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OHIO CHILDRENS HOSPITAL ASSN: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
OHIO CHILDRENS HOSPITAL ASSN (EIN 31-1196888)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-10-31
IRS object ID
201913049349301676
Schema version
2018v3.1
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)
Return2019-10-31T13:52:25-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Line1428 BEECHER RD STE DAddressLine1Txt
CityGAHANNACityNm
State AbbreviationOHStateAbbreviationCd
ZIP43230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-10-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW R LEPPERTPreparerPersonNm
PTINP00290279PTIN
Phone6145325098PhoneNum
Preparation2019-10-31PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.59.239.156IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-31IPDt
IP Tm13:52:25IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id091321D71D431E33C649433EEFEC1B02C3D25610AtSubmissionCreationDeviceId
At Submission Filing Device Id091321D71D431E33C649433EEFEC1B02C3D25610AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

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$1,251,018GrossReceiptsAmt
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$0CYContributionsGrantsAmt
PY Program Service Revenue$1,253,470PYProgramServiceRevenueAmt
CY Program Service Revenue$1,257,166CYProgramServiceRevenueAmt
PY Investment Income$27,896PYInvestmentIncomeAmt
CY Investment Income-$6,148CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,281,366PYTotalRevenueAmt
CY Total Revenue$1,251,018CYTotalRevenueAmt
PY Grants And Similar Paid$17,488PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$98,728CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$731,891PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$827,139CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$521,408PYOtherExpensesAmt
CY Other Expenses$425,297CYOtherExpensesAmt
PY Total Expenses$1,270,787PYTotalExpensesAmt
CY Total Expenses$1,351,164CYTotalExpensesAmt
PY Revenues Less Expenses$10,579PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$100,146CYRevenuesLessExpensesAmt
Total Assets BOY$870,189TotalAssetsBOYAmt
Total Assets EOY$697,890TotalAssetsEOYAmt
Total Liabilities BOY$275,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$203,455TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$594,581NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$494,435NetAssetsOrFundBalancesEOYAmt
MissionPROMOTION OF THE COMMON BUSINESS INTERESTS OF CHILDREN'S HOSPITALS LOCATED WITHIN OHIO.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$861,336ExpenseAmt
Grant$98,728GrantAmt
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$184,650ExpenseAmt
DescPURSUED PATIENT SAFETY INITIATIVES AMONG OHIO'S CHILDRENS HOSPITALS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$23,297ExpenseAmt
DescPURSUED RESEARCH & EDUCATION AMONG OHIO'S CHILDRENS HOSPITALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,069,283TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document2IRPDocumentCnt
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 (13 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)$529,868$0$56,340
PATTI DEPOMPEI
CHAIR5.001.00Yes (X)$0$0$0
DEBBIE FELDMAN
VICE CHAIR5.001.00Yes (X)$0$0$0
ARTURO POLIZZI
SECRETARY/TR5.001.00Yes (X)$0$0$0
STEVE ALLEN MD
BOARD MEMBER5.001.00Yes (X)$0$0$0
WILLIAM CONSIDINE
BOARD MEMBER5.001.00Yes (X)$0$0$0
MICHAEL FISHER
BOARD MEMBER5.001.00Yes (X)$0$0$0
HEIDI GARTLAND
BOARD MEMBER5.001.00Yes (X)$0$0$0
PAULA GRIEB
BOARD MEMBER5.001.00Yes (X)$0$0$0
UMA KOTAGAL
BOARD MEMBER5.001.00Yes (X)$0$0$0
CHRIS BERGMAN
BOARD MEMBER5.001.00Yes (X)$0$0$0
SHAWN LYDEN
BOARD MEMBER5.001.00Yes (X)$0$0$0
TIM ROBINSON
BOARD MEMBER5.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$529,868TotalReportableCompFromOrgAmt
Total Other Compensation$56,340TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBER DUES$1,057,515$1,057,515
REIMBURSABLES$199,651$199,651
FieldValueIRS element (for citing)
Total Program Service Revenue$1,257,166TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,148TotalRevenueColumnAmt
Related Or Exempt Func Income-$13,364RelatedOrExemptFuncIncomeAmt
Exclusion$7,216ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,251,018TotalRevenueColumnAmt
Related Or Exempt Func Income$1,243,802RelatedOrExemptFuncIncomeAmt
Exclusion$7,216ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$98,728TotalAmt
Program Services$98,728ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$497,666TotalAmt
Program Services$404,083ProgramServicesAmt
Management And General$93,583ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$243,821TotalAmt
Program Services$175,359ProgramServicesAmt
Management And General$68,462ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,646TotalAmt
Program Services$9,711ProgramServicesAmt
Management And General$2,935ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,171TotalAmt
Program Services$19,750ProgramServicesAmt
Management And General$18,421ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,835TotalAmt
Program Services$25,050ProgramServicesAmt
Management And General$9,785ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,504TotalAmt
Program Services$123ProgramServicesAmt
Management And General$2,381ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,810TotalAmt
Management And General$11,810ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Program Services$60,000ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$222,210TotalAmt
Program Services$216,749ProgramServicesAmt
Management And General$5,461ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,604TotalAmt
Program Services$7,364ProgramServicesAmt
Management And General$10,240ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,963TotalAmt
Management And General$7,963ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,326TotalAmt
Program Services$11,163ProgramServicesAmt
Management And General$11,163ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,385TotalAmt
Program Services$12,385ProgramServicesAmt
Management And General$2,000ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,366TotalAmt
Program Services$741ProgramServicesAmt
Management And General$12,625ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,918TotalAmt
Management And General$1,918ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,395TotalAmt
Management And General$2,395ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REIMBURSED NEWS SUBSCRIPT$15,000$15,000
SUBSCRIPTIONS$10,333$10,333
PARKING$7,607$7,607
DUES$7,252$450$6,802

