SALINA REGIONAL HEALTH CENTER WELLING 98-98-16S001004: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SALINA REGIONAL HEALTH CENTER WELLING 98-98-16S001004 (EIN 48-6103150)
- Tax period
- 2021-05-01 to 2022-04-30
- Filed
- 2022-07-27
- IRS object ID
- 202232089349100303
- Schema version
- 2021v4.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-07-27T10:00:20-05:00 | ReturnTs |
| Tax Period End | 2022-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 ONE PPG PLACE | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 486103150 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALINA REGIONAL HEALTH CTR-WELLING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SALI | BusinessNameControlTxt |
| Phone | 8168607749 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | UMB BANK NA P O BOX 415044 M/S | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641416692 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRANDON JONES | PersonNm |
| Person Title | Vice President | PersonTitleTxt |
| Phone | 8168607749 | PhoneNum |
| Signature | 2022-07-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIC W COURSEY | PreparerPersonNm |
| PTIN | P00387963 | PTIN |
| Phone | 4126445302 | PhoneNum |
| Preparation | 2022-07-27 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization4947a1 Trtd PF | Yes (X) | Organization4947a1TrtdPFInd |
| FMV Assets EOY | $4,412,402 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $88,876 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $88,033 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $187,002 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,016,324 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $187,002 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $10,415 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $10,415 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $286,293 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $285,450 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $50,772 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $28,940 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $21,832 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $800 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $800 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $11,927 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,675 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $1,583 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,583 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $65,082 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $32,198 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $22,632 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $190,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $190,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $255,082 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $32,198 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $212,632 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $31,211 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $253,252 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $208,270 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $38,504 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $38,504 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Investments BOY | $3,528,926 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,726,017 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $4,373,898 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $3,737,196 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,764,521 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $4,412,402 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $3,737,196 | CapitalStockBOYAmt |
| Capital Stock EOY | $3,764,521 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,737,196 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,764,521 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,737,196 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,764,521 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,737,196 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $31,211 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $3,768,407 | SubtotalAmt |
| Other Decreases | $3,886 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $3,764,521 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (92 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 51. REGENERON PHARMACEUTICALS | 2021-01-14 | 2021-05-13 | $26,326 | $28,606 | -$2,280 | -$2,280 | |
