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HOSPITAL COUNCIL OF NORTHWEST OHIO: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL COUNCIL OF NORTHWEST OHIO (EIN 34-1116795)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349323522
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T16:09:24-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341827159PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GILMORE JASION MAHLER LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11785 INDIAN WOOD CIRCLEAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341116795EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL COUNCIL OF NORTHWEST OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone4198420800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 CENTRAL PARK WEST NO 200AddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43617ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonW SCOTT FRYPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone4198420800PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWPersonFirstNm
Person LastSCOTT FRYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHEIDI FERGUSONPreparerPersonNm
PTINP00410007PTIN
Phone4197942000PhoneNum
Preparation2021-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerW SCOTT FRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 CENTRAL PARK WEST NO 200AddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43617ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,554,184GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HCNO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE HOSPITAL COUNCIL OF NORTHWEST OHIO IS A MEMBER DRIVEN ORGANIZATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF ITS MEMBER HOSPITALS AND HEALTH SYSTEMS AND PROVIDES COLLABORATIVE OPPORTUNITIES TO ENHANCE THE HEALTH STATUS OF THE CITIZENS OF NORTHWEST OHIO. THE HOSPITAL COUNCIL IS DEDICATED TO: -BRINGING TOGETHER NORTHWEST OHIO'S HEALTH CARE LEADERS. -PROVIDING COLLABORATIVE OPPORTUNITIES TO ADDRESS HEALTHCARE PROVIDERS' SHARED CONCERNS. -DEVELOPING CREATIVE HEALTH-RELATED INITIATIVES TO IMPROVE THE REGION'S HEALTH STATUS. -PROVIDING EDUCATIONAL PROGRAMS FOR THE HEALTHCARE SECTOR.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee49TotalEmployeeCnt
Total Volunteers42TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,100,552PYContributionsGrantsAmt
CY Contributions Grants$4,087,393CYContributionsGrantsAmt
PY Program Service Revenue$4,159,857PYProgramServiceRevenueAmt
CY Program Service Revenue$3,393,724CYProgramServiceRevenueAmt
PY Investment Income$51,351PYInvestmentIncomeAmt
CY Investment Income$38,861CYInvestmentIncomeAmt
PY Other Revenue$22,668PYOtherRevenueAmt
CY Other Revenue$34,206CYOtherRevenueAmt
PY Total Revenue$7,334,428PYTotalRevenueAmt
CY Total Revenue$7,554,184CYTotalRevenueAmt
PY Grants And Similar Paid$2,764,742PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,012,416CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,522,632PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,471,166CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,296,042PYOtherExpensesAmt
CY Other Expenses$1,324,967CYOtherExpensesAmt
PY Total Expenses$7,583,416PYTotalExpensesAmt
CY Total Expenses$7,808,549CYTotalExpensesAmt
PY Revenues Less Expenses-$248,988PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$254,365CYRevenuesLessExpensesAmt
Total Assets BOY$6,988,860TotalAssetsBOYAmt
Total Assets EOY$7,109,332TotalAssetsEOYAmt
Total Liabilities BOY$1,569,918TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,994,755TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,418,942NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,114,577NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE HOSPITAL COUNCIL OF NORTHWEST OHIO IS A MEMBER DRIVEN ORGANIZATION THAT REPRESENTS AND ADVOCATES ON BEHALF OF ITS MEMBER HOSPITALS AND HEALTH SYSTEMS AND PROVIDES COLLABORATIVE OPPORTUNITIES TO ENHANCE THE HEALTH STATUS OF THE CITIZENS OF NORTHWEST OHIO. SEE SCHEDULE O THE HOSPITAL COUNCIL IS DEDICATED TO: -BRINGING TOGETHER NORTHWEST OHIO'S HEALTH CARE LEADERS. -PROVIDING COLLABORATIVE OPPORTUNITIES TO ADDRESS HEALTHCARE PROVIDERS' SHARED CONCERNS. -DEVELOPING CREATIVE HEALTH-RELATED INITIATIVES TO IMPROVE THE REGION'S HEALTH STATUS. -PROVIDING EDUCATIONAL PROGRAMS FOR THE HEALTHCARE SECTOR.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,563,035ExpenseAmt
Grant$3,012,416GrantAmt
Revenue$3,409,353RevenueAmt
Desc-PROVIDING COLLABORATIVE OPPORTUNITIES TO ADDRESS HEALTHCARE PROVIDERS' SHARED CONCERNS.-DEVELOPING, IMPLEMENTING, AND SECURING FUNDING FOR CREATIVE HEALTH-RELATED INITIATIVES TO IMPROVE THE REGION'S HEALTH STATUS.-PROVIDING EDUCATIONAL PROGRAMS FOR THE HEALTHCARE SECTOR.Desc
Total Program Service Expenses$7,563,035TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee49EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1W SCOTT FRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4198420800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 CENTRAL PARK WESTAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43617ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SCOTT C MALANEY
TRUSTEE1.00Yes (X)$0$0$0
DAWN BUSKEY
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JEREMY NORMINGTON - SLAY DPT
TRUSTEE1.00Yes (X)$0$0$0
BRENT BURKEY
TREASURER1.00Yes (X)$0$0$0Yes (X)
PATRICIA FINN
OUTGOING IMMEDIATE PAST CHAIR1.00Yes (X)$0$0$0Yes (X)
KIM BORDENKIRCHER
TRUSTEE1.00Yes (X)$0$0$0
J TODD ALMENDINGER
OUTGOING CHAIR-ELECT1.00Yes (X)$0$0$0Yes (X)
SONYA SELHORST
TRUSTEE1.00Yes (X)$0$0$0
LYNN DETTERMAN
TRUSTEE1.00Yes (X)$0$0$0
BRADLEY BERTKE
TRUSTEE1.00Yes (X)$0$0$0
CRAIG ALBERS
TRUSTEE1.00Yes (X)$0$0$0
JEFFREY DEMPSEY
CHAIR-ELECT/OUTGOING SECRETARY1.00Yes (X)$0$0$0Yes (X)
RON GOEDDE
TRUSTEE1.00Yes (X)$0$0$0
GARY AKENBERGER
TRUSTEE1.00Yes (X)$0$0$0
DOUG BUSH
TRUSTEE1.00Yes (X)$0$0$0
PAMELA JENSEN
TRUSTEE1.00Yes (X)$0$0$0
CHAD TINKEL
TRUSTEE1.00Yes (X)$0$0$0
DANIEL L WAKEMAN
TRUSTEE1.00Yes (X)$0$0$0
MICHAEL WINTHROP
OUTOING CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
DANIEL BARBEE
CHAIRPERSON/OUTGOING TREASURER1.00Yes (X)$0$0$0Yes (X)
STANLEY KORDUCKI
TRUSTEE1.00Yes (X)$0$0$0
TY SHAULL
TRUSTEE1.00Yes (X)$0$0$0
W SCOTT FRY
PRESIDENT & CEO34.00Yes (X)$218,729$35,607$76,920Yes (X)6.00
KIMBERLY TEMPLE
CONTROLLER40.00$140,558$0$58,7600.00Yes (X)
JAN RUMA
VICE PRESIDENT33.00$169,978$32,377$67,4187.00Yes (X)
CAROLYN TRUMBULL
EMPLOYEE0.00$0$104,643$53,61140.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$529,265TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$172,627TotReportableCompRltdOrgAmt
Total Other Compensation$256,709TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAIL IT
380 S ERIE STTOLEDOOH43604PRINTING$158,732
JMS REAL ESTATE
3230 CENTRAL PARK WTOLEDOOH43617PROPERTY MGMT$113,740
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$12,758FederatedCampaignsAmt
Government Grants$1,927,412GovernmentGrantsAmt
All Other Contributions$2,147,223AllOtherContributionsAmt
Total Contributions$4,087,393TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT INCOME900099$2,720,263$2,720,263
MEMBERSHIP DUES900099$673,461$673,461
FieldValueIRS element (for citing)
Total Program Service Revenue$3,393,724TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,861TotalRevenueColumnAmt
Exclusion$38,861ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREFUNDS & REBATESDesc
Business900099BusinessCd
Total Revenue Column$18,577TotalRevenueColumnAmt
Exclusion$18,577ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,629TotalRevenueColumnAmt
Related Or Exempt Func Income$15,629RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$34,206OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,554,184TotalRevenueColumnAmt
Related Or Exempt Func Income$3,409,353RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$57,438ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,948,782TotalAmt
Program Services$2,948,782ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$63,634TotalAmt
Program Services$63,634ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$331,255TotalAmt
Program Services$276,275ProgramServicesAmt
Management And General$54,980ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,161,696TotalAmt
Program Services$2,100,247ProgramServicesAmt
Management And General$61,449ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$196,213TotalAmt
Program Services$193,288ProgramServicesAmt
Management And General$2,925ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$598,488TotalAmt
Program Services$580,079ProgramServicesAmt
Management And General$18,409ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$183,514TotalAmt
Program Services$171,753ProgramServicesAmt
Management And General$11,761ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,506TotalAmt
Management And General$2,506ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,286TotalAmt
Management And General$42,286ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$283,656TotalAmt
Program Services$264,399ProgramServicesAmt
Management And General$19,257ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$830TotalAmt
Program Services$830ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$181,211TotalAmt
Program Services$165,657ProgramServicesAmt
Management And General$15,554ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$101,785TotalAmt
Program Services$97,702ProgramServicesAmt
Management And General$4,083ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$133,301TotalAmt
Program Services$127,352ProgramServicesAmt
Management And General$5,949ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,401TotalAmt
Program Services$11,930ProgramServicesAmt
Management And General$2,471ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,688TotalAmt
Program Services$6,731ProgramServicesAmt
Management And General$957ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29TotalAmt
Management And General$29ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,848TotalAmt
Program Services$2,364ProgramServicesAmt
Management And General$484ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,183TotalAmt
Program Services$25,922ProgramServicesAmt
Management And General$1,261ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$496,209$496,209
TRAINING$26,660$26,607$53
ORG DUES AND MEMBERSHIP$4,038$2,955$1,083
SUBSCRIPTIONS$336$319$17

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,808,549TotalAmt
Program Services$7,563,035ProgramServicesAmt
Management And General$245,514ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,628,111BOYAmt
EOY$5,351,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,019,718BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$691,403BOYAmt
EOY$894,766EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$563,617BOYAmt
EOY$782,339EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,407BOYAmt
EOY$9,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$89,710LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$87,967LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,591BOYAmt
EOY$1,743EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$70,013BOYAmt
EOY$69,984EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,988,860BOYAmt
EOY$7,109,332EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$425,298BOYAmt
EOY$421,065EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$787,824BOYAmt
EOY$755,934EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$70,013BOYAmt
EOY$69,984EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,504BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$619,500EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$285,279BOYAmt
EOY$128,272EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,569,918BOYAmt
EOY$1,994,755EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,500,859BOYAmt
EOY$4,560,040EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$918,083BOYAmt
EOY$554,537EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,418,942BOYAmt
EOY$5,114,577EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,988,860BOYAmt
EOY$7,109,332EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$254,365ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$50,000PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,288,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,277,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,267,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,100,552CurrentTaxYearMinus1YearAmt
Current Tax Year$4,087,393CurrentTaxYearAmt
Total$19,021,503TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,288,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,277,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,267,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,100,552CurrentTaxYearMinus1YearAmt
Current Tax Year$4,087,393CurrentTaxYearAmt
Total$19,021,503TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$19,021,503PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,136CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,351CurrentTaxYearMinus1YearAmt
Current Tax Year$38,861CurrentTaxYearAmt
Total$126,010TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$34,195CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,668CurrentTaxYearMinus1YearAmt
Current Tax Year$34,206CurrentTaxYearAmt
Total$152,135TotalAmt
FieldValueIRS element (for citing)
Total Support$19,299,648TotalSupportAmt
Gross Receipts Rltd Activities$17,683,106GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98560PublicSupportCY170Pct
Public Support PY1700.98610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationREIMBURSEMENT INCOME - 2016 AMOUNT: $ 22,244. 2017 AMOUNT: $ 30,584. 2018 AMOUNT: $ 33,077. 2019 AMOUNT: $ 22,512. 2020 AMOUNT: $ 15,629. REFUNDS REBATES - 2020 AMOUNT: $ 18,577. MISCELLANEOUS - 2016 AMOUNT: $ 4,119. 2017 AMOUNT: $ 4,119. 2018 AMOUNT: $ 1,118. 2019 AMOUNT: $ 156.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,704OtherCostOrOtherBasisAmt
Depreciation$64,961DepreciationAmt
Book Value$1,743BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,006OtherCostOrOtherBasisAmt
Depreciation$23,006DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,743TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER CONTRACT LIABILITIESDesc
Amt$128,272Amt
FieldValueIRS element (for citing)
Total Liability$128,272TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,757,184TotalRevEtcAuditedFinclStmtAmt
Other Revenue$203,000OtherRevenueAmt
Revenue Not Reported$203,000RevenueNotReportedAmt
Revenue Subtotal$7,554,184RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,554,184TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,011,549TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$203,000OtherExpensesIncludedAmt
Expenses Not Reported$203,000ExpensesNotReportedAmt
Expenses Subtotal$7,808,549ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,808,549TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:DURING NOVEMBER 2019, THE ORGANIZATION BECAME THE COORDINATING ORGANIZATION, FISCAL AGENT, AND COMMUNICATIONS COORDINATOR FOR HEALTHY LUCAS COUNTY. AS FISCAL AGENT, THE ORGANIZATION PROVIDES CASH MANAGEMENT FUNCTIONS AND HOLDS FUNDS ON BEHALF OF HEALTHY LUCAS COUNTY. FUNDS HELD ON BEHALF OF HEALTHY LUCAS COUNTY WERE $70,013 AND $69,984 AT DECEMBER 31, 2019 AND 2020, RESPECTIVELY.
PART X, LINE 2:MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE ORGANIZATION IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT AT A LATER DATE BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS). THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE PRIOR THREE YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. NO INTEREST OR PENALTIES WERE INCURRED OR RECOGNIZED IN 2020 OR 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY TRANSACTIONS 203,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY TRANSACTIONS 203,000.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (43 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ADELANTE INC
520 BROADWAYTOLEDOOH43604341826214501(C)(3)$79,105SUPPORT
BABY UNIVERSITY
860 ORCHARD STREETTOLEDOOH43609474336051501(C)(3)$304,460SUPPORT
BLANCHARD VALLEY HEALTH SYSTEM
1900 SOUTH MAIN STREETFINDLAYOH45840341369963501(C)(3)$12,200SUPPORT
CATHOLIC CHARITIES DIOCESE OF TOLEDO
1933 SPIELBUSCH AVENUETOLEDOOH43604344428254501(C)(3)$43,040SUPPORT
CITY OF CANTON
218 CLEVELAND AVENUE SW 8TH FLOORCANTONOH44702$134,365SUPPORT
COMMUNITY HOSPITALS AND WELLNESS CENTERSBRYAN
433 W HIGH STREETBRYANOH43506341048666501(C)(3)$12,200SUPPORT
COMMUNITY MEMORIAL HOSPTIAL
208 N COLUMBUS STREETHICKSVILLEOH43526346401873$6,001SUPPORT
COMPASSION HEALTH TOLEDO
1638 BROADWAYTOLEDOOH436093240473197108501(C)(3)$150,320SUPPORT
EAST TOLEDO FAMILY CENTER
1020 VARLAND AVENUETOLEDOOH43605344429426501(C)(3)$233,325SUPPORT
ERIE COUNTY GENERAL HEALTH DISTRICT
420 SUPERIOR STSANDUSKYOH44870$37,917SUPPORT
FIRELANDS REGIONAL MEDICAL CENTER
1111 HAYES AVESANDUSKYOH44870344428218501(C)(3)$5,385SUPPORT
FISHER-TITUS MEDICAL CENTER
272 BENEDICT AVENORWALKOH44857344430716501(C)(3)$6,284SUPPORT
FULTON COUNTY HEALTH CENTER
725 SOUTH SHOOP AVENUEWAUSEONOH43567344428214501(C)(3)$6,491SUPPORT
GRACEHAVEN
PO BOX 82102COLUMBUSOH43220262471442501(C)(3)$5,000SUPPORT
HEALTHCARE COLLABORATIVE OF GREATER COLUMBUS
855 GRANDVIEW AVE 210COLUMBUSOH43215$41,415SUPPORT
HENRY COUNTY HEALTH DEPARTMENT
1843 OAKWOOD AVENAPOLEONOH43545346400633$10,697SUPPORT
HENRY COUNTY HOSPITAL
1600 EAST RIVERVIEW AVENUENAPOLEONOH43545344477047501(C)(3)$6,885SUPPORT
LIME MEMORIAL HEALTH SYSTEM
1001 BELLEFONTAINE AVELIMAOH45804341883284$6,100SUPPORT
LOCAL INITIATIVE SUPPORT CORPORATION
501 SEVENTH AVENUE 7TH FLOORNEW YORKNY10018133030228501(C)(3)$36,915SUPPORT
LUCAS COUNTY REGIONAL HEALTH DISTRICT
635 N ERIE STREETTOLEDOOH43604346400806$182,406SUPPORT
MAGRUDER HOSPITAL
615 FULTON STREETPORT CLINTONOH43452344441792501(C)(3)$6,077SUPPORT
MERCER COUNTY HEALTH DEPARTMENT
220 WEST LIVINGSTON ST B252CELINAOH45822346400877$9,660SUPPORT
MERCER HEALTH
800 W MAIN STREETCOLDWATEROH45828341101385501(C)(3)$6,056SUPPORT
MERCY FOUNDATION
2525 CHERRY STREETTOLEDOOH43608201072726501(C)(3)$415,977SUPPORT
NEIGHBORHOOD HEALTH ASSOCIATION
313 JEFFERSON AVENUETOLEDOOH43604237272741501(C)(3)$33,845SUPPORT
PATHWAYS COMMUNITY HUB INSTITUTE INC
ONE MARION AVE SUITE 306MANSFIELDOH44903813738049501(C)(3)$12,000SUPPORT
PAULDING COMMUNITY HOSPITAL
1035 W WAYNE STREETPAULDINGOH45879346405718$6,100SUPPORT
PROMEDICA HEALTH SYSTEM
100 MADISON AVETOLEDOOH43604341517671501(C)(3)$66,745SUPPORT
PROMEDICA TOLEDO HOSPITAL
2142 NORTH COVE BLVDTOLEDOOH43606344428256501(C)(3)$406,807SUPPORT
PROMEDICA TRANSPORTATION NETWORK
7140 PORT SYLVANIA DRIVE STE 150TOLEDOOH43617344428256501(C)(3)$10,000SUPPORT
ST PAULS COMMUNITY CENTER
230 13TH STTOLEDOOH43604341252554501(C)(3)$7,410SUPPORT
ST LUKE'S HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232501(C)(3)$7,100SUPPORT
THE BELLEVUE HOSPITAL
1400 WEST MAINBELLEVUEOH44811344428205501(C)(3)$6,424SUPPORT
