Civic Intelligence

Fayette County Memorial Hospital Foundation Inc

EIN 31-1526002 • 501(c)3 • Washington Court House, OH

Profile

To function as the fundraising arm of the hospital in support of its mission and charitable purposes. The Foundation offers a way for community residents and businesses to directly invest in equipment, services and programs to enhance patient care and the quality of life in Fayette County.

1430 Columbus AveWashington Court House, OH 43160

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2022

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2022

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $382,929 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $382,929 (-100%) from 2021

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $90,001 (-100%) from 2021

Expenses

Down

$0

Down $68,504 (-100%) from 2021

Net Income

Down

$0

Down $21,497 (-100%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2010: $22,760Liabilities 2010: $0Net Assets 2010: $22,7602010Assets 2011: $68,920Liabilities 2011: $0Net Assets 2011: $68,9202011Assets 2012: $129,592Liabilities 2012: $0Net Assets 2012: $129,5922012Assets 2013: $217,380Liabilities 2013: $0Net Assets 2013: $217,3802013Assets 2014: $305,252Liabilities 2014: $0Net Assets 2014: $305,2522014Assets 2015: $181,541Liabilities 2015: $0Net Assets 2015: $181,5412015Assets 2016: $178,115Liabilities 2016: $0Net Assets 2016: $178,1152016Assets 2017: $234,125Liabilities 2017: $0Net Assets 2017: $234,1252017Assets 2018: $306,956Liabilities 2018: $0Net Assets 2018: $306,9562018Assets 2019: $316,420Liabilities 2019: $0Net Assets 2019: $316,4202019Assets 2020: $361,432Liabilities 2020: $0Net Assets 2020: $361,4322020Assets 2021: $382,929Liabilities 2021: $0Net Assets 2021: $382,9292021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0
Open 2022 Filing

Operations Trend

Revenue Growth3rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100K-$200KExpenses 2010: $02010Expenses 2011: $69,0722011Expenses 2012: $87,3362012Revenue 2013: $180,503Expenses 2013: $92,718Net Income 2013: $87,7852013Revenue 2014: $120,729Expenses 2014: $32,857Net Income 2014: $87,8722014Revenue 2015: $126,565Expenses 2015: $250,276Net Income 2015: -$123,7112015Revenue 2016: $99,393Expenses 2016: $102,818Net Income 2016: -$3,4252016Revenue 2017: $84,037Expenses 2017: $28,027Net Income 2017: $56,0102017Revenue 2018: $104,838Expenses 2018: $32,007Net Income 2018: $72,8312018Revenue 2019: $123,467Expenses 2019: $114,003Net Income 2019: $9,4642019Revenue 2020: $104,941Expenses 2020: $58,449Net Income 2020: $46,4922020Revenue 2021: $90,001Expenses 2021: $68,504Net Income 2021: $21,4972021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022

Highlighted filing

2022

Revenue$0
Expenses$0
Net Income$0
Open 2022 Filing

Filings

Most recent year

2022 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.83$0.00$3.83$0.90$0.69$0.21
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.61$0.00$3.61$1.05$0.58$0.46
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.16$0.00$3.16$1.23$1.14$0.09
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.07$0.00$3.07$1.05$0.32$0.73
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.34$0.00$2.34$0.84$0.28$0.56
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.78$0.00$1.78$0.99$1.03$0.03
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.82$0.00$1.82$1.27$2.50$1.24
2014Detailed filing. Detailed filing data is available for this year.$3.05$0.00$3.05$1.21$0.33$0.88
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.17$0.00$2.17$1.81$0.93$0.88
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.30$0.00$1.30$0.87
2011XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.69$0.00$0.69$0.69
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.23$0.00$0.23$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

To function as the fundraising arm of the hospital in support of its mission and charitable purposes. The Foundation offers a way for community residents and businesses to directly invest in equipment, services and programs to enhance patient care and the quality of life in Fayette County.

Forging the future of fayette county memorial hospital by increasing awareness of needs and raising funds.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$382,929--
Total Assets$382,929$0▼ $382,929
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$382,929--
Total Net Assets Fund Balance$382,929$0▼ $382,929
Total Liabilities and Net Assets / Fund Balance$382,929$0▼ $382,929
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Ty KelleyPresident
Doug BoedekerDirector
Gary ButtsDirector
Leigh CannonDirector
Mike DienerDirector
Roger KirkpatrickDirector
Shirley PettitDirector
Trevor PattonDirector
William T Junk EsqDirector
Norma Kirby PhdSecretary
Vanessa L BlevinsTreasurer
Kim PittserVice-preside
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
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
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
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
Yes
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

“The board members are provided with a copy of the form 990 to review prior to submission.”

