Civic Intelligence

District 3 Hospital Preparedness Planning Committee Inc

990 • Fiscal year 2017 • EIN 26-2247829

Jul 01, 2016 to Jun 30, 2017 • Filed on Nov 07, 2017

PO Box 251Auburn, IN 46706

(260) 615-7474

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.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

56th percentile

0.00x

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

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

64th percentile

11%

Higher net margin than 64% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

84th percentile

49%

Faster asset growth than 84% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

71st percentile

18%

Faster revenue growth than 71% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Up

$154,118

Up $50,913 (+49%) from 2016

Net Assets

Up

$154,118

Up $50,913 (+49%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue

Up

$479,305

Up $73,318 (+18%) from 2016

Expenses

Down

$428,392

Down $3,444 (-0.8%) from 2016

Net Income

Up

$50,913

Up $76,762 (+297%) from 2016

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $313,096Liabilities 2010: $0Net Assets 2010: $313,0962010Assets 2011: $68,309Liabilities 2011: $0Net Assets 2011: $68,3092011Assets 2012: $209,906Liabilities 2012: $0Net Assets 2012: $209,9062012Assets 2013: $141,729Liabilities 2013: $0Net Assets 2013: $141,7292013Assets 2014: $72,386Liabilities 2014: $0Net Assets 2014: $72,3862014Assets 2015: $129,054Liabilities 2015: $0Net Assets 2015: $129,0542015Assets 2016: $103,205Liabilities 2016: $0Net Assets 2016: $103,2052016Assets 2017: $154,118Liabilities 2017: $0Net Assets 2017: $154,1182017Assets 2018: $147,777Liabilities 2018: $0Net Assets 2018: $147,7772018Assets 2019: $228,746Liabilities 2019: $35,000Net Assets 2019: $193,7462019Assets 2020: $290,604Liabilities 2020: $0Net Assets 2020: $290,6042020Assets 2021: $223,194Liabilities 2021: $0Net Assets 2021: $223,1942021Assets 2022: $247,892Liabilities 2022: $0Net Assets 2022: $247,8922022Assets 2023: $267,122Liabilities 2023: $0Net Assets 2023: $267,1222023Assets 2024: $439,827Liabilities 2024: $0Net Assets 2024: $439,8272024Assets 2025: $332,844Liabilities 2025: $0Net Assets 2025: $332,8442025

Highlighted filing

2017

Assets$154,118
Liabilities$0
Net Assets$154,118

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $638,0432010Expenses 2011: $770,3922011Expenses 2012: $333,4032012Expenses 2013: $615,1902013Revenue 2014: $637,442Expenses 2014: $706,785Net Income 2014: -$69,3432014Revenue 2015: $202,176Expenses 2015: $145,508Net Income 2015: $56,6682015Revenue 2016: $405,987Expenses 2016: $431,836Net Income 2016: -$25,8492016Revenue 2017: $479,305Expenses 2017: $428,392Net Income 2017: $50,9132017Revenue 2018: $155,577Expenses 2018: $161,918Net Income 2018: -$6,3412018Revenue 2019: $178,143Expenses 2019: $132,174Net Income 2019: $45,9692019Revenue 2020: $338,114Expenses 2020: $241,256Net Income 2020: $96,8582020Revenue 2021: $115,990Expenses 2021: $183,400Net Income 2021: -$67,4102021Revenue 2022: $296,974Expenses 2022: $272,276Net Income 2022: $24,6982022Revenue 2023: $211,126Expenses 2023: $191,896Net Income 2023: $19,2302023Revenue 2024: $486,318Expenses 2024: $313,613Net Income 2024: $172,7052024Revenue 2025: $293,700Expenses 2025: $400,683Net Income 2025: -$106,9832025

Highlighted filing

2017

Revenue$479,305
Expenses$428,392
Net Income$50,913
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Nov 7, 2017
Return Version
2016v3.0
Gross Receipts
$479,305
Mission and Program Overview

Mission

The mission of the district 3 hospital preparedness planning committee inc is to promote cooperation and regional planning for bioterrorism and major health hazard events among the hospitals and other health care providers of indiana district 3 as designated by the indiana state department of health.