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,624TotalAmt
Program Services$2,294ProgramServicesAmt
Management And General$6,330ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,351,164TotalAmt
Program Services$1,069,283ProgramServicesAmt
Management And General$281,881ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$603,917BOYAmt
EOY$459,901EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$53,879BOYAmt
EOY$32,344EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,598BOYAmt
EOY$12,882EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$35,120LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,163LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,875BOYAmt
EOY$3,957EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$182,920BOYAmt
EOY$188,806EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$870,189BOYAmt
EOY$697,890EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$92,688BOYAmt
EOY$14,649EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$182,920BOYAmt
EOY$188,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$275,608BOYAmt
EOY$203,455EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$594,581BOYAmt
EOY$494,435EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$594,581BOYAmt
EOY$494,435EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$870,189BOYAmt
EOY$697,890EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$100,146ReconcilationRevenueExpnssAmt
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 D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,120OtherCostOrOtherBasisAmt
Depreciation$31,163DepreciationAmt
Book Value$3,957BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,957TotalBookValueLandBuildingsAmt

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
COMMUNITY INITIATIVES
1000 BROADWAY SUITE 480OAKLANDCA94607963255070501C3$56,200GROUNDWORK OH PROJ
DEWINE HUSTED INAUGURAL COMMITTEE
2168 SUTTER PARKWAYDUBLINOH43016832479480501C4$10,000GENERAL SUPPORT
VOTE NO PROTECT OHIO
196 E STATE ST SUITE 200COLUMBUSOH43215831738909501C4$25,000CAMPAIGN SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

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$390,242BaseCompensationFilingOrgAmt
Bonus Filing Organization$139,626BonusFilingOrganizationAmount
Deferred Compensation Flng Org$24,386DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$31,954NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$586,208TotalCompensationFilingOrgAmt

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 108,000 0 0 OTHER ADVISORY & PLANNING SVC 108,749 1,961 0 RETIREMENT PLAN ADMINISTRATIO 0 3,500 0 TOTAL 216,749 5,461 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