Jellico Community Hospital Inc
- Assets
- $0.0
- Revenue
- $0.0
- Investments
- $0.0
- Employees
- 0
- Location
- Plano, TX
- Founding
- 01/1950
- Data as of
- 10/2021
- EIN
- 62-0924706
Organization Overview
Jellico Community Hospital Inc is located in Plano, TX. The organization was established in 1950. According to its NTEE Classification (E22) the organization is classified as: General Hospitals, under the broad grouping of Health Care and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Jellico Community Hospital Inc is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2021
Describe the Organization's Mission:
Part 3 - Line 1
SEE SCHEDULE O
Describe the Organization's Program Activity:
Part 3 - Line 4a
JELLICO COMMUNITY HOSPITAL, INC. (THE HOSPITAL) OPERATED A 54 BED ACUTE CARE HOSPITAL IN JELLICO, TN. IN MARCH 2019, SUBSTANTIALLY ALL OF THE ASSETS OF JELLICO COMMUNITY HOSPITAL WERE SOLD, INCLUDING THE HOSPITAL LICENSE. ALL HOSPITAL OPERATIONS WERE INCLUDED IN THE SALE. THE ORGANIZATION FILED ARTICLES OF DISSOLUTION ON APRIL 20, 2021. ON OCTOBER 29, 2021 THE ORGANIZATION'S REMAINING CASH IN BANK WAS DISTRIBUTED. HENCE, THE ORGANIZATION IS FILING THIS FINAL RETURN FOR THE SHORT PERIOD ENDED OCTOBER 29, 2021.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Joe Thomason Dir./president | OfficerTrustee | 1 | $0 |
James Hill Director/treasurer | OfficerTrustee | 1 | $0 |
Tod Beasley Director | Trustee | 1 | $0 |
Linda Moore Secretary | Officer | 1 | $0 |
Outside Vendors & Contractors
| Vendor Name (Service) | Service Year | Compensation |
|---|---|---|
Medhost Direct It Support | 6/29/19 | $386,291 |
Emergency Staffing Solutions Inc Staffing Services | 6/29/19 | $902,125 |
Nitrous Endeavors Inc Professional Svcs | 6/29/19 | $196,117 |
Laura Wilkens Crna Professional Svcs | 6/29/19 | $197,417 |
Bradford Marek Inc Professional Svcs | 6/29/19 | $187,633 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $0 |
| Investment income | $0 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $0 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $0 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $0 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $0 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $0 |
| Accounts payable and accrued expenses | $0 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $0 |
| Total liabilities | $0 |
| Net assets without donor restrictions | $0 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $0 |
Grants Awarded
Over the last fiscal year, Jellico Community Hospital Inc has awarded $169,909 in support to 4 organizations.
| Grant Recipient | Amount |
|---|---|
JELLICO SDA CHURCH PURPOSE: general support | $12,000 |
JELLICO SDA SCHOOL PURPOSE: general support | $12,000 |
SUNSYSTEM DEVELOPCORP DBA JELLICO FOUND PURPOSE: provision of general administrative support | $5,909 |
DAYSPRING FAMILY HEALTH CENTER PURPOSE: General Support | $140,000 |