To promote planning for bioterrorism and health hazard events among hospitals of indiana district 3.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$103,205$154,118▲ $50,913
Cap Stk Tr Prin Current Funds$103,205$154,118▲ $50,913
Total Assets$103,205$154,118▲ $50,913
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$103,205$154,118▲ $50,913
Total Liabilities and Net Assets / Fund Balance$103,205$154,118▲ $50,913
Compensation and Service Providers

Board Members and Trustees

NameTitle
Troy JesterChairman
Tim DavieVice-chairma
Aaron HendricksDirector
Alyssia MickemDirector
Brad WitteDirector
Bryan GroggDirector
Douglas UngemachDirector
Jeff WhiteDirector
Jeremy HooverDirector
Jim VanetteDirector
Lori GettsDirector
Mike WelcherDirector
Pam TaylorDirector
Ron BurnsDirector
Ronnie DouglasDirector
Sheryl MoureyDirector
Stephen WolfeDirector
David FiandtSecretary
Brad PoperTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$479,269
Program Service Revenue
$0
Investment Income
$36
Other Revenue
$0
All Other Contributions
$479,269
Change in Net Assets
$50,913
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$296,698
Other Expenses$131,694
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$296,698--$296,698
Other Expenses$69,942--$69,942
Information Technology$36,549$6,450-$42,999
Office Expenses$12,494$2,205-$14,699
Fees for Services Accounting$1,275$225-$1,500
Insurance$1,210$213-$1,423
Travel$961$170-$1,131
Total Functional Expenses$419,129$9,263$0$428,392
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Parkview Health SystemFort Wayne, IN501c3-$88,756
Lutheran HospitalFort Wayne, INNone-$35,046
Cameron Memorial Community HospitalAngola, IN501c3-$16,811
Dekalb HealthAuburn, IN501c3-$10,664
Adams Memorial HospitalDecatur, IN170(b)-$9,344
Dupont HospitalFranklin, TNNone-$8,941
St Joseph Regional Medical CenterMishawaka, IN501c3-$8,807
Dukes Memorial HospitalPeru, IN170(b)-$6,508
Rehabilitation Hospital of Fort WayFort Wayne, INNone-$5,855
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
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Hospitals eligible for membership are those hospitals in district 3 that are currently participating in funding through the aspr grants program or any substitute program administered by the state or federal government. The following are participating hospitals that are granted membership: parkview randallia parkview regional medical center orthopaedic hospital at parkview north parkview huntington hospital parkview whitley hospital parkview lagrange hospital lutheran hospital dupont hospital st. Joseph hospital rehabiliation hospital of fort wayne dukes memorial hospital bluffton regional medical center adams county memorial hospital cameron memorial hospital dekalb memorial hospital (dba dekalb health) parkview wabash orthopedic hospital of lhn vibra hospital of fort wayne parkview noble

Form 990, Page 6, Part VI, Line 7A

Each participating hospital (member) shall appoint an authorized representative to serve on the board.

Form 990, Page 6, Part VI, Line 7B

Board members are representative of the member hospitals. As such, all actions are subject to approval by the members of district 3.

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

Form 990 reviewed by certain directors and/or business manager before filing.

Form 990, Page 6, Part VI, Line 12C

The organization has adopted a conflict of interest policy that requires directors, officers, and key employees to submit conflict of interest disclosure. The disclosure requires directors, officers, and key employees to disclose, in writing, any known financial interest that the individual (together with family members) directly or indirectly relates to any entity in the health care system of which the corporation is a part. In addition, directors, officers, and key employees are required to immediately disclose any possible conflicts of interest that arise mid-year in relation to a proposed transaction. The conflict of interest policy requires that any individual with a conflict be recused from the decision-making process, that independent directors or committee members determine that the proposed transaction is in the best interest of the organization, and the transaction must be approved by a vote of the independent directors or committee members without the particpation of any interested individual.

Form 990, Page 6, Part VI, Line 19

The organization's governing documents and conflict of interest policy are available to the public upon request. The organization's financial statements are not available to the public except those provided in the form 990.

