Civic Intelligence

Clark County Dialysis Facility

990 • Fiscal year 2012 • EIN 31-1025671

Jul 01, 2011 to Apr 30, 2012 • Filed on May 29, 2012

Organization Profile
200 Medical Center Drive45504
Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2012 filings • 501(c)3 • <$500k nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $41,798 (-100%) from 2011

Net Assets

Down

$0

Down $24,054 (-100%) from 2011

Liabilities

Down

$0

Down $17,744 (-100%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Down

$978

Down $33,451 (-97%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth1st percentile

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

$60K$40K$20K$0Assets 2011: $41,798Liabilities 2011: $17,744Net Assets 2011: $24,0542011Assets 2012: $0Liabilities 2012: $0Net Assets 2012: $02012

Highlighted filing

2012

Assets$0
Liabilities$0
Net Assets$0
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$40K$30K$20K$10K$0Expenses 2011: $34,4292011Expenses 2012: $9782012

Highlighted filing

2012

Revenue-
Expenses$978
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2011 to Apr 30, 2012
Signed
May 29, 2012
Return Version
2011v1.2
Gross Receipts
$12,808
Filing and Contact Details

Filer

EIN
31-1025671
Raw XML AppendixShowing 400 of 409 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReview00
IRS990/AccountsPayableAccruedExpenses/BOY04944
IRS990/AccountsReceivable/BOY0125
IRS990/AccountsReceivable/EOY00
IRS990/ActivitiesConductedPartnership00
IRS990/ActivityOrMissionDescription0TO PROVIDE RENAL DIALYSIS SERVICES.
IRS990/AddressChange0X
IRS990/AddressPrincipalOfficerUS/AddressLine10200 MEDICAL CENTER DRIVE
IRS990/AddressPrincipalOfficerUS/City0SPRINGFIELD
IRS990/AddressPrincipalOfficerUS/State0OH
IRS990/AddressPrincipalOfficerUS/ZIPCode045504
IRS990/AnnualDisclosureCoveredPersons01
IRS990/AuditCommittee01
IRS990/BenefitsPaidToMembersCY00
IRS990/BenefitsPaidToMembersPriorYear00
IRS990/BsnssRltnshpThruFamilyMember00
IRS990/BsnssRltnshpWithOrganization00
IRS990/CashNonInterestBearing/BOY041673
IRS990/CashNonInterestBearing/EOY00
IRS990/ChangesToOrganizingDocs00
IRS990/CollectionsOfArt00
IRS990/CompensationFromOtherSources00
IRS990/CompensationProcessCEO01
IRS990/CompensationProcessOther01
IRS990/ComplianceWithBackupWitholding01
IRS990/ConflictOfInterestPolicy01
IRS990/ConservationEasements00
IRS990/ConsolidatedAuditFinancialStmt01
IRS990/ContributionsGrantsCurrentYear00
IRS990/ContributionsGrantsPriorYear00
IRS990/CreditCounseling00
IRS990/DecisionsSubjectToApproval00
IRS990/DeductibleContributionsOfArt00
IRS990/DeductibleNonCashContributions00
IRS990/DelegationOfManagementDuties00
IRS990/DescribedIn501C301
IRS990/Description0EXPENSES RELATED TO PROVISION OF IN HOSPITAL ACUTE HEMODIALYSIS TREATMENTS IN PRIOR FISCAL YEAR - CORPORATION IS CURRENTLY INACTIVE.
IRS990/DisregardedEntity00
IRS990/DocumentRetentionPolicy01
IRS990/DonorAdvisedFunds00
IRS990/ElectionOfBoardMembers01
IRS990/ExcessBenefitTransaction00
IRS990/Expense0538
IRS990/FamilyOrBusinessRelationship00
IRS990/FederalGrantAuditRequired00
IRS990/FeesForServicesAccounting/ManagementAndGeneral075
IRS990/FeesForServicesAccounting/Total075
IRS990/FeesForServicesLegal/ManagementAndGeneral0315
IRS990/FeesForServicesLegal/Total0315
IRS990/FinancialStatementConsolidated0X
IRS990/FollowSFAS1170X
IRS990/ForeignActivities00
IRS990/ForeignFinancialAccount00
IRS990/ForeignOffice00