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

“All board members are required to report any conflict of interest.”

Form 990, Page 6, Part VI, Line 19

“Organizing documents, conflict of interes policy and financial statements are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Fayette County Memorial Hospital
EIN
31-1526002
Phone
7403332833
Address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160

Signing Officer

Name
Vanessa L Blevins
Title
Treasurer
Phone
7403332833
Signed
2023-11-15

Organization Details

Principal Officer
Vanessa L Blevins
Formed
2010
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
12
Employees
0

Preparer

Firm
CPA Accounting Consortium
Address
304 EAST MARKET STREET, WASHINGTON COURT HOU, OH 43160
Preparer
Vanessa L Blevins CPA
Phone
7403331318
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Transfer funds -382,929 the fayette memorial foundation was terminated on 1/1/22 and all funds were transferred to the adena health foundation. The fayette memorial hospital and adena health merged in 2022 therefore the foundation was terminated.”

Raw XML Appendix335 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
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IRS990/ActivitiesConductedPrtshpInd0false
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IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0FAYETTE COUNTY MEMORIAL HOSPITAL
IRS990/BooksInCareOfDetail/PhoneNum07403351210
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01430 COLUMBUS AVENUE
IRS990/BooksInCareOfDetail/USAddress/CityNm0WASHINGTON CH
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OH
IRS990/BooksInCareOfDetail/USAddress/ZIPCd043160
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IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
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IRS990/CYOtherRevenueAmt00
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IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt00
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IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt00
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0IN WORKING WITHIN THE COMMUNITY TO INCREASE AWARENESS OF THE HOSPITAL NEEDS, THE FOUNDATION DIRECTORS, WHO VOLUNTEER THEIR TIME, ALSO ARE ABLE TO INCREASE AWARENESS OF THE HEALTHCARE SERVICES AND PROGRAMS AVAILABLE TO THE COMMUNITY. THE EXECUTIVE DIRECTOR IS EMPLOYED BY THE HOSPITAL AND THE OPERATING BUDGET IS INCLUDED IN THE HOSPITAL BUDGET ALLOWING FOR 100% OF THE DONATED FUNDS TO BE USED TO FULFILL THEIR MISSION. THE BOARD RAISES FUNDS TO PURCHASE NEEDED HOSPITAL EQUIPMENT, CONTINUING EDCATION FOR STAFF AND ASSIST WITH CAPITAL IMPROVEMENTS.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
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IRS990/Form990PartVIISectionAGrp/PersonNm1DOUG BOEDEKER
IRS990/Form990PartVIISectionAGrp/PersonNm2GARY BUTTS
IRS990/Form990PartVIISectionAGrp/PersonNm3LEIGH CANNON
IRS990/Form990PartVIISectionAGrp/PersonNm4MIKE DIENER
IRS990/Form990PartVIISectionAGrp/PersonNm5WILLIAM T JUNK ESQ
IRS990/Form990PartVIISectionAGrp/PersonNm6TY KELLEY
IRS990/Form990PartVIISectionAGrp/PersonNm7ROGER KIRKPATRICK
IRS990/Form990PartVIISectionAGrp/PersonNm8TREVOR PATTON
IRS990/Form990PartVIISectionAGrp/PersonNm9SHIRLEY PETTIT
IRS990/Form990PartVIISectionAGrp/PersonNm10KIM PITTSER
IRS990/Form990PartVIISectionAGrp/PersonNm11NORMA KIRBY PHD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
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IRS990/Form990PartVIISectionAGrp/TitleTxt0TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10VICE-PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt11SECRETARY
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02010
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt012
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0OH
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
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IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0FORGING THE FUTURE OF FAYETTE COUNTY MEMORIAL HOSPITAL BY INCREASING AWARENESS OF NEEDS AND RAISING FUNDS.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0382929
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0382929
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
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IRS990/OperateHospitalInd0false
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IRS990/OtherChangesInNetAssetsAmt0-382929
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
