BOONE HOSPITAL FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BOONE HOSPITAL FOUNDATION (EIN 03-0477306)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201213179349300021
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T08:09:44-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431126847 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAMS-KEEPERS LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2005 WEST BROADWAY SUITE 100 | AddressLine1 |
| City | COLUMBIA | City |
| State | MO | State |
| ZIP Code | 65203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030477306 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOONE HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BOON | NameControl |
| Phone | 5738156868 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 E BROADWAY | AddressLine1 |
| City | COLUMBIA | City |
| State | MO | State |
| ZIP Code | 65201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA DANUSER | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5738152800 | Phone |
| Date Signed | 2012-11-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN C SMITH | Name |
| PTIN | P00048938 | PTIN |
| Phone | 5734426171 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARBARA DANUSER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 E BROADWAY | AddressLine1 |
| City | COLUMBIA | City |
| State | MO | State |
| ZIP Code | 65201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4233935 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BOONE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | SUPPORTS THE EFFORTS OF BOONE HOSPITAL CENTER OF IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 156 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 522378 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 431921 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 102445 | InvestmentIncomePriorYear |
| Investment Income Current Year | 327398 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6789 | OtherRevenuePriorYear |
| Other Revenue Current Year | 21493 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 631612 | TotalRevenuePriorYear |
| Total Revenue Current Year | 780812 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 318250 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 104373 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 103262 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 268362 | OtherExpensePriorYear |
| Other Expenses Current Year | 325625 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 372735 | TotalExpensesPriorYear |
| Total Expenses Current Year | 747137 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 258877 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 33675 | RevenuesLessExpensesCY |
| Total Assets BOY | 7945751 | TotalAssetsBOY |
| Total Assets EOY | 7874956 | TotalAssetsEOY |
| Total Liabilities BOY | 776454 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 957991 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7169297 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6916965 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO SEEK FINANCIAL RESOURCES TO SUPPORT EFFORTS OF BOONE HOSPITAL CENTER IN ITS MISSION TO IMPROVE THE HEALTH AND WELLNESS OF CURRENT AND FUTURE GENERATIONS IN THE COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 140254 | Expense |
| Description | KNOW YOUR NUMBER HEALTH UNIT: THIS MOBILE HEALTH UNIT TRAVELS AROUND BOONE HOSPITAL CENTER'S SERVICE AREA PROVIDING FREE HEALTH SCREENINGS TO OUR COMMUNITIES. THE SCREENINGS INCLUDE CHOLESTEROL AND BLOOD SUGAR LEVELS, TRIGLYCERIDES, BLOOD PRESSURE AND BODY MASS INDEX. RESULTS ARE PROVIDED AT THE TIME OF SERVICE. A PERSONAL CONSULTATION AND EDUCATIONAL MATERIALS ARE PROVIDED HELPING OUR COMMUNITY MEMBERS TO IMPROVE THEIR HEALTH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 151771 | Expense |
| Grants | 142000 | Grants |
| Description | THE HEALING GARDEN: THE HEALING GARDEN WAS BUILT TO PROVIDE A CALMING PLACE WHERE PATIENTS, THEIR FAMILIES AND OTHERS CAN FIND BEAUTY, COMFORT AND SOLITUDE. RESEARCH SHOWS THAT GARDENS CAN HAVE A POSITIVE IMPACT ON PATIENT OUTCOMES. THIS HEALING GARDEN HAS WATERFALLS, TREES, FLOWERS, FOOT BRIDGES, PARK BENCHES AND SOOTHING MUSIC, EXTENDING THE HEALING ENVIRONMENT BEYOND THE WALLS OF THE HOSPITAL . PATIENTS AND FAMILY MEMBERS VISIT THIS GARDEN DAILY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 177373 | Expense |
| Grants | 176250 | Grants |
| Description | TO SEEK FINANCIAL RESOURCES TO SUPPORT EFFORTS OF BOONE HOSPITAL CENTER IN ITS MISSION, WHICH IS TO IMPROVE THE HEALTH AND WELLNESS OF CURRENT AND FUTURE GENERATIONS IN THE COMMUNITIES WE SERVE. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 24692 | CARE GIVER EDUCATION: THIS PROGRAM PROVIDES SCHOLARSHIPS FOR ADVANCED TRAINING IN CRITICAL CARE AREAS AND HELPS FUND SPECIAL NURSING CONFERENCES FOR BOONE HOSPITAL NURSES AND CAREGIVERS. THERE WERE NO SCHOLARSHIPS PAID DURING 2011. |
| 46089 | CONTINUING MEDICAL EDUCATION: THE FOUNDATION PROVIDED 192 HOURS OF CME ACCREDITED LIVE INSTRUCTION DURING THE YEAR. THIS ENCOMPASSES REGULARLY SCHEDULED COURSES, SUCH AS TUMOR BOARDS AND INFECTIOUS DISEASE COFERENCES; AS WELL AS QUARTERLY GENERAL STAFF MEETINGS; OUTREACH COURSES TO OUTLYING COMMUNITIES, E.G. JEFFERSON CITY PHYSICIANS AND FITZGIBBON HOSPITAL; JOINTLY-SPONSORED CONFERENCES, SUCH AS THE FULL DAY EVIDENCE BASED SURGICAL UPDATES FOR THE PRIMARY CARE PHYSICIAN, PROVIDED JOINTLY WITH BHC AND COLUMBIA SURGICAL ASSOCIATES; AND NEW REGIONAL INITIATIVES, SUCH AS THE CHILDHOOD OBESITY CONFERENCE. 1,184 PHYSICIAN ATTENDEES WERE RECORDED AT THESE EVENTS THROUGH 2011. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 70781 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 540179 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 1 | NonDeductibleContributions |
| Non Deductible Disclosure | 1 | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARBARA DANUSER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5738152800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 E BROADWAY | AddressLine1 |