IRS990/Form8282PropertyDisposedOf00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek00.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek10.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek20.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek31.00
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector0X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector1X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector2X
IRS990/Form990PartVIISectionA/NamePerson0DR RICHARD MARSH
IRS990/Form990PartVIISectionA/NamePerson1DANA ENGLE
IRS990/Form990PartVIISectionA/NamePerson2TERRY POPE
IRS990/Form990PartVIISectionA/NamePerson3FAYE M FLACK
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/OtherCompensation00
IRS990/Form990PartVIISectionA/OtherCompensation10
IRS990/Form990PartVIISectionA/OtherCompensation20
IRS990/Form990PartVIISectionA/OtherCompensation30
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization20
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization30
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs00
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs10
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs20
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs30
IRS990/Form990PartVIISectionA/Title0VICE-CHAIRMAN
IRS990/Form990PartVIISectionA/Title1TREASURER/SECRETARY
IRS990/Form990PartVIISectionA/Title2BOARD MEMBER
IRS990/Form990PartVIISectionA/Title3BOARD CHAIR
IRS990/Form990ProvidedToGoverningBody01
IRS990/FormersListed00
IRS990/FSAudited01
IRS990/FundraisingActivities00
IRS990/Gaming00
IRS990/GrantsAndSimilarAmntsCY00
IRS990/GrantsAndSimilarAmntsPriorYear00
IRS990/GrantsToIndividuals00
IRS990/GrantsToOrganizations00
IRS990/GrantToRelatedPerson00
IRS990/GrossReceipts012808
IRS990/GroupReturnForAffiliates00
IRS990/Hospital00
IRS990/IndependentAuditFinancialStmt00
IRS990/IndoorTanningServices00
IRS990/InfoInScheduleOPartVI0X
IRS990/InfoInScheduleOPartXI0X
IRS990/IntangibleAssets/EOY00
IRS990/InventoriesForSaleOrUse/EOY00
IRS990/InvestmentIncomeCurrentYear08
IRS990/InvestmentIncome/ExclusionAmount08
IRS990/InvestmentIncomePriorYear027
IRS990/InvestmentIncome/TotalRevenueColumn08
IRS990/InvestmentInJointVenture00
IRS990/InvestmentsOtherSecurities/EOY00
IRS990/InvestmentsProgramRelated/EOY00
IRS990/InvestmentsPubTradedSecurities/EOY00
IRS990/LandBuildingsEquipmentBasisNet/EOY00
IRS990/LoanToOfficerOrDQP00
IRS990/LobbyingActivities00
IRS990/LocalChapters00
IRS990/MaterialDiversionOrMisuse00
IRS990/MembersOrStockholders01
IRS990/MethodOfAccountingAccrual0X
IRS990/MinutesOfCommittees01
IRS990/MinutesOfGoverningBody01
IRS990/MissionDescription0TO BE THE REGIONAL LEADER IN PROVIDING STATE-OF-THE-ART, COMPASSIONATE CARE TO THE NEPHROLOGY CLIENTS WE SERVE.
IRS990/MoreThan5000KToIndividuals00
IRS990/MoreThan5000KToOrganizations00
IRS990/NameOfPrincipalOfficerPerson0FAYE FLACK
IRS990/NbrIndependentVotingMembers04
IRS990/NbrVotingGoverningBodyMembers04
IRS990/NbrVotingMembersGoverningBody04
IRS990/NetAssetsOrFundBalancesBOY024054
IRS990/NetAssetsOrFundBalancesEOY00
IRS990/NetUnrelatedBusinessTxblIncome00
IRS990/NoListedPersonsCompensated0X
IRS990/NonDeductibleContributions00
IRS990/NumberFormsTransmittedWith109601
IRS990/NumberIndependentVotingMembers04
IRS990/NumberIndividualsGT100K00
IRS990/NumberOfContractorsGT100K00
IRS990/NumberOfEmployees00
IRS990/NumberW2GIncluded00
IRS990/OfficerEntityWithBsnssRltnshp00
IRS990/OfficerMailingAddress00
