STRATEGY STUDIO / PUBLIC DATA EXPLORER

TRINITY HOSPITAL TWIN CITY FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
TRINITY HOSPITAL TWIN CITY FOUNDATION INC (EIN 34-1968676)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-09
IRS object ID
201543139349301864
Schema version
2014v5.0
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)
Return2015-11-09T12:00:07-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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
Signature2015-10-22SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH A WILLOUGHBY CPAPreparerPersonNm
PTINP00170041PTIN
Phone3306021322PhoneNum
Preparation2015-10-22PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLAIR HILLYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1819 NORTH FIRST STREETAddressLine1Txt
CityDENNISONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44621ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$110,914GrossReceiptsAmt
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$110,025PYContributionsGrantsAmt
CY Contributions Grants$110,914CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$110,025PYTotalRevenueAmt
CY Total Revenue$110,914CYTotalRevenueAmt
PY Grants And Similar Paid$71,323PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$87,150CYGrantsAndSimilarPaidAmt
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$4,556PYOtherExpensesAmt
CY Other Expenses$2,669CYOtherExpensesAmt
PY Total Expenses$75,879PYTotalExpensesAmt
CY Total Expenses$89,819CYTotalExpensesAmt
PY Revenues Less Expenses$34,146PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,095CYRevenuesLessExpensesAmt
Total Assets BOY$100,057TotalAssetsBOYAmt
Total Assets EOY$121,152TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$100,057NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$121,152NetAssetsOrFundBalancesEOYAmt
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$87,150ExpenseAmt
Grant$87,150GrantAmt
Revenue$110,914RevenueAmt
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$87,150TotalProgramServiceExpensesAmt
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
Backup Wthld CompliancefalseBackupWthldComplianceInd
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)
PersonRICK RIEGERPersonNm
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)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BARB BESOZZI
BOARD MEMBER1.00Yes (X)$0$0$0
ROGER BOND
BOARD MEMBER1.00Yes (X)$0$0$0
TERRY CULBERTSON
BOARD MEMBER1.00Yes (X)$0$0$0
JEFF NEIDIG
BOARD MEMBER1.00Yes (X)$0$0$0
REV DAVID KOCH
BOARD MEMBER1.00Yes (X)$0$0$0
ROSS LINDSEY IV
BOARD MEMBER1.00Yes (X)$0$0$0
REV MARK UNRUE
BOARD MEMBER1.00Yes (X)$0$0$0
MARK WILLARD
BOARD MEMBER1.00Yes (X)$0$0$0
JAN THOMAS
BOARD MEMBER1.00Yes (X)$0$0$0
MIKE WADE
BOARD MEMBER1.00Yes (X)$0$0$0
BLAIR HILLYER
PRESIDENT1.00$0$0$0Yes (X)
ED LEE
VICE PRESIDE1.00$0$0$0Yes (X)
EMILLIE BLACKWOOD
SECRETARY1.00$0$0$0Yes (X)
RICK RIEGER
TREASURER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$110,914AllOtherContributionsAmt
Total Contributions$110,914TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,914TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$87,150TotalAmt
Program Services$87,150ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$795TotalAmt
Management And General$795ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
INSURANCE$978$978
POSTAGE$416$416
FILING FEE$100$100

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$89,819TotalAmt
Program Services$87,150ProgramServicesAmt
Management And General$2,669ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100,057BOYAmt
EOY$121,152EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$100,057BOYAmt
EOY$121,152EOYAmt

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$100,057BOYAmt
EOY$121,152EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$100,057BOYAmt
EOY$121,152EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$100,057BOYAmt
EOY$121,152EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$21,095ReconcilationRevenueExpnssAmt
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$4,736CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,895CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,236CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,025CurrentTaxYearMinus1YearAmt
Current Tax Year$15,914CurrentTaxYearAmt
Total$76,806TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,736CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,895CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,236CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,025CurrentTaxYearMinus1YearAmt
Current Tax Year$15,914CurrentTaxYearAmt
Total$76,806TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$76,806PublicSupportTotal170Amt
Total Support$76,806TotalSupportAmt
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$87,150CashGrantAmt
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.