Civic Intelligence

Daviess Community Hospital

EIN 35-1570504 • 501(c)3 • Washington, IN

Profile

Provide scholarships for students majoring in health care related field and also fundraise and distribute gifts to daviess community hospital to assist in providing excellence in health care for the local area.

1314 East Walnut StreetWashington, IN 47501

n/A

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

3rd percentile

-160%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

8th percentile

-40%

Faster asset growth than 8% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

7th percentile

-48%

Faster revenue growth than 7% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$517,223

Down $340,750 (-40%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$517,223

Down $340,750 (-40%) from 2023

Revenue

Down

$213,356

Down $198,743 (-48%) from 2023

Expenses

Up

$554,106

Up $486,776 (+723%) from 2023

Net Income

Down

-$340,750

Down $685,519 (-199%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.0M$500K$0Assets 2015: $402,018Liabilities 2015: $0Net Assets 2015: $402,0182015Assets 2016: $369,305Liabilities 2016: $0Net Assets 2016: $369,3052016Assets 2017: $387,265Liabilities 2017: $0Net Assets 2017: $387,2652017Assets 2018: $441,069Liabilities 2018: $0Net Assets 2018: $441,0692018Assets 2019: $414,402Liabilities 2019: $0Net Assets 2019: $414,4022019Assets 2020: $400,708Liabilities 2020: $0Net Assets 2020: $400,7082020Assets 2021: $450,874Liabilities 2021: $0Net Assets 2021: $450,8742021Assets 2022: $513,204Liabilities 2022: $0Net Assets 2022: $513,2042022Assets 2023: $857,973Liabilities 2023: $0Net Assets 2023: $857,9732023Assets 2024: $517,223Liabilities 2024: $0Net Assets 2024: $517,2232024

Highlighted filing

2024

Assets$517,223
Liabilities$0
Net Assets$517,223

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2015: $31,838Expenses 2015: $96,870Net Income 2015: -$65,0322015Revenue 2016: $51,985Expenses 2016: $84,698Net Income 2016: -$32,7132016Revenue 2017: $73,378Expenses 2017: $55,418Net Income 2017: $17,9602017Revenue 2018: $129,569Expenses 2018: $75,765Net Income 2018: $53,8042018Revenue 2019: $222,756Expenses 2019: $249,423Net Income 2019: -$26,6672019Revenue 2020: $193,914Expenses 2020: $207,608Net Income 2020: -$13,6942020Revenue 2021: $199,282Expenses 2021: $149,116Net Income 2021: $50,1662021Revenue 2022: $132,947Expenses 2022: $70,617Net Income 2022: $62,3302022Revenue 2023: $412,099Expenses 2023: $67,330Net Income 2023: $344,7692023Revenue 2024: $213,356Expenses 2024: $554,106Net Income 2024: -$340,7502024

Highlighted filing

2024

Revenue$213,356
Expenses$554,106
Net Income-$340,750

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 19, 2025
Return Version
2024v5.1
Gross Receipts
$222,233
Mission and Program Overview

Mission

Provide scholarships for students majoring in health care related field and also fundraise and distribute gifts to daviess community hospital to assist in providing excellence in health care for the local area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$281,217$294,796▲ $13,579
Cash and Non-Interest-Bearing Accounts$576,756$222,427▼ $354,329
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$857,973$517,223▼ $340,750
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$350,944$364,398▲ $13,454
Net Assets With Donor Restrictions$507,029$152,825▼ $354,204
Total Net Assets Fund Balance$857,973$517,223▼ $340,750
Total Liabilities and Net Assets / Fund Balance$857,973$517,223▼ $340,750
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$159,505
Program Service Revenue
$0
Investment Income
$13,807
Other Revenue
$40,044
All Other Contributions
$159,505
Change in Net Assets
$-340,750
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$524,271
Other Expenses$29,835
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$503,789--$503,789
Grants to Domestic Individuals$20,482--$20,482
Other Expenses$3,142--$3,142
All Other Expenses$53$2,993-$3,046
Fees for Services Accounting-$925-$925
Total Functional Expenses$550,188$3,918$0$554,106
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Daviess Community HospitalWashington, IN-Assist Hospital-capital Project$503,789
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$48,921
Fundraising Direct Expenses$8,877
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Scramble$48,921$48,921$8,877$40,044
Total Events$48,921$48,921$8,877$40,044
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
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, Part VI, Section B, Line 11B

No review was or will be conducted.

