JAY COUNTY HOSPITAL AUXILIARY INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: JAY COUNTY HOSPITAL AUXILIARY INC (EIN 35-2139245)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201943169349305404
Schema version: 2018v3.1
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
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-12T15:11:09-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	271323477	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ROSE MORGAN CPA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	202 S MAIN ST PO BOX 253	AddressLine1Txt
City	DUNKIRK	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47336	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	352139245	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY COUNTY HOSPITAL AUXILIARY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	JAYC	BusinessNameControlTxt
Phone	2607261878	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 W VOTAW	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47371	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CONNIE FEAR	PersonNm
Person Title	DIRECTOR OF VOL SRVC	PersonTitleTxt
Phone	2607261878	PhoneNum
Signature	2019-11-12	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROSE MORGAN	PreparerPersonNm
PTIN	P00548582	PTIN
Phone	7657686716	PhoneNum
Preparation	2019-11-11	PreparationDt
Self Employed	Yes (X)	SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	184.16.162.187	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-12	IPDt
IP Tm	15:11:09	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5B92F25B021713761FD41051D4D1DAC059BB2872	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5B92F25B021713761FD41051D4D1DAC059BB2872	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CONNIE FEAR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 W VOTAW ST	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47371	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$74,716	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF IU HEALTH JAY. FUNCTIONS OF THE ORGANZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE & PROMOTION OF THE HOSPITAL.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$4,010	PYContributionsGrantsAmt
CY Contributions Grants	$4,165	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$1,246	PYInvestmentIncomeAmt
CY Investment Income	$1,395	CYInvestmentIncomeAmt
PY Other Revenue	$26,722	PYOtherRevenueAmt
CY Other Revenue	$14,289	CYOtherRevenueAmt
PY Total Revenue	$31,978	PYTotalRevenueAmt
CY Total Revenue	$19,849	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$56,240	PYOtherExpensesAmt
CY Other Expenses	$27,706	CYOtherExpensesAmt
PY Total Expenses	$58,240	PYTotalExpensesAmt
CY Total Expenses	$28,706	CYTotalExpensesAmt
PY Revenues Less Expenses	-$26,262	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,857	CYRevenuesLessExpensesAmt
Total Assets BOY	$210,149	TotalAssetsBOYAmt
Total Assets EOY	$195,338	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$210,149	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$195,338	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF IU HEALTH JAY. FUNCTIONS OF THE ORGANZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE & PROMOTION OF THE HOSPITAL.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$28,706	ExpenseAmt
Grant	$1,000	GrantAmt
Desc	THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF IU HEALTH JAY HOSPITAL. FUNCTIONS OF THE ORGANZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE & PROMOTION OF THE HOSPITAL.	Desc
Total Program Service Expenses	$28,706	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JAY COUNTY HOSPITAL AUXILIARY	PersonNm
Phone	2607261878	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 W VOTAW ST	AddressLine1Txt
Address Line2	500 W VOTAW ST	AddressLine2Txt
City	PORTLAND	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47371	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
KAY LEMASTER
PRESIDENT	Yes (X)	Yes (X)	$0	$0	$0
SANDY MCGRAW
VICE PRESIDE	Yes (X)	Yes (X)	$0	$0	$0
GAIL FRANKS
RECORDING SE	Yes (X)	Yes (X)	$0	$0	$0
ILENE PATTERSON
CORRESPONDIN	Yes (X)	Yes (X)	$0	$0	$0
SANDY BERG
TREASURER	Yes (X)	Yes (X)	$0	$0	$0
ROSIE PENSINGER
ASSISTANT TR	Yes (X)	Yes (X)	$0	$0	$0
PAT BROCKMAN
MEMBER	Yes (X)		$0	$0	$0
GLEN BRYANT
MEMBER	Yes (X)		$0	$0	$0
SANDY CADWALLADER
MEMBER	Yes (X)		$0	$0	$0
BONNIE COFFEL
MEMBER	Yes (X)		$0	$0	$0
JANE CARLIN
MEMBER	Yes (X)		$0	$0	$0
SHIRLEY EVANS
MEMBER	Yes (X)		$0	$0	$0
GLARIA GREEN
MEMBER	Yes (X)		$0	$0	$0
LINDA LEONARD
MEMBER	Yes (X)		$0	$0	$0
CLETES RINES
MEMBER	Yes (X)		$0	$0	$0
CAROL STEPHENS
MEMBER	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Membership Dues	$165	MembershipDuesAmt
All Other Contributions	$4,000	AllOtherContributionsAmt
Noncash Contributions	$4,000	NoncashContributionsAmt
Total Contributions	$4,165	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,395	TotalRevenueColumnAmt
Exclusion	$1,395	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,803	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$1,644	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,159	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$64,353	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$53,223	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,130	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,130	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,849	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,130	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,395	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,000	TotalAmt
Program Services	$1,000	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,715	TotalAmt
Program Services	$5,715	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,060	TotalAmt
Program Services	$1,060	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$539	TotalAmt
Program Services	$539	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,294	TotalAmt
Program Services	$3,294	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,000	TotalAmt
Program Services	$4,000	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$887	TotalAmt
Program Services	$887	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$52	TotalAmt
Program Services	$52	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,618	TotalAmt
Program Services	$4,618	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
CHARITABLE CONTRIBUTION	$2,669	$2,669
LUNCHEON	$2,497	$2,497
CREDIT CARD CHARGES	$1,507	$1,507
MISCELLANEOUS	$715	$715

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$153	TotalAmt
Program Services	$153	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,706	TotalAmt
Program Services	$28,706	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$91,700	BOYAmt
EOY	$93,424	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,096	BOYAmt
EOY	$5,830	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$68,417	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$36,893	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$36,143	BOYAmt
EOY	$31,524	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$71,210	BOYAmt
EOY	$64,560	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$210,149	BOYAmt
EOY	$195,338	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$138,939	BOYAmt
EOY	$130,778	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,691	BOYAmt
EOY	$20,041	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,519	BOYAmt
EOY	$44,519	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$210,149	BOYAmt
EOY	$195,338	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$210,149	BOYAmt
EOY	$195,338	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$8,857	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,954	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,417	OtherCostOrOtherBasisAmt
Depreciation	$36,893	DepreciationAmt
Book Value	$31,524	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$31,524	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	PORTLAND FOUNDATION SCHOLARSHIP FUND	Desc
Book Value	$64,560	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$64,560	TotalBookValueOtherAssetsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF IU HEALTH JAY. FUNCTIONS OF THE ORGANZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE & PROMOTION OF THE HOSPITAL.
FORM 990, PAGE 6, PART VI, LINE 11B	THE BOARD OF DIRECTORS REVIEWS THE TAX RETURN BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUAL CONFLICT OF INTEREST POLICY STATEMENTS ARE SIGNED BY EACH BOARD MEMBER. THESE ARE THEN REVIEWED BY THE BOARD OF DIRECTORS TO ENSURE COMPLIANCE.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.