IRS990/Organization501c30X
IRS990/OtherAssetsTotal/EOY00
IRS990/OtherExpensePriorYear034429
IRS990/OtherExpensesCurrentYear0978
IRS990/OtherExpenses/Description0NEWSPAPER NOTICE
IRS990/OtherExpenses/Description1CONTRACTUAL ALLOWANCE/B
IRS990/OtherExpenses/Description2GENERAL & ADMINISTRATIO
IRS990/OtherExpenses/Description3BANK FEES
IRS990/OtherExpenses/ManagementAndGeneral050
IRS990/OtherExpenses/ProgramServices0370
IRS990/OtherExpenses/ProgramServices1125
IRS990/OtherExpenses/ProgramServices243
IRS990/OtherExpenses/Total0370
IRS990/OtherExpenses/Total1125
IRS990/OtherExpenses/Total250
IRS990/OtherExpenses/Total343
IRS990/OtherLiabilities/BOY012800
IRS990/OtherLiabilities/EOY00
IRS990/OtherNotesLoansReceivableNet/EOY00
IRS990/OtherRevenueCurrentYear012800
IRS990/OtherRevenueMisc/BusinessCode0621990
IRS990/OtherRevenueMisc/Description0WRITE OFF OF CONTRACTU
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome012800
IRS990/OtherRevenueMisc/TotalRevenueColumn012800
IRS990/OtherRevenuePriorYear0284
IRS990/PartialLiquidation00
IRS990/PledgesAndGrantsReceivable/EOY00
IRS990/PoliticalActivities00
IRS990/PrepaidExpensesDeferredCharges/EOY00
IRS990/PriorExcessBenefitTransaction00
IRS990/ProfessionalFundraising00
IRS990/ProgramServiceRevenueCY00
IRS990/ProgramServiceRevenuePriorYear00
IRS990/ProhibitedTaxShelterTrans00
IRS990/QuidProQuoContributions00
IRS990/ReceivablesFromDisqualPersons/EOY00
IRS990/ReceivablesFromOfficersEtc/EOY00
IRS990/ReconcilationOtherChanges0-35884
IRS990/ReconcilationRevenueExpenses011830
IRS990/RegularMonitoringEnforcement01
IRS990/RelatedEntity01
IRS990/RelatedOrgControlledEntity00
IRS990/ReportFin48Footnote00
IRS990/ReportInvestOthSecurities00
IRS990/ReportLandBldgEquip00
IRS990/ReportOtherAssets00
IRS990/ReportOtherLiabilities00
IRS990/ReportProgRelInvest00
IRS990/RevenuesLessExpensesCY011830
IRS990/RevenuesLessExpensesPriorYear0-34118
IRS990/SalariesEtcCurrentYear00
IRS990/SalariesEtcPriorYear00
IRS990/SavingsAndTempCashInvestments/EOY00
IRS990ScheduleA/AmtsFromSubstContributors/Total00
IRS990ScheduleA/AmtsRecdFromDisqualPersons/Total00
IRS990ScheduleA/GeneralExplanation0SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: ORGANIZATION WAS DISSOLVED IN APRIL 2012 AND REMAINING ASSETS WERE DISTRIBUTED TO COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION, A 501(C)(3) ORGANIZATION.
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus2Years0300399
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus3Years0270937
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus4Years01628171
IRS990ScheduleA/GiftsGrantsContribReceived509/Total02199507
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYear08
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus1Year027
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus2Years02374
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus3Years081
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus4Years063391
IRS990ScheduleA/GrossInvestmentIncome509/Total065881
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYear08
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus1Year027
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus2Years02374
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus3Years081
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus4Years063391
IRS990ScheduleA/InvestmentIncomeAndUBTI/Total065881
IRS990ScheduleA/InvestmentIncomePercentage00.02890