| 64. ROCKWELL INTERNATIONAL CORP | 2020-08-13 | 2021-05-13 | $17,029 | $14,871 | $2,158 | $2,158 | |
| 79. APPLE COMPUTER INC | 2016-02-11 | 2021-06-10 | $9,955 | $1,844 | $8,111 | $8,111 | |
| 40. DOCUSIGN INC | 2020-03-12 | 2021-06-10 | $9,676 | $2,647 | $7,029 | $7,029 | |
| 145. ECOLAB INC | 2018-09-13 | 2021-06-10 | $31,000 | $22,070 | $8,930 | $8,930 | |
| 53. HOME DEPOT INC | 2018-06-14 | 2021-06-10 | $16,336 | $10,589 | $5,747 | $5,747 | |
| 177. ACTIVISION BLIZZARD INC | 2020-03-12 | 2021-08-12 | $15,058 | $9,765 | $5,293 | $5,293 | |
| 158. BOEING CO | 2021-03-15 | 2021-08-12 | $37,614 | $36,558 | $1,056 | $1,056 | |
| 55. DISNEY WALT HOLDING CO | 2020-08-13 | 2021-08-12 | $9,859 | $7,232 | $2,627 | $2,627 | |
| 180. DISNEY WALT HOLDING CO | 2018-12-13 | 2021-08-12 | $32,264 | $20,398 | $11,866 | $11,866 | |
| 162. INTERCONTINENTAL EXCHANGE IN | 2021-01-14 | 2021-08-12 | $19,112 | $18,720 | $392 | $392 | |
| 234. MICRON TECHNOLOGY INC | 2021-04-15 | 2021-08-12 | $16,498 | $21,149 | -$4,651 | -$4,651 | |
| 130. ABBVIE INC | 2020-05-14 | 2021-09-17 | $14,005 | $11,715 | $2,290 | $2,290 | |
| 101. ABBVIE INC | 2021-01-14 | 2021-09-17 | $10,881 | $11,302 | -$421 | -$421 | |
| 210. MARRIOTT INTERNATIONAL INC CLASS A | 2021-03-15 | 2021-09-17 | $30,248 | $29,399 | $849 | $849 | |
| 136. STARBUCKS CORP | 2020-06-11 | 2021-09-17 | $15,420 | $9,725 | $5,695 | $5,695 | |
| 15000. PACKAGING CORP OF AMERICA DTD 10/22/2013 4.500% 11/1/2023 | 2017-04-12 | 2021-10-08 | $16,202 | $15,364 | $838 | $838 | |
| 148. CATERPILLAR INC | 2021-03-15 | 2021-10-14 | $28,682 | $31,257 | -$2,575 | -$2,575 | |
| 130. META PLATFORMS INC-CLASS A | 2019-07-11 | 2021-10-14 | $42,729 | $18,124 | $24,605 | $24,605 | |
| 66. FEDEX CORP | 2020-10-15 | 2021-10-14 | $14,977 | $18,572 | -$3,595 | -$3,595 | |
| 40. BLOCK INC | 2021-08-12 | 2021-10-14 | $9,930 | $10,782 | -$852 | -$852 | |
| 732. WELLS FARGO & CO | 2021-06-10 | 2021-10-14 | $32,974 | $33,682 | -$708 | -$708 | |
| 117. PAYPAL HOLDINGS INC | 2021-02-11 | 2021-11-11 | $23,614 | $25,434 | -$1,820 | -$1,820 | |
| 82. CROWDSTRIKE HOLDINGS INC - A | 2021-08-12 | 2021-12-09 | $16,395 | $20,056 | -$3,661 | -$3,661 | |
| 254. STARBUCKS CORP | 2020-03-26 | 2021-12-09 | $29,395 | $17,707 | $11,688 | $11,688 | |
| 76. TEXAS INSTRUMENTS INC | 2019-09-13 | 2021-12-09 | $14,773 | $9,878 | $4,895 | $4,895 | |
| 76. CROWDSTRIKE HOLDINGS INC - A | 2021-06-10 | 2022-01-13 | $13,307 | $17,371 | -$4,064 | -$4,064 | |
| 84. DOCUSIGN INC | 2020-03-12 | 2022-01-13 | $11,066 | $5,558 | $5,508 | $5,508 | |
| 103. FIVE BELOW | 2020-06-11 | 2022-01-13 | $18,241 | $12,089 | $6,152 | $6,152 | |
| 29. GOLDMAN SACHS GROUP INC | 2020-01-09 | 2022-01-13 | $11,340 | $7,032 | $4,308 | $4,308 | |
| 98. BLOCK INC | 2021-08-12 | 2022-01-13 | $13,407 | $26,416 | -$13,009 | -$13,009 | |
| 104. TEXAS INSTRUMENTS INC | 2019-10-10 | 2022-01-13 | $19,247 | $13,328 | $5,919 | $5,919 | |
| 65. UNION PACIFIC CORP | 2019-07-11 | 2022-01-13 | $16,090 | $11,139 | $4,951 | $4,951 | |
| 38. ADOBE SYSTEMS INC | 2017-02-09 | 2022-02-10 | $18,754 | $4,427 | $14,327 | $14,327 | |
| 64. LAUDER ESTEE COMPANIES INC CLASS A | 2020-12-10 | 2022-02-10 | $20,154 | $15,802 | $4,352 | $4,352 | |
| 36. LAUDER ESTEE COMPANIES INC CLASS A | 2021-02-11 | 2022-02-10 | $11,336 | $10,399 | $937 | $937 | |
| 33. NETFLIX COM INC | 2021-09-17 | 2022-02-10 | $13,333 | $19,369 | -$6,036 | -$6,036 | |
| 85. STRYKER CORP | 2017-08-10 | 2022-02-10 | $21,679 | $12,241 | $9,438 | $9,438 | |
| 173. NIKE INC CLASS B | 2018-08-08 | 2022-03-10 | $21,806 | $13,967 | $7,839 | $7,839 | |
| 506. PENN NATIONAL GAMING INC | 2021-10-14 | 2022-03-10 | $22,236 | $37,985 | -$15,749 | -$15,749 | |
| 88. PIONEER NATURAL RESOURCES CO | 2021-02-11 | 2022-03-10 | $20,879 | $11,380 | $9,499 | $9,499 | |
| 76. ROCKWELL INTERNATIONAL CORP | 2020-06-11 | 2022-03-10 | $19,863 | $15,749 | $4,114 | $4,114 | |
| 691.662 VANGUARD REAL EST INDX-ADM | 2021-06-02 | 2022-03-11 | $101,591 | $100,045 | $1,546 | $1,546 | |
| 58. GOLDMAN SACHS GROUP INC | 2020-01-09 | 2022-04-14 | $18,654 | $14,064 | $4,590 | $4,590 | |
| 45. MASTERCARD INC - A | 2017-01-12 | 2022-04-14 | $16,159 | $4,064 | $12,095 | $12,095 | |
| 66. SHERWIN-WILLIAMS CO | 2021-09-17 | 2022-04-14 | $16,744 | $19,451 | -$2,707 | -$2,707 | |
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P | |||||
