Illinois Valley Medical Center in Cave Junction, Oregon (OR)

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Illinois Valley Medical Center
Employer Identification Number (EIN)930525068
Name of OrganizationIllinois Valley Medical Center
In Care of NameROBERT HIRNING
AddressP O Box 669, Cave Junction, OR 97523
ActivitiesRural medical facility, Health clinic, Other health services
SubsectionCharitable Organization, Educational Organization, Scientific Organization
Ruling Date02/1976
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period2014
Assets$100,000 to $499,999
Income$10,000 to $24,999
Filing Requirement990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount$432,683
Amount of Income$13,907
Form 990 Revenue Amount$13,907
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2014: $13,907
This organization: 

 $13,907
Other organizations performing similar types of work: 

 $129,251,994

Assets in 2014: $432,683
Illinois Valley Medical Center: 

 $432,683
Other organizations performing similar types of work: 

 $122,242,322

Expenses in 2013: $71,225
This organization: 

 $71,225
Other organizations performing similar types of work: 

 $119,720,646

Income to expenses ratio in 2013: 0.2
Illinois Valley Medical Center: 

 0.2
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2007: 95.3%
This organization: 

 95.3%
Other organizations performing similar types of work: 

 85.7%

Grants share in income in 2013: 14.6%
This organization: 

 14.6%
Other organizations performing similar types of work: 

 0.2%

Financial snapshot ($)

