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OHIO CHILDRENS HOSPITAL ASSN: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
OHIO CHILDRENS HOSPITAL ASSN (EIN 31-1196888)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-03
IRS object ID
202133079349301808
Schema version
2020v4.0
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)
Return2021-11-03T11:07:24-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263641206PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEPPERT COMPANY CPAS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1196 W JOHNSTOWN RDAddressLine1Txt
CityGAHANNACityNm
State AbbreviationOHStateAbbreviationCd
ZIP43230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311196888EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OHIO CHILDREN'S HOSPITALBusinessNameLine1Txt
Business Name Line2ASSOCIATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlOHIOBusinessNameControlTxt
Phone6142282844PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROAD ST 23RD FLOORAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICHOLAS LASHUTKAPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6142282844PhoneNum
Signature2021-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNICKPersonFirstNm
Person LastLASHUTKAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW R LEPPERTPreparerPersonNm
PTINP00290279PTIN
Phone6145325098PhoneNum
Preparation2021-11-03PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNICHOLAS LASHUTKAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROAD STAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,554,166GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.OHIOCHILDRENSHOSPITALS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionPROMOTION OF THE COMMON BUSINESS INTERESTS OF CHILDREN'S HOSPITALS LOCATED WITHIN OHIO.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$150,000CYContributionsGrantsAmt
PY Program Service Revenue$1,247,916PYProgramServiceRevenueAmt
CY Program Service Revenue$1,345,438CYProgramServiceRevenueAmt
PY Investment Income$50,678PYInvestmentIncomeAmt
CY Investment Income$58,470CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,298,594PYTotalRevenueAmt
CY Total Revenue$1,553,908CYTotalRevenueAmt
PY Grants And Similar Paid$79,177PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$30,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$942,299PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$975,162CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$372,069PYOtherExpensesAmt
CY Other Expenses$453,167CYOtherExpensesAmt
PY Total Expenses$1,393,545PYTotalExpensesAmt
CY Total Expenses$1,458,329CYTotalExpensesAmt
PY Revenues Less Expenses-$94,951PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$95,579CYRevenuesLessExpensesAmt
Total Assets BOY$687,002TotalAssetsBOYAmt
Total Assets EOY$831,353TotalAssetsEOYAmt
Total Liabilities BOY$287,518TotalLiabilitiesBOYAmt
Total Liabilities EOY$336,290TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$399,484NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$495,063NetAssetsOrFundBalancesEOYAmt
MissionPROMOTION OF THE COMMON BUSINESS INTERESTS OF CHILDREN'S HOSPITALS LOCATED WITHIN OHIO.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$866,561ExpenseAmt
Grant$30,000GrantAmt
DescTHE ORGANIZATION MONITORED LEGISLATIVE AND REGULATORY DEVELOPMENTS, COORDINATED COMMUNICATION, AND PROVIDED A DATABASE OF COMPARATIVE INFORMATION FOR ITS MEMBERS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$201,070ExpenseAmt
DescPURSUED PATIENT SAFETY INITIATIVES AMONG OHIO'S CHILDRENS HOSPITALS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$79,171ExpenseAmt
DescPURSUED RESEARCH & EDUCATION AMONG OHIO'S CHILDRENS HOSPITALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,146,802TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxYes (true)SubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICHOLAS LASHUTKAPersonNm
Phone6142282844PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROADAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
NICHOLAS LASHUTKA
PRESIDENT40.005.00Yes (X)Yes (X)$499,099$0$112,188
CHRIS BERGMAN
BOARD MEMBER5.000.00Yes (X)$0$0$0
DAWN BUSKEY
BOARD MEMBER5.001.00Yes (X)$0$0$0
PATTI DEPOMPEI
BOARD MEMBER5.001.00Yes (X)$0$0$0
DEBBIE FELDMAN
CHAIR5.001.00Yes (X)$0$0$0
MICHAEL FISHER
SECRETARY/TR5.001.00Yes (X)$0$0$0
HEIDI GARTLAND
BOARD MEMBER5.00Yes (X)$0$0$0
PAULA GRIEB
BOARD MEMBER5.00Yes (X)$0$0$0
SHAWN LYDEN
BOARD MEMBER5.00Yes (X)$0$0$0
RICH BRILLI MD
BOARD MEMBER5.00Yes (X)$0$0$0
PATTY MANNING-COURTNEY
BD MEMBER SI5.00Yes (X)$0$0$0
TIM ROBINSON
BOARD MEMBER5.001.00Yes (X)$0$0$0
GRACE WAKULCHIK
VICE CHAIR5.001.00Yes (X)$0$0$0
DEREK WHEELER
BOARD MEMBER5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$499,099TotalReportableCompFromOrgAmt
Total Other Compensation$112,188TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$150,000AllOtherContributionsAmt
Total Contributions$150,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBER DUES$1,144,368$1,144,368
REIMBURSABLES$201,070$201,070
FieldValueIRS element (for citing)
Total Program Service Revenue$1,345,438TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,728TotalRevenueColumnAmt
Related Or Exempt Func Income$56,497RelatedOrExemptFuncIncomeAmt
Exclusion$2,231ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$258OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$258OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$258TotalRevenueColumnAmt
Related Or Exempt Func Income-$258RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,553,908TotalRevenueColumnAmt
Related Or Exempt Func Income$1,401,677RelatedOrExemptFuncIncomeAmt
Exclusion$2,231ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,000TotalAmt
Program Services$30,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$611,287TotalAmt
Program Services$493,159ProgramServicesAmt
Management And General$118,128ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$265,797TotalAmt
Program Services$193,164ProgramServicesAmt
Management And General$72,633ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,782TotalAmt
Program Services$11,914ProgramServicesAmt
Management And General$3,868ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$44,773TotalAmt
Program Services$23,657ProgramServicesAmt
Management And General$21,116ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,523TotalAmt
Program Services$27,836ProgramServicesAmt
Management And General$9,687ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,608TotalAmt
Program Services$1,804ProgramServicesAmt
Management And General$7,804ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,759TotalAmt
Management And General$6,759ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$156,275TotalAmt
Program Services$156,275ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$170,989TotalAmt
Program Services$163,238ProgramServicesAmt
Management And General$7,751ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,617TotalAmt
Program Services$14,650ProgramServicesAmt
Management And General$9,967ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,924TotalAmt
Management And General$11,924ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,254TotalAmt
Program Services$12,127ProgramServicesAmt
Management And General$12,127ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,635TotalAmt
Program Services$3,090ProgramServicesAmt
Management And General$1,545ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,717TotalAmt
Program Services$3,907ProgramServicesAmt
Management And General$6,810ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,310TotalAmt
Management And General$1,310ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,307TotalAmt
Management And General$2,307ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUBSCRIPTIONS$11,381$11,381
PARKING$8,639$8,639
DUES$7,137$100$7,037
PAYROLL AND PENSION ADMIN$2,115$2,115

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,458,329TotalAmt
Program Services$1,146,802ProgramServicesAmt
Management And General$311,527ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$387,097BOYAmt
EOY$376,370EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,040BOYAmt
EOY$117,584EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,805BOYAmt
EOY$9,910EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,639LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,766LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,440BOYAmt
EOY$873EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$250,620BOYAmt
EOY$326,616EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$687,002BOYAmt
EOY$831,353EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,898BOYAmt
EOY$9,674EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$250,620BOYAmt
EOY$326,616EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$287,518BOYAmt
EOY$336,290EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$399,484BOYAmt
EOY$495,063EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$399,484BOYAmt
EOY$495,063EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$687,002BOYAmt
EOY$831,353EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$95,579ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues NondedYes (true)SubstantiallyAllDuesNondedInd
Only In House LobbyingfalseOnlyInHouseLobbyingInd
Agree Carryover Prior YearfalseAgreeCarryoverPriorYearInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,639OtherCostOrOtherBasisAmt
Depreciation$22,766DepreciationAmt
Book Value$873BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$873TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
OHIO CHAPT AMER ACAD PEDIATRICS
94-A NORTHWOODS BLVDCOLUMBUSOH43235311700823501C3$8,500CHILDRENS PROGRAM
FLYING HORSE FARMS
5260 STATE ROUTE 95MOUNT GILEADOH43338203498125501C3$8,500CHILDRENS PROGRAM
HEALTH POLICY INSTITUTE OF OHIO
140 EAST TOWN STREET SUITE 1000COLUMBUSOH43215300186863501C3$10,000CHILDREN'S PROGRAM
FieldValueIRS element (for citing)
Total Other Org4TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ENTITY MONITORS USE OF RESTRICTED FUNDS BY OBTAINING REPORTS FROM THE RECIPIENT ORGANIZATION. WHEN THE GRANT IS TO ANOTHER 501(C) ENTITY AND IS UNRESTRICTED, THE ENTITY IS ABLE TO OBTAIN FORM 990 OF THE RECIPIENT ORGANIZATION TO MONITOR OVERALL USE OF FUNDING.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNICHOLAS LASHUTKAPersonNm
TitlePRESIDENTTitleTxt
Base Compensation Filing Org$395,179BaseCompensationFilingOrgAmt
Bonus Filing Organization$103,920BonusFilingOrganizationAmount
Deferred Compensation Flng Org$75,636DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$36,552NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$611,287TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE PRESIDENT AND HIS ASSISTANT REVIEW THE CPA PREPARED FORM 990 BEFORE APPROVING IT.
FORM 990, PAGE 6, PART VI, LINE 15ATHE PRESIDENT'S CONTRACT AND COMPENSATION ARE DETERMINED BY THE BOARD AFTER OBTAINING SALARY SURVEY DATA AND EVALUATING PERFORMANCE.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC EXCEPT AS REQUIRED BY LAW.
FORM 990, PART IX, LINE 11GMEDICAID ADVOCACY CONSULTANT 115,000 0 0 OTHER ADVISORY & PLANNING SVC 48,238 5,975 0 RETIREMENT PLAN ADMINISTRATIO 0 1,676 0 MISCELLANEOUS 0 100 0 TOTAL 163,238 7,751 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1OHIO CHILDREN'S HOSPASSNFDTNBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1155 E BROAD ST 23RD FLOORAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
EIN272298829EIN
Primary ActivitiesCHARITYPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line131-1196888BusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd