Civic Intelligence

District 4 Hospital Preparedness Planning Committee Inc.

990 • Fiscal year 2016 • EIN 26-1505588

Jan 01, 2016 to Dec 31, 2016 • Filed on Aug 03, 2017

1947 South Franklin RoadGreenwood, IN 46143

(317) 441-3588

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

5th percentile

-100%

Higher net margin than 5% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

12th percentile

-37%

Faster asset growth than 12% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

10th percentile

-49%

Faster revenue growth than 10% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$147,986

Down $87,163 (-37%) from 2015

Net Assets

Down

$147,986

Down $87,163 (-37%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Down

$86,741

Down $83,134 (-49%) from 2015

Expenses

Down

$173,904

Down $22,342 (-11%) from 2015

Net Income

Down

-$87,163

Down $60,792 (-231%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0Assets 2014: $261,520Liabilities 2014: $0Net Assets 2014: $261,5202014Assets 2015: $235,149Liabilities 2015: $0Net Assets 2015: $235,1492015Assets 2016: $147,986Liabilities 2016: $0Net Assets 2016: $147,9862016Assets 2017: $199,065Liabilities 2017: $0Net Assets 2017: $199,0652017Assets 2018: $204,414Liabilities 2018: $0Net Assets 2018: $204,4142018Assets 2019: $238,899Liabilities 2019: $0Net Assets 2019: $238,8992019Assets 2020: $289,525Liabilities 2020: $0Net Assets 2020: $289,5252020Assets 2021: $460,184Liabilities 2021: $0Net Assets 2021: $460,1842021Assets 2022: $339,191Liabilities 2022: $0Net Assets 2022: $339,1912022

Highlighted filing

2016

Assets$147,986
Liabilities$0
Net Assets$147,986

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600K$400K$200K$0-$200KRevenue 2014: $436,868Expenses 2014: $334,688Net Income 2014: $102,1802014Revenue 2015: $169,875Expenses 2015: $196,246Net Income 2015: -$26,3712015Revenue 2016: $86,741Expenses 2016: $173,904Net Income 2016: -$87,1632016Revenue 2017: $278,149Expenses 2017: $227,070Net Income 2017: $51,0792017Revenue 2018: $200,927Expenses 2018: $195,578Net Income 2018: $5,3492018Revenue 2019: $246,471Expenses 2019: $211,986Net Income 2019: $34,4852019Revenue 2020: $232,477Expenses 2020: $181,849Net Income 2020: $50,6282020Revenue 2021: $364,731Expenses 2021: $194,073Net Income 2021: $170,6582021Revenue 2022: $221,054Expenses 2022: $255,125Net Income 2022: -$34,0712022

Highlighted filing

2016

Revenue$86,741
Expenses$173,904
Net Income-$87,163
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Aug 3, 2017
Return Version
2016v3.0
Gross Receipts
$86,741
Mission and Program Overview

Mission

To assist all hospitals in indiana district 4 develop, maintain, refine and to the extent achievable, enchance the capacities and capabilities of their healthcare systems.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$151,711$71,062▼ $80,649
Inventories for Sale or Use$61,614$61,614→ $0
Land, Buildings, and Equipment, Net$21,824$15,310▼ $6,514
Total Assets$235,149$147,986▼ $87,163
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$235,149$147,986▼ $87,163
Total Net Assets Fund Balance$235,149$147,986▼ $87,163
Total Liabilities and Net Assets / Fund Balance$235,149$147,986▼ $87,163

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$15,310$46,937$62,247
Compensation and Service Providers

Board Members and Trustees

NameTitle
Tom FusonChairperson
Phil PrescottCo-chair
Sean KuyperTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$86,690
Program Service Revenue
$0
Investment Income
$51
Other Revenue
$0
Change in Net Assets
$-87,163
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$89,226
Other Expenses$84,678
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$89,226--$89,226
Fees for Services Management$36,716--$36,716
Other Expenses$30,762--$30,762
Depreciation Depletion$6,514--$6,514
Conferences and Meetings$5,781--$5,781
Office Expenses$3,439--$3,439
Insurance-$946-$946
Information Technology$484--$484
Fees for Services Other-$36-$36
Total Functional Expenses$172,922$982$0$173,904
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Hseep Exercise---$17,816
Franciscan St Elizabeth Hosp East---$15,993
Logansport Memorial Hospital---$13,593
St Vincent Williamsport---$13,593
Iu Health Arnett Hospital---$13,362
Iu Health White County---$6,630
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Return is reviewed by bod prior to submission.

Form 990, Page 6, Part VI, Line 19

Documents available to the public by request to principal officer or contact made to business address.

Filing and Contact Details

Filer

Filer Name
District 4 Hospital Preparedness
EIN
26-1505588
Phone
3174413588
Address
1947 SOUTH FRANKLIN ROAD, GREENWOOD, IN 46143

Signing Officer

Name
Tom Fuson
Title
Chairperson
Phone
7656563326
Signed
2017-08-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tom Fuson
Formed
2007
Legal Domicile
In
Voting Board Members
4
Independent Board Members
4
Employees
0

Preparer

Firm
Dahmen LLC Dba Kim M Dahmen CPA
Address
PO BOX 248, FRANKFORT, IN 46041-0248
Preparer
Kim M Dahmen CPA
Phone
7656547044
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt2LOGANSPORT MEMORIAL HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt3IU HEALTH ARNETT HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt4IU HEALTH WHITE COUNTY
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ReturnHeader/TaxYr02016

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Filings