IRS990ScheduleA/OtherIncome509/CurrentTaxYear012800
IRS990ScheduleA/OtherIncome509/CurrentTaxYearMinus1Year0286
IRS990ScheduleA/OtherIncome509/Total013086
IRS990ScheduleA/PriorYearSupportPercentage00.97080
IRS990ScheduleA/PriorYrInvestIncomePercentage00.02910
IRS990ScheduleA/PubliclySupportedOrg509a20X
IRS990ScheduleA/PublicSupportPercentage50900.96530
IRS990ScheduleA/PublicSupportTotal50902199507
IRS990ScheduleA/SupportFromDQPsEtc/Total00
IRS990ScheduleA/ThirtyThreePercntTestsCY5090X
IRS990ScheduleA/Total509/CurrentTaxYearMinus2Years0300399
IRS990ScheduleA/Total509/CurrentTaxYearMinus3Years0270937
IRS990ScheduleA/Total509/CurrentTaxYearMinus4Years01628171
IRS990ScheduleA/Total509/Total02199507
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYear012808
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus1Year0313
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus2Years0302773
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus3Years0271018
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus4Years01691562
IRS990ScheduleA/TotalSupportTotal/Total02278474
IRS990/ScheduleBRequired00
IRS990ScheduleD/ExcessOrDeficitForYear011830
IRS990ScheduleD/ExcessOrDeficitPerFS011830
IRS990ScheduleD/ExpensesNotRptdF99000
IRS990ScheduleD/ExpensesNotRptdOnFinStmt00
IRS990ScheduleD/ExpensesSubtotal0978
IRS990ScheduleD/RevenueNotRptdF99000
IRS990ScheduleD/RevenueNotRptdOnFinStmt00
IRS990ScheduleD/RevenueSubtotal012808
IRS990ScheduleD/TotalExpenses0978
IRS990ScheduleD/TotalExpensesPerForm9900978
IRS990ScheduleD/TotalOfBookValueLandBuildings00
IRS990ScheduleD/TotalRevenue012808
IRS990ScheduleD/TotalRevenuePerForm990012808
IRS990ScheduleD/TotExpensesEtcAuditedFinclStmt0978
IRS990ScheduleD/TotRevenueEtcAuditedFinclStmt012808
IRS990/ScheduleJRequired00
IRS990ScheduleN/AGNotified01
IRS990ScheduleN/AssetsDistributed01
IRS990ScheduleN/BondLiabilitiesDischarged00
IRS990ScheduleN/BondsOutstanding00
IRS990ScheduleN/DirectorOfSuccessor00
IRS990ScheduleN/EmployeeOfSuccessor00
IRS990ScheduleN/LiabilitiesPaid01
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine10200 MEDICAL CENTER DRIVE
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City0SPRINGFIELD
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State0OH
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode045504
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution02012-04-30
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset0CASH
IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN0311181991
IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset035884
IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection0501(C)(3)
IRS990ScheduleN/LiquidationTable/LiquidationDetail/MethodOfFMVDetermination0CASH
IRS990ScheduleN/LiquidationTable/LiquidationDetail/NameBusiness/BusinessNameLine10COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION
IRS990ScheduleN/OwnerOfSuccessor00
IRS990ScheduleN/ReceiveCompensation00
IRS990ScheduleN/RequiredToNotifyAG01
IRS990ScheduleO/GeneralExplanation/Explanation0COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION IS THE SOLE MEMBER OF THE ORGANIZATION.
IRS990ScheduleO/GeneralExplanation/Explanation1COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION ELECTS MEMBERS TO THE GOVERNING BODY OF CLARK COUNTY DIALYSIS FACILITY, INC.
IRS990ScheduleO/GeneralExplanation/Explanation2ALL BOARD MEMBERS RECEIVED ELECTRONIC COPIES OF THE FORM 990 AND CONFIRMED THEIR REVIEW AND APPROVAL ELECTRONICALLY PRIOR TO FILING.
