 | Grants |
| Description | GRANTS FOR EQUIPMENT AND IMPROVEMENTS AT RICHLAND HOSPITAL INC | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 19125 | Expense |
| Grants | 19125 | Grants |
| Description | GRANTS FOR SCHOLARSHIPS TO INDIVIDUALS IN THE MEDICAL FIELD | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 923 | Expense |
| Description | SPONSORING OF EDUCATIONAL PROGRAMS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 207826 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | 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 | 1 | 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 | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORBERT CALNIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6086476321 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 EAST SECOND STREET | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| CAROL KELLER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LINDA WANLESS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN POOLE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LORRAINE DALBERG | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JENNIFER FOLEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR ANDREW WRIGHT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TOM GAINOR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARK JELINEK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL PARR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CAROLYN DRAY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CLAUDIA BERRES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARILYN RINEHART | |||||||
| VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | ||
| NANCY KEEGAN | |||||||
| PRESIDENT | 1.00 | 0 | 0 | 0 | X | ||
| RAY SCHMITZ | |||||||
| TREASURER | 1.00 | 0 | 0 | 0 | X | ||
| JENNY BAUER | |||||||
| SECRETARY | 1.00 | 0 | 0 | 0 | X | ||
| NORBERT CALNIN | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 0 | 0 | 0 | X | ||
| 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 |
| All Other Contributions | 258169 | AllOtherContributions |
| Total Contributions | 258169 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6652 | TotalRevenueColumn |
| Exclusion | $6,652 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 27594 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 10433 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17161 | TotalRevenueColumn |
| Exclusion | $17,161 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 281982 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $23,813 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206903 | Total |
| Program Services | 206903 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3150 | Total |
| Management And General | 3150 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 885 | Total |
| Management And General | 295 | ManagementAndGeneral |
| Fundraising | 590 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 807 | Total |
| Management And General | 269 | ManagementAndGeneral |
| Fundraising | 538 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 725 | Total |
| Management And General | 242 | ManagementAndGeneral |
| Fundraising | 483 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4953 | Total |
| Management And General | 347 | ManagementAndGeneral |
| Fundraising | 4606 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | FundraisingFundraising | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|---|
| UNCOLLECTIBLE PLEDGES | 9001 | 9001 | ||
| FUNDRAISING | 8346 | 8346 | ||
| COMPUTER EXPENSES | 1887 | 1258 | 629 | |
| PROGRAM SERVICES | 923 | 923 | ||
| POSTAGE | 908 | 605 | 303 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544 | Total |
| Management And General | 181 | ManagementAndGeneral |
| Fundraising | 363 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239032 | Total |
| Program Services | 207826 | ProgramServices |
| Management And General | 5416 | ManagementAndGeneral |
| Fundraising | 25790 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47600 | BOY |
| EOY | 16964 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1297208 | BOY |
| EOY | 1625951 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175813 | BOY |
| EOY | 170013 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250000 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1412 | BOY |
| EOY | 2055 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1483 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1483 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1772033 | BOY |
| EOY | 1814983 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1618485 | BOY |
| EOY | 1663952 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153548 | BOY |
| EOY | 151031 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1772033 | BOY |
| EOY | 1814983 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1772033 | BOY |
| EOY | 1814983 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 42950 | ReconcilationRevenueExpenses |
| 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 | 455317 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 409696 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 405449 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1428499 | CurrentTaxYearMinus1Year |
| Current Tax Year | 258169 | CurrentTaxYear |
| Total | 2957130 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 455317 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 409696 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 405449 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1428499 | CurrentTaxYearMinus1Year |
| Current Tax Year | 258169 | CurrentTaxYear |
| Total | 2957130 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 169521 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2787609 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2504 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12185 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17679 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5504 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6652 | CurrentTaxYear |
| Total | 44524 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25040 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 28317 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 37266 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26700 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27594 | CurrentTaxYear |
| Total | 144917 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3146571 | TotalSupport |
| Public Support Pertcentage170 | 0.88590 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.88960 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1483 | OtherCostOrOtherBasis |
| Depreciation | 1483 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 281982 | TotalRevenue |
| Total Expenses | 239032 | TotalExpenses |
| Excess Or Deficit For Year | 42950 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 42950 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 398267 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 105852 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 10433 | OtherRevenues |
| Revenue Not Rptd F990 | 116285 | RevenueNotRptdF990 |
| Revenue Subtotal | 281982 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 281982 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 355317 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 105852 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 10433 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 116285 | ExpensesNotRptdF990 |
| Expenses Subtotal | 239032 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 239032 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | DONATED SERVICES AND FACILITIES ARE NOT REPRTED ON 990 GOLF FUNDRAISING EXPENSES ARE OFFSET AGAIST INCOME ON THE 990 | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 27594 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 27594 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 10433 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 27594 | GrossReceiptsTotal |
| Gross Revenue Total Events | 27594 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 10433 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 10433 | DirectExpenseSummaryEvents |
| Net Income Summary | 17161 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHLAND HOSPITAL INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 EAST SECOND STREET | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 390808498 | EINOfRecipient |
| Purpose Of Grant | PLANT, EQUIPMENT AND SCHOLARSHIPS | PurposeOfGrant |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR REVIEWS THE 990 BEFORE IT IS FILED. | |
| COPIES OF THE REQUIRED DOCUMENTS ARE MAINTAINED AT THE ORGANIZATIONS OFFICE AND ARE AVAILABLE TO THE PUBLIC. | FORM 990, PART VI, SECTION C, LINE 19 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHLAND HOSPITAL INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 EAST SECOND STREET | AddressLine1 |
| City | RICHLAND CENTER | City |
| State | WI | State |
| ZIP Code | 53581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390808498 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | WI | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| RICHLAND HOSPITAL INC | |
| B | 206903 |
| RICHLAND HOSPITAL INC | |
| M | 1200 |
| RICHLAND HOSPITAL INC | |
| N | 104652 |
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