STRATEGY STUDIO / PUBLIC DATA EXPLORER

WCA FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WCA FOUNDATION INC (EIN 22-2393584)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-17
IRS object ID
201233529349300763
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

FieldValueIRS element (for citing)
Timestamp2012-12-17T08:28:17-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222393584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WCA FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWCAFNameControl
Phone7166645461Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 214AddressLine1
CityJAMESTOWNCity
StateNYState
ZIP Code147020214ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIGETTA OVERCASHName
TitleEXECUTIVE DIRECTORTitle
Phone7166645461Phone
Date Signed2012-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKELLY A DAWSON CPAName
Phone7164996398Phone
Date Prepared2012-12-17DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts2586192GrossReceipts
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 Employees1TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year139232ContributionsGrantsPriorYear
Contributions Grants Current Year76863ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year529691InvestmentIncomePriorYear
Investment Income Current Year381800InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year668923TotalRevenuePriorYear
Total Revenue Current Year458663TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year460450GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY172579GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18886SalariesEtcPriorYear
Salaries Etc Current Year20500SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year51381OtherExpensePriorYear
Other Expenses Current Year58483OtherExpensesCurrentYear
Total Expenses Prior Year530717TotalExpensesPriorYear
Total Expenses Current Year251562TotalExpensesCurrentYear
Revenues Less Expenses Prior Year138206RevenuesLessExpensesPriorYear
Revenues Less Expenses CY207101RevenuesLessExpensesCY
Total Assets BOY12900983TotalAssetsBOY
Total Assets EOY10459876TotalAssetsEOY
Total Liabilities BOY2710965TotalLiabilitiesBOY
Total Liabilities EOY824905TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10190018NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9634971NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE AND SUPPORT COMMUNITY HEALTHMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense172579Expense
Grants172579Grants
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 Expense172579TotalProgramServiceExpense
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 Employees1NumberOfEmployees
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 Number7166645461TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 214AddressLine1
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 DIRECTOR5.00XX1782726730
MARTIN LYDELL
TREASURER1.00XX000
CRISTIE HERBST
CHAIR1.00XX000
DR BRIAN MEAGHER
VICE CHAIR1.00XX000
PAUL FARDINK
SECRETARY1.00XX000
PATRICIA PHILLIPS
DIRECTOR1.00X000
DALE ROBBINS
DIRECTOR1.00X000
JONATHAN SCALISE
DIRECTOR1.00X000
JAMES SMITH
DIRECTOR1.00X000
MARY TAYLOR
DIRECTOR1.00X000
PAUL V WEBB III ESQ
DIRECTOR1.00X000
BETSY WRIGHT
DIRECTOR1.00X035159652464
CHRISTIAN YATES
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org17827TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs354269TotalReportableCompFrmRltdOrgs
Total Other Compensation52464TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions76863AllOtherContributions
Total Contributions76863TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column160348TotalRevenueColumn
Exclusion$160,348ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2348981Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2127529Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities221452Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column221452TotalRevenueColumn
Related Or Exempt Function Income221452RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column458663TotalRevenueColumn
Related Or Exempt Function Income221452RelatedOrExemptFunctionIncome
Exclusion$160,348ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total172579Total
Program Services172579ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total20500Total
Program Services0ProgramServices
Management And General20500ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2475Total
Program Services0ProgramServices
Management And General2475ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5725Total
Program Services0ProgramServices
Management And General5725ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total41751Total
Program Services0ProgramServices
Management And General41751ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4377Total
Program Services0ProgramServices
Management And General4377ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER EXPENSES3462034620
TELEPHONE69306930

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total251562Total
Program Services172579ProgramServices
Management And General78983ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2364523BOY
EOY333736EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2127BOY
EOY2127EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10534333BOY
EOY10124013EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12900983BOY
EOY10459876EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4575BOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY1206390BOY
EOY824905EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1500000BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2710965BOY
EOY824905EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7818828BOY
EOY7355288EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY337682BOY
EOY210305EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2033508BOY
EOY2069378EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10190018BOY
EOY9634971EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12900983BOY
EOY10459876EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses207101ReconcilationRevenueExpenses
Reconcilation Other Changes-762148ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

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$172,579Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts172579SumOfAmounts
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 Balance9425231BeginningOfYearBalance
Contributions31630Contributions
Investment Earnings Or Losses-349413InvestmentEarningsOrLosses
Other Expenditures135266OtherExpenditures
End Of Year Balance8972182EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.75790BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.23060PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01150TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINVESTMENT HOLDING - WCA HOSPITALDescription
FieldValueIRS element (for citing)
Total Revenue458663TotalRevenue
Total Expenses251562TotalExpenses
Excess Or Deficit For Year207101ExcessOrDeficitForYear
Net Unrealized GL On Investments-762148NetUnrealizedGLOnInvestments
Total Adjustments-762148TotalAdjustments
Excess Or Deficit Per FS-555047ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt-303485TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-762148NetUnrealizedGainsInvestments
Revenue Not Rptd F990-762148RevenueNotRptdF990
Revenue Subtotal458663RevenueSubtotal
Total Revenue Per Form990458663TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt251562TotExpensesEtcAuditedFinclStmt
Expenses Subtotal251562ExpensesSubtotal
Total Expenses Per Form990251562TotalExpensesPerForm990

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 Grant172579AmountOfCashGrant
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 Orgs351596CompBasedOnRelatedOrgs
Deferred Comp Related Orgs30922DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs21542NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs404060TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aTHE 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 15THE 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
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 OrgsfalsePerformOfServicesByOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1WCA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypebTransactionType
Amount Involved172579AmountInvolved