STRATEGY STUDIO / PUBLIC DATA EXPLORER

TRINITY HOSPITAL TWIN CITY FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TRINITY HOSPITAL TWIN CITY FOUNDATION INC (EIN 34-1968676)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-01
IRS object ID
201743059349302209
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-11-01T16:39:49-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311492752PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILLOUGHBY & COMPANY INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1216 NORTH BROADWAYAddressLine1Txt
CityNEW PHILADELPHIACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44663ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341968676EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY HOSPITAL TWIN CITYBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone7409221242PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7AddressLine1Txt
CityDENNISONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44621ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBLAIR HILLYERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7409221242PhoneNum
Signature2017-10-25SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH A WILLOUGHBY CPAPreparerPersonNm
PTINP00170041PTIN
Phone3306021322PhoneNum
Preparation2017-10-25PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdFDF51C2C41C8275AAE11B7E3C98B85D0902E6E44AtSubmissionCreationDeviceId
At Submission Filing Device Id6A96683F559A0BD6BEB2D59DF802CCB60134DBA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLAIR HILLYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11260 DEER HILL ROADAddressLine1Txt
CityDENNISONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44621ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$145,816GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TCHFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionTO SUPPORT THE TRINITY HOSPITAL TWIN CITY AND/OR OTHER HEALTHCARE OR HEALTHCARE RELATED PURPOSED WITHIN THE TRINITY HOSPITAL TWIN CITY SERVICE AREA.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$74,895PYContributionsGrantsAmt
CY Contributions Grants$145,816CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$74,895PYTotalRevenueAmt
CY Total Revenue$145,816CYTotalRevenueAmt
PY Grants And Similar Paid$107,570PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$165,471CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,247PYOtherExpensesAmt
CY Other Expenses$5,519CYOtherExpensesAmt
PY Total Expenses$110,817PYTotalExpensesAmt
CY Total Expenses$170,990CYTotalExpensesAmt
PY Revenues Less Expenses-$35,922PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$25,174CYRevenuesLessExpensesAmt
Total Assets BOY$85,230TotalAssetsBOYAmt
Total Assets EOY$60,056TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$85,230NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$60,056NetAssetsOrFundBalancesEOYAmt
MissionTO SUPPORT THE TRINITY HOSPITAL TWIN CITY AND/OR OTHER HEALTHCARE OR HEALTHCARE RELATED PURPOSED WITHIN THE TRINITY HOSPITAL TWIN CITY SERVICE AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$165,471ExpenseAmt
Grant$165,471GrantAmt
Revenue$145,816RevenueAmt
DescTO SUPPORT THE TRINITY HOSPITAL TWIN CITY AND/OR OTHER HEALTHCARE OR HEALTHCARE RELATED PURPOSED WITHIN THE TRINITY HOSPITAL TWIN CITY SERVICE AREA.Desc
Total Program Service Expenses$165,471TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARK UNRUEPersonNm
Phone3303657651PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1819 N FIRST STREETAddressLine1Txt
CityDENNISONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44621ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JOANNE OBERMILLER
BOARD MEMBERYes (X)$0$0$0
BARB BESOZZI
BOARD MEMBERYes (X)$0$0$0
ROGER BOND
BOARD MEMBERYes (X)$0$0$0
TERRY CULBERTSON
BOARD MEMBERYes (X)$0$0$0
JEFF NEIDIG
BOARD MEMBERYes (X)$0$0$0
REV DAVID KOCH
BOARD MEMBERYes (X)$0$0$0
ROSS LINDSEY IV
BOARD MEMBERYes (X)$0$0$0
MARK WILLARD
BOARD MEMBERYes (X)$0$0$0
JAN THOMAS
BOARD MEMBERYes (X)$0$0$0
MIKE WADE
BOARD MEMBERYes (X)$0$0$0
BLAIR HILLYER
PRESIDENT$0$0$0Yes (X)
ED LEE
VICE PRESIDE$0$0$0Yes (X)
EMILLIE BLACKWOOD
SECRETARY$0$0$0Yes (X)
REV MARK UNRUE
TREASURER$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$145,816AllOtherContributionsAmt
Total Contributions$145,816TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,816TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$165,471TotalAmt
Program Services$165,471ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$729TotalAmt
Management And General$729ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$375TotalAmt
Management And General$375ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,380TotalAmt
Management And General$2,380ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
INSURANCE$978$978
POSTAGE$837$837
MISCELLANEOUS$170$170
FILING FEE$50$50

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$170,990TotalAmt
Program Services$165,471ProgramServicesAmt
Management And General$5,519ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$85,230BOYAmt
EOY$60,056EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$85,230BOYAmt
EOY$60,056EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$85,230BOYAmt
EOY$60,056EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,230BOYAmt
EOY$60,056EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,230BOYAmt
EOY$60,056EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$25,174ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,236CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,914CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,895CurrentTaxYearMinus1YearAmt
Current Tax Year$23,525CurrentTaxYearAmt
Total$100,595TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,236CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,914CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,895CurrentTaxYearMinus1YearAmt
Current Tax Year$23,525CurrentTaxYearAmt
Total$100,595TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$100,595PublicSupportTotal170Amt
Total Support$100,595TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY HOSPITAL TWIN CITYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1819 NORTH 1ST STREETAddressLine1Txt
CityDENNISONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44621ZIPCd
FieldValueIRS element (for citing)
Recipient EIN275401105RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$165,471CashGrantAmt
Purpose Of GrantSUPPORT WELLNESSPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEER BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 11BANNUAL ACCOUNTING INFORMATION IS PROVIDED TO OUTSIDE CPA FIRM. CPA FIRM PREPARES FORM 990 BASED ON INFORMATION PROVIDED BY THE ORGANIZATION. FORM 990 IS PROVIDED TO ORGANIZATION FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION TO INTERNAL REVENUE SERVICE.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE TO PUBLIC UPON REQUEST.