PCHD FOUNDATION INCORPORATED: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PCHD FOUNDATION INCORPORATED (EIN 31-1713617)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-04-26
- IRS object ID
- 202341169349201569
- Schema version
- 2021v4.0
- 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) |
|---|---|---|
| Return | 2023-04-26T18:35:33-04:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311713617 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCHD FOUNDATION INCORPORATED | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PCHD | BusinessNameControlTxt |
| Phone | 2082263200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 ROOSEVELT STREET | AddressLine1Txt |
| City | AMERICAN FALLS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83211 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKLYN TAYLOR | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2082263200 | PhoneNum |
| Signature | 2023-04-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JACKLYN | PersonFirstNm |
| Person Last | TAYLOR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2023-04-26 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | WWW.PCHD.NET/FOUNDATION | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $82,689 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $80,981 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $52 | InvestmentIncomeAmt |
| Fundraising Gross Income | $1,656 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $2,698 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$1,042 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $79,991 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $147,359 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $1,229 | OtherExpensesTotalAmt |
| Total Expenses | $148,588 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$68,597 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $202,148 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $133,551 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,148 | BOYAmt |
| EOY | $128,872 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,679 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,148 | BOYAmt |
| EOY | $133,551 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,148 | BOYAmt |
| EOY | $133,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO SUPPORT POWER COUNTY HOSPITAL DISTRICTS ONGOING EFFORTS TO PROVIDE THE WIDE RANGE OF QUALITY, CONVENIENT MEDICAL AND HEALTH EDUCATION SERVICES THAT AREA RESIDENTS NEED AND DESERVE BY CULTIVATING FINANCIAL RESOURCES, BUILDING COMMUNITY SUPPORT, AND CREATING OPPORTUNITIES FOR EVERYONE TO WORK TOGETHER TO DEVELOP EXCEPTIONAL LOCAL HEALTHCARE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | THE FOUNDATION SOLICITS, RECEIVES, AND ADMINISTERS FUNDS TO SUPPORT THE DEVELOPMENT, IMPROVEMENT AND EXPANSION OF THE FACILITIES, EQUIPMENT, SERVICES AND PROGRAMS OF POWER COUNTY HOSPITAL DISTRICT. THE FOUNDATION CONTRIBUTED APPROXIMATELY 147,000 TO THE HOSPITAL DURING THE YEAR. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $147,359 | GrantsAndAllocationsAmt |
| Program Service Expenses | $147,359 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $147,359 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JEFF TRAPPETT | ||
| PRESIDENT | 0.50 | $0 |
| SARAH SMITH | ||
| TREASURER | 0.50 | $0 |
| DALLAS CLINGER | ||
| MEMBER | 0.50 | $0 |
| DAN HAMMOND | ||
| MEMBER | 0.50 | $0 |
| ALONDRA GARCIA | ||
| MEMBER | 0.50 | $0 |
| RJAY HAWKES | ||
| MEMBER | 0.50 | $0 |
| JACKLYN TAYLOR | ||
| EXECUTIVE DI | 2.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEREMY CLAUNCH | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 ROOSEVELT STREET | AddressLine1Txt |
| City | AMERICAN FALLS | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2082263200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,508 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $159,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,981 | CurrentTaxYearAmt |
| Total | $372,311 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,508 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $98,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $159,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,981 | CurrentTaxYearAmt |
| Total | $372,311 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $372,311 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52 | CurrentTaxYearAmt |
| Total | $130 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,810 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,927 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,229 | CurrentTaxYearAmt |
| Total | $38,601 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $411,042 | TotalSupportAmt |
| Public Support CY170 | 0.90580 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87850 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | FUNDRAISING EVENTS 38,601 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 10 | NAME: POWER COUNTY HOSPITAL DISTRICT ADDRESS: 510 ROOSEVELT STREET AMERICAN FALLS, ID 83211 CASH CONTRIBUTION: 147,359 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OTHER DIRECT EXPENSES 1,229 TOTAL 1,229 |
| FORM 990-EZ, PART II, LINE 24 | GRANTS RECEIVABLE 0 4,679 TOTAL 0 4,679 |
| FORM 990-EZ, PART III | TO SUPPORT POWER COUNTY HOSPITAL DISTRICTS ONGOING EFFORTS TO PROVIDE THE WIDE RANGE OF QUALITY, CONVENIENT MEDICAL AND HEALTH EDUCATION SERVICES THAT AREA RESIDENTS NEED AND DESERVE BY CULTIVATING FINANCIAL RESOURCES, BUILDING COMMUNITY SUPPORT, AND CREATING OPPORTUNITIES FOR EVERYONE TO WORK TOGETHER TO DEVELOP EXCEPTIONAL LOCAL HEALTHCARE. |
| FORM 990-EZ, PART III, LINE 28 | THE FOUNDATION SOLICITS, RECEIVES, AND ADMINISTERS FUNDS TO SUPPORT THE DEVELOPMENT, IMPROVEMENT AND EXPANSION OF THE FACILITIES, EQUIPMENT, SERVICES AND PROGRAMS OF POWER COUNTY HOSPITAL DISTRICT. THE FOUNDATION CONTRIBUTED APPROXIMATELY 147,000 TO THE HOSPITAL DURING THE YEAR. |