Clarke County Hospital Foundation in Osceola, Iowa (IA)
Table of contents:
| Clarke County Hospital Foundation | |
| Employer Identification Number (EIN) | 263296941 |
| Name of Organization | Clarke County Hospital Foundation |
| In Care of Name | Brian G Evans |
| Address | 800 S Fillmore St, Osceola, IA 50213-1619 |
| Subsection | Charitable Organization |
| Ruling Date | 12/2009 |
| Deductibility | Contributions are deductible |
| Foundation | Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 06/2014 |
| Assets | $100,000 to $499,999 |
| Income | $10,000 to $24,999 |
| Filing Requirement | 990 - Required to file Form 990-N - Income less than $25,000 per year |
| Asset Amount | $102,691 |
| Amount of Income | $22,575 |
| Form 990 Revenue Amount | $22,575 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Single Organization Support |
Non-representatives - add comments:
Amount of income in 2014: $22,575 (it was $63,676 in 2013)
| Clarke County Hospital Foundation: | $22,575 |
| Other organizations performing similar types of work: | $323,574 |
Assets in 2014: $102,691 (it was $113,157 in 2013)
| Clarke County Hospital Foundation: | $102,691 |
| Other organizations performing similar types of work: | $489,325 |
Expenses in 2013: $5,712
| This organization: | $5,712 |
| Other organizations performing similar types of work: | $138,435 |
Income to expenses ratio in 2013: 4.0
| This organization: | 4.0 |
| Other organizations performing similar types of work: | 0.4 |
Grants share in income in 2013: 100.0%
| Clarke County Hospital Foundation: | 100.0% |
| Other organizations performing similar types of work: | 0.8% |
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | ||
| 2012 | 2013 | |
|---|---|---|
| Total revenue | $96,114 | $63,676 |
| Contributions, gifts, grants, and similar amounts received | $96,114 | $63,676 |
| Program service revenue including government fees and contracts | $0 | $0 |
| Membership dues and assessments | $0 | $0 |
| Investment income | $0 | $0 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 |
| Other revenue | $0 | $0 |
| Total expenses | $127,081 | $5,712 |
| Total net assets | $55,193 | $113,157 |
| Excess/Deficit for the year | $-30,967 | $57,964 |
| Net assets or fund balances at beginning of year | $86,160 | $55,193 |
| Other changes in net assets or fund balances | $0 | $0 |
| Net assets or fund balances at end of year | $55,193 | $113,157 |
| Balance Sheets | ||
| 2012 | 2013 | |
|---|---|---|
| Total assets | $55,193 | $113,157 |
| Total liabilities | $0 | $0 |
| Net assets or fund balances | $55,193 | $113,157 |
| Other Information | ||
| 2012 | 2013 | |
|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No |
| Were any significant changes made to the organizing or governing documents? | No | No |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No |
| Has the organization filed a Form 990-T for the year? | No | No |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No |
| Amount of political expenditures, direct or indirect | $0 | $0 |
| Did the organization file Form 1120-POL for this year? | No | No |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No |
| Total amount involved | $0 | $0 |
| Initiation fees and capital contributions | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) |
| Number of organizations supported | 1 |
| Sum of amounts of support | $712 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Svh Supportco | 406 Botulph Ln Ste 2, Santa Fe, NM 87505-6971 | NM | 2009-03 | $28,879,096 |
| 2 | Marengo Memorial Hospital Foundation | 300 W May St, Marengo, IA 52301-1261 | IA | 2004-09 | $78,117 |
| 3 | Gothic Hsp Corporation | 280 S Mangum St Ste 210, Durham, NC 27701-3675 | NC | 2010-03 | $421,493,502 |
| 4 | Living Well Foundation | PO BOX 2773, West Monroe, LA 71294-2773 | LA | 2007-06 | $129,316,646 |
| 5 | Tarrant County Indigent Carecorporation | 612 E Lamar Blvd No 6th Fl, Arlington, TX 76011-4121 | TX | 2009-09 | $58,649,726 |
| 6 | Forsyth Dental Infirmary Tr | PO BOX 1802, Providence, RI 02901-1802 | RI | 2015-04 | $54,647,193 |
| 7 | Broadline Risk Retention Group Inc | 100 Bank St Ste 610, Burlington, VT 05401-4946 | VT | 2014-03 | $37,684,044 |
| 8 | Santa Rosa Childrens Hospital Endowment Fund | 343 W Houston Street Suite 505, San Antonio, TX 78205 | TX | 2010-07 | $27,733,437 |
| 9 | Shelby County Medical Corp | 1220 Chatburn Ave, Harlan, IA 51537-2009 | IA | 1992-03 | $2,721,939 |
| 10 | Bethany Home Foundation | 1005 Lincoln Ave, Dubuque, IA 52001-3458 | IA | 2002-03 | $714,903 |
| 11 | Broadlawns Medical Center Foundation | PO BOX 5008, Des Moines, IA 50305-5008 | IA | 2001-12 | $624,165 |
| 12 | Hancock County Health System Foundation | 532 1st St Nw, Britt, IA 50423-1227 | IA | 2002-05 | $94,476 |
| 13 | St Francis Manor Foundation | 2021 4th Ave, Grinnell, IA 50112-2064 | IA | 2008-08 | $58,334 |
| 14 | Clarke County Hospital Foundation | 800 S Fillmore St, Osceola, IA 50213-1619 | IA | 2009-12 | $22,575 |
| 15 | Krys Foundation Inc | 102 W Park St, Forest City, IA 50436-2132 | IA | 2008-03 | $6,577 |
| 16 | Friends Of The Visiting Nursing Association | 2530 University Ave Ste 3, Waterloo, IA 50701 | IA | 2003-06 | $4,188 |
| 17 | Ft Madison Community Hospital Auxiliary Inc | PO BOX 174, Fort Madison, IA 52627-0174 | IA | 2013-11 | $0 |
| 18 | Gilmore City Ambulance Association | Po Box 276, Gilmore City, IA 50541 | IA | 2007-08 | $0 |
| 19 | Patronus Inc | 620 E Monroe St, Corydon, IA 50060-1620 | IA | 2015-02 | $0 |
| 20 | Tripoli Ems Association Incorporated, Tripoli Ems Association Iinc | Po Box 11, Tripoli, IA 50676 | IA | 2014-08 | $0 |
| Number of organizations performing similar types of work | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total | 945 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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