Revenue for 2013

Support schedule

Revenue, Expenses, and Changes in Net Assets or Fund Balances
201120122013
Total revenue$24,307$19,804$13,907
Contributions, gifts, grants, and similar amounts received$0$0$2,030
Program service revenue including government fees and contracts$22,629$18,090$10,092
Membership dues and assessments$0$0$0
Investment income$1,678$1,714$1,785
Gain/Loss from sale of assets other than inventory$0$0$0
Net income/loss from gaming and fundraising events$0$0$0
Gross profit/loss from sales of inventory$0$0$0
Other revenue$0$0$0
Total expenses$23,866$22,030$71,225
Total net assets$492,227$490,001$432,683
Excess/Deficit for the year$441$-2,226$-57,318
Net assets or fund balances at beginning of year$491,786$492,227$490,001
Other changes in net assets or fund balances$0$0$0
Net assets or fund balances at end of year$490,001$432,683
Balance Sheets
201120122013
Total assets$492,227$490,001$432,683
Total liabilities$0$0$0
Net assets or fund balances$492,227$490,001$432,683
Other Information
201120122013
Did the organization engage in any significant activity not previously reported to the IRS?NoNo
Were any significant changes made to the organizing or governing documents?NoNo
Did the organization have unrelated business gross income of $1,000 or more during the year from business activitiesNoNoNo
Has the organization filed a Form 990-T for the year?NoNo
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year?NoNo
Amount of political expenditures, direct or indirect$0$0
Did the organization file Form 1120-POL for this year?NoNo
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?NoNo
Total amount involved$0$0
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities$0$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?NoNo
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?NoNo
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
2009 - 2013 Total
Public support$101,453
Subtotal$101,453
Gifts, grants, contributions, and membership fees received$2,030
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose$0
Gross receipts from activities that are not an unrelated trade or business under section 513$99,423
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
Less$0
Amounts received from disqualified persons$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support$0
Total support$110,300
Public support$101,453
Subtotal$8,847
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$8,847
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975$0
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
2000200120032004200520062007
Total revenue$40,302$46,296$48,211$40,979$45,158$45,864$37,796
Contributions, gifts, grants, and similar amounts received$0$124$0$0$0$0$2,089
Contributions to donor advised funds$0$0
Direct public support$0$124$0$0$0$0$0
Indirect public support$0$0$0$0$0$0$0
Government contributions (grants)$0$0$0$0$0$0$2,089
Program service revenue including government fees and contracts$0$51,885$48,020$40,831$44,609$44,618$33,330
Membership dues and assessments$0$0$0$0$0$0$0
Interest on savings and temporary cash investments$0$179$191$148$549$1,246$2,377
Dividends and interest from securities$0$1,206$0$0$0$0$0
Net rental income or (loss)$0$0$0$0$0$0$0
Gross rents$0$0$0$0$0$0$0
Less: rental expenses$0$0$0$0$0$0$0
Other investment income$0$0$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$0$-7,183$0$0$0$0$0
Gross amount from sales of assets other than inventory$0$3,005$0$0$0$0$0
Less: cost or other basis and sales expenses$0$10,188$0$0$0$0$0
Net income or (loss) from special events and activities$0$0$0$0$0$0$0
Gross revenue$0$0$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0$0$0
Other revenue$39,140$85$0$0$0$0$0
Total expenses$13,556$29,698$17,611$38,574$33,137$38,201$30,210
Program services$0$13,018$10,089$22,725$17,510$33,050$28,804
Management and general$0$14,425$7,522$15,755$15,627$5,151$1,406
Fundraising$0$2,255$0$94$0$0$0
Payments to affiliates$0$0$0$0$0$0$0
Net assets or fund balances at end of year$227,279$200,178$481,594$476,769$488,790$496,453$504,039
Excess or (deficit) for the year$26,746$16,598$30,600$2,405$12,021$7,663$7,586
Net assets or fund balances at beginning of year$183,147$183,166$456,003$481,594$476,769$488,790$496,453
Other changes in net assets or fund balances$17,386$414$-5,009$-7,230$0$0$0
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$30,210$28,804$1,406$0
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$0$0$0$0
Compensation of former officers, directors, key employees, etc.$0$0$0$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0$0$0
Salaries and wages of employees not included above$0$0$0$0
Pension plan contributions not included above$0$0$0$0
Employee benefits not included above$0$0$0$0
Payroll taxes$0$0$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$350$350$0$0
Legal fees$0$0$0$0
Supplies$63$0$63$0
Telephone$0$0$0$0
Postage and shipping$142$0$142$0
Occupancy$5,643$5,643$0$0
Equipment rental and maintenance$0$0$0$0
Printing and publications$0$0$0$0
Travel$0$0$0$0
Conferences, conventions, and meetings$0$0$0$0
Interest$0$0$0$0
Depreciation, depletion, etc.$9,821$9,821$0$0
Other expenses not covered above$14,191$12,990$1,201$0
Balance Sheets
2000200120032004200520062007
Total assets$227,279$200,178$484,394$479,569$491,590$499,253$504,039
Cash - non-interest-bearing$0$0$21,085$35,974$40,896$38,988$43,628
Savings and temporary cash investments$0$41,306$11,131$11,258$21,679$42,722$54,946
Accounts receivable less allowance for doubtful accounts$0$0$0$0$6,299$4,298$2,041
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0$0$0
Grants receivable$0$0$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$0$0$0$0$0$0$0
Inventories for sale or use$0$0$0$0$0$0$0
Prepaid expenses and deferred charges$0$0$0$0$0$0$0
Investments - publicly-traded securities$0$0
Investments - other securities$0$0$0$0$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$27,500$174,237$174,237$174,237$174,237$174,237
Investments - other$0$0$0$0$0$0$0
Land, buildings, and equipment less accumulated depreciation$45,800$59,775$277,941$258,100$248,479$238,458$229,187
Other assets, including program-related investments$0$71,597$0$0$0$550$0
Total liabilities$0$0$2,800$2,800$2,800$2,800$0
Accounts payable and accrued expenses$0$0$0$0$0$0$0
Grants payable$0$0$0$0$0$0$0
Deferred revenue$0$0$2,800$2,800$2,800$2,800$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0$0$0
Tax-exempt bond liabilities$0$0$0$0$0$0$0
Mortgages and other notes payable$0$0$0$0$0$0$0
Other liabilities$0$0$0$0$0$0$0
Total liabilities and net assets/fund balances$0$200,178$484,394$479,569$491,590$499,253$504,039
Total net assets or fund balances$227,279$200,178$481,594$476,769$488,790$496,453$504,039
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
2000200120032004200520062007
Total revenue$0$0$0$0$45,158$45,864$37,796
Total revenue, gains, and other support per audited financial statements$0$0$0$0$45,158$45,864$37,796
Other expenses$0$0$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Other revenue$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
2000200120032004200520062007
Total expenses$0$0$0$0$33,137$38,201$30,210
Total expenses and losses per audited financial statements$0$0$0$0$33,137$38,201$30,210
Other revenue$0$0$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0$0$0
Prior year adjustments$0$0$0$0$0$0$0
Losses$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Other expenses$0$0$0$0$0$0$0
Investment expenses$0$0$0$0$0$0$0
Other$0$0$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings5
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?No
Does the organization have a written conflict of interest policy?Yes
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?No
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?No
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 20060
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$0$35,707
Program service revenue
Program service revenue 1000000$000$0$33,330
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$000$0$2,377
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$000$0$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$0$0$0
$0$0$0
$0$0$0
$0$0$0
$0$0$0
Total number of other employees paid over $50,0000
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isOrganization that receives a substantial part of its support from a governmental unit or from the general public
Support Schedule
1999200020022003200420052006
Total$0$38,602$0$40,978$40,831$44,609$44,618
Gifts, grants, and contributions received$0$0$0$0$0$0$0
Membership fees received$0$0$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$37,440$0$0$0$44,609$44,618
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$1,162$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0$0$0
Other income$0$0$0$40,978$40,831$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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4St Charles Health System Inc2500 Ne Neff Rd, Bend, OR 97701-6015OR2001-03$640,737,493
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Number of organizations performing similar types of work
Alaska3
Alabama19
Arkansas22
Arizona15
California112
Colorado25
Connecticut29
District of Columbia2
Delaware6
Florida53
Georgia52
Hawaii5
Iowa27
Idaho9
Illinois104
Indiana48
Kansas25
Kentucky32
Louisiana22
Massachusetts44
Maryland41
Maine19
Michigan58
Minnesota34
Missouri50
Mississippi19
Montana11
North Carolina47
North Dakota12
Nebraska20
New Hampshire21
New Jersey50
New Mexico7
Nevada4
New York130
Ohio96
Oklahoma17
Oregon24
Pennsylvania131
Rhode Island10
South Carolina15
South Dakota9
Tennessee25
Texas57
Virginia37
Vermont8
Washington22
Wisconsin67
West Virginia24
International10
Total1,729

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