Filing and Contact Details

Filer

Filer Name
District 3 Hospital Preparedness
EIN
26-2247829
Phone
2606157474
Address
PO BOX 251, AUBURN, IN 46706

Signing Officer

Name
Tim Davie
Title
Vice-chairman
Phone
2603478504
Signed
2017-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim Davie
Formed
2008
Legal Domicile
In
Voting Board Members
20
Independent Board Members
20
Employees
0
Volunteers
25

Preparer

Firm
Mclaughlin Tax Accounting & Mgmt Svs LLC
Address
PO BOX 585, AUBURN, IN 46706
Preparer
Melissa a Mclaughlin CPA
Phone
2609258003
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The mission of the district 3 hospital preparedness planning committee inc is to promote cooperation and regional planning for bioterrorism and major health hazard events among the hospitals and other health care providers of indiana district 3 as designated by the indiana state department of health.

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IRS990/PrincipalOfficerNm0TIM DAVIE
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IRS990ScheduleI/RecipientTable/IRCSectionDesc0170(B)
IRS990ScheduleI/RecipientTable/IRCSectionDesc1501C3
IRS990ScheduleI/RecipientTable/IRCSectionDesc2501C3
IRS990ScheduleI/RecipientTable/IRCSectionDesc3170(B)
IRS990ScheduleI/RecipientTable/IRCSectionDesc4NONE
IRS990ScheduleI/RecipientTable/IRCSectionDesc5NONE
IRS990ScheduleI/RecipientTable/IRCSectionDesc6501C3
IRS990ScheduleI/RecipientTable/IRCSectionDesc7NONE
IRS990ScheduleI/RecipientTable/IRCSectionDesc8501C3
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0ADAMS MEMORIAL HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1CAMERON MEMORIAL COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt2DEKALB HEALTH
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt3DUKES MEMORIAL HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt4DUPONT HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt5LUTHERAN HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt6PARKVIEW HEALTH SYSTEM
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt7REHABILITATION HOSPITAL OF FORT WAY
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt8ST JOSEPH REGIONAL MEDICAL CENTER
IRS990ScheduleI/RecipientTable/RecipientEIN0351432587
IRS990ScheduleI/RecipientTable/RecipientEIN1350211370
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IRS990ScheduleI/RecipientTable/RecipientEIN7261684676
IRS990ScheduleI/RecipientTable/RecipientEIN8351568821
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt01100 MERCER AVENUE
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt1416 E MAUMEE ST
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt21316 E 7TH ST
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt3275 W 12TH STREET
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt44000 MERIDIAN BLVD
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt57950 WEST JEFFERSON BLVD
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt610501 CORPORATE DRIVE
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt77970 W JEFFERSON BLVD
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt85215 HOLY CROSS PARKWAY
IRS990ScheduleI/RecipientTable/USAddress/CityNm0DECATUR
IRS990ScheduleI/RecipientTable/USAddress/CityNm1ANGOLA
IRS990ScheduleI/RecipientTable/USAddress/CityNm2AUBURN
IRS990ScheduleI/RecipientTable/USAddress/CityNm3PERU
IRS990ScheduleI/RecipientTable/USAddress/CityNm4FRANKLIN
IRS990ScheduleI/RecipientTable/USAddress/CityNm5FORT WAYNE
IRS990ScheduleI/RecipientTable/USAddress/CityNm6FORT WAYNE
IRS990ScheduleI/RecipientTable/USAddress/CityNm7FORT WAYNE
IRS990ScheduleI/RecipientTable/USAddress/CityNm8MISHAWAKA
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0MONITORING GRANT FUNDS OVERSIGHT OF DISTRIBUTION IS IN ACCORDANCE WITH GRANT AGREEMENTS. GRANT AGREEMENTS PROVIDE EXPENDITURE GUIDELINES. DISTRICT 3 MANDATES SUBMISSION OF DOCUMENTATION OF THEIR EXPENSES TO THE BOARD TO VERIFY THE EXPENDITURES FALL WITHIN THE PARAMETERS OF THE GRANT CONTRACTS.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PAGE 4, PART IV
