Civic Intelligence

Daviess Community Hospital Foundation Inc.

990 • Fiscal year 2016 • EIN 35-1570504

Jan 01, 2016 to Dec 31, 2016 • Filed on Jun 01, 2017

Organization ProfileN/A
1314 East Walnut StreetWashington, IN 47501

(812) 254-2760

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.00x

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

7th percentile

-63%

Higher net margin than 7% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

31st percentile

-8.1%

Faster asset growth than 31% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

89th percentile

63%

Faster revenue growth than 89% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets56th percentile

Assets

Down

$369,305

Down $32,713 (-8.1%) from 2015

Net Assets

Down

$369,305

Down $32,713 (-8.1%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue And Expenses
Liabilities / Revenue55th percentileNet Margin7th percentile

Revenue

Up

$51,985

Up $20,147 (+63%) from 2015

Expenses

Down

$84,698

Down $12,172 (-13%) from 2015

Net Income

Up

-$32,713

Up $32,319 (+50%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth31st percentile

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

$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

2016

Assets$369,305
Liabilities$0
Net Assets$369,305
Open 2016 Filing

Operations Trend

Revenue Growth89th percentile

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$51,985
Expenses$84,698
Net Income-$32,713
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jun 1, 2017
Return Version
2016v3.0
Gross Receipts
$67,129
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$364,878$352,189▼ $12,689
Cash and Non-Interest-Bearing Accounts$37,140$17,116▼ $20,024
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$402,018$369,305▼ $32,713
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$402,018$369,305▼ $32,713
Total Net Assets Fund Balance$402,018$369,305▼ $32,713
Total Liabilities and Net Assets / Fund Balance$402,018$369,305▼ $32,713
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Michael ChestnutPresident
Chasity MatthewsVice President
Beth DavisDirector
Catherine KeckDirector
David BixlerDirector
David StowersDirector
Deron SteinerDirector
Dillon GraberDirector
Dr Jonathan FrancesDirector
Mark BledsoeDirector
Pam WilliamsDirector
Sue PearsonDirector
Alan GoodwinSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$37,819
Program Service Revenue
$0
Investment Income
$1,314
Other Revenue
$12,852
All Other Contributions
$37,819
Change in Net Assets
$-32,713
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$47,741
Other Expenses$28,030
Salaries, Compensation, and Employee Benefits$8,927
Total Fundraising Expense$1,048
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$27,497--$27,497
Grants to Domestic Individuals$20,244--$20,244
Other Salaries and Wages-$8,927-$8,927
Fees for Services Other-$3,400-$3,400
Other Expenses$3,146$7,448$679$679
Fees for Services Accounting-$600-$600
All Other Expenses-$97$369$466
Total Functional Expenses$63,178$20,472$1,048$84,698
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Daviess Community HospitalWashington, IN-Assist Hospital-capital Project$15,000
Daviess Community HospitalWashington, IN-Assist Hospital-capital Project$7,878
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$27,996
Fundraising Direct Expenses$15,144
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Scramble$27,996$27,996$15,144$12,852
Total Events$27,996$27,996$15,144$12,852
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 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, Line 11B: Form 990 Review Process

“No review was or will be conducted.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“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, Line 19: Other Organization Documents Publicly Available

“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
Michael Chestnut
Title
President
Signed
2017-06-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Chestnut
Formed
1983
Legal Domicile
In
Voting Board Members
13
Independent Board Members
10
Employees
0
Volunteers
10

Preparer

Firm
Frette & Wagler LLC
Address
PO Box 583, Washington, IN 47501
Preparer
Tyson J Wagler CPA
Phone
8122543442
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D: Other Program Services Description

“Other program services 4: daviess community hospital capital projects other program services 5: newspapers delivered to patient rooms”

