Civic Intelligence

Dearborn County Hospital Foundation Inc

990 • Fiscal year 2016 • EIN 35-1272766

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

600 Wilson Creek RoadLawrenceburg, IN 47025

(812) 537-1010

Siviq Scores

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

Liabilities / Assets

26th percentile

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

91st percentile

47%

Higher net margin than 91% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Assets

$842,961

No earlier filing loaded for comparison.

Net Assets

$842,961

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

$34,268

No earlier filing loaded for comparison.

Expenses

$18,020

No earlier filing loaded for comparison.

Net Income

$16,248

No earlier filing loaded for comparison.

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 2016: $842,961Liabilities 2016: $0Net Assets 2016: $842,9612016Assets 2017: $844,082Liabilities 2017: $0Net Assets 2017: $844,0822017Assets 2018: $795,416Liabilities 2018: $138Net Assets 2018: $795,2782018Assets 2019: $3,531,246Liabilities 2019: $138Net Assets 2019: $3,531,1082019

Highlighted filing

2016

Assets$842,961
Liabilities$0
Net Assets$842,961

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MRevenue 2016: $34,268Expenses 2016: $18,020Net Income 2016: $16,2482016Revenue 2017: $26,669Expenses 2017: $25,548Net Income 2017: $1,1212017Revenue 2018: $168,112Expenses 2018: $216,916Net Income 2018: -$48,8042018Revenue 2019: $3,018,331Expenses 2019: $282,501Net Income 2019: $2,735,8302019

Highlighted filing

2016

Revenue$34,268
Expenses$18,020
Net Income$16,248
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$34,268
Mission and Program Overview

Mission

Support Dearborn County Hospital

To provide support for Dearborn County Hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$724,351$727,744▲ $3,393
Cash and Non-Interest-Bearing Accounts$102,362$115,217▲ $12,855
Total Assets$826,713$842,961▲ $16,248
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$764,054$774,269▲ $10,215
Permanently Rstr Net Assets$37,145$37,145→ $0
Temporarily Rstr Net Assets$25,514$31,547▲ $6,033
Total Net Assets Fund Balance$826,713$842,961▲ $16,248
Total Liabilities and Net Assets / Fund Balance$826,713$842,961▲ $16,248
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$30,315
Program Service Revenue
$0
Investment Income
$3,953
Other Revenue
$0
Change in Net Assets
$16,248
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$17,726
Other Expenses$294
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$13,282--$13,282
Grants to Domestic Orgs$4,444--$4,444
Other Expenses$294--$294
Total Functional Expenses$18,020$0$0$18,020
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
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
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI Line 6

The Foundation has nine (9) voting members

Part VI Line 7A

Foundation members have the right to elect or appoint one or more members

Part VI Line 7A

of the organization's governing body

Part VI Line 11B

The Form 990 and all related schedules were reviewed by the

Part VI Line 11B

Secretary/Treasurer before it was filed with the IRS

Part VI Line 19

The Dearborn County Hospital Foundation makes its governing documents

Part VI Line 19

available to the public by providing copies upon request

Part VI-Line 6

The Foundation has nine (9) voting members.

Part VI-Line 7A

Foundation members have the right to elect or appoint one or

Part VI-Line 7A

more members of the organization's governing body.

Part VI-Line 11B

The Form 990 and all related schedules were reviewed by the

Part VI-Line 11B

Secretary/Treasurer before it was filed with the IRS.

Part VI-Line 19

The Dearborn County Hospital Foundation makes its governing

Part VI-Line 19

documents available to the public by providing copies upon

Part VI-Line 19

request.

Filing and Contact Details

Filer

Filer Name
Dearborn County Hospital Foundation
EIN
35-1272766
In Care Of
% Robert Schroeder
Phone
8125371010
Address
600 Wilson Creek Road, Lawrenceburg, IN 47025

Signing Officer

Name
Robert Schroeder
Title
President
Phone
8125371010
Signed
2017-11-15

Organization Details

Formed
1961
Legal Domicile
In
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
9
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IRS990/ProgSrvcAccomActy2Grp/Desc0Financial assistance to 4 employees of Dearborn County Hospital who are on approved medical leave and have depleted all benefits and are not receiving long-term disability insurance or workers' compensation insurance payments
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IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0Dearbornsurrounding
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1Counties scholarships
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt2Financial assistance
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IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt14
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Dearborn County Hospital Foundation distributes scholarship
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt1checks made payable to the scholarship recipient and to the
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt2school that the individual will be attending Applications
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt3for those scholarships are kept on file and are chosen by
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt4a committee
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt5Dearborn County Hospital Foundation provides grants for
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt6financial assistance for individuals approved medical leave
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Foundation has nine (9) voting members
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Foundation members have the right to elect or appoint one or more members
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2of the organization's governing body
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Form 990 and all related schedules were reviewed by the
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Secretary/Treasurer before it was filed with the IRS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The Dearborn County Hospital Foundation makes its governing documents
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6available to the public by providing copies upon request
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7The Foundation has nine (9) voting members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Foundation members have the right to elect or appoint one or
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9more members of the organization's governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10The Form 990 and all related schedules were reviewed by the
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Secretary/Treasurer before it was filed with the IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12The Dearborn County Hospital Foundation makes its governing
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13documents available to the public by providing copies upon
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Part VI Line 6
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Part VI-Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Part VI-Line 19
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IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
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IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0Dearborn County Hospital
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0356006595
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501c3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0Healthcare services
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0170b1Aiii
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0600 Wilson Creek Road
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Lawrenceburg
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd047025
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToProxyTaxInd0false
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IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt025514
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt031547
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0826713
IRS990/TotalAssetsEOYAmt0842961
IRS990/TotalAssetsGrp/BOYAmt0826713
IRS990/TotalAssetsGrp/EOYAmt0842961
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt030315
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
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IRS990/TotalFunctionalExpensesGrp/TotalAmt018020
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0826713
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0842961
IRS990/TotalProgramServiceExpensesAmt017226
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt03953
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt034268
IRS990/TotalVolunteersCnt09
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0826713
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0842961
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0764054
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0774269
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0600 Wilson Creek Road
IRS990/USAddress/CityNm0Lawrenceburg
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd047025
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBERT SCHROEDER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/PhoneNum08125371010
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Dearborn County Hospital Foundation
ReturnHeader/Filer/BusinessNameControlTxt0DEAR
ReturnHeader/Filer/EIN0351272766
ReturnHeader/Filer/InCareOfNm0% Robert Schroeder
ReturnHeader/Filer/PhoneNum08125371010
ReturnHeader/Filer/USAddress/AddressLine1Txt0600 Wilson Creek Road
ReturnHeader/Filer/USAddress/CityNm0Lawrenceburg

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