Civic Intelligence

Harrison Community Hospital Foundation

990 • Fiscal year 2014 • EIN 34-1571749

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 16, 2015

951 East Market StreetCadiz, OH 43907

(740) 942-4631

Siviq Scores

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

Liabilities / Assets

13th percentile

0.00x

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

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

13th percentile

0.00x

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

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

5th percentile

-52%

Higher net margin than 5% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

89th percentile

$192,312

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 85.0% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

13th percentile

-8.6%

Faster asset growth than 13% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

10th percentile

-28%

Faster revenue growth than 10% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Down

$2,204,688

Down $208,601 (-8.6%) from 2013

Net Assets

Down

$2,204,688

Down $208,601 (-8.6%) from 2013

Liabilities

Flat

$0

Flat from 2013

Revenue

Down

$226,236

Down $87,399 (-28%) from 2013

Expenses

Down

$343,490

Down $277,282 (-45%) from 2013

Net Income

Up

-$117,254

Up $189,883 (+62%) from 2013

Historical Trend

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $3,482,665Liabilities 2010: $0Net Assets 2010: $3,482,6652010Assets 2011: $3,052,893Liabilities 2011: $3,692Net Assets 2011: $3,049,2012011Assets 2012: $2,633,015Liabilities 2012: $0Net Assets 2012: $2,633,0152012Assets 2013: $2,413,289Liabilities 2013: $0Net Assets 2013: $2,413,2892013Assets 2014: $2,204,688Liabilities 2014: $0Net Assets 2014: $2,204,6882014Assets 2015: $1,485,086Liabilities 2015: $0Net Assets 2015: $1,485,0862015Assets 2016: $167,560Liabilities 2016: $0Net Assets 2016: $167,5602016Assets 2018: $367,636Liabilities 2018: $0Net Assets 2018: $367,6362018Assets 2019: $405,415Liabilities 2019: $8Net Assets 2019: $405,4072019Assets 2020: $402,977Liabilities 2020: $109Net Assets 2020: $402,8682020Assets 2021: $400,455Liabilities 2021: $109Net Assets 2021: $400,3462021Assets 2022: $0Net Assets 2022: $02022

Highlighted filing

2014

Assets$2,204,688
Liabilities$0
Net Assets$2,204,688

Operations Trend

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

$2.0M$1.0M$0-$1.0M-$2.0MExpenses 2010: $19,5372010Expenses 2011: $18,8852011Expenses 2012: $719,5022012Revenue 2013: $313,635Expenses 2013: $620,772Net Income 2013: -$307,1372013Revenue 2014: $226,236Expenses 2014: $343,490Net Income 2014: -$117,2542014Revenue 2015: $487,428Expenses 2015: $687,086Net Income 2015: -$199,6582015Revenue 2016: $32,988Expenses 2016: $1,350,514Net Income 2016: -$1,317,5262016Revenue 2018: $31,558Expenses 2018: $2,083Net Income 2018: $29,4752018Revenue 2019: $38,073Expenses 2019: $302Net Income 2019: $37,7712019Revenue 2020: -$2,113Expenses 2020: $426Net Income 2020: -$2,5392020Revenue 2021: -$2,232Expenses 2021: $290Net Income 2021: -$2,5222021Revenue 2022: $64,837Expenses 2022: $223Net Income 2022: $64,6142022

Highlighted filing

2014

Revenue$226,236
Expenses$343,490
Net Income-$117,254
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 16, 2015
Return Version
2014v5.0
Gross Receipts
$236,613
Mission and Program Overview

Mission

supporting organization for harrison community hospital. to provide the highest level of quality healthcare services to all people of its service area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,098,396$1,788,100▼ $310,296
Savings and Temporary Cash Investments$271,238$357,710▲ $86,472
Cash and Non-Interest-Bearing Accounts$41,442--
Accounts Receivable$1--
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$2,413,289$2,204,688▼ $208,601
Other Assets Total$2,212$58,878▲ $56,666
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$2,413,289$2,204,688▼ $208,601
Total Net Assets Fund Balance$2,413,289$2,204,688▼ $208,601
Total Liabilities and Net Assets / Fund Balance$2,413,289$2,204,688▼ $208,601

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$8,582$8,582
Compensation and Service Providers

