Community Hospital Of Bremen Foundation Inc in Bremen, Indiana (IN)

Community Hospital Of Bremen Foundation Inc
Employer Identification Number (EIN)	351813755
Name of Organization	Community Hospital Of Bremen Foundation Inc
In Care of Name	Debra Tahara
Address	1020 High Rd, Bremen, IN 46506-1093
Activities	Gifts, grants, or loans to other organizations
Subsection	Charitable Organization
Ruling Date	01/1992
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	04/2014
Assets	$1,000,000 to $4,999,999
Income	$100,000 to $499,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$1,395,344
Amount of Income	$141,000
Form 990 Revenue Amount	$100,096
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospital, General

Non-representatives - add comments:

Amount of income in 2014: $141,000 (it was $211,959 in 2013)

This organization:	$141,000
Other organizations performing similar types of work:	$13,972,681

Assets in 2014: $1,395,344 (it was $1,395,997 in 2013)

This organization:	$1,395,344
Other organizations performing similar types of work:	$11,373,581

Expenses in 2014: $117,027

Community Hospital Of Bremen Foundation Inc:	$117,027
Other organizations performing similar types of work:	$14,578,904

Income to expenses ratio in 2014: 1.2

Community Hospital Of Bremen Foundation Inc:	1.2
Other organizations performing similar types of work:	1.1

Grants share in income in 2014: 18.3%

This organization:	18.3%
Other organizations performing similar types of work:	0.2%

Financial snapshot ($)

Revenue for 2014

Assets at the end of 2014

Functional expenses for 2014

	2013	2014
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
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?	No	No
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?	No	Yes
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
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?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	No	No
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)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
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?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	Yes	Yes
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	No	Yes
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?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
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?	No	No
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?	No	No
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?	No	No
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?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
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?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
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?	No	No

	2012	2013	2014
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		0	0
The number of Forms W-2G		0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		No	No
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 return		0	0
Did the organization file all required federal employment tax returns?		No	No
Did the organization have unrelated business gross income of $1,000 or more during the year?	No	No	No
Has it filed a Form 990-T for this year?		No	No
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)?		No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No
Did the organization file Form 8886-T?		No	No
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?		No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No
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?		No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No
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?		No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No
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
The amount of reserves on hand		$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No
Has it filed a Form 720 to report these payments?		No	No

	2013	2014
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$18,457	$19,266
Total reportable compensation from related organizations	$352,884	$411,804
Total estimated amount of other compensation from the organization and related organizations	$0	$41,180
Total number of individuals who received more than $100,000 of reportable compensation from the organization	0	0
Total number of independent contractors who received more than $100,000 of compensation from the organization	0	0

	2012	2013	2014
Statement of Revenue
Total revenue	$127,838	$191,687	$100,096
Contributions, Gifts, Grants and Other Similar Amounts	$23,221	$22,900	$18,300
Program Service Revenue	$0	$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$35,135	$32,790	$13,289
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	$-7,012	$41,062	$-16,140
Gross amount from sales of assets other than inventory (Securities / Other)	$0 / $-7,012	$0 / $41,062	$0 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $0	$0 / $0	$0 / $16,140
Gain or (loss) (Securities / Other)	$0 / $-7,012	$0 / $41,062	$0 / $-16,140
Net income/loss from fundraising events	$74,094	$83,735	$83,447
Gross income from fundraising events	$94,880	$104,007	$108,211
Less: direct expenses	$20,786	$20,272	$24,764
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$2,400	$11,200	$1,200
0		$11,200	$1,200
All other revenue		$0	$0

	2012	2013	2014
Statement of Functional Expenses
Total functional expenses	$277,568	$248,525	$117,027
Grants and other assistance to domestic organizations and domestic governments		$151,458	$23,466
Grants and other assistance to domestic individuals		$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0
Benefits paid to or for members		$0	$0
Compensation of current officers, directors, trustees, and key employees	$0	$0	$0
Compensation not included above, to disqualified persons		$0	$0
Other salaries and wages	$39,530	$42,480	$42,463
Pension plan accruals and contributions		$0	$0
Other employee benefits		$0	$0
Payroll taxes	$0	$0	$0
Fees for services (non-employees)
Management		$24,551	$14,123
Legal		$0	$0
Accounting		$2,850	$2,950
Lobbying		$0	$0
Professional fundraising services	$10,010	$10,000	$10,000
Investment management fees		$0	$0
Other		$0	$0
Advertising and promotion		$1,259	$450
Office expenses		$11,386	$18,588
Information technology		$0	$0
Royalties		$0	$0
Occupancy		$1,800	$1,800
Travel		$0	$0
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0
Conferences, conventions, and meetings		$0	$0
Interest		$0	$0
Payments to affiliates		$0	$0
Depreciation, depletion, and amortization		$0	$0
Insurance		$0	$0
Other expenses		$1,400	$1,504
Other expenses		$1,259	$1,135
Other expenses		$82	$541
Other expenses		$0	$7

