Civic Intelligence

Mason District Hospital Foundation

990 • Fiscal year 2015 • EIN 37-1247906

Oct 01, 2014 to Sep 30, 2015 • Filed on Mar 02, 2016

615 N Promenade Street PO Box 530Havana, IL 62644-0530

(309) 543-8505

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.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

13th percentile

0.00x

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

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

87th percentile

34%

Higher net margin than 87% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

96th percentile

$358,533

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 205.8% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

42nd percentile

-0.9%

Faster asset growth than 42% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

23rd percentile

-9.4%

Faster revenue growth than 23% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Down

$2,430,688

Down $22,734 (-0.9%) from 2014

Net Assets

Down

$2,430,688

Down $22,734 (-0.9%) from 2014

Liabilities

Flat

$0

Flat from 2014

Revenue

Down

$174,211

Down $18,165 (-9.4%) from 2014

Expenses

Up

$114,896

Up $88,200 (+330%) from 2014

Net Income

Down

$59,315

Down $106,365 (-64%) from 2014

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2010: $2,374,076Liabilities 2010: $0Net Assets 2010: $2,374,0762010Assets 2012: $2,001,819Liabilities 2012: $0Net Assets 2012: $2,001,8192012Assets 2013: $2,191,398Liabilities 2013: $0Net Assets 2013: $2,191,3982013Assets 2014: $2,453,422Liabilities 2014: $0Net Assets 2014: $2,453,4222014Assets 2015: $2,430,688Liabilities 2015: $0Net Assets 2015: $2,430,6882015Assets 2016: $2,687,126Liabilities 2016: $0Net Assets 2016: $2,687,1262016Assets 2017: $2,930,972Liabilities 2017: $0Net Assets 2017: $2,930,9722017Assets 2018: $3,090,372Liabilities 2018: $0Net Assets 2018: $3,090,3722018Assets 2019: $3,360,870Liabilities 2019: $0Net Assets 2019: $3,360,8702019Assets 2020: $3,579,390Liabilities 2020: $0Net Assets 2020: $3,579,3902020Assets 2021: $4,134,426Liabilities 2021: $0Net Assets 2021: $4,134,4262021

Highlighted filing

2015

Assets$2,430,688
Liabilities$0
Net Assets$2,430,688

Operations Trend

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

$600K$400K$200K$0Expenses 2010: $76,4992010Expenses 2012: $518,3352012Expenses 2013: $82,7282013Revenue 2014: $192,376Expenses 2014: $26,696Net Income 2014: $165,6802014Revenue 2015: $174,211Expenses 2015: $114,896Net Income 2015: $59,3152015Revenue 2016: $170,409Expenses 2016: $51,964Net Income 2016: $118,4452016Revenue 2017: $262,596Expenses 2017: $25,703Net Income 2017: $236,8932017Revenue 2018: $109,297Expenses 2018: $55,310Net Income 2018: $53,9872018Revenue 2019: $115,291Expenses 2019: $41,391Net Income 2019: $73,9002019Revenue 2020: $192,686Expenses 2020: $54,246Net Income 2020: $138,4402020Revenue 2021: $259,442Expenses 2021: $66,425Net Income 2021: $193,0172021

Highlighted filing

2015

Revenue$174,211
Expenses$114,896
Net Income$59,315
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Mar 2, 2016
Return Version
2014v6.0
Gross Receipts
$588,516
Mission and Program Overview

Mission

Support of mason district hospital

Support of mason hospital district

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$2,453,422$2,430,688▼ $22,734
Investments Other Securities$2,263,818$2,396,712▲ $132,894
Savings and Temporary Cash Investments$41,010$0▼ $41,010
Cash and Non-Interest-Bearing Accounts$148,594$33,976▼ $114,618
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$2,453,422$2,430,688▼ $22,734
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,453,422$2,430,688▼ $22,734
Total Liabilities and Net Assets / Fund Balance$2,453,422$2,430,688▼ $22,734

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$2,396,712--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Robert P TurkPresident
Jeff BonnettVice President
Barbara DuntonTrustee
Jerome J HurleyTrustee
Kraig KrauseTrustee
William BlessmanTrustee
Harry WolinFormer Treasurer/secretary
Robert StolbaTreasurer/secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$40,816
Program Service Revenue
$0
Investment Income
$134,397
Other Revenue
$-1,002
All Other Contributions
$32,186
Change in Net Assets
$59,315
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$90,001
Other Expenses$24,895
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$90,001--$90,001
Fees for Service Investment Mgmnt Fees$18,954--$18,954
Fees for Services Accounting$4,174--$4,174
Insurance$375--$375
Other Expenses$15--$15
Total Functional Expenses$114,896$0$0$114,896
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mason District HospitalHavana, ILMason CountyGeneral Support$90,001
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$5,462
Fundraising Gross Income$4,460
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
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
No
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

The form 990 will be reviewed by the chief executive officer, who is also the organization's treasurer, and the chief financial officer of mason district hospital, a related organization, prior to finalization. The form will be presented to the organization's governing body by these individuals for final approval after the 990 is filed with the irs.

Form 990, Part VI, Section C, Line 19

The organization's governing documents and financial statements are not available to the public.

Filing and Contact Details

Filer

Filer Name
Mason District Hospital Foundation
EIN
37-1247906
Phone
3095438505
Address
615 N PROMENADE STREET PO BOX 530, HAVANA, IL 62644-0530

Signing Officer

Name
Jeff Bonnett
Title
Vice President
Phone
3095438505
Signed
2016-03-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert P Turk
Formed
1988
Legal Domicile
Il
Voting Board Members
7
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
201 N HARRISON STREET SUITE 300, DAVENPORT, IA 52801-1999
Preparer
John J Romano
Phone
5638884000
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The oversight and selection process has not changed from the prior tax year.

Financial Statement Notes

PART X, LINE 2:

Fin 48 is not applicable.

Raw XML AppendixShowing 400 of 454 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.

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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL SUPPORT
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IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0257383
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1152736
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt035000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt14800
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt066150
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt146381
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0HARRY WOLIN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ROBERT STOLBA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0FORMER TREASURER/SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER/SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0358533
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1203917
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2014 SPONSORED BY MASON DISTRICT HOSPITAL, A RELATED ORGANIZATION: HARRY WOLIN: $35,000 AND ROBERT STOLBA: $4,800. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY MASON DISTRICT HOSPITAL ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2014. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER, WHO IS ALSO THE ORGANIZATION'S TREASURER, AND THE CHIEF FINANCIAL OFFICER OF MASON DISTRICT HOSPITAL, A RELATED ORGANIZATION, PRIOR TO FINALIZATION. THE FORM WILL BE PRESENTED TO THE ORGANIZATION'S GOVERNING BODY BY THESE INDIVIDUALS FOR FINAL APPROVAL AFTER THE 990 IS FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0MASON DISTRICT HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0376017857
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH CARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 6
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0615 N PROMENADE STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0HAVANA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd062644
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt090001
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0FAIR MARKET VALUE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0MASON DISTRICT HOSPITAL
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0B
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IL
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02453422
IRS990/TotalAssetsEOYAmt02430688
IRS990/TotalAssetsGrp/BOYAmt02453422
IRS990/TotalAssetsGrp/EOYAmt02430688
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt040816
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0114896
IRS990/TotalFunctionalExpensesGrp/TotalAmt0114896
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00

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