Clark County Hospital Foundation Inc in Jeffersonvlle, Indiana (IN)

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Clark County Hospital Foundation Inc
Employer Identification Number (EIN)311202140
Name of OrganizationClark County Hospital Foundation Inc
AddressPO BOX 69, Jeffersonvlle, IN 47131-0600
ActivitiesFundraising
SubsectionCharitable Organization
Ruling Date04/1987
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$1,000,000 to $4,999,999
Income$500,000 to $999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$2,572,715
Amount of Income$721,752
Form 990 Revenue Amount$721,752
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2013: $721,752 (it was $762,842 in 2012)
This organization: 

 $721,752
Other organizations performing similar types of work: 

 $317,271

Assets in 2013: $2,572,715 (it was $1,672,476 in 2012)
Clark County Hospital Foundation Inc: 

 $2,572,715
Other organizations performing similar types of work: 

 $422,742

Expenses in 2013: $292,947
Clark County Hospital Foundation Inc: 

 $292,947
Other organizations performing similar types of work: 

 $141,917

Income to expenses ratio in 2013: 2.5
This organization: 

 2.5
Other organizations performing similar types of work: 

 0.9

Grants share in income in 2013: 74.5%
Clark County Hospital Foundation Inc: 

 74.5%
Other organizations performing similar types of work: 