IRS990ScheduleO/GeneralExplanation/Explanation3REQUIRE ANNUAL UPDATE OF THE CONFLICT OF INTEREST POLICY ONLY IF THERE IS A CHANGE; CONFLICT OF INTEREST DISCLOSURES ARE COMPLETED BY BOARD MEMBERS AND KEY PERSONNEL ANNUALLY AND DISCLOSED TO THE BOARD.
IRS990ScheduleO/GeneralExplanation/Explanation4THE CEO ANNUALLY RESEARCHES THE WAGE AND COMPENSATION RATES FOR THE FACILITY BY COMPARING CURRENT WAGE RATES TO THE SURROUNDING AREAS. THIS IS OBTAINED BY VISITING WEB SITES FOR WAGE COMPARISONS IN A SIMILAR SERVICE INDUSTRY SUCH AS PAYCHEX DATABASE AND SALARY.COM.
IRS990ScheduleO/GeneralExplanation/Explanation5GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON VERBAL, WRITTEN, OR IN PERSON REQUEST.
IRS990ScheduleO/GeneralExplanation/Explanation6FAYE M. FLACK - 200 MEDICAL CENTER DRIVE, SPRINGFIELD, OH 45504. DR. RICHARD MARSH - 3130 EAST MAIN STREET, SPRINGFIELD, OH 45505. DANA ENGLE - 601 S. LIMESTONE ST., SPRINGFIELD, OH 45504. TERRY POPE - 507 ERIS ROAD, URBANA, OH 43078.
IRS990ScheduleO/GeneralExplanation/Explanation7TRANSFER OF ASSETS TO COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION -35,884. TOTAL TO FORM 990, PART XI, LINE 5: -35,884.
IRS990ScheduleO/GeneralExplanation/Identifier0CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
IRS990ScheduleO/GeneralExplanation/Identifier1CHANGES IN NET ASSETS OR FUND BALANCES:
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/GeneralExplanation/ReturnReference4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/GeneralExplanation/ReturnReference5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/GeneralExplanation/ReturnReference6FORM 990, PART VII
IRS990ScheduleO/GeneralExplanation/ReturnReference7FORM 990, PART XI, LINE 5:
IRS990/ScheduleORequired01
IRS990ScheduleR/ExchangeOfAssets00
IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/AddressLine102615 E HIGH ST
IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/City0SPRINGFIELD
IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/State0OH
IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/ZIPCode045505
IRS990ScheduleR/Form990ScheduleRPartII/ControlledOrg00
IRS990ScheduleR/Form990ScheduleRPartII/EIN0311181991
IRS990ScheduleR/Form990ScheduleRPartII/ExemptCodeSection0501(C)(3)
IRS990ScheduleR/Form990ScheduleRPartII/LegalDomicileState0OH
IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine10COMMUNITY HOSPITAL HEALTH SERVICES FOUNDATION
IRS990ScheduleR/Form990ScheduleRPartII/PrimaryActivities0TO PROVIDE REPRODUCTIVE HEALTH PROCEDURES AND TREATMENTS.
IRS990ScheduleR/Form990ScheduleRPartII/PublicCharityStatus0170B(1)(A)(III)
IRS990ScheduleR/GiftGrantOrCapContrFrOtherOrg00
IRS990ScheduleR/GiftGrantOrCapContrToOtherOrg00
IRS990ScheduleR/LoansOrGuaranteesFromOtherOrg00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrg00
IRS990ScheduleR/OtherTransferFromOtherOrg00
IRS990ScheduleR/OtherTransferToOtherOrg00
IRS990ScheduleR/PerformOfServicesByOtherOrgs00
IRS990ScheduleR/PerformOfServicesForOtherOrgs00
IRS990ScheduleR/PurchaseOfAssetsFromOtherOrg00
IRS990ScheduleR/ReceiptOfIntAnnRentsRoyalties00
IRS990ScheduleR/ReimbursementPaidByOtherOrg00
IRS990ScheduleR/ReimbursementPaidToOtherOrg00
IRS990ScheduleR/RentalOfFacilitiesFrOtherOrgs00
IRS990ScheduleR/RentalOfFacilitiesToOtherOrgs00
IRS990ScheduleR/SaleOfAssetsToOtherOrg00
IRS990ScheduleR/SharingOfFacilities00
IRS990ScheduleR/SharingOfPaidEmployees00
