MERCER COUNTY COMMUNITY HOSPITAL VOLUNTEER ASSOCIATION: Form 990EZ, tax year 2019
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- Organization
- MERCER COUNTY COMMUNITY HOSPITAL VOLUNTEER ASSOCIATION (EIN 20-1538366)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-02-26
- IRS object ID
- 202020579349200002
- Schema version
- 2019v5.0
- 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 | 2020-02-26T05:47:31-08:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341717857 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ES Evans and Company | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 West Elm Street | AddressLine1Txt |
| City | Lima | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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 Street | AddressLine1Txt |
| City | Coldwater | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45828 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jim Rentz | PersonNm |
| Person Title | Chairman | PersonTitleTxt |
| Signature | 2020-02-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer J Birkemeier CPA CFE | PreparerPersonNm |
| PTIN | P00039283 | PTIN |
| Phone | 4192233075 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | 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 | $79,609 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $100 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $43 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $11,805 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $7,537 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $4,268 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $67,661 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $54,355 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $13,306 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $17,717 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $2,402 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $7,647 | OtherExpensesTotalAmt |
| Total Expenses | $10,049 | TotalExpensesAmt |
| Excess Or Deficit For Year | $7,668 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $44,801 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $52,469 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,865 | BOYAmt |
| EOY | $13,109 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,936 | BOYAmt |
| EOY | $39,360 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,801 | BOYAmt |
| EOY | $52,469 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,801 | BOYAmt |
| EOY | $52,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | To assist in the advancement of the interests of Mercer Health and to promote good will, 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 | $7,647 | GrantsAndAllocationsAmt |
| Program Service Expenses | $2,402 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $7,647 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Jim Rentz | ||
| Chairman | 1.00 | $0 |
| Carole Carr | ||
| Board Member | 1.00 | $0 |
| Judy Bullock | ||
| Secretary/Treas | 1.00 | $0 |
| Diane Wellman | ||
| Board Member | 1.00 | $0 |
| Bernice Koesters | ||
| Vice Chairman | 1.00 | $0 |
| Janelle Tumbush | ||
| Board Member | 1.00 | $0 |
| Barry Paynter | ||
| Board Member | 1.00 | $0 |
| Oliver Wendel | ||
| Board Member | 1.00 | $0 |
| Roberta Dunham | ||
| Board Member | 1.00 | $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 |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Volunteer Services Office | PersonNm |
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 Minus4 Years | $100 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100 | CurrentTaxYearAmt |
| Total | $740 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,810 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,823 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,238 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,466 | CurrentTaxYearAmt |
| Total | $378,676 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,910 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,738 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,566 | CurrentTaxYearAmt |
| Total | $379,416 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $379,416 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43 | CurrentTaxYearAmt |
| Total | $87 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43 | CurrentTaxYearAmt |
| Total | $87 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $110 | CurrentTaxYearMinus1YearAmt |
| Total | $110 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $82,911 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,869 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,350 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,874 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,609 | CurrentTaxYearAmt |
| Total | $379,613 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99950 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1002 | Office Expenses $3763 |
| Other Expenses.1 | Bank Card & Other Fees $1715 |
| Other Expenses.2 | Supplies $1434 |
| Other Expenses.3 | Filing Fees $675 |
| Other Expenses.4 | Miscellaneous Expenses $60 |
| Other Assets.1010 | Inventories - Beginning $30936 Inventories - Ending $39360 |