	2012	2013	2014
Balance Sheet
Total assets	$1,450,081	$1,395,997	$1,395,344
Cash - non-interest-bearing		$248,433	$254,421
Savings and temporary cash investments		$1,147,564	$1,140,923
Pledges and grants receivable, net		$0	$0
Accounts receivable, net		$0	$0
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$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
Notes and loans receivable, net		$0	$0
Inventories for sale or use		$0	$0
Prepaid expenses and deferred charges		$0	$0
Land, buildings, and equipment: cost or other basis		$0	$0
Investments - publicly traded securities		$0	$0
Investments - other securities		$0	$0
Investments - program-related		$0	$0
Intangible assets		$0	$0
Other assets		$0	$0
Total liabilities	$56,411	$47,489	$51,372
Accounts payable and accrued expenses		$47,489	$51,372
Grants payable		$0	$0
Deferred revenue		$0	$0
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability		$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$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)		$0	$0
Total net assets or fund balances	$1,393,670	$1,348,508	$1,343,972
Unrestricted net assets		$1,335,508	$1,330,972
Temporarily restricted net assets		$13,000	$13,000
Permanently restricted net assets		$0	$0
Capital stock or trust principal, or current funds		$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2014)
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	$23,466

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Saint Johns Health System	2015 Jackson St, Anderson, IN 46016-4337	IN	1946-03	$142,108,692
2	Riverview Hospital	395 Westfield Rd, Noblesville, IN 46060-1425	IN	1973-01	$113,937,355
3	United Helpers Nursing Home Inc	8101 State Highway 68, Ogdensburg, NY 13669-4403	NY	1970-06	$15,273,370
4	Cameron Memorial Community Hospital Inc	416 E Maumee St, Angola, IN 46703-2015	IN	1938-11	$55,871,283
5	Southern Indiana Rehabilition Hospital, Southern Indiana Rehab Hospital	3104 Blackiston Blvd, New Albany, IN 47150-9579	IN	1998-03	$18,202,586
6	Community Hospital Of Bremen	PO BOX 8, Bremen, IN 46506-0008	IN	1949-07	$16,559,053
7	Community Hospital Of Bremen Foundation Inc	1020 High Rd, Bremen, IN 46506-1093	IN	1992-01	$141,000
8	Alverno-Michigan City Corporation, Northern Indiana Medical Laboratory	2434 Interstate Plaza Dr, Hammond, IN 46324-3361	IN	1946-03	$0
9	Clark Memorial Hospital	1220 Missouri Ave, Jeffersonvlle, IN 47130-3725	IN	1970-01	$0
10	Community Advanced Life Support Consortium Inc	123 Nw 47th St Ste 317 Court Bldg, Evansville, IN 47708	IN	1995-08	$0
11	Good Samaritan Hospital	520 S 7th St, Vincennes, IN 47591-1038	IN	1997-06	$0
12	Jasper County Hospital	1104 E Grace St, Rensselaer, IN 47978-3211	IN	1989-03	$0
13	Lafayette Home Hospital Inc	2400 South St, Lafayette, IN 47904-3027	IN	1928-07	$0
14	Methodist Health Group Inc	950 N Meridian St Ste 800, Indianapolis, IN 46204-3910	IN	1936-12	$0
15	Porter Memorial Hospital	814 Laporte Ave, Valparaiso, IN 46383-5860	IN	1973-12	$0
16	Putnam County Hospital	1542 S Bloomington St, Greencastle, IN 46135-2212	IN	1997-02	$0
17	Scott County Memorial Hospital, Affiliated With Jewish Hospital	PO BOX 430, Scottsburg, IN 47170-0430	IN	1977-01	$0
18	Washington County Hospital	911 N Shelby St, Salem, IN 47167-2304	IN	1980-07	$0
19	White County Memorial Hospital	720 S 6th St, Monticello, IN 47960-8182	IN	1978-02	$0
20	Woodlawn Hospital	1400 E 9th St, Rochester, IN 46975-8931	IN	1976-12	$0

Number of organizations performing similar types of work

Alaska	2
Alabama	4
Arkansas	10
Arizona	70
California	20
Colorado	2
Connecticut	2
District of Columbia	1
Delaware	1
Florida	12
Georgia	9
Hawaii	3
Iowa	15
Idaho	1
Illinois	16
Indiana	21
Kansas	13
Kentucky	18
Louisiana	4
Massachusetts	8
Maryland	6
Maine	8
Michigan	28
Minnesota	12
Missouri	11

Mississippi	3
Montana	10
North Carolina	11
North Dakota	8
Nebraska	8
New Hampshire	3
New Jersey	8
New Mexico	1
Nevada	2
New York	20
Ohio	24
Oklahoma	13
Oregon	3
Pennsylvania	27
South Carolina	6
South Dakota	6
Tennessee	19
Texas	24
Utah	1
Virginia	12
Vermont	3
Washington	8
Wisconsin	16
West Virginia	9

Total

542

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