| CAPITAL GAIN DIVIDENDS | $49,486 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $187,002 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $3,520 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $3,520 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $3,520 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,724 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $5,724 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $2,204 | OverpaymentAmt |
| Applied To ES Tax | $2,204 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | KS | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMB BANK NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8168607749 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 GRAND AVE | AddressLine1Txt |
| City | KANAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| NECT Filing In Lieu OF Form1041 | Yes (X) | NECTFilingInLieuOFForm1041Ind |
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | UMB BANK | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 GRAND | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE FEES | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 2 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $50,772 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $4,927,198 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $87,771 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $15,611 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,030,580 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,030,580 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $75,459 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $4,955,121 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $247,756 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $247,756 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,520 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,520 | TotalTaxAmt |
| Distributable Before Adj | $244,236 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $244,236 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $244,236 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $212,632 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $212,632 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $244,236 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $189,193 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $212,632 | QualifyingDistributionsAmt |
| Applied To Year1 | $189,193 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $23,439 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $220,797 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Shareholder Manager | NONE | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salina Regional Health Center | BusinessNameLine1Txt |
| Business Name Line2 | ATTN Kevin Hoffman Controller | BusinessNameLine2Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 S SANTA FE AVE | AddressLine1Txt |
| City | SALINA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 674014198 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | GENERAL OPERATING SUPPORT | GrantOrContributionPurposeTxt |
| Amt | $190,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $190,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $88,876 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $187,002 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROYALTY INCOME | Desc |
| Exclusion | 10 | ExclusionCd |
| Exclusion | $10,415 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $286,293 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $286,293 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE (NON-ALLOC | CategoryTxt |
| Amt | $800 | Amt |
| Disbursements Charitable Prps | $800 | DisbursementsCharitablePrpsAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ROUNDING | $6 |
| COST BASIS ADJUSTMENT | $3,880 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROYALTY EXPENSES | Desc |
| Revenue And Expenses Per Books | $1,583 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $1,583 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ROYALTY INCOME | Desc |
| Revenue And Expenses Per Books | $10,415 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $10,415 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (5 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| STATE INCOME TAXES | $12 | $12 | $0 |
| FEDERAL TAX PAYMENT - PRIOR YE | $4,528 | $0 | $0 |
| FEDERAL ESTIMATES - INCOME | $5,724 | $0 | $0 |
| FOREIGN TAXES ON QUALIFIED FOR | $1,381 | $1,381 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $282 | $282 | $0 |