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MISSION OF THE DISTRICT 3 HOSPITAL PREPAREDNESS PLANNING COMMITTEE INC IS TO PROMOTE COOPERATION AND REGIONAL PLANNING FOR BIOTERRORISM AND MAJOR HEALTH HAZARD EVENTS AMONG THE HOSPITALS AND OTHER HEALTH CARE PROVIDERS OF INDIANA DISTRICT 3 AS DESIGNATED BY THE INDIANA STATE DEPARTMENT OF HEALTH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1HOSPITALS ELIGIBLE FOR MEMBERSHIP ARE THOSE HOSPITALS IN DISTRICT 3 THAT ARE CURRENTLY PARTICIPATING IN FUNDING THROUGH THE ASPR GRANTS PROGRAM OR ANY SUBSTITUTE PROGRAM ADMINISTERED BY THE STATE OR FEDERAL GOVERNMENT. THE FOLLOWING ARE PARTICIPATING HOSPITALS THAT ARE GRANTED MEMBERSHIP: PARKVIEW RANDALLIA PARKVIEW REGIONAL MEDICAL CENTER ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH PARKVIEW HUNTINGTON HOSPITAL PARKVIEW WHITLEY HOSPITAL PARKVIEW LAGRANGE HOSPITAL LUTHERAN HOSPITAL DUPONT HOSPITAL ST. JOSEPH HOSPITAL REHABILIATION HOSPITAL OF FORT WAYNE DUKES MEMORIAL HOSPITAL BLUFFTON REGIONAL MEDICAL CENTER ADAMS COUNTY MEMORIAL HOSPITAL CAMERON MEMORIAL HOSPITAL DEKALB MEMORIAL HOSPITAL (DBA DEKALB HEALTH) PARKVIEW WABASH ORTHOPEDIC HOSPITAL OF LHN VIBRA HOSPITAL OF FORT WAYNE PARKVIEW NOBLE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH PARTICIPATING HOSPITAL (MEMBER) SHALL APPOINT AN AUTHORIZED REPRESENTATIVE TO SERVE ON THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD MEMBERS ARE REPRESENTATIVE OF THE MEMBER HOSPITALS. AS SUCH, ALL ACTIONS ARE SUBJECT TO APPROVAL BY THE MEMBERS OF DISTRICT 3.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FORM 990 REVIEWED BY CERTAIN DIRECTORS AND/OR BUSINESS MANAGER BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO SUBMIT CONFLICT OF INTEREST DISCLOSURE. THE DISCLOSURE REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) DIRECTLY OR INDIRECTLY RELATES TO ANY ENTITY IN THE HEALTH CARE SYSTEM OF WHICH THE CORPORATION IS A PART. IN ADDITION, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST THAT ARISE MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISION-MAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF THE INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICPATION OF ANY INTERESTED INDIVIDUAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC EXCEPT THOSE PROVIDED IN THE FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$3.33$0.00$3.33$2.94$4.01$1.07
2024Detailed filing. Detailed filing data is available for this year.$4.40$0.00$4.40$4.86$3.14$1.73
2023Detailed filing. Detailed filing data is available for this year.$2.67$0.00$2.67$2.11$1.92$0.19
2022Detailed filing. Detailed filing data is available for this year.$2.48$0.00$2.48$2.97$2.72$0.25
2021Detailed filing. Detailed filing data is available for this year.$2.23$0.00$2.23$1.16$1.83$0.67
2020Detailed filing. Detailed filing data is available for this year.$2.91$0.00$2.91$3.38$2.41$0.97
2019Detailed filing. Detailed filing data is available for this year.$2.29$0.35$1.94$1.78$1.32$0.46
2018Detailed filing. Detailed filing data is available for this year.$1.48$0.00$1.48$1.56$1.62$0.06
2017Detailed filing. Detailed filing data is available for this year.$1.54$0.00$1.54$4.79$4.28$0.51
2016Detailed filing. Detailed filing data is available for this year.$1.03$0.00$1.03$4.06$4.32$0.26
2015Detailed filing. Detailed filing data is available for this year.$1.29$0.00$1.29$2.02$1.46$0.57
2014Detailed filing. Detailed filing data is available for this year.$0.72$0.00$0.72$6.37$7.07$0.69
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.42$0.00$1.42$6.15
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.10$0.00$2.10$3.33
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.68$0.00$0.68$7.70
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.13$0.00$3.13$6.38