PARTNERS IN EXCEPTIONAL CARE: Form 990EZ, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- PARTNERS IN EXCEPTIONAL CARE (EIN 39-1904074)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201141369349202879
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T14:37:46-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM McGladrey Inc | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N Harrison Street Suite 300 | AddressLine1 |
| City | Davenport | City |
| State | IA | State |
| ZIP Code | 528011999 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391904074 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARINDA MEDICAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CLAR | NameControl |
| Phone | 7155422176 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 823 SOUTH 17TH STREET PO BOX 217 | AddressLine1 |
| City | CLARINDA | City |
| State | IA | State |
| ZIP Code | 51632 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MONTY BOSWELL | Name |
| Title | PRESIDENT | Title |
| Phone | 7155422176 | Phone |
| Date Signed | 2011-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John J Romano | Name |
| Phone | 5638884000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.CLARINDAHEALTH.COM | WebSite |
| Organization501c | X | Organization501c |
| Gross Receipts | 36034 | GrossReceipts |
| Contributions Gifts Grants Etc | 14870 | ContributionsGiftsGrantsEtc |
| Investment Income | 2689 | InvestmentIncome |
| Special Events Gross Revenue | 8824 | SpecialEventsGrossRevenue |
| Special Events Direct Expenses | 4413 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 4411 | SpecialEventsNetIncomeLoss |
| Gross Sales Of Inventory | 5488 | GrossSalesOfInventory |
| Cost Of Goods Sold | 4593 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 895 | GroProfitLossSalesOfInventory |
| Other Revenue Total | 4163 | OtherRevenueTotal |
| Total Revenue | 27028 | TotalRevenue |
| Grants And Similar Amounts Paid | 464237 | GrantsAndSimilarAmountsPaid |
| Other Expenses Total | 2472 | OtherExpensesTotal |
| Total Expenses | 466709 | TotalExpenses |
| Excess Or Deficit For Year | -439681 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 576443 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 95162 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 231924 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124224 | BOY |
| EOY | 24951 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 452219 | BOY |
| EOY | 206973 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 576443 | BOY |
| EOY | 231924 | 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 | 576443 | BOY |
| EOY | 231924 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | CLARINDA MEDICAL FOUNDATION MANAGES THE COLLECTION AND DISBURSEMENT OF CONTRIBUTIONS FOR CLARINDA REGIONAL HEALTH CENTER. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | CLARINDA MEDICAL FOUNDATION MANAGES THE COLLECTION AND DISBURSEMENT OF CONTRIBUTIONS FOR CLARINDA REGIONAL HEALTH CENTER. | DescriptionProgramServiceAccom |
| Grants And Allocations | 0 | GrantsAndAllocations |
| Program Service Expenses | 14237 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 14237 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (11 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 |
|---|---|---|---|---|---|---|---|---|
| MONTY BOSWELL | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | PRESIDENT | 0.25 | 0 | 0 | 0 |
| JOHN CLARK | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | SECRETARY/TREASURER | 0.25 | 0 | 0 | 0 |
| JEAN NEGLEY | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| RICHARD DAVIDSON | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | VICE PRESIDENT | 0.25 | 0 | 0 | 0 |
| CHRISTOPHER STIPE | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| GLORIA kLINE | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| RON RICHARDSON | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| MAGGIE BROWN | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| RANDY WALTERS | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| MIDGE STANLEY | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 0.25 | 0 | 0 | 0 |
| JASON BRIDIE | ||||||||
| PO BOX 217 | CLARINDA | IA | 51632 | DIRECTOR | 20.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON BRIDIE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 823 SOUTH 17TH STREET | AddressLine1 |
| City | CLARINDA | City |
| State | IA | State |
| ZIP Code | 51632 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7125428339 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| 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 |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40886 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 210527 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 30084 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17482 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14870 | CurrentTaxYear |
| Total | 313849 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7550 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17776 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21902 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20001 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14312 | CurrentTaxYear |
| Total | 81541 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 48436 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 228303 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 51986 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37483 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29182 | CurrentTaxYear |
| Total | 395390 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 775 | CurrentTaxYearMinus1Year |
| Current Tax Year | 800 | CurrentTaxYear |
| Total | 3575 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 775 | CurrentTaxYearMinus1Year |
| Current Tax Year | 800 | CurrentTaxYear |
| Total | 3575 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 391815 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14393 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19012 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40013 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16438 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2689 | CurrentTaxYear |
| Total | 92545 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14393 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19012 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40013 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16438 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2689 | CurrentTaxYear |
| Total | 92545 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 321 | CurrentTaxYearMinus2Years |
| Current Tax Year | 4163 | CurrentTaxYear |
| Total | 4484 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 62829 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 247315 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 92320 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 53921 | CurrentTaxYearMinus1Year |
| Current Tax Year | 36034 | CurrentTaxYear |
| Total | 492419 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.79570 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.85810 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.18790 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.13690 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 |