THE UNIVERSITY CHURCH
4747 HILL AVENUETOLEDOOH43615352484010$52,760SUPPORT
TOLEDO AREA REGIONAL TRANSIT AUTHROITY
1127 WEST CENTERAL AVETOLEDOOH43610341082725$6,665SUPPORT
TOLEDO FIRE AND RESCUE
545 N HURON STREETTOLEDOOH43604$13,418SUPPORT
TOLEDO LUCAS COUNTY HOMELESSNESS BOARD
1946 N 13TH STREET STE 437TOLEDOOH43604721604255501(C)(3)$50,000SUPPORT
TOLEDO-LUCAS COUNTY CARENET INC
3231 CENTRAL PARK WEST DR ROOM/SUITTOLEDOOH43617431986672501(C)(3)$188,270SUPPORT200
UNIVERSITY OF TOLEDO GRANTS ACCOUNTING
2801 W BANCROFT STTOLEDOOH43606346401483501(C)(3)$45,000SUPPORT
VAN WERT COUNTY HOSPITAL
1250 SOUTH WASHINGTON STREETVAN WERTOH45891344429514501(C)(3)$5,820SUPPORT
WOOD COUNTY HEALTH DISTRICT
1840 EAST GYPSY LANEBOWLING GREENOH43402346401607$5,856SUPPORT
WOOD COUNTY HOSPITAL
950 W WOOSTER STREETBOWLING GREENOH43402344440884501(C)(3)$12,748SUPPORT
YWCA OF NORTHWEST OHIO
1018 JEFFERSON AVETOLEDOOH43604344428265501(C)(3)$78,960SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org30Total501c3OrgCnt
Total Other Org13TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
GIFT CARDS217$7,154
SURVEY INCENTIVES27850$56,480

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PROGRAM STAFF WORK CLOSELY WITH EACH SUB GRANTEE REGARDING PAPERWORK NEEDED. ALL SUB GRANTEES MUST SUBMIT DOCUMENTATION FOR REIMBURSEMENT OF ALL EXPENDITURES. WHEN NECESSARY, THE ASSISTANT CONTROLLER TRACKS EXPENDITURES TO ENSURE ADHERENCE TO THE BUDGET; IN ADDITION, THE PROGRAM DIRECTOR WORKS WITH FINANCE TO OVERSEE THE GRANT AND MANTAIN COMPLIANCE WITH APPLICABLE MANDATES. EACH SUB-GRANTEE MUST SUBMIT A BUDGET SPENDING PLAN FOR APPROVAL, PRIOR TO RECEIVING THEIR FIRST PAYMENT. THE SPENDING PLANS GIVE AN ESTIMATE "DATE TO BE SPENT" FOR EACH LINE ITEM. SUB GRANTEES TURN IN QUARTERLY REPORTS, AND THE PROGRAM DIRECTOR AND SPECIALIST REVIEW THEIR SPENT FUNDS TO DATE. SUB GRANTEES MUST SUBMIT RECEIPTS FOR EXPENSES, AT WHICH TIME A CHECK FOR REIMBURSEMENT WILL BE DISBURSED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
W SCOTT FRY
PRESIDENT & CEO$204,007$34,396$0$0$14,722$1,211$32,211$5,244$33,940$5,525$284,880$46,376$0$0
JAN RUMA
VICE PRESIDENT$167,201$31,848$1,260$240$1,517$289$21,384$4,073$35,247$6,714$226,609$43,164$0$0
KIMBERLY TEMPLE
CONTROLLER$137,577$0$1,500$0$1,481$0$17,322$0$41,438$0$199,318$0$0$0
CAROLYN TRUMBULL
EMPLOYEE$0$102,065$0$1,500$0$1,078$0$12,673$0$40,938$0$158,254$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6AREA HOSPITALS COMPRISE THE MEMBERSHIP OF HOSPITAL COUNCIL OF NORTHWEST OHIO.
FORM 990, PART VI, SECTION A, LINE 7ATHESE MEMBER HOSPITALS MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S SIGNING OFFICER SCANS THE FORM 990 FOR COMPLETENESS PRIOR TO SIGNATURE, IN ADDITION TO RELYING UPON THE INDEPENDENT ACCOUNTANT FOR ACCURACY.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE GOVERNING BODY USES A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO OR TOP MANAGEMENT OFFICIALS WHICH INCLUDES A COMPARISON TO OTHER ORGANIZATIONS, SALARY SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION ON AN ANNUAL BASIS. THE ORGANIZATION USES A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES WHICH INCLUDES A REVIEW AND APPROVAL BY THE CEO, USE OF MANAGEMENT SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES REPSONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST OHIO SHARED SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13231 CENTRAL PARK WEST DRAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43617ZIPCd
FieldValueIRS element (for citing)
EIN341388279EIN
Primary ActivitiesPURCHASE CORPORATIONPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHWEST OHIO SHARED SERVICES INC
L$233,239AUDITED INCOME RECEIVED
NORTHWEST OHIO SHARED SERVICES INC
O$204,630ACTUAL COST INCURRED