Nonprofit · EIN 75-2425436
CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION
Tax-exempt · HENRIETTA, TX 76365
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $150,148 | $186,542 | -$36,394 | $3,551,676 | $1,998,592 | $1,553,084 |
| December 31, 2023 | 990 | $266,911 | $1,126,041 | -$859,130 | $2,952,884 | $1,873,781 | $1,079,103 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $59,837
- Program service revenue
- $0
- Investment income
- $64,412
- Net rental income
- $22,178
- Other revenue
- $25,899
Expenses
- Grants and similar amounts paid
- $0
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
- Accounting fees
- $798
- Occupancy
- $15,195
- Depreciation
- $28,143
- Program services (functional)
- $179,812
- Management and general (functional)
- $798
- Fundraising (functional)
- $5,932
Balance sheet and other
- Total assets, start of year
- $2,952,884
- Total assets, end of year
- $3,551,676
- Total liabilities, end of year
- $1,998,592
- Net assets, end of year
- $1,553,084
- Land, buildings and equipment
- $421,248
- Publicly traded securities
- $1,873,548
- Net assets without donor restrictions
- $1,553,084
- Gross receipts
- $150,148
- Employees
- 0
- Volunteers
- 7
- Year formed
- 1992
- State of legal domicile
- TX
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| TONY DUNKERLEY | CHAIRMAN Trustee or director, Officer | 0.8 | $0 |
| SHERRY CLEVELAND | VICE CHAIR Trustee or director, Officer | 0.8 | $0 |
| CINDY DEAN | SECRETARY Trustee or director, Officer | 0.8 | $0 |
| JACQUETTA GRAVES | DIRECTOR Trustee or director | 0.4 | $0 |
| GINGER SCHAFFNER | DIRECTOR Trustee or director | 0.8 | $0 |
| GARY PARRISH | DIRECTOR Trustee or director | 0.4 | $0 |
| CASEY CODY | DIRECTOR Trustee or director | 0.4 | $0 |
| JIM KOULOVATOS | CEO Officer | 0.3 | $0 |
| DEBRA HAEHN | CFO Officer | 0.3 | $0 |
990 for the year ended December 31, 2023: 10 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Cindy Dean | Secretary Trustee or director, Officer | 0.8 | $0 |
| Sherry Cleveland | Vice-Chair Trustee or director, Officer | 0.8 | $0 |
| Tony Dunkerley | Chair Trustee or director, Officer | 0.8 | $0 |
| Gary Parrish | DIRECTOR Trustee or director | 0.4 | $0 |
| Ginger Schaffner | DIRECTOR Trustee or director | 0.8 | $0 |
| Jacquetta Graves | DIRECTOR Trustee or director | 0.4 | $0 |
| Mike Campbell | DIRECTOR Trustee or director | 0.2 | $0 |
| Shannon Fleming | DIRECTOR Trustee or director | 0.4 | $0 |
| Bob Ellzey | Interim CEO Officer | 0.3 | $0 |
| Jim Koulovatos | CEO Start: 12/2023 Officer | 0.3 | $0 |
Address and contacts
- Address (IRS master file)
- 310 W SOUTH ST, HENRIETTA, TX 76365-3346
- In care of
- % DEBRA HAEHN
- Principal officer (990 for 2024)
- DEBRA HAEHN, 310 WEST SOUTH STREET, HENRIETTA, TX 76365
- Signed the 990
- DEBRA HAEHN, CFO
- Phone
- (940) 538-5621
- Website
- WWW.CCMHOSPITAL.COM
- Return prepared by
- D & CO LLP
Mission
THE PURPOSE FOR WHICH THIS CORPORATION IS ORGANIZED IS TO PROVIDE FINANCIAL SUPPORT TO CLAY COUNTY MEMORIAL HOSPITAL TO ENSURE THE HOSPITAL REMAINS OPEN AND THAT PERSONS IN AND AROUND CLAY COUNTY WILL CONTINUE TO RECEIVE APPROPRIATE MEDICAL CARE. THE FOUNDATION WILL ASSIST CLAY COUNTY MEMORIAL HOSPITAL WITH FACILITY MAINTENANCE, IMPROVEMENT PROJECTS, PURCHASE OF EQUIPMENT, PHYSICIAN RECRUITEMENT, AND OTHER AREAS OF SUPPORT. ALL OF THE PURPOSES INCLUDED IN THE ARTICLEES OF INCORPORATION ARE INCLUDED AS THE CORPORATE PURPOSES AS A PART OF THE BY-LAWS.
Program accomplishments
- THE HOSPITAL IS A GOVERNMENTAL AGENCY OWNED BY CLAY COUNTY.Expenses $179,812 · revenue $3,721
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 75-2425436
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Donations deductible (Pub 78)
- Supporting organization of unknown type
- Exempt since
- 1992
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Assets (IRS master file)
- $3,551,676
- Income (IRS master file)
- $150,148
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $150,148 | $186,542 | $3,551,676 | XML |
| 990 | December 2023 | $266,911 | $1,126,041 | $2,952,884 | XML |
| 990 | December 2022 | $152,169 | $5,758,781 | $3,752,888 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 75-2425436).
Questions about CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION
- What is the EIN of CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION?
- The employer identification number (EIN) of CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION is 75-2425436.
- Is CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1992.
- Are donations to CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
- Which annual return does CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION?
- The 990 for the year ended December 31, 2024 names DEBRA HAEHN.
- Who are the officers and directors of CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION?
- The 990 for the year ended December 31, 2024 lists 9 people; 0 received compensation from the organization.
- How much revenue does CLAY COUNTY MEMORIAL HOSPITAL FOUNDATION have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $150,148, expenses of $186,542 and total assets of $3,551,676 at year end.
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