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IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0THE FAYETTE COUNTY MEMORIAL HOSPITAL PARNTERS IN PINK MAMMOGRAPHY PROGRAM IS FUNDED THROUGH THE FAYETTE COUNTY MEMORIAL HOSPITAL FOUNDATION. THE PARTNERS IN PINK MAMMOGRAPHY PROGRAM: FOCUSES ON PROVIDING SCREENING MAMMOGRAMS AND PROVIDING DIAGNOSTIC MAMMOGRAPHY SERVICES AT NO COST TO THE INSURED OR UNDERINSURSURED THAT MEET THE PROGRAM'S FINANCIAL GUIDELINES. SERVICES HAVE BEEN ADDED FOR BREAST CANCER PATIENTS AND SURVIVORS THAT INCLUDE MASSAGE, YOGA & MEDITATION, WIGS, HEADCOVERINGS AND OTHER SERVICES TO HELP EASE THE BURDEN OF FIGHTING CANCER.
IRS990/ProgSrvcAccomActy3Grp/Desc0THE FAYETTE COUNTY MEMORIAL HOSPITAL PARTNERS IN PINK MAMMOGRAPHY PROGRAM IS FUNDED THROUGH THE FAYETTE COUNTY MEMORIAL HOSPITAL FOUNDATION. THE PARNTERS IN PINK MAMMOGRAPHY PROGRAM: FOCUSES ON PROVIDING SCREENING MAMMOGRAMS AT NO COST FOR WOMEN AGE 40 AND OVER WHO ARE UNINSURED OR UNDERINSURED AND MEET THE PROGRAM'S FINANCIAL GUIDELINES; PROVIDES DIAGNOSTIC MAMMOGRAPHY SERVICES (DIAGNOSTIC MAMMOGRAM AND/OR ULTRASOUND) TO INDIVIDUALS IN NEED OF THIS SERVICE REGARDLESS OF AGE OR GENDER WHO ARE UNINSURED OR UNDERINSURED AND MEET THE PROGRAM'S FINANCIAL GUIDELINES.
IRS990/ProhibitedTaxShelterTransInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DIRECTORS ARE APPOINTED BY THE BOARD OF THE HOSPITAL. THE HOSPITAL'S CEO IS A VOTING MEMBER ON THE BOARD.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION C, LINE 1
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd0false
IRS990ScheduleA/OtherSupportSumAmt00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0FAYETTE MEMORIAL HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0true
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0TRANSFER TO FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02022-01-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0753008742
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0382929
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501 (C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0ADENA HEALTH FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0272 HOSPITAL ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0CHILLICOTHE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0OH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd045601
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0TY KELLEY- PRESIDENT OF THE BOARD BECAME A BOARD MEMBER OF THE ADENA HEALTH FOUNDATION.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PAGE 1, PART I, LINE 2E
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE FORM 990 TO REVIEW PRIOR TO SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ORGANIZING DOCUMENTS, CONFLICT OF INTERES POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3TRANSFER FUNDS -382,929 THE FAYETTE MEMORIAL FOUNDATION WAS TERMINATED ON 1/1/22 AND ALL FUNDS WERE TRANSFERRED TO THE ADENA HEALTH FOUNDATION. THE FAYETTE MEMORIAL HOSPITAL AND ADENA HEALTH MERGED IN 2022 THEREFORE THE FOUNDATION WAS TERMINATED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt0382929
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0382929
IRS990/TotalAssetsGrp/EOYAmt00
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IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt00
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0382929
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0382929
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0304 E MARKET STREET
IRS990/USAddress/CityNm0WASHINGTON CH
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd043160
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/PersonNm0VANESSA L BLEVINS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum07403332833
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FAYETTE COUNTY MEMORIAL HOSPITAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0FAYE
ReturnHeader/Filer/EIN0311526002
ReturnHeader/Filer/PhoneNum07403332833
ReturnHeader/Filer/USAddress/AddressLine1Txt01430 COLUMBUS AVE
ReturnHeader/Filer/USAddress/CityNm0WASHINGTON COURT HOUSE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd043160
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0false
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0454032151
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CPA ACCOUNTING CONSORTIUM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0304 EAST MARKET STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WASHINGTON COURT HOU
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd043160
ReturnHeader/PreparerPersonGrp/PhoneNum07403331318
ReturnHeader/PreparerPersonGrp/PreparationDt02023-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0VANESSA L BLEVINS CPA
ReturnHeader/ReturnTs02023-11-15T15:18:01-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0VANESSA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0BLEVINS
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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