| City | COLUMBIA | City |
| State | MO | State |
| ZIP Code | 65201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| FRED PARRY | ||||||
| CHAIRPERSON | 8.00 | X | X | 0 | 0 | 0 |
| BRIAN NEUNER | ||||||
| VICE CHAIRMAN | 8.00 | X | X | 0 | 0 | 0 |
| ROBERT WAGNER | ||||||
| TREASURER | 8.00 | X | X | 0 | 0 | 0 |
| JAN BECKETT | ||||||
| SECRETARY | 8.00 | X | X | 0 | 0 | 0 |
| BARBARA WEAVER | ||||||
| CHAIR EMERITUS | 8.00 | X | 0 | 0 | 0 | |
| BARBARA DANUSER | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 81417 | 0 | 15080 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 81417 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 15080 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 108200 | FundraisingEvents |
| All Other Contributions | 323721 | AllOtherContributions |
| Total Contributions | 431921 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 270319 | TotalRevenueColumn |
| Exclusion | $270,319 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3149769 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3092690 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 57079 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57079 | TotalRevenueColumn |
| Exclusion | $57,079 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 16900 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 108200 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 56351 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -39451 | TotalRevenueColumn |
| Exclusion | -$39,451 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 365026 | GrossSalesOfInventory |
| Cost Of Goods Sold | 304082 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60944 | TotalRevenueColumn |
| Exclusion | $60,944 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 780812 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $348,891 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 318250 | Total |
| Program Services | 318250 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93263 | Total |
| Management And General | 93263 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3065 | Total |
| Management And General | 3065 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 706 | Total |
| Management And General | 706 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6228 | Total |
| Management And General | 6228 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1220 | Total |
| Management And General | 1220 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27307 | Total |
| Management And General | 27307 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38228 | Total |
| Management And General | 38228 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5100 | Total |
| Management And General | 5100 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19830 | Total |
| Management And General | 19830 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3877 | Total |
| Management And General | 3877 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5030 | Total |
| Management And General | 5030 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 800 | Total |
| Management And General | 800 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 433 | Total |
| Management And General | 433 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROGRAM SUPPORT EXPENSE | 221929 | 221929 | |
| MISCELLANEOUS EXPENSES | 1871 | 1871 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 747137 | Total |
| Program Services | 540179 | ProgramServices |
| Management And General | 206958 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 316604 | BOY |
| EOY | 550548 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37373 | BOY |
| EOY | 60944 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7550317 | BOY |
| EOY | 7232973 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41457 | BOY |
| EOY | 30491 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7945751 | BOY |
| EOY | 7874956 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9788 | BOY |
| EOY | 157991 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 766666 | BOY |
| EOY | 800000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 776454 | BOY |
| EOY | 957991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4740333 | BOY |
| EOY | 4537259 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1721014 | BOY |
| EOY | 1671756 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 707950 | BOY |
| EOY | 707950 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7169297 | BOY |
| EOY | 6916965 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7945751 | BOY |
| EOY | 7874956 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 33675 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -286007 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431279063 | EIN |
| Type Of Organization | 6 | TypeOfOrganization |
| Listed In Governing Doc | 0 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $142,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 142000 | SumOfAmounts |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: BOONE HOSPITAL FOUNDATION TYPICALLY DOES NOT DISTRIBUTE FUNDS TO THE BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL, THE SUPPORTED ORGANIZATION. INSTEAD THE PROGRAMS FUNDED BY THE FOUNDATION BENEFIT THE PATIENTS DIRECTLY AND SUPPORT THE EFFORTS OF BOONE COUNTY HOSPITAL IN ITS EFFORTS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITY. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2428964 | BeginningOfYearBalance |
| Contributions | 474432 | Contributions |
| Investment Earnings Or Losses | 70644 | InvestmentEarningsOrLosses |
| Other Expenditures | 594334 | OtherExpenditures |
| End Of Year Balance | 2379706 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2335835 | BeginningOfYearBalance |
| Contributions | 212075 | Contributions |
| Investment Earnings Or Losses | 228254 | InvestmentEarningsOrLosses |
| Other Expenditures | 347200 | OtherExpenditures |
| End Of Year Balance | 2428964 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3518946 | BeginningOfYearBalance |
| Contributions | 1185717 | Contributions |
