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Nonprofiteer
← CLARKE COUNTY HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by CLARKE COUNTY HOSPITAL FOUNDATION.

Totals

Total revenue
$239,410
Total expenses
$344,254
Contributions and grants received
$191,238
Grants paid
$330,544
Program service revenue
$26,465
Investment income
$2,458
Other revenue
$19,249
Total assets, end of year
$209,588
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$209,588
Program services expenses (Part IX)
$344,135
Management and general expenses
$119
Fundraising expenses
$0
Program service expenses (Part III)
$344,135

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $191,238

  • 2a · Program service revenue: SNACK SHOP REVENUE

    total $16,894 · related or exempt $16,894

  • 2b · Program service revenue: GIFT SHOP REVENUE

    total $9,571 · related or exempt $9,571

  • 3 · Investment income

    total $2,458 · excluded $2,458

  • 8a · Fundraising events: gross income

    $25,730

  • 8b · Fundraising events: direct expenses

    $6,481

  • 8c · Net income from fundraising events

    total $19,249 · excluded $19,249

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $326,544 · program services $326,544

  • 2 · Grants to domestic individuals

    total $4,000 · program services $4,000

  • 13 · Office expenses

    total $119 · management and general $119

  • 24a · Other expenses: SNACK SHOP EXPENSE

    total $8,663 · program services $8,663

  • 24b · Other expenses: GIFT SHOP EXPENSE

    total $3,732 · program services $3,732

  • 24c · Other expenses: SHIRT SALE

    total $604 · program services $604

  • 24d · Other expenses: MISCELLANEOUS EXPENSE

    total $592 · program services $592

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $313,828 · end of year $209,588

  • 15 · Other assets

    beginning of year $604 · end of year $0

  • 28 · Net assets with donor restrictions

    beginning of year $314,432 · end of year $209,588

Mission and programs · 2022

Mission

TO PROMOTE AND TO ADVANCE THE WELFARE OF THE CLARKE COUNTY HOSPITAL.

Activities or mission (Part I)

TO PROMOTE AND ADVANCE THE WELFARE OF THE CLARKE COUNTY HOSPITAL.

  • TO PROMOTE AND ADVANCE THE WELFARE OF CLARKE COUNTY PUBLIC HOSPITAL.

    Expenses $340,135 · Grants $326,544 · Revenue $16,894

  • TO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING A CAREER IN THE MEDICAL FIELD.

    Expenses $4,000 · Grants $4,000

As filed on the 2022 return.

Listed in Part VII

  • Brian Evans

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Kim White

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Ron Schlichte

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Dr Jim Kimball

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Rosie Brand

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Janet Jorgenson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Vicky Halverson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

  • CLARKE COUNTY PUBLIC HOSPITAL

    $326,544

    TO PROMOTE AND TO ADVANCE THE WELFARE OF THE CLARKE COUNTY PUBLIC HOSPITAL

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • CLARKE COUNTY PUBLIC HOSPITAL

    115 · HEALTHCARE · IA

Provenance

Return type
form_990
Tax year
2022
Filed
24 January 2024
IRS schema version
2022v5.0
Source object
202400249349301015

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