Civic Intelligence

Warner Hospital & Health Services Foundation Inc.

990EZ • Fiscal year 2019 • EIN 37-1380376

May 01, 2018 to Apr 30, 2019 • Filed on Oct 24, 2019

Organization ProfileN/A
422 West White StClinton, IL 61721

(217) 935-9571

Siviq Scores

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

Liabilities / Assets

57th percentile

0.00x

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

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

57th percentile

0.00x

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

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Net Margin

1st percentile

-648%

Higher net margin than 1% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

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

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

Score unavailable

No value available

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

Source year 2019

Revenue Growth

Score unavailable

No value available

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

Source year 2019

Balance Sheet
Liabilities / Assets57th percentile

Assets

$450,973

No earlier filing loaded for comparison.

Net Assets

$450,973

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue57th percentileNet Margin1st percentile

Revenue

$9,363

No earlier filing loaded for comparison.

Expenses

$70,031

No earlier filing loaded for comparison.

Net Income

-$60,668

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

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

$600K$400K$200K$0Assets 2019: $450,973Liabilities 2019: $0Net Assets 2019: $450,9732019Assets 2021: $378,229Liabilities 2021: $0Net Assets 2021: $378,2292021Assets 2022: $390,120Liabilities 2022: $0Net Assets 2022: $390,1202022Assets 2023: $386,580Liabilities 2023: $0Net Assets 2023: $386,5802023Assets 2024: $392,021Liabilities 2024: $0Net Assets 2024: $392,0212024Assets 2025: $389,875Liabilities 2025: $0Net Assets 2025: $389,8752025

Highlighted filing

2019

Assets$450,973
Liabilities$0
Net Assets$450,973
Open 2019 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$100K$50K$0-$50K-$100KRevenue 2019: $9,363Expenses 2019: $70,031Net Income 2019: -$60,6682019Revenue 2021: $15,236Expenses 2021: $73,759Net Income 2021: -$58,5232021Revenue 2022: $36,561Expenses 2022: $21,062Net Income 2022: $15,4992022Revenue 2023: $46,936Expenses 2023: $41,767Net Income 2023: $5,1692023Revenue 2024: $47,833Expenses 2024: $47,101Net Income 2024: $7322024Revenue 2025: $29,063Expenses 2025: $31,483Net Income 2025: -$2,4202025

Highlighted filing

2019

Revenue$9,363
Expenses$70,031
Net Income-$60,668
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
May 1, 2018 to Apr 30, 2019
Signed
Oct 24, 2019
Return Version
2018v3.1
Gross Receipts
$23,065
Mission and Program Overview

Mission

To raise funds for the purpose of supporting the operations of and capital acquisitions for warner hospital and health services.

Program Services

DescriptionGrantsExpenses
CONTRIBUTIONS TO WARNER HOSPITAL FOR THE PURCHASE OF MEDICAL EQUIPMENT.$67,672$67,672
SCHOLARSHIPS TO STUDENTS FOR MEDICAL STUDIES PROGRAMS.$1,500$1,500
Compensation and Service Providers
Top Officer Pay77th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
DIXIE WALDENPresident-$0--
SUE WHITTEDVice President-$0--
BETTY HENSONTreasurer/Secretary-$0--
RUSSELL LONGMember-$0--
MATT RILEYMember-$0--
GABE GOLDSMITHMember-$0--
BRENDA LEHMANMember-$0--
LANCE REECEMember-$0--
REX BELLMember-$0--
Filing and Contact Details

Filer

Filer Name
Dr John Warner Hospital Foundation Inc
EIN
37-1380376
Phone
2179359571
Address
422 WEST WHITE ST, CLINTON, IL 61721

Signing Officer

Name
Dixie Walden
Title
President
Phone
2179359571
Signed
2019-10-24
Discuss with paid preparer
Yes

Preparer

Firm
Wipfli Llp
Address
4890 OWEN AYRES COURT SUITE 200, EAU CLAIRE, WI 54701
Preparer
Paul M Traczek CPA
Phone
7158323407
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 4 - Other Investment Income

“Description: certificate of deposit interest income. Amount: 5,624.”

Form 990-ez, Part I, Line 16 - Other Expenses

“Description: dues and subscription. Amount: 220. Description: office supplies. Amount: 212. Description: annual tax filing fee. Amount: 125. Description: other expense. Amount: 187. Total to form 990-ez, line 16: 744.”

Raw XML Appendix207 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.

Path#Value
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IRS990EZ/BooksInCareOfDetail/PhoneNum09413477015
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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0CLINTON
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DIXIE WALDEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1SUE WHITTED
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2BETTY HENSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3RUSSELL LONG
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4MATT RILEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5GABE GOLDSMITH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6BRENDA LEHMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7LANCE REECE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8REX BELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER/SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8MEMBER
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt0744
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0TO RAISE FUNDS FOR THE PURPOSE OF SUPPORTING THE OPERATIONS OF AND CAPITAL ACQUISITIONS FOR WARNER HOSPITAL AND HEALTH SERVICES.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0CONTRIBUTIONS TO WARNER HOSPITAL FOR THE PURCHASE OF MEDICAL EQUIPMENT.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1SCHOLARSHIPS TO STUDENTS FOR MEDICAL STUDIES PROGRAMS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt067672
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt11500
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt067672
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt11500
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SpecialEventsDirectExpensesAmt013702
IRS990EZ/SpecialEventsNetIncomeLossAmt0-1716
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0IL
IRS990EZ/SubjectToProxyTaxInd00
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IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt070031
IRS990EZ/TotalProgramServiceExpensesAmt069172
IRS990EZ/TotalRevenueAmt09363
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt05455
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0417216
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt01875
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt07946
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt03083
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0435575
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt05624
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0602
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IRS990ScheduleA/InvestmentIncomeCYPct00.01670
IRS990ScheduleA/InvestmentIncomePYPct00.01000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
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IRS990ScheduleA/PublicSupportTotal509Amt0435575
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt05455
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt03083
IRS990ScheduleA/Total509Grp/TotalAmt0435575
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt011079
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0417818
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt02121
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt08363
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt03607
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0442988
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: CERTIFICATE OF DEPOSIT INTEREST INCOME. AMOUNT: 5,624.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION: DUES AND SUBSCRIPTION. AMOUNT: 220. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 212. DESCRIPTION: ANNUAL TAX FILING FEE. AMOUNT: 125. DESCRIPTION: OTHER EXPENSE. AMOUNT: 187. TOTAL TO FORM 990-EZ, LINE 16: 744.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
ReasonableCauseExplanation/ExplanationTxt0DEAR SIR OR MADAM:WE ARE INCLUDING THIS ATTACHMENT WITH OUR ELECTRONIC FILING OF FORM 990EZ TO REQUEST TO ABATE OR WAIVE ANY POTENTIAL PENALTY FOR FILING OF THE ANNUAL RETURN LATE. WE HAD A CHANGE OVER OF OUR ACCOUNTANT WHO ANNUALLY ASSISTED OUR FOUNDATION AND ITS GROUP OF VOLUNTEER BOARD MEMBERS AND VOLUNTEERS WITH THIS PROCESS. WE STRIVE TO MAKE EVERY ATTEMPT AS A VOLUNTEER ORGANIZATION TO PROVIDE THE COMMUNITY AND OUR LOCAL HOSPITAL WITH SUPPORT AS WELL AS FOLLOWING THE PROPER RULES AND REGULATIONS BUT FAILED TO REALIZE THAT THIS REQUIREMENT WAS DUE. WE ALSO SUPPORT A HOSPITAL WHICH IS CITY OWNED AND NOT REQUIRED TO FILE AN ANNUAL TAX RETURN, SO THERE WAS NO BUILTIN REMINDER. SINCE THIS OCCURRED, WE HAVE ENGAGED WITH THE HOSPITAL'S EXTERNAL ACCOUNTING FIRM TO ASSIST WITH THE FILING OF THIS RETURN AS WELL AS FUTURE FILINGS AND WILL HELP US ENSURE THAT THESE RETURNS ARE FILED TIMELY IN THE FUTURE. WE ARE ALSO NOW BEING PROVIDED ASSISTANCE FROM ADMINISTRATION AT THE HOSPITAL WE SUPPORT TO WORK CLOSELY WITH THESE REQUIREMENTS TO ENSURE THAT EVERYONE IS IN COMPLIANCE WITH PROPER RULES AND REGULATIONS RATHER THAN RELYING ON OUR VOLUNTEER BOARD MEMBERS SOLELY. WE ARE REQUESTING YOUR CONSIDERATION IN WAIVING ANY POTENTIAL PER DAY PENALTY THAT MAY BE IMPOSE ON FILING OUR RETURN ON OCTOBER 24, 2019, RATHER THAN ITS ORIGINAL DUE DATE OF SEPTEMBER 15, 2019. WE ACTED IN GOOD FAITH WHEN WE REALIZED WE HAD FAILED TO FILE THE RETURN IN OCTOBER 2019, AND FILED THE RETURN AS QUICKLY AS WE COULD THIS MONTH AS WELL.PLEASE CONSIDER OUR REQUEST AND IF YOU HAVE ANY QUESTIONS OR NEED ANY ADDITIONAL INFORMATION FROM US, PLEASE CONTACT MELISSA WHITE IN ADMINISTRATION AT WARNER HOSPITAL & HEALTH SERVICES AT 217.937.5202.THANK YOU FOR YOUR CONSIDERATION AND ASSISTANCE WITH THIS MATTER.
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02020-01-14 16:20:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DIXIE WALDEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02179359571
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-10-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DR JOHN WARNER HOSPITAL FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0DRJO
ReturnHeader/Filer/EIN0371380376
ReturnHeader/Filer/PhoneNum02179359571
ReturnHeader/Filer/USAddress/AddressLine1Txt0422 WEST WHITE ST
ReturnHeader/Filer/USAddress/CityNm0CLINTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd061721
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0E4255D669FE7A429B540D12C0E645A16D05D3497
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0DF5C41D4007C10E7128D31EFF2A30F995B6183D3
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0137.26.200.211
ReturnHeader/FilingSecurityInformation/IPDt02019-10-24
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm016:22:34
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WIPFLI LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04890 OWEN AYRES COURT SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0EAU CLAIRE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd054701
ReturnHeader/PreparerPersonGrp/PhoneNum07158323407
ReturnHeader/PreparerPersonGrp/PreparationDt02019-10-24
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0PAUL M TRACZEK CPA
ReturnHeader/ReturnTs02019-11-04T10:43:48-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02018-05-01
ReturnHeader/TaxPeriodEndDt02019-04-30
ReturnHeader/TaxYr02018

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2019 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$450,973
Liabilities
$0
Net assets
$450,973
Revenue
$9,363
Expenses
$70,031
Net income
-$60,668
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$3.90$0.00$3.90$0.29$0.31$0.02
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.92$0.00$3.92$0.48$0.47$0.01
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.87$0.00$3.87$0.47$0.42$0.05
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.90$0.00$3.90$0.37$0.21$0.15
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.78$0.00$3.78$0.15$0.74$0.59
2019Detailed filing. Detailed filing data is available for this year.$4.51$0.00$4.51$0.09$0.70$0.61