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COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION INC (EIN 23-7309596)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-16
IRS object ID
201111369349300331
Schema version
2010v3.2
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)
Timestamp2011-05-16T08:26:00-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BUCHERI MCCARTY & METZ LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2147AddressLine1
CityKOKOMOCity
StateINState
ZIP Code469042147ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237309596EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOWARD REGIONAL HEALTH SYSTEM FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOWANameControl
Phone7654538458Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 9011AddressLine1
CityKOKOMOCity
StateINState
ZIP Code469049011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKELLY GOADName
TitleFOUNDATION DIRECTORTitle
Phone7654538458Phone
Date Signed2011-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameG A MCCARTY CPAName
Phone7652362300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKELLY GOADNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 9011AddressLine1
CityKOKOMOCity
StateINState
ZIP Code469049011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts715600GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOWARDREGIONAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY HOWARD REGIONAL HEALTH SYSTEMActivityOrMissionDescription
Nbr Voting Members Governing Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year205117ContributionsGrantsPriorYear
Contributions Grants Current Year421905ContributionsGrantsCurrentYear
Program Service Revenue Prior Year50172ProgramServiceRevenuePriorYear
Program Service Revenue CY30567ProgramServiceRevenueCY
Investment Income Prior Year61322InvestmentIncomePriorYear
Investment Income Current Year109720InvestmentIncomeCurrentYear
Other Revenue Prior Year27256OtherRevenuePriorYear
Other Revenue Current Year28107OtherRevenueCurrentYear
Total Revenue Prior Year343867TotalRevenuePriorYear
Total Revenue Current Year590299TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year405443GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY399048GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22346SalariesEtcPriorYear
Salaries Etc Current Year82604SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year8661TotalFundrsngExpCurrentYear
Other Expense Prior Year111335OtherExpensePriorYear
Other Expenses Current Year78121OtherExpensesCurrentYear
Total Expenses Prior Year539124TotalExpensesPriorYear
Total Expenses Current Year559773TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-195257RevenuesLessExpensesPriorYear
Revenues Less Expenses CY30526RevenuesLessExpensesCY
Total Assets BOY4077904TotalAssetsBOY
Total Assets EOY4044389TotalAssetsEOY
Total Liabilities BOY875058TotalLiabilitiesBOY
Total Liabilities EOY569169TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3202846NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3475220NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE HOWARD REGIONAL HEALTH SYSTEM FOUNDATION IS TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY HOWARD REGIONAL HEALTH SYSTEM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense350779Expense
Grants350779Grants
Revenue23791Revenue
DescriptionTO RECEIVE AND MAINTAIN FUNDS FOR THE CONSTRUCTION, FURNISHING, EQUIPPING AND IMPROVEMENT OF THE FACILITIES AND SERVICES OF THE HOWARD REGIONAL HEALTH SYSTEM (HOSPITAL). TO PROVIDE FINANCIAL ASSISTANCE FOR THE IMPROVEMENT OF THE HEALTH, SAFETY, AND GENERAL WELFARE, AND TO AID IN THE ALLEVIATION OF HUMAN SUFFERING OF ALL PERSONS CONNECTED WITH OR USING THE FACILITIES AND SERVICES OF THE HOSPITAL.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense48269Expense
Grants48269Grants
DescriptionTO AID AND PROMOTE EDUCATION AND SCIENTIFIC RESEARCH IN THE ADVANCEMENT OF KNOWLEDGE RELATING TO THE DISCOVERY, PREVENTION, AND THE TREATEMENT OF DISEASE. TO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING DEGRESS AND CERTIFICATES IN HEALTH CARE PROFESSIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense399048TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKELLY GOADNamePerson
Telephone Number7654538458TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13500 S LAFOUNTAINAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CANDY HODGE
PRESIDENT1.00XX000
DR SUE SCIAME-GEISECKE
1ST VICE-PRESIDENT0.00XX000
REBECCA VENT
2ND VICE-PRESIDENT1.00XX000
JOE DUNBAR
SECRETARY/TREASURER1.00XX000
KELLY GOAD
FOUNDATION DIRECTOR1.00X04144511605
JAMES ALENDER
DIRECTOR0.00X034295520425
TED BROWN
DIRECTOR1.00X021986318888
RALPH BAER
DIRECTOR0.00X000
MARSHA BOWLING
DIRECTOR0.00X000
DR WALTER BROWN
DIRECTOR0.00X000
JEFF CARDWELL
DIRECTOR0.00X000
CYNTHIA EVANS
DIRECTOR0.00X000
DR BERNARD FOGELSON
DIRECTOR0.00X000
BOB FUNK
DIRECTOR1.00X000
GREG GRISWOLD
DIRECTOR0.00X000
SHERRY HORNER
DIRECTOR0.00X000
AARON HUNLEY
DIRECTOR0.00X000
CELESTINE JOHNSON
DIRECTOR0.00X000
KIM LAFOLLETTE
DIRECTOR0.00X000
STEVE LAMAR
DIRECTOR0.00X000
CHANDA MALOTT
DIRECTOR0.00X000
BOB MASSEY
DIRECTOR1.00X000
DR ROBERT MILLER
DIRECTOR0.00X000
DR LAURIE PETERS
DIRECTOR0.00X000
JUNE SCOGGINS
DIRECTOR0.00X000
BRIAN SHEARER
DIRECTOR0.00X000
MELINDA SHOWALTER
DIRECTOR0.00X000
DWIGHT SINGER
DIRECTOR1.00X000
DAWN SMITH
DIRECTOR1.00X000
RICK SMITH
DIRECTOR0.00X000
MATT TATE
DIRECTOR0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs604263TotalReportableCompFrmRltdOrgs
Total Other Compensation50918TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations59025RelatedOrganizations
All Other Contributions362880AllOtherContributions
Total Contributions421905TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASEDescription
Business Code532000BusinessCode
Total Revenue Column30567TotalRevenueColumn
Related Or Exempt Function Income30567RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue30567TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column116496TotalRevenueColumn
Exclusion$116,496ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities99585Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities106361Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-6776Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6776TotalRevenueColumn
Related Or Exempt Function Income-6776RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events47047GrossIncomeFundraisingEvents
Fundraising Direct Expenses18940FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column28107TotalRevenueColumn
Exclusion$28,107ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column590299TotalRevenueColumn
Related Or Exempt Function Income23791RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$144,603ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total350779Total
Program Services350779ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total48269Total
Program Services48269ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total66125Total
Management And General66125ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11605Total
Management And General11605ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4874Total
Management And General4874ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9130Total
Management And General9130ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total14269Total
Management And General14269ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7205Total
Management And General7205ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2903Total
Management And General2903ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total33056Total
Management And General33056ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total102Total
Management And General102ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
OTHER FUNDRAISING EXPEN86618661
DUES AND SUBSCRIPTIONS22572257
PROVISION FOR UNCOLLECT538538

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total559773Total
Program Services399048ProgramServices
Management And General152064ManagementAndGeneral
Fundraising8661Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY520590BOY
EOY430151EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY251239BOY
EOY461220EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY61851BOY
EOY51620EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY830066BOY
EOY548298EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis510LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec425LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY187BOY
EOY85EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2339094BOY
EOY2381969EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY74877BOY
EOY171046EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4077904BOY
EOY4044389EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY413BOY
EOY2236EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY53201BOY
EOY23482EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY773533BOY
EOY499124EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47911BOY
EOY44327EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY875058BOY
EOY569169EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2508914BOY
EOY2808909EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY537748BOY
EOY510127EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY156184BOY
EOY156184EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3202846BOY
EOY3475220EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4077904BOY
EOY4044389EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses30526ReconcilationRevenueExpenses
Reconcilation Other Changes241848ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOWARD REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
EIN351128451EIN
Type Of Organization501 (C)(3)TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$399,048Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts399048SumOfAmounts

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 Balance156184BeginningOfYearBalance
End Of Year Balance156184EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance156184BeginningOfYearBalance
End Of Year Balance156184EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance156184BeginningOfYearBalance
End Of Year Balance156184EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis510InvestmentCostOrOtherBasis
Depreciation425Depreciation
Book Value85BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings85TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST$2,213
LIABILITY UNDER TRUST AGREEMENT$42,114
