STRATEGY STUDIO / PUBLIC DATA EXPLORER

TRINITY HOSPITAL TWIN CITY FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TRINITY HOSPITAL TWIN CITY FOUNDATION INC (EIN 34-1968676)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-06
IRS object ID
201443109349301749
Schema version
2013v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-06T15:32:14-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311492752PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILLOUGHBY & COMPANY INCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1216 NORTH BROADWAYAddressLine1
CityNEW PHILADELPHIACity
StateOHState
ZIP Code44663ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341968676EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY HOSPITAL TWIN CITYBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone7409221242PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7AddressLine1
CityDENNISONCity
StateOHState
ZIP Code44621ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBLAIR HILLYERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7409221242PhoneNum
Signature2014-10-23SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH A WILLOUGHBY CPAPreparerPersonNm
PTINP00170041PTIN
Phone3306021322PhoneNum
Preparation2014-11-03PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLAIR HILLYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1819 NORTH FIRST STREETAddressLine1
CityDENNISONCity
StateOHState
ZIP Code44621ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$110,025GrossReceiptsAmt
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$63,511PYContributionsGrantsAmt
CY Contributions Grants$110,025CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$63,511PYTotalRevenueAmt
CY Total Revenue$110,025CYTotalRevenueAmt
PY Grants And Similar Paid$87,467PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$71,323CYGrantsAndSimilarPaidAmt
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$4,551PYOtherExpensesAmt
CY Other Expenses$4,556CYOtherExpensesAmt
PY Total Expenses$92,018PYTotalExpensesAmt
CY Total Expenses$75,879CYTotalExpensesAmt
PY Revenues Less Expenses-$28,507PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$34,146CYRevenuesLessExpensesAmt
Total Assets BOY$65,911TotalAssetsBOYAmt
Total Assets EOY$100,057TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,911NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$100,057NetAssetsOrFundBalancesEOYAmt
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$71,323ExpenseAmt
Grant$71,323GrantAmt
Revenue$110,025RevenueAmt
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$71,323TotalProgramServiceExpensesAmt
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 STREETAddressLine1
CityDENNISONCity
StateOHState
ZIP Code44621ZIPCode
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
CHRISTY BLOOM
BOARD MEMBER1.00Yes (X)$0$0$0
JAN THOMAS
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$110,025AllOtherContributionsAmt
Total Contributions$110,025TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,025TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$71,323TotalAmt
Program Services$71,323ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,190TotalAmt
Management And General$1,190ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,614TotalAmt
Management And General$1,614ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
INSURANCE$941$941
POSTAGE$761$761
FILING FEE$50$50

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$75,879TotalAmt
Program Services$71,323ProgramServicesAmt
Management And General$4,556ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$65,911BOYAmt
EOY$100,057EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,911BOYAmt
EOY$100,057EOYAmt

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$65,911BOYAmt
EOY$100,057EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,911BOYAmt
EOY$100,057EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,911BOYAmt
EOY$100,057EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$34,146ReconcilationRevenueExpnssAmt
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$4,143CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,736CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,236CurrentTaxYearMinus1YearAmt
Current Tax Year$25,025CurrentTaxYearAmt
Total$65,035TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,143CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,736CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,236CurrentTaxYearMinus1YearAmt
Current Tax Year$25,025CurrentTaxYearAmt
Total$65,035TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$65,035PublicSupportTotal170Amt
Total Support$65,035TotalSupportAmt
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 CITYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1819 NORTH 1ST STREETAddressLine1
CityDENNISONCity
StateOHState
ZIP Code44621ZIPCode
FieldValueIRS element (for citing)
Recipient EIN275401105RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$71,323CashGrantAmt
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.