STRATEGY STUDIO / PUBLIC DATA EXPLORER

BOONE HOSPITAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BOONE HOSPITAL FOUNDATION (EIN 03-0477306)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201123189349302722
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

FieldValueIRS element (for citing)
Timestamp2011-11-14T10:21:40-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAMS-KEEPERS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12005 WEST BROADWAY SUITE 100AddressLine1
CityCOLUMBIACity
StateMOState
ZIP Code65203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030477306EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOONE HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBOONNameControl
Phone5738156868Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 E BROADWAYAddressLine1
CityCOLUMBIACity
StateMOState
ZIP Code65201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBARBARA DANUSERName
TitleEXECUTIVE DIRECTORTitle
Phone5738152800Phone
Date Signed2011-11-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEPHEN C SMITHName
Phone5734426171Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARBARA DANUSERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 E BROADWAYAddressLine1
CityCOLUMBIACity
StateMOState
ZIP Code65201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2126806GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BOONE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionSUPPORTS THE EFFORTS OF BOONE HOSPITAL CENTER OF IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers166TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1219979ContributionsGrantsPriorYear
Contributions Grants Current Year522378ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year171650InvestmentIncomePriorYear
Investment Income Current Year102445InvestmentIncomeCurrentYear
Other Revenue Prior Year78313OtherRevenuePriorYear
Other Revenue Current Year6789OtherRevenueCurrentYear
Total Revenue Prior Year1469942TotalRevenuePriorYear
Total Revenue Current Year631612TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year107831SalariesEtcPriorYear
Salaries Etc Current Year104373SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year228443OtherExpensePriorYear
Other Expenses Current Year268362OtherExpensesCurrentYear
Total Expenses Prior Year336274TotalExpensesPriorYear
Total Expenses Current Year372735TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1133668RevenuesLessExpensesPriorYear
Revenues Less Expenses CY258877RevenuesLessExpensesCY
Total Assets BOY7129783TotalAssetsBOY
Total Assets EOY7945751TotalAssetsEOY
Total Liabilities BOY779667TotalLiabilitiesBOY
Total Liabilities EOY776454TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6350116NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7169297NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense45738Expense
DescriptionCARE 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 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense22647Expense
DescriptionCONTINUING MEDICAL EDUCATION: THE FOUNDATION PROVIDED 153 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. 1,039 PHYSICIAN ATTENDEES WERE RECORDED AT THESE EVENTS THROUGH 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense112040Expense
DescriptionTO 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
FieldValueIRS element (for citing)
Total Program Service Expense180425TotalProgramServiceExpense
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 Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Rltnshp0OfficerEntityWithBsnssRltnshp
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 With109616NumberFormsTransmittedWith1096
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 Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
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 Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BARBARA DANUSERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5738156868TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 E BROADWAYAddressLine1
CityCOLUMBIACity
StateMOState
ZIP Code65201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
FRED PARRY
CHAIRPERSON8.00XX000
BRIAN NEUNER
VICE CHAIRMAN8.00XX000
ROBERT WAGNER
TREASURER8.00XX000
JAN BECKETT
SECRETARY8.00XX000
BARBARA WEAVER
CHAIR EMERITUS8.00X000
BARBARA DANUSER
EXECUTIVE DIRECTOR40.00X81535013154
FieldValueIRS element (for citing)
Total Reportable Comp From Org81535TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation13154TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events95688FundraisingEvents
Government Grants235436GovernmentGrants
All Other Contributions191254AllOtherContributions
Noncash Contributions19252NoncashContributions
Total Contributions522378TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column185079TotalRevenueColumn
Exclusion$185,079ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1071123Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1153757Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-82634Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-82634TotalRevenueColumn
Exclusion-$82,634ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events19460GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events95688CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses50045FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-30585TotalRevenueColumn
Exclusion-$30,585ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory328766GrossSalesOfInventory
Cost Of Goods Sold291392CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37374TotalRevenueColumn
Exclusion$37,374ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column631612TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$109,234ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total92433Total
Management And General92433ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3718Total
Management And General3718ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2058Total
Management And General2058ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6164Total
Management And General6164ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total330Total
Management And General330ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26926Total
Management And General26926ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total35670Total
Management And General35670ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5310Total
Management And General5310ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1422Total
Management And General1422ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11855Total
Management And General11855ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5410Total
Management And General5410ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total800Total
Management And General800ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5Total
Management And General5ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM SUPPORT EXPENSE180425180425
MISCELLANEOUS EXPENSES209209

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total372735Total
Program Services180425ProgramServices
Management And General192310ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY883325BOY
EOY316604EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2011BOY
EOY37373EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6193200BOY
EOY7550317EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY51247BOY
EOY41457EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7129783BOY
EOY7945751EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13001BOY
EOY9788EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY766666BOY
EOY766666EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY779667BOY
EOY776454EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4014281BOY
EOY4740333EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1628985BOY
EOY1721014EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY706850BOY
EOY707950EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6350116BOY
EOY7169297EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7129783BOY
EOY7945751EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses258877ReconcilationRevenueExpenses
Reconcilation Other Changes560304ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOARD OF TRUSTEES OF BOONE COUNTY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN431279063EIN
Type Of Organization6TypeOfOrganization
Listed In Governing Doc0ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: BOONE HOSPITAL FOUNDATION 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

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 Balance2335835BeginningOfYearBalance
Contributions212075Contributions
Investment Earnings Or Losses228254InvestmentEarningsOrLosses
Other Expenditures347200OtherExpenditures
End Of Year Balance2428964EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3518946BeginningOfYearBalance
Contributions1185717Contributions
Investment Earnings Or Losses147001InvestmentEarningsOrLosses
Other Expenditures2515829OtherExpenditures
End Of Year Balance2335835EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.29150PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.70850TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionNOTES PAYABLE TO BOARD OF TRUSTEES OF BOONE COUNTY HOSPITALDescription
Amount$766,666Amount
FieldValueIRS element (for citing)
Total Of Amounts766666TotalOfAmounts
Total Revenue631612TotalRevenue
Total Expenses372735TotalExpenses
Excess Or Deficit For Year258877ExcessOrDeficitForYear
Net Unrealized GL On Investments560304NetUnrealizedGLOnInvestments
Total Adjustments560304TotalAdjustments
Excess Or Deficit Per FS819181ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1206291TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments560304NetUnrealizedGainsInvestments
Revenue Not Rptd F990560304RevenueNotRptdF990
Revenue Subtotal645987RevenueSubtotal
Investment Expenses Not Included35670InvestmentExpensesNotIncluded
Other Revenues Not Included-50045OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-14375RevenueNotRptdOnFinStmt
Total Revenue Per Form990631612TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt387110TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal387110ExpensesSubtotal
Investment Expenses Not Included235670InvestmentExpensesNotIncluded2
Other Expenses Not Included-50045OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-14375ExpensesNotRptdOnFinStmt
Total Expenses Per Form990372735TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:HEALTH CARE EDUCATIONAL INITIATIVES
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -50,045.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -50,045.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event158075GrossReceiptsEvent1
Charitable Contributions Event147455CharitableContributionsEvent1
Gross Revenue Event110620GrossRevenueEvent1
Rent Facility Costs Event11400RentFacilityCostsEvent1
Food And Beverage Event113203FoodAndBeverageEvent1
Other Direct Expenses Event111777OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event257073GrossReceiptsEvent2
Charitable Contributions Event248233CharitableContributionsEvent2
Gross Revenue Event28840GrossRevenueEvent2
Non Cash Prizes Event24650NonCashPrizesEvent2
Rent Facility Costs Event29920RentFacilityCostsEvent2
Food And Beverage Event24569FoodAndBeverageEvent2
Other Direct Expenses Event24526OtherDirectExpensesEvent2
Gross Receipts Total115148GrossReceiptsTotal
Charitable Contributions Total95688CharitableContributionsTotal
Gross Revenue Total Events19460GrossRevenueTotalEvents
Non Cash Prizes Total Events4650NonCashPrizesTotalEvents
Rent Facility Costs Total Events11320RentFacilityCostsTotalEvents
Food And Beverage Total Events17772FoodAndBeverageTotalEvents
Other Direct Expenses Total Events16303OtherDirectExpensesTotalEvents
Direct Expense Summary Events50045DirectExpenseSummaryEvents
Net Income Summary-30585NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11COPIES OF THE FORM 990 ARE DISTRIBUTED TO THE BOARD OF TRUSTEES ELECTRONICALLY FOR THEIR REVIEW.
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 12C
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 B, LINE 15A
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVIALABLE 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: 560,304.FORM 990, PART XI, LINE 5:
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.FORM 990, PART V, LINE 2A:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
WALTER JOHNSON PALLIATIVE CARE FOUNDATION
1600 E BROADWAYCOLUMBIAMO65201030477309MO501(C)(3)LINE 11B, II0
BOARD OF TRUSTEES OF BOONE COUNTY HOSPITAL
1600 E BROADWAYCOLUMBIAMO65201431279063MO501(C)(3)LINE 60
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg