STRATEGY STUDIO / PUBLIC DATA EXPLORER

WCA FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WCA FOUNDATION INC (EIN 22-2393584)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349303985
Schema version
2012v2.0
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)
Timestamp2013-11-12T10:48:50-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KELLY A DAWSON CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 EAST SECOND STREET SUITE 500AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222393584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WCA FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWCAFNameControl
Phone7166648600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 FOOTE AVENUE PO BOX 840AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code147020840ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIGETTA OVERCASHName
TitleEXECUTIVE DIRECTORTitle
Phone7166648600Phone
Date Signed2013-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKELLY A DAWSON CPAName
Phone7164996398Phone
Date Prepared2013-11-12DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIGETTA OVERCASHBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 214AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2944247GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND SUPPORT COMMUNITY HEALTH IN JAMESTOWN, NEW YORK THROUGH THE SUPPORT OF THE WOMEN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, NEW YORK (WCA HOSPITAL) AND ANY OTHER AFFILIATES OF WCA GROUP, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year76863ContributionsGrantsPriorYear
Contributions Grants Current Year103644ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year381800InvestmentIncomePriorYear
Investment Income Current Year464819InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year458663TotalRevenuePriorYear
Total Revenue Current Year568463TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year172579GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY349379GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20500SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year58483OtherExpensePriorYear
Other Expenses Current Year136067OtherExpensesCurrentYear
Total Expenses Prior Year251562TotalExpensesPriorYear
Total Expenses Current Year485446TotalExpensesCurrentYear
Revenues Less Expenses Prior Year207101RevenuesLessExpensesPriorYear
Revenues Less Expenses CY83017RevenuesLessExpensesCY
Total Assets BOY10459876TotalAssetsBOY
Total Assets EOY11431037TotalAssetsEOY
Total Liabilities BOY824905TotalLiabilitiesBOY
Total Liabilities EOY686972TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9634971NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10744065NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE AND SUPPORT COMMUNITY HEALTHMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense349379Expense
Grants349379Grants
DescriptionSUPPORT OF COMMUNITY HEALTH THROUGH GRANTS TO THE WOMEN'S CHRISTIAN ASSOCIATION OF JAMESTOWN, NEW YORK (WCA HOSPITAL) AND OTHER AFFILIATES OF WCA GROUP, INC. GRANTS INCLUDE SUPPORT OF RADIOLOGY, DIALYSIS, CANCER TREATMENT, MEDICAL LIBRARIES, NURSING AND THE EMERGENCY ROOM.Description
Total Program Service Expense349379TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledtrueForm8899Filed
Form1098 C FiledtrueForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRIGETTA OVERCASHNamePerson
Telephone Number7166648600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 840AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BRIGETTA OVERCASH
EXECUTIVE DIRECTOR5.00XX0300044201
LYMAN BUCK
TREASURER1.00XX000
CRISTIE HERBST
CHAIR1.00XX000
DR BRIAN MEAGHER
VICE CHAIR1.00XX000
PAUL FARDINK
SECRETARY1.00XX000
PATRICIA PHILLIPS
DIRECTOR1.00X000
MELANIE GRITTERS
DIRECTOR1.00X000
JONATHAN SCALISE
DIRECTOR1.00X000
JAMES SMITH
DIRECTOR1.00X000
MARY TAYLOR
DIRECTOR1.00X000
PAUL V WEBB III ESQ
DIRECTOR1.00X000
BETSY WRIGHT
DIRECTOR1.00X033272446177
CHRISTIAN YATES
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs362728TotalReportableCompFrmRltdOrgs
Total Other Compensation50378TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions103644AllOtherContributions
Total Contributions103644TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column202587TotalRevenueColumn
Exclusion$202,587ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2638016Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2375784Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities262232Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column262232TotalRevenueColumn
Related Or Exempt Function Income262232RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column568463TotalRevenueColumn
Related Or Exempt Function Income262232RelatedOrExemptFunctionIncome
Exclusion$202,587ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total349379Total
Program Services349379ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total79008Total
Program Services0ProgramServices
Management And General79008ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7210Total
Program Services0ProgramServices
Management And General7210ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total40215Total
Program Services0ProgramServices
Management And General40215ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4223Total
Program Services0ProgramServices
