MERCER COUNTY COMMUNITY HOSPITAL VOLUNTEER ASSOCIATION: Form 990EZ, tax year 2021
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- Organization
- MERCER COUNTY COMMUNITY HOSPITAL VOLUNTEER ASSOCIATION (EIN 20-1538366)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-08
- IRS object ID
- 202233129349202033
- 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 | 2022-11-08T13:35:58-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341288340 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOORMAN HARTING & CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 86 | AddressLine1Txt |
| City | COLDWATER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45828 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201538366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCER COUNTY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | VOLUNTEER ASSOCIATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 4196785132 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W MAIN ST | AddressLine1Txt |
| City | COLDWATER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45828 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID NICHOLSON | PersonNm |
| Person Title | CHAIRPERSON | PersonTitleTxt |
| Phone | 4196785132 | PhoneNum |
| Signature | 2022-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | NICHOLSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS M BERTKE CPA | PreparerPersonNm |
| PTIN | P00737663 | PTIN |
| Phone | 4196784814 | PhoneNum |
| Preparation | 2022-10-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Assoc | Yes (X) | TypeOfOrganizationAssocInd |
| Gross Receipts | $39,753 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $389 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $11 | InvestmentIncomeAmt |
| Fundraising Gross Income | $3,984 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $3,382 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $602 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $35,369 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $30,387 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $4,982 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $5,984 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $2,422 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $1,834 | OtherExpensesTotalAmt |
| Total Expenses | $4,256 | TotalExpensesAmt |
| Excess Or Deficit For Year | $1,728 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $50,126 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,854 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,488 | BOYAmt |
| EOY | $15,608 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,638 | BOYAmt |
| EOY | $37,119 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,126 | BOYAmt |
| EOY | $52,727 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $873 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,126 | BOYAmt |
| EOY | $51,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO ASSIST IN THE ADVANCEMENT OF THE INTERESTS OF MERCER HEALTH AND TO PROMOTE GOODWILL, UNDERSTANDING AND SUPPORT. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO ASSIST IN THE ADVANCEMENT OF THE INTERESTS OF MERCER HEALTH | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $2,422 | GrantsAndAllocationsAmt |
| Program Service Expenses | $4,256 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,256 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| DAVID NICHOLSON | ||
| CHAIRPERSON | 000.00 | $0 |
| LINDA NOLL | ||
| BOARD MEMBER | 000.00 | $0 |
| ROBERTA DUNHAM | ||
| BOARD MEMBER | 000.00 | $0 |
| BERNICE KOESTERS | ||
| BOARD MEMBER | 000.00 | $0 |
| OLIVER WENDEL | ||
| BOARD MEMBER | 000.00 | $0 |
| JUDY BULLOCK | ||
| SECRETARY/TR | 000.00 | $0 |
| TERRY LIETTE | ||
| VICE CHAIRPE | 000.00 | $0 |
| RITA SNIDER | ||
| BOARD MEMBER | 000.00 | $0 |
| MARY LOU WENNING | ||
| BOARD MEMBER | 000.00 | $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 |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VOLUNTEER SERVICES OFFICE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 WEST MAIN STREET | AddressLine1Txt |
| City | COLDWATER | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45828 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4196785132 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $100 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $700 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $389 | CurrentTaxYearAmt |
| Total | $1,689 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,238 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,934 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,364 | CurrentTaxYearAmt |
| Total | $290,341 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,738 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,566 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,753 | CurrentTaxYearAmt |
| Total | $292,030 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $292,030 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43 | CurrentTaxYearMinus2YearsAmt |
| Total | $80 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43 | CurrentTaxYearMinus2YearsAmt |
| Total | $80 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $110 | CurrentTaxYearMinus3YearsAmt |
| Total | $110 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,874 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,609 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,753 | CurrentTaxYearAmt |
| Total | $292,220 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99940 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 110 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES BANK CARD & OTHER FEES 782 FILING FEES 400 OFFICE EXPENSES 652 TOTAL 1,834 |
| FORM 990-EZ, PART II, LINE 24 | INVENTORIES FOR SALE OR USE 36,638 37,119 TOTAL 36,638 37,119 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 0 873 |
| FORM 990-EZ, PART III | TO ASSIST IN THE ADVANCEMENT OF THE INTERESTS OF MERCER HEALTH AND TO PROMOTE GOODWILL, UNDERSTANDING AND SUPPORT. |