Board Members and Trustees

NameTitle
John MattoxPresident
Michael SlivaVice President
Bill ThompsonTrustee
Brent WalrathTrustee
Don BethelTrustee
Geoffrey MosserTrustee
Tom ShieldsTrustee
Clifford HarmonCEO
Carol RaberSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$21,709
Program Service Revenue
$0
Investment Income
$176,590
Other Revenue
$27,937
All Other Contributions
$21,709
Change in Net Assets
$-117,254
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$323,214
Other Expenses$20,276
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$323,214--$323,214
Fees for Service Investment Mgmnt Fees-$12,986-$12,986
Office Expenses-$2,999-$2,999
Fees for Services Other-$1,806-$1,806
Occupancy-$1,604-$1,604
Other Expenses-$508-$508
Fees for Services Accounting-$200-$200
Insurance-$173-$173
Total Functional Expenses$323,214$20,276$0$343,490
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Harrison Community HospitalCadiz, OH501(c)(3)General Support$323,214
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$31,114
Fundraising Direct Expenses$10,377
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Outing$31,114$31,114$10,377$20,737
Total Events$31,114$31,114$10,377$20,737
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
Audit committee
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

No separate review of form 990 is conducted by the board of directors because the board's position is that the ceo is reposible for operations. The ceo and cfo review the 990 when it is signed.

Form 990, Part VI, Section B, Line 12C

As new members are assigned to the board of directors, he/she is required to complete and sign the organization's policy on conflict of interest where they disclose any dealing with the organization.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Harrison Community Hospital Foundation
EIN
34-1571749
Phone
7409424631
Address
951 EAST MARKET STREET, CADIZ, OH 43907

Signing Officer

Name
Donald Huelskamp
Title
Interim Chief Financial Officer
Phone
7409424631
Signed
2015-11-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Don Huelskamp
Formed
1979
Legal Domicile
Oh
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Blue & Co LLC
Address
8800 LYRA DRIVE SUITE 450, COLUMBUS, OH 43240
Preparer
Matthew Dasta
Phone
6148852583
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the organization, and has concluded that as of december 31, 2014 and 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. The organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0HARRISON COMMUNITY HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt0323214
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/EquipmentGrp/BookValueAmt00
IRS990ScheduleD/EquipmentGrp/DepreciationAmt08582
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt08582
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014 AND 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt010377
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF OUTING
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt031114
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt031114
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt031114
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt031114
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt020737
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt010377
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt010377
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0323214
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HARRISON COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0341571750
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0951 EAST MARKET STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0CADIZ
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0OH
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd0439079799
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0ALL ASSISTANCE GOES TO THE HOSPITAL FOR GENERAL SUPPORT.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/ClubDuesOrFeesInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0174826
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt017486
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0CLIFFORD HARMON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0192312
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SubstantiationRequiredInd01
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0NO WRITTEN POLICY ON THE COUNTRY CLUB EXPENSES HAS BEEN APPROVED BY THE BOARD. ANY EXPENSES INCURRED RELATED TO THE COUNTRY CLUB MEMBERSHIP OF A PERSONAL NATURE ARE REIMBURSED TO THE HOSPITAL BY THE PERSON WHO HAS INCURRED SUCH EXPENSES.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 1A
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenPolicyRefTAndEExpnssInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NO SEPARATE REVIEW OF FORM 990 IS CONDUCTED BY THE BOARD OF DIRECTORS BECAUSE THE BOARD'S POSITION IS THAT THE CEO IS REPOSIBLE FOR OPERATIONS. THE CEO AND CFO REVIEW THE 990 WHEN IT IS SIGNED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AS NEW MEMBERS ARE ASSIGNED TO THE BOARD OF DIRECTORS, HE/SHE IS REQUIRED TO COMPLETE AND SIGN THE ORGANIZATION'S POLICY ON CONFLICT OF INTEREST WHERE THEY DISCLOSE ANY DEALING WITH THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0HARRISON COMMUNITY HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0341571750
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0951 EAST MARKET STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0CADIZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd043907
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02413289
IRS990/TotalAssetsEOYAmt02204688
IRS990/TotalAssetsGrp/BOYAmt02413289
IRS990/TotalAssetsGrp/EOYAmt02204688
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt021709
IRS990/TotalEmployeeCnt00

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