FieldValueIRS element (for citing)
Total Of Amounts44327TotalOfAmounts
Total Revenue590299TotalRevenue
Total Expenses559773TotalExpenses
Excess Or Deficit For Year30526ExcessOrDeficitForYear
Net Unrealized GL On Investments231256NetUnrealizedGLOnInvestments
Other$10,592OtherAmount
Total Adjustments241848TotalAdjustments
Excess Or Deficit Per FS272374ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt851087TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments231256NetUnrealizedGainsInvestments
Other Revenues29532OtherRevenues
Revenue Not Rptd F990260788RevenueNotRptdF990
Revenue Subtotal590299RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990590299TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt578713TotExpensesEtcAuditedFinclStmt
Other Expenses Included18940OtherExpensesIncluded
Expenses Not Rptd F99018940ExpensesNotRptdF990
Expenses Subtotal559773ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990559773TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 10,592.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE FOR CHARITABLE REMAINDER TRUST 10,592. FUNDRAISING COSTS (NETTED ON 990) 18,940.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING COSTS (NETTED ON 990) 18,940.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GOLF OUTINGNameOfEvent1
Gross Receipts Event138593GrossReceiptsEvent1
Gross Revenue Event138593GrossRevenueEvent1
Cash Prizes Event11342CashPrizesEvent1
Other Direct Expenses Event110192OtherDirectExpensesEvent1
Name Of Event2LOGOWEARNameOfEvent2
Gross Receipts Event28454GrossReceiptsEvent2
Gross Revenue Event28454GrossRevenueEvent2
Other Direct Expenses Event27406OtherDirectExpensesEvent2
Gross Receipts Total47047GrossReceiptsTotal
Gross Revenue Total Events47047GrossRevenueTotalEvents
Cash Prizes Total Events1342CashPrizesTotalEvents
Other Direct Expenses Total Events17598OtherDirectExpensesTotalEvents
Direct Expense Summary Events18940DirectExpenseSummaryEvents
Net Income Summary28107NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1HOWARD REGIONAL HEALTH SYSTEMBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13500 S LAFOUNTAIN STAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient351128451EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant350779AmountOfCashGrant
Method Of ValuationBOOK VALUEMethodOfValuation
Purpose Of GrantTO RECEIVE AND MAINTAIN FUNDS FOR THE CONSTRUCTION, FURNISHING, EQUIPPING AND IMPROVEMENT OF THE FACILITIES AND SERVICES OF THE HOWARD GIONAL HEALTH SYSTEM (HOSPITAL). TO PROVIDE FINANCIAL ASSISTANCE FOR THE IMPROVEMENT OF THE HEALTH, SAFETY, AND GENERAL WELFARE, AND TO AID IN THE ALLEVIATION OF HUMAN SUFFERING OF ALL PERSONS CONNECTED WITH OR USING THE FACILITIES AND SERVICES OF THE HOSPITAL.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantTO PROMOTE EDUCATION BY PROVIDING FINANCIAL ASSISTANCE WITH CONTINUING EDUCATION. TO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING DEGRESS AND CERTIFICATES IN HEALTH CARE PROFESSIONS.TypeOfGrant
Number Of Recipients79NumberOfRecipients
Amount Of Cash Grant48269AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
Explanation1) FOR EQUIPMENT PURCHASES THE FOUNDATION DIRECTLY PURCHASES THE EQUIPMENT FROM THE VENDOR AND TRANSFERS THE EQUIPMENT TO THE DONEE. FOR OTHER GRANTS, THE FOUNDATION REIMBURSES APPROVED, SIGNED CHECK REQUESTS. 2) GRANTS FROM THE SCHOLARSHIP AND CONTINUING EDUCATION FUND ARE APPROVED BY A SCHOLARSHIP COMMITTEE MADE UP OF MEMBERS OF THE BOARD OF DIRECTORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES ALENDER
0342955000000020425036338000
TED BROWN
0219863000000018888023875100

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JAMES ALENDER
BOARD OF DIRECTOREMPLOYEE AND OFFICER OF HOWARD REGIONAL HEALTH SYSTEM (RELATED ORGANIZATION - SEE SCHEDULE R)0
TED BROWN
BOARD OF DIRECTOREMPLOYEE AND OFFICER OF HOWARD REGIONAL HEALTH SYSTEM (RELATED ORGANIZATION - SEE SCHEDULE R)0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4THE BYLAWS OF THE ORGANIZATION WERE AMENDED EFFECTIVE JUNE 2010 TO ADD A CONFLICT OF INTEREST POLICY
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO ITS SIGNING AND SUBMISSION TO THE INTERNAL REVENUE SERVICE.
ALL INTERESTED PERSONS ARE REQUIRED TO DISLOSE ANY CONFLICTS OF INTEREST, OR POSSIBLE CONFLICTS OF INTEREST THAT MIGHT POTENTIALLY AFFECT THEIR JUDGMENT IN MAKING DECISIONS ON BEHALF OF THE FOUNDATION BY COMPLETING A CONFLICT OF INTEREST/DISCLOSURE STATEMENT ANNUALLY.FORM 990, PART VI, SECTION B, LINE 12C
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 231,256. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 10,592. TOTAL TO FORM 990, PART XI, LINE 5: 241,848.FORM 990, PART XI, LINE 5:
LEASED EMPLOYEES:THE ORGANIZATION LEASES THE FOUNDATION SPECIALIST FROM A RELATED ENTITY, HOWARD REGIONAL HEALTH SYSTEM.FORM 990, PART V, LINE 2A:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOWARD REGIONAL HEALTH SYSTEMBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13500 S LAFOUNTAIN STAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode
FieldValueIRS element (for citing)
EIN351128451EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)IIIPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HOWARD REGIONAL HEALTH SYSTEM
N56122COST BASIS
HOWARD REGIONAL HEALTH SYSTEM
M2903COST ALLOCATION