| Investment Earnings Or Losses | 147001 | InvestmentEarningsOrLosses |
| Other Expenditures | 2515829 | OtherExpenditures |
| End Of Year Balance | 2335835 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.29750 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.70250 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NOTES PAYABLE TO BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL | Description |
| Amount | $800,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 800000 | TotalOfAmounts |
| Total Revenue | 780812 | TotalRevenue |
| Total Expenses | 747137 | TotalExpenses |
| Excess Or Deficit For Year | 33675 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -376400 | NetUnrealizedGLOnInvestments |
| Other | $90,393 | OtherAmount |
| Total Adjustments | -286007 | TotalAdjustments |
| Excess Or Deficit Per FS | -252332 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 428202 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -376400 | NetUnrealizedGainsInvestments |
| Other Revenues | 5716 | OtherRevenues |
| Revenue Not Rptd F990 | -370684 | RevenueNotRptdF990 |
| Revenue Subtotal | 798886 | RevenueSubtotal |
| Investment Expenses Not Included | 38277 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -56351 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -18074 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 780812 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 768426 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3215 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3215 | ExpensesNotRptdF990 |
| Expenses Subtotal | 765211 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 38277 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | -56351 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -18074 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 747137 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | HEALTH CARE EDUCATIONAL INITIATIVES |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | WALTER JOHNSON PALLIATIVE CARE FOUNDATION MERGER 90,393. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | WALTER JOHNSON PALLIATIVE CARE FOUNDATION - ACTIVITY REPORTED ON 2011 990 5,716. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -56,351. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | WALTER JOHNSON PALLIATIVE CARE FOUNDATION - ACTIVITY REPORTED ON 2011 990 3,215. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -56,351. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 79350 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 69990 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 9360 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 2000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 21496 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 5000 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 12340 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF TOURNAMENT | NameOfEvent2 |
| Gross Receipts Event2 | 45750 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 38210 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 7540 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 3952 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 7540 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 2510 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 1513 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 125100 | GrossReceiptsTotal |
| Charitable Contributions Total | 108200 | CharitableContributionsTotal |
| Gross Revenue Total Events | 16900 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3952 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 9540 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 24006 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 5000 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 13853 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 56351 | DirectExpenseSummaryEvents |
| Net Income Summary | -39451 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | EIN Of RecipientEINOfRecipient |
|---|---|---|---|---|---|---|---|
| BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL | |||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | 170(B)(1)(A)(V) | 142000 | TO FUND THE CONSTRUCTION OF THE BOONE HOSPITAL HEALING GARDEN | |
| CH ALLIED SERVICES INC | |||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | 501(C)(3) | 176250 | TO FUND THE KNOW YOUR NUMBERS MOBILE HEALTH UNIT OPERATED BY BOONE HOSPITAL CENTER | 431279063 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS WERE PAID AFTER COSTS WERE INCURRED BY THE RECIPIENTS. GRANTS ONLY PARTIALLY FUNDED THE PROJECTS INVOLVED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE BOARD OF TRUSTEES ELECTRONICALLY FOR THEIR REVIEW. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY THE EXECUTIVE DIRECTOR DISTRIBUTES THE CONFLICT OF INTEREST QUESTIONNAIRE BY E-MAIL TO THE BOARD OF TRUSTEES AND THEY ARE ASKED TO COMPLETE IT AND RETURN IT TO THE FOUNDATION. THE RETURNED QUESTIONNAIRE IS KEPT ON FILE. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF TRUSTEES AND THE PRESIDENT OF BOONE HOSPITAL CENTER USE BENCHMARK DATA FROM SIMILAR FOUNDATIONS AND REVIEW THE FOUNDATION'S ANNUAL STRATEGIC FUNDRAISING PLAN AND BUDGET. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVIALABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -376,400. WALTER JOHNSON PALLIATIVE CARE FOUNDATION MERGER 90,393. TOTAL TO FORM 990, PART XI, LINE 5: -286,007. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART V, LINE 2A: | EMPLOYEES ARE LEASED BY THE FOUNDATION FROM THE ORGANIZATION THAT RUNS THE HOSPITAL UNDER AN AGREEMENT WITH BOONE COUNTY. THEREFORE, THE FOUNDATION HAS SALARY EXPENSE, BUT DOES NOT ISSUE W-2'S. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|
| WALTER JOHNSON PALLIATIVE CARE FOUNDATION | ||||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | 030477309 | MO | 501(C)(3) | LINE 11B, II | 0 |
| BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL | ||||||||
| 1600 E BROADWAY | COLUMBIA | MO | 65201 | MO | 501(C)(3) | LINE 6 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |