Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 8 | PATRONAGE DIVIDENDS 241 OTHER INCOME 154 TOTAL 395 |
| FORM 990-EZ, PART I, LINE 10 | NAME: GETTYSBURG HOSPITAL ADDRESS: 605 E GARFIELD GETTYSBURG, SD 57442 CASH CONTRIBUTION: 25,000 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING 2,165 OFFICE SUPPLIES 252 MEETINGS, MEALS, & TRAVEL 827 BAD DEBT EXPENSE 23,139 FILING FEES 35 INSURANCE EXPENSE 1,633 POSTAGE 97 REPAIRS & MAINTENANCE 311 TELEPHONE EXPENSE 649 UTILITIES 872 NON-INVESTMENT DEPRECIATION 125 TOTAL 30,105 |
| FORM 990-EZ, PART II, LINE 24 | NOTE RECEIVABLES 49,865 58,369 PREPAID EXPENSES AND DEFERRED CHARGES 250 250 7,285 7,285 LESS ACCUMULATED DEPRECIATION 7,065 7,190 TOTAL 50,335 58,714 |
| FORM 990-EZ, PART II, LINE 26 | PAYROLL LIABILITIES 751 849 |
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