IRS990/School00
IRS990/SignificantChange00
IRS990/SignificantNewProgramServices00
IRS990/StateLegalDomicile0OH
IRS990/StatesWhereCopyOfReturnIsFiled0OH
IRS990/SubjectToProxyTax00
IRS990/TaxablePartyNotification00
IRS990/TaxExemptBonds00
IRS990/Terminated01
IRS990/TerminatedReturn0X
IRS990/TermOrPermanentEndowments00
IRS990/TheBooksAreInCareOf/AddressUS/AddressLine10200 MEDICAL CENTER DRIVE
IRS990/TheBooksAreInCareOf/AddressUS/City0SPRINGFIELD
IRS990/TheBooksAreInCareOf/AddressUS/State0OH
IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode045504
IRS990/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10FAYE FLACK
IRS990/TheBooksAreInCareOf/TelephoneNumber09375237000
IRS990/TotalAssets/BOY041798
IRS990/TotalAssetsBOY041798
IRS990/TotalAssets/EOY00
IRS990/TotalAssetsEOY00
IRS990/TotalCompGT150K00
IRS990/TotalExpensesCurrentYear0978
IRS990/TotalExpensesPriorYear034429
IRS990/TotalFunctionalExpenses/Fundraising00
IRS990/TotalFunctionalExpenses/ManagementAndGeneral0440
IRS990/TotalFunctionalExpenses/ProgramServices0538
IRS990/TotalFunctionalExpenses/Total0978
IRS990/TotalFundrsngExpCurrentYear00
IRS990/TotalGrossUBI00
IRS990/TotalLiabilities/BOY017744
IRS990/TotalLiabilitiesBOY017744
IRS990/TotalLiabilities/EOY00
IRS990/TotalLiabilitiesEOY00
IRS990/TotalLiabNetAssetsFundBalances/BOY041798
IRS990/TotalLiabNetAssetsFundBalances/EOY00
IRS990/TotalNbrEmployees00
IRS990/TotalNbrVolunteers00
IRS990/TotalNetAssetsFundBalances/BOY024054
IRS990/TotalNetAssetsFundBalances/EOY00
IRS990/TotalOtherCompensation00
IRS990/TotalOtherRevenue012800
IRS990/TotalProfFundrsngExpCY00
IRS990/TotalProfFundrsngExpPriorYear00
IRS990/TotalProgramServiceExpense0538
IRS990/TotalReportableCompFrmRltdOrgs00
IRS990/TotalReportableCompFromOrg00
IRS990/TotalRevenueCurrentYear012808
IRS990/TotalRevenue/ExclusionAmount08
IRS990/TotalRevenuePriorYear0311
IRS990/TotalRevenue/RelatedOrExemptFunctionIncome012800
IRS990/TotalRevenue/TotalRevenueColumn012808
IRS990/TotalRevenue/UnrelatedBusinessRevenue00
IRS990/TransactionRelatedEntity00
IRS990/TransfersToExemptNonChrtblOrg00
IRS990/TypeOfOrganizationCorporation0X
IRS990/UnrelatedBusinessIncome00
IRS990/UnrestrictedNetAssets/BOY024054
IRS990/UnrestrictedNetAssets/EOY00
IRS990/UponRequest0X
IRS990/WebSite0N/A
IRS990/WhistleblowerPolicy01
IRS990/YearFormation01983
ReturnHeader/BuildTS02016-02-24 21:20:13Z
ReturnHeader/Filer/EIN0311025671
ReturnHeader/Filer/Name/BusinessNameLine10CLARK COUNTY DIALYSIS FACILITY
ReturnHeader/Filer/NameControl0CLAR
ReturnHeader/Filer/Phone09375237000
ReturnHeader/Filer/USAddress/AddressLine10200 MEDICAL CENTER DRIVE
ReturnHeader/Filer/USAddress/City0SPRINGFIELD
ReturnHeader/Filer/USAddress/State0OH
ReturnHeader/Filer/USAddress/ZIPCode045504
ReturnHeader/Officer/AuthorizeThirdParty01
ReturnHeader/Officer/DateSigned02012-05-29
ReturnHeader/Officer/Name0FAYE FLACK
ReturnHeader/Officer/Phone09375237000
ReturnHeader/Officer/Title0CHAIRMAN
ReturnHeader/Preparer/DatePrepared02012-05-29
ReturnHeader/PreparerFirm/EIN0310800053
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10CLARK SCHAEFER HACKETT & CO
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine102525 N LIMESTONE STREET
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0SPRINGFIELD

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
-
Expenses
$978
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.98
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.8$17.7$24.1$34.4