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IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0ADVOCATES FOR SMART TEEN CHOIC
IRS990/OtherExpensesGrp/Desc1SUPPLIES
IRS990/OtherExpensesGrp/Desc2NEWSPAPERS
IRS990/OtherExpensesGrp/Desc3SCHOLARSHIP DINNER/FUNDRAISING
IRS990/OtherExpensesGrp/FundraisingAmt0679
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt07448
IRS990/OtherExpensesGrp/ProgramServicesAmt012291
IRS990/OtherExpensesGrp/ProgramServicesAmt13146
IRS990/OtherExpensesGrp/TotalAmt012291
IRS990/OtherExpensesGrp/TotalAmt17448
IRS990/OtherExpensesGrp/TotalAmt23146
IRS990/OtherExpensesGrp/TotalAmt3679
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt08927
IRS990/OtherSalariesAndWagesGrp/TotalAmt08927
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/PrincipalOfficerNm0MICHAEL CHESTNUT
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0SCHOLARSHIPS
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt017700
IRS990/ProgSrvcAccomActy3Grp/Desc0ADVOCATES FOR SMART TEEN CHOICES
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt012291
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt028361
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt048523
IRS990/PYInvestmentIncomeAmt02600
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt042704
IRS990/PYOtherRevenueAmt0877
IRS990/PYRevenuesLessExpensesAmt0-65032
IRS990/PYSalariesCompEmpBnftPaidAmt05643
IRS990/PYTotalExpensesAmt096870
IRS990/PYTotalRevenueAmt031838
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-32713
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0364878
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0352189
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/Form990SchAType3FuncIntGrp/AppointElectMajorityOfficerInd0false
IRS990ScheduleA/Form990SchAType3FuncIntGrp/ExerciseDirectionPoliciesInd0false
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/SupportAmt027497
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0DAVIESS COMMUNITY HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt027497
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt015144
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF SCRAMBLE
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt027996
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt027996
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt027996
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt027996
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt012852
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt015144
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt015144
IRS990ScheduleG/InPersonSolicitationsInd0X
IRS990ScheduleG/MailSolicitationsInd0X
IRS990ScheduleG/PhoneSolicitationsInd0X
IRS990ScheduleG/SolicitationOfGovtGrantsInd0X
IRS990ScheduleG/SolicitationOfNonGovtGrantsInd0X
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt017700
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt12544
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1EMPLOYEE ASSISTANCE
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt016
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt17
IRS990ScheduleI/RecipientTable/CashGrantAmt015000
IRS990ScheduleI/RecipientTable/CashGrantAmt17878
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt10
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0GATE FOR REHAB SERVICES
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc1CANCER NAVIGATOR PROGRAM
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0ASSIST HOSPITAL-CAPITAL PROJECT
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1ASSIST HOSPITAL-CAPITAL PROJECT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0DAVIESS COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1DAVIESS COMMUNITY HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientEIN0356001322
IRS990ScheduleI/RecipientTable/RecipientEIN1356001322

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$369,305
Liabilities
$0
Net assets
$369,305
Revenue
$51,985
Expenses
$84,698
Net income
-$32,713
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5.17$0.00$5.17$2.13$5.54$3.41
2023Detailed filing. Detailed filing data is available for this year.$8.58$0.00$8.58$4.12$0.67$3.45
2022Detailed filing. Detailed filing data is available for this year.$5.13$0.00$5.13$1.33$0.71$0.62
2021Detailed filing. Detailed filing data is available for this year.$4.51$0.00$4.51$1.99$1.49$0.50
2020Detailed filing. Detailed filing data is available for this year.$4.01$0.00$4.01$1.94$2.08$0.14
2019Detailed filing. Detailed filing data is available for this year.$4.14$0.00$4.14$2.23$2.49$0.27
2018Detailed filing. Detailed filing data is available for this year.$4.41$0.00$4.41$1.30$0.76$0.54
2017Detailed filing. Detailed filing data is available for this year.$3.87$0.00$3.87$0.73$0.55$0.18
2016Detailed filing. Detailed filing data is available for this year.$3.69$0.00$3.69$0.52$0.85$0.33
2015Detailed filing. Detailed filing data is available for this year.$4.02$0.00$4.02$0.32$0.97$0.65