 14.3%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?NoNo
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?NoNo
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?YesYes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?NoNo
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?NoNo
Did the organization make any transfers to an exempt non-charitable related organization?YesYes
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 1096000
The number of Forms W-2G000
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return333
Did the organization file all required federal employment tax returns?YesYesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?NoNoNo
Has it filed a Form 990-T for this year?NoNoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNoNo
Did the organization file Form 8886-T?NoNoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNoNo
Did the organization notify the donor of the value of the goods or services provided?NoNoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNoNo
The amount of tax-exempt interest received or accrued during the year$0$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0$0
The amount of reserves on hand$0$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNoNo
Has it filed a Form 720 to report these payments?NoNoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$65,495$0
Total reportable compensation from related organizations$65,495$0
Total estimated amount of other compensation from the organization and related organizations$0$0
Total number of individuals who received more than $100,000 of reportable compensation from the organization00
Total number of independent contractors who received more than $100,000 of compensation from the organization00
Statement of Revenue
201120122013
Total revenue$527,937$762,842$721,752
Contributions, Gifts, Grants and Other Similar Amounts$528,805$714,293$537,622
Program Service Revenue$0$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$-868$48,549$184,130
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$0$0
Net gain/loss from sales of assets other than inventory$0$0$0
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$0$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$416,072$509,981$292,947
Grants and other assistance to domestic organizations and domestic governments$178,231$282,122$118,514
Grants and other assistance to domestic individuals$0$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0$0
Benefits paid to or for members$0$0$0
Compensation of current officers, directors, trustees, and key employees$66,258$65,495$0
Compensation not included above, to disqualified persons$0$0$0
Other salaries and wages$75,632$57,153$55,952
Pension plan accruals and contributions$0$0$0
Other employee benefits$0$0$0
Payroll taxes$0$0$0
Fees for services (non-employees)
Management$0$0$0
Legal$0$1,970$363
Accounting$0$0$0
Lobbying$0$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0$0
Other$12,166$9,775$4,295
Advertising and promotion$65,939$73,816$99,411
Office expenses$14,116$15,362$10,565
Information technology$0$0$0
Royalties$0$0$0
Occupancy$0$0$0
Travel$298$150$0
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0$0
Conferences, conventions, and meetings$0$881$2,908
Interest$0$0$0
Payments to affiliates$0$0$0
Depreciation, depletion, and amortization$0$0$0
Insurance$0$0$0
Other expenses$87$3,257$938
Balance Sheet
201120122013
Total assets$1,426,238$1,672,476$2,572,715
Cash - non-interest-bearing$10,000$10,000$10,000
Savings and temporary cash investments$1,075,425$1,279,140$204,405
Pledges and grants receivable, net$0$0$58,000
Accounts receivable, net$0$0$0
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0$0
Notes and loans receivable, net$0$0$0
Inventories for sale or use$0$0$0
Prepaid expenses and deferred charges$0$0$0
Land, buildings, and equipment: cost or other basis$0$0$0
Investments - publicly traded securities$281,180$312,455$2,232,598
Investments - other securities$0$0$0
Investments - program-related$0$0$0
Intangible assets$0$0$0
Other assets$59,633$70,881$76,712
Total liabilities$35,821$29,199$50,728
Accounts payable and accrued expenses$0$0$0
Grants payable$0$0$0
Deferred revenue$0$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$35,821$29,199$50,728
Total net assets or fund balances$1,390,417$1,643,278$2,521,986
Unrestricted net assets$0$0$0
Temporarily restricted net assets$0$0$0
Permanently restricted net assets$0$0$0
Capital stock or trust principal, or current funds$0$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0$0
Retained earnings, endowment, accumulated income, or other funds$1,390,417$1,643,278$2,521,986
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi)
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (for 2009 - 2013)
2009 - 2013 Total
Public Support$2,617,893
Subtotal Support$2,617,893
Gifts, grants, contributions, and membership fees received$2,617,893
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) that exceeds 2% of the total support$0
Total Support$2,937,027
Public Support$2,617,893
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$319,134
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income. Do not include gain or loss from the sale of capital assets$0
Gross receipts from related activities, etc.$2,937,027
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Community Howard Regional Health Foundation IncPO BOX 9011, Kokomo, IN 46904-9011IN1973-08$678,552
2Columbus Regional Hospital Foundation Inc2400 17th St, Columbus, IN 47201-5351IN1952-12$5,100,793
3Health Development Corporation411 W Tipton St, Seymour, IN 47274-2363IN1991-02$3,919,789
4Major Hospital Foundation150 W Washington St, Shelbyville, IN 46176-1236IN1971-11$3,111,916
5Dekalb Health Foundation Inc212 W 7th St, Auburn, IN 46706-1723IN1964-11$1,569,381
6Hancock Regional Hospital Foundation Inc801 N State St, Greenfield, IN 46140-1270IN1986-05$1,470,542
7Elkhart General Hospital Foundation600 East Blvd, Elkhart, IN 46514-2483IN1966-10$1,458,889
8Saint Joseph Foundation Of Kokomo1907 W Sycamore Street, Kokomo, IN 46901-5148IN1946-03$918,555
9Clark County Hospital Foundation IncPO BOX 69, Jeffersonvlle, IN 47131-0600IN1987-04$721,752
10Schneck Medical Center GuildPO BOX 2349, Seymour, IN 47274-5000IN1969-02$280,483
11St Vincent Mercy Hospital Foundation Inc1331 S A St, Elwood, IN 46036-1942IN1983-07$275,049
12Whitley County Memorial Hospital Foundation Inc1260 E State Road 205, Columbia City, IN 46725-9492IN1987-02$254,935
13Tipton County Health Care Foundation Inc950 N Meridian St Ste 800, Indianapolis, IN 46204-3910IN1988-03$83,859
14Warrick Hospital Foundation Inc1116 Millis Avenue, Boonville, IN 47601-2204IN1996-11$64,297
15St Clare Medical Center Auxiliary Gift Shop1710 Lafayette Road, Crawfordsville, IN 47933-1033IN1986-03$60,640
16West Central Community Hospital Foundation Inc801 S Main St, Clinton, IN 47842-2261IN1985-03$33,687
17Union Hospital Clinton801 S Main St, Clinton, IN 47842-2261IN1992-09$17,069
18Schell Memorial Fund For The Benefit Of The Union HospitalPO BOX 540, Terre Haute, IN 47808-0540IN1944-11$5,816
19Southwest Indiana Regional Health Center Inc1900 Medical Arts Dr, Huntingburg, IN 47542-9521IN1991-10$0
20Woodlawn Hospital Auxiliary Of Fulton County1400 East Ninth Street, Rochester, IN 46975IN1976-04$0
Number of organizations performing similar types of work
Alaska1
Alabama11
Arkansas11
Arizona4
California89
Colorado11
Connecticut9
District of Columbia4
Delaware4
Florida38
Georgia18
Hawaii3
Iowa20
Idaho3
Illinois22
Indiana43
Kansas21
Kentucky7
Louisiana10
Massachusetts23
Maryland29
Maine4
Michigan19
Minnesota8
Missouri14
Mississippi4
Montana4
North Carolina27
North Dakota7
Nebraska12
New Hampshire7
New Jersey35
New Mexico11
Nevada5
New York61
Ohio48
Oklahoma10
Oregon15
Pennsylvania58
Rhode Island11
South Carolina12
South Dakota1
Tennessee7
Texas33
Utah2
Virginia13
Vermont4
Washington14
Wisconsin18
West Virginia10
Wyoming2
Total857

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