Management And General4223ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER EXPENSES4826048260
TELEPHONE58505850

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total485446Total
Program Services349379ProgramServices
Management And General136067ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY333736BOY
EOY484332EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2127BOY
EOY1205EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10124013BOY
EOY10945500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10459876BOY
EOY11431037EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY824905BOY
EOY686972EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY824905BOY
EOY686972EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7355288BOY
EOY8331773EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY210305BOY
EOY300433EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2069378BOY
EOY2111859EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9634971BOY
EOY10744065EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10459876BOY
EOY11431037EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses83017ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1026077ReconciliationUnrealizedInvest
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1WCA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN160743226EIN
Type Of OrganizationHOSPITALTypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$349,379Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts349379SumOfAmounts
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8972182BeginningOfYearBalance
Contributions42481Contributions
Investment Earnings Or Losses1401931InvestmentEarningsOrLosses
Other Expenditures394007OtherExpenditures
End Of Year Balance10022587EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9425231BeginningOfYearBalance
Contributions31630Contributions
Investment Earnings Or Losses-349413InvestmentEarningsOrLosses
Other Expenditures135266OtherExpenditures
End Of Year Balance8972182EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8583168BeginningOfYearBalance
Contributions62590Contributions
Investment Earnings Or Losses1214176InvestmentEarningsOrLosses
Other Expenditures434703OtherExpenditures
End Of Year Balance9425231EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7139823BeginningOfYearBalance
Contributions59230Contributions
Investment Earnings Or Losses1783330InvestmentEarningsOrLosses
Other Expenditures399215OtherExpenditures
End Of Year Balance8583168EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.77240BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.21070PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01690TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Tot Revenue Etc Audited Fincl Stmt1594540TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1026077NetUnrealizedGainsInvestments
Revenue Not Rptd F9901026077RevenueNotRptdF990
Revenue Subtotal568463RevenueSubtotal
Total Revenue Per Form990568463TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt485446TotExpensesEtcAuditedFinclStmt
Expenses Subtotal485446ExpensesSubtotal
Total Expenses Per Form990485446TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WCA HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1FOOTE AVENUEAddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code14701ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient160743226EINOfRecipient
IRC Section170(B)(1)IRCSection
Amount Of Cash Grant631476AmountOfCashGrant
Purpose Of GrantSUPPORT ACTIVITIES RELATED TO COMMUNITY HEALTHPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV (5 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2THE ORGANIZATION RECEIVES REQUESTS FROM THE SUPPORTED ORGANIZATION FOR GRANTS.
THE BOARD OF DIRECTORS APPROVES GRANTS BASED UPON THE AVAILABILITY OF FUNDS
FROM INDIVIDUAL ENDOWMENTS THAT MATCH THE INTENDED PURPOSE OF THE ENDOWMENT OR FROM
UNRESTRICTED FUNDS. THE ORGANIZATION REIMBURSES THE SUPPORTED ORGANIZATION AS DOCUMENTED
EVIDENCE IS PROVIDED THAT THE FUNDS HAVE BEEN EXPENDED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBETSY WRIGHTNamePerson
Comp Based On Related Orgs332724CompBasedOnRelatedOrgs
Deferred Comp Related Orgs23203DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs22974NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs378901TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bTHE FORM 990 IS PROVIDED TO THE BOARD FOR THEIR REVIEW BEFORE
ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE.
Pt VI, Line 12cCONFLICT OF INTEREST DISCLOSURES ARE REVIEWED ON AN ANNUAL BASIS
Pt VI, Line 15aTHE ORGANIZATION HAS ONE PART TIME EMPLOYEE THAT IS COMPENSATED
BASED UPON A SALARY WHICH IS APPROVED BY THE BOARD.
Pt VI, Line 19GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE
AVAILABLE FROM THE ORGANIZATION UPON REQUEST.
Pt XINET UNREALIZED LOSSES ON INVESTMENTS
Pt XII, Line 2cFINANCE/AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF
THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN
INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WCA HOSPITAL
PO BOX 840 FOOTE AVENUEJAMESTOWNNY14701160743226HOSPITALNY501(C)(3)170(B)(1)NAfalse
STARFLIGHT INC
207 FOOTE AVENUEJAMESTOWNNY14701161557878MEDICAL TRANSPORTATIONNY501(C)(3)170(B)(1)NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
WCA HOSPITAL
b631476
WCA HOSPITAL
m79008