BROWN COUNTY HEALTH AND WELLNESS FOUNDATION: Form 990EZ, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BROWN COUNTY HEALTH AND WELLNESS FOUNDATION (EIN 31-1787176)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-12
- IRS object ID
- 201112859349200216
- Schema version
- 2010v3.4
- 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 | 2011-10-12T13:15:05-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8800 LYRA DRIVE SUITE 450 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311787176 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN COUNTY GENERAL HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BROW | NameControl |
| Phone | 9373787500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 HOME STREET | AddressLine1 |
| City | GEORGETOWN | City |
| State | OH | State |
| ZIP Code | 45121 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JUDY HUFFMAN | Name |
| Title | FOUNDATION TREASURER/SECRETARY | Title |
| Phone | 9373787500 | Phone |
| Date Signed | 2011-10-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEPHEN A SHERIDAN | Name |
| Phone | 6148852583 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 102217 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 40293 | ContributionsGiftsGrantsEtc |
| Investment Income | 9133 | InvestmentIncome |
| Fundraising Gross Income | 52781 | FundraisingGrossIncome |
| Special Events Direct Expenses | 36137 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 16644 | SpecialEventsNetIncomeLoss |
| Other Revenue Total | 10 | OtherRevenueTotal |
| Total Revenue | 66080 | TotalRevenue |
| Grants And Similar Amounts Paid | 22000 | GrantsAndSimilarAmountsPaid |
| Other Expenses Total | 27495 | OtherExpensesTotal |
| Total Expenses | 49495 | TotalExpenses |
| Excess Or Deficit For Year | 16585 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 318131 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 16958 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 351674 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 318131 | BOY |
| EOY | 201674 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162149 | BOY |
| EOY | 150000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 480280 | BOY |
| EOY | 351674 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162149 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 318131 | BOY |
| EOY | 351674 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | THE PURPOSE OF THE BCGH FOUNDATION IS TO ACKNOWLEDGE THE IMPORTANCE OF HEALTH TO QUALITY OF LIFE, TO RECOGNIZE THE CENTRAL ROLE THE HOSPITAL PLAYS IN IMPROVING HEALTH, AND TO ENCOURAGE FINANCIAL SUPPORT FOR THE HOSPITAL THROUGH CHARITABLE GIFTS, CREATING GREATER ACCESS TO CARE AND ENHANCING THE MEANING AND DIGNITY OF LIFE. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (3 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| HEART OF BROWN COUNTY GALA FOR BENEFIT OF GOOD NEIGHBOR FUND THAT ASSISTS PATIENTS WHO CANNOT AFFORD HEALTHCARE EXPENSES. | 0 | 22083 |
| COACHES CANCER | 0 | 10000 |
| CELEBRATION OF LIGHTS FUNDRAISER TO BENEFIT ENDOWMENT FUND. | 0 | 1730 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 33813 | TotalProgramServiceExpenses |
| Info In Schedule O Part IV | X | InfoInScheduleOPartIV |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| ROGER ADKINS | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| ALTA BEASLEY | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| FLORA BROWN | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| JEANNIE BULOW | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| DALE CAHALL | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| BARB CAMPBELL | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| ROGER COURTS | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| ALICE DAILEY | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| EDIE FATH | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| JOANN FAUTH | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| ANITA FLAUGHER | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| ED FUHRMANN | ||||||||
| 425 HOME STREET | GEORGETOWN | OH | 45121 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 HOME STREET | AddressLine1 |
| City | GEORGETOWN | City |
| State | OH | State |
| ZIP Code | 45121 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9373787500 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction With Control Entity | 0 | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 44619 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10505 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19423 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13489 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40293 | CurrentTaxYear |
| Total | 128329 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 44619 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10505 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19423 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13489 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40293 | CurrentTaxYear |
| Total | 128329 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 128329 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7882 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15514 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28088 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9133 | CurrentTaxYear |
| Total | 63191 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 191520 | TotalSupport |
| Gross Receipts From Admissions Etc | 356081 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.67010 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.75170 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HEART OF BROWN COUNTY GALA | NameOfEvent1 |
| Gross Receipts Event1 | 31329 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 31329 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 22076 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CELEBRATION OF LIGHTS | NameOfEvent2 |
| Gross Receipts Event2 | 9558 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 9558 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 1730 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 11894 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 11894 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 12331 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 52781 | GrossReceiptsTotal |
| Gross Revenue Total Events | 52781 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 36137 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 36137 | DirectExpenseSummaryEvents |
| Net Income Summary | 16644 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 9,133.. |
| OTHER REVENUE | FORM 990-EZ, PART I, LINE 8 | DESCRIPTION: MISCELLANEOUS. AMOUNT: 10. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: VARIOUS EACH UNDER $5,000. GRANTEE ADDRESS: 425 HOME STREET GEORGETOWN, OH 45121. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 22,000. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: AED. AMOUNT: 6,467. DESCRIPTION: HOSPITAL ACTIVITIES. AMOUNT: 1,051. DESCRIPTION: NURSING ENHANCEMENT. AMOUNT: 1,657. DESCRIPTION: PAIN MANAGEMENT & OTHER. AMOUNT: 1,000. DESCRIPTION: SPECIFIC REQUESTS. AMOUNT: 17,320. TOTAL TO FORM 990-EZ, LINE 16: 27,495. |
| OTHER CHANGES IN NET ASSETS | FORM 990-EZ, PART I, LINE 20 | DESCRIPTION: UNREALIZED GAIN ON INVESTMENTS. AMOUNT: 16,958. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: OHAIS CLASS A COMMON STOCK. BEG. OF YEAR AMOUNT: 162,149. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO FOUNDATION FROM BCGH. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 150,000. |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DESCRIPTION: DUE TO BCGH OHAIS COMMON STOCK. BEG. OF YEAR AMOUNT: 162,149. END OF YEAR AMOUNT: 0. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |