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Nonprofiteer
← THE CLAY COUNTY HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by THE CLAY COUNTY HOSPITAL FOUNDATION.

Totals

Total revenue
$50,323
Total expenses
$119,993
Contributions and grants received
$36,033
Grants paid
$113,132
Program service revenue
$0
Investment income
$18,442
Other revenue
-$4,152
Total assets, end of year
$1,331,910
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$1,331,910
Program services expenses (Part IX)
$113,132
Management and general expenses
$6,861
Fundraising expenses
$0
Program service expenses (Part III)
$113,132

Program services were 94.3% 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

    $36,033

  • 3 · Investment income

    total $18,442 · related or exempt $18,442

  • 6a · Gross rents

    real property $13,704

  • 6b · Less rental expenses

    real property $17,856

  • 6c · Rental income or loss

    real property -$4,152

  • 6d · Net rental income or loss

    total -$4,152 · related or exempt -$4,152

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $113,132 · program services $113,132

  • 11c · Fees: accounting

    total $5,910 · management and general $5,910

  • 13 · Office expenses

    total $836 · management and general $836

  • 19 · Conferences, conventions and meetings

    total $20 · management and general $20

  • 24a · Other expenses: REPORTING FEES

    total $95 · management and general $95

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $25,341 · end of year $29,204

  • 2 · Savings and temporary cash investments

    beginning of year $645,118 · end of year $587,767

  • 3 · Pledges and grants receivable

    beginning of year $52,058 · end of year $27,236

  • 10a · Land, buildings and equipment: cost or other basis

    $243,423

  • 10b · Land, buildings and equipment: accumulated depreciation

    $68,126

  • 10c · Land, buildings and equipment, net

    beginning of year $183,312 · end of year $175,297

  • 12 · Investments: other securities

    beginning of year $556,331 · end of year $512,406

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $1,462,160 · end of year $1,331,910

Mission and programs · 2022

Mission

TO PROVIDE VOLUNTARY GIFT SUPPORT FOR THE CLAY COUNTY MEDICAL CENTER

  • CAPITAL AND GENERAL IMPROVEMENTS TO CLAY COUNTY MEDICAL CENTER

    Expenses $113,132 · Grants $113,132

As filed on the 2022 return.

Listed in Part VII

  • Sandy Fox

    TREASURER

    Total calculated
    $0
    Hours/week
    0

  • Scott Patterson

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0

  • Mike Ryan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Scott Leitzel

    SECRETARY

    Total calculated
    $0
    Hours/week
    0

  • John Kelley

    CHIEF MEDICAL OFFICER

    Total calculated
    $0
    Hours/week
    0

  • Maria Pfizenmaier

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Tim Sharp

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Terri Parry

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Les Spence

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Steve McMahan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Susan Swanson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Kylie Pruser

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Jim Gierhan

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Christi Rice

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Austin Gillard

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $0
    Hours/week
    0

  • Dustin Mullin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • LAFAYETTE SQUARE LLC

    RENTAL REAL ESTATE · KS · income $13,704 · assets $204,500

    Directly controlled by CLAY COUNTY HOSPITAL FOUNDATION

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202323179349309977

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