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

Conflict of interest statements are completed annually and reviewed for any conflicts. As it is a small community and all of the board members know the other board members, essentially, any conflict would be apparent and addressed.

Form 990, Part VI, Section C, Line 19

The conflict of interest statements, all meeting minutes, and financial statements are available for public inspection in the foundation office administrator's office.

Filing and Contact Details

Filer

Filer Name
Daviess Community Hospital
EIN
35-1570504
Phone
8122542760
Address
1314 EAST WALNUT STREET, WASHINGTON, IN 47501

Signing Officer

Name
Alicia Fields
Title
President
Signed
2025-06-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alicia Fields
Formed
1983
Legal Domicile
In
Voting Board Members
13
Independent Board Members
11
Employees
0
Volunteers
10

Preparer

Firm
Frette & Wagler LLC
Address
PO Box 583, Washington, IN 47501
Preparer
Tyson J Wagler CPA
Phone
8122543442
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IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0ALICIA FIELDS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0SCHOLARSHIPS
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt015000
IRS990/ProgSrvcAccomActy3Grp/Desc0BREAST HEALTH GRANT
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt010904
IRS990/ProgSrvcAccomActyOtherGrp/Desc03D MAMMOGRAPHY
IRS990/ProgSrvcAccomActyOtherGrp/Desc1EMPLOYEE ASSISTANCE PROGRAM
IRS990/ProgSrvcAccomActyOtherGrp/Desc2ONCOLOGY PROGRAM
IRS990/ProgSrvcAccomActyOtherGrp/Desc3DONATIONS
IRS990/ProgSrvcAccomActyOtherGrp/Desc4OB PROGRAM
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt07830
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt15482
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt23988
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt33142
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt453
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0365157
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt015336
IRS990/PYInvestmentIncomeAmt07145
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt051994
IRS990/PYOtherRevenueAmt039797
IRS990/PYRevenuesLessExpensesAmt0344769
IRS990/PYTotalExpensesAmt067330
IRS990/PYTotalRevenueAmt0412099
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-340750
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0281217
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0294796
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesEngagedOrgInvlmntInd0false
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesFurtherExemptPrpsInd0true
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesTestInd0X
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd0true
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd0false
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd0true
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE FOUNDATION DONATED TO A CAPITAL PROJECT FOR DAVIESS COMMUNITY HOSPITAL WHICH WILL ALLOW THE HOSPITAL TO CONTINUE WITH EXCELLENT PATIENT CARE FOR THE LOCAL COMMUNITY.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part IV, Section E, Line 2a: Identify Supported Orgs. and Explain How Activities Furthered Exempt Pu
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0356001322
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0false
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0DAVIESS COMMUNITY HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt08877
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF SCRAMBLE
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt048921
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt048921
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt048921
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt048921
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt040044
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt08877
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt08877
IRS990ScheduleG/InPersonSolicitationsInd0X
IRS990ScheduleG/MailSolicitationsInd0X
IRS990ScheduleG/PhoneSolicitationsInd0X
IRS990ScheduleG/SolicitationOfGovtGrantsInd0X
IRS990ScheduleG/SolicitationOfNonGovtGrantsInd0X
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt015000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt15482
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1EMPLOYEE ASSISTANCE
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt09
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt112
IRS990ScheduleI/RecipientTable/CashGrantAmt0503789
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0ICU/ED RENOVATION
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0ASSIST HOSPITAL-CAPITAL PROJECT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0DAVIESS COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0356001322
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt01314 E WALNUT ST
IRS990ScheduleI/RecipientTable/USAddress/CityNm0WASHINGTON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IN
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd047501
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0PURCHASE OF ASSET
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0SCHOLARSHIPS: THE FOUNDATION AWARDS APPROXIMATELY THE SAME AMOUNT OF AWARD IN TOTAL AND PER SCHOLARSHIP EACH YEAR; BUT AS FUNDS ARE AVAILABLE.GRANTS TO DAVIESS COMMUNITY HOSPITAL: THESE GIFTS ARE MADE STRICTLY ON A NEED BASIS AND AS FUNDS ARE AVAILABLE TO DISTRIBUTE. EMPLOYEE ASSISTANCE: THESE GIFTS ARE MADE STRICTLY ON A NEED BASIS AND AS FUNDS ARE AVAILABLE.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Grantmaker's Description of How Grants are Used

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