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HOSPITAL COUNCIL OF NORTHWEST OHIO: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL COUNCIL OF NORTHWEST OHIO (EIN 34-1116795)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201823199349300942
Schema version
2017v2.3
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)
Return2018-11-15T07:18:05-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Line11715 INDIAN WOOD CIRCLE STE 100AddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHEIDI FERGUSONPreparerPersonNm
PTINP00410007PTIN
Phone4197942000PhoneNum
Preparation2018-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.61.47.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-15IPDt
IP Tm07:16:46IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id0894DEE95462A49BCE21A58B781C07A82D502D8CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

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$7,651,499GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HCNO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSEE BELOW.THE 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 Body22VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee56TotalEmployeeCnt
Total Volunteers46TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,288,814PYContributionsGrantsAmt
CY Contributions Grants$4,277,681CYContributionsGrantsAmt
PY Program Service Revenue$2,717,184PYProgramServiceRevenueAmt
CY Program Service Revenue$3,328,591CYProgramServiceRevenueAmt
PY Investment Income$5,107PYInvestmentIncomeAmt
CY Investment Income$10,524CYInvestmentIncomeAmt
PY Other Revenue$26,363PYOtherRevenueAmt
CY Other Revenue$34,703CYOtherRevenueAmt
PY Total Revenue$7,037,468PYTotalRevenueAmt
CY Total Revenue$7,651,499CYTotalRevenueAmt
PY Grants And Similar Paid$1,642,310PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,196,918CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,784,164PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,072,515CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,070,918PYOtherExpensesAmt
CY Other Expenses$1,126,108CYOtherExpensesAmt
PY Total Expenses$5,497,392PYTotalExpensesAmt
CY Total Expenses$6,395,541CYTotalExpensesAmt
PY Revenues Less Expenses$1,540,076PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,255,958CYRevenuesLessExpensesAmt
Total Assets BOY$6,492,865TotalAssetsBOYAmt
Total Assets EOY$7,563,177TotalAssetsEOYAmt
Total Liabilities BOY$1,380,968TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,195,322TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,111,897NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,367,855NetAssetsOrFundBalancesEOYAmt
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$5,997,207ExpenseAmt
Grant$2,196,918GrantAmt
Revenue$3,363,294RevenueAmt
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$5,997,207TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document37IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee56EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
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 ApprovaYes (1)DecisionsSubjectToApprovaInd
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 (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRADLEY BERTKE
TRUSTEE4.00Yes (X)$0$0$0
DAN MONCHER
TRUSTEE4.00Yes (X)$0$0$0
PATTI FINN
CHAIRPERSON4.00Yes (X)$0$0$0Yes (X)
J TODD ALMENDINGER
TREASURER4.00Yes (X)$0$0$0Yes (X)
DANIEL L WAKEMAN
IMMEDIATE PAST CHAIR4.00Yes (X)$0$0$0
DAWN BUSKEY
TRUSTEE4.00Yes (X)$0$0$0
DANIEL BARBEE
SECRETARY4.00Yes (X)$0$0$0Yes (X)
ARTURO POLIZZI
TRUSTEE4.00Yes (X)$0$0$0
CRAIG ALBERS
TRUSTEE4.00Yes (X)$0$0$0
JEFFREY DEMPSEY
TRUSTEE4.00Yes (X)$0$0$0
RANDALL RUGE
TRUSTEE4.00Yes (X)$0$0$0
STANLEY KORDUCKI
TRUSTEE4.00Yes (X)$0$0$0
SONYA SELHORST
TRUSTEE4.00Yes (X)$0$0$0
SCOTT C MALANEY
TRUSTEE4.00Yes (X)$0$0$0
PHIL ENNEN
TRUSTEE4.00Yes (X)$0$0$0
PAM JENSEN
TRUSTEE4.00Yes (X)$0$0$0
MICHAEL WINTHROP
CHAIR-ELECT4.00Yes (X)$0$0$0Yes (X)
LYNN DETTERMAN
TRUSTEE4.00Yes (X)$0$0$0
KIM BORDENKIRCHER
TRUSTEE4.00Yes (X)$0$0$0
LORNA STRAYER
TRUSTEE4.00Yes (X)$0$0$0
DOUG BUSH
TRUSTEE4.00Yes (X)$0$0$0
W SCOTT FRY
PRESIDENT & CEO24.00Yes (X)$138,644$92,430$74,866Yes (X)16.00
KATHY SILVESTRI
DIRECTOR-HEALTH PLANNING41.00$100,945$0$28,098Yes (X)
JAN RUMA
VICE PRESIDENT44.00$194,741$0$67,064Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$434,330TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$92,430TotReportableCompRltdOrgAmt
Total Other Compensation$170,028TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JMS REAL ESTATEBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13230 CENTRAL PARK WAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43617ZIPCd
FieldValueIRS element (for citing)
ServicesPROPERTY MGMTServicesDesc
Compensation$115,745CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$63,514FederatedCampaignsAmt
Government Grants$2,358,940GovernmentGrantsAmt
All Other Contributions$1,855,227AllOtherContributionsAmt
Total Contributions$4,277,681TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT INCOME900099$2,748,701$2,748,701
MEMBERSHIP DUES900099$579,890$579,890
FieldValueIRS element (for citing)
Total Program Service Revenue$3,328,591TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,524TotalRevenueColumnAmt
Exclusion$10,524ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,703TotalRevenueColumnAmt
Related Or Exempt Func Income$34,703RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$34,703OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,651,499TotalRevenueColumnAmt
Related Or Exempt Func Income$3,363,294RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,524ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,125,876TotalAmt
Program Services$2,125,876ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$71,042TotalAmt
Program Services$71,042ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$305,940TotalAmt
Program Services$189,683ProgramServicesAmt
Management And General$116,257ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,958,976TotalAmt
Program Services$1,861,027ProgramServicesAmt
Management And General$97,949ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$153,028TotalAmt
Program Services$145,317ProgramServicesAmt
Management And General$7,711ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$483,497TotalAmt
Program Services$441,404ProgramServicesAmt
Management And General$42,093ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$171,074TotalAmt
Program Services$152,256ProgramServicesAmt
Management And General$18,818ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,089TotalAmt
Management And General$6,089ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,941TotalAmt
Management And General$27,941ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$317,277TotalAmt
Program Services$299,640ProgramServicesAmt
Management And General$17,637ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,925TotalAmt
Program Services$1,425ProgramServicesAmt
Management And General$3,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$267,891TotalAmt
Program Services$243,469ProgramServicesAmt
Management And General$24,422ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$66,013TotalAmt
Program Services$60,532ProgramServicesAmt
Management And General$5,481ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$132,853TotalAmt
Program Services$126,600ProgramServicesAmt
Management And General$6,253ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$64,100TotalAmt
Program Services$58,507ProgramServicesAmt
Management And General$5,593ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,069TotalAmt
Program Services$10,044ProgramServicesAmt
Management And General$15,025ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$270TotalAmt
Management And General$270ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,300TotalAmt
Program Services$4,399ProgramServicesAmt
Management And General$901ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,721TotalAmt
Program Services$21,848ProgramServicesAmt
Management And General$1,873ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$176,087$176,087
ORG DUES AND MEMBERSHIP$4,901$4,592$309
TRAINING$3,112$2,919$193
SUBSCRIPTIONS$257$238$19

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$302TotalAmt
Program Services$302ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,395,541TotalAmt
Program Services$5,997,207ProgramServicesAmt
Management And General$398,334ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,169,683BOYAmt
EOY$5,322,606EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,002,188BOYAmt
EOY$1,005,529EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$552,544BOYAmt
EOY$694,304EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$742,991BOYAmt
EOY$513,443EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,990BOYAmt
EOY$10,768EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$97,895LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$81,368LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,469BOYAmt
EOY$16,527EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,492,865BOYAmt
EOY$7,563,177EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$295,513BOYAmt
EOY$478,548EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,073,940BOYAmt
EOY$708,971EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,515BOYAmt
EOY$7,803EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,380,968BOYAmt
EOY$1,195,322EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,845,569BOYAmt
EOY$3,336,552EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,266,328BOYAmt
EOY$3,031,303EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,111,897BOYAmt
EOY$6,367,855EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,492,865BOYAmt
EOY$7,563,177EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,255,958ReconcilationRevenueExpnssAmt
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$1,756,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,017,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,302,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,288,814CurrentTaxYearMinus1YearAmt
Current Tax Year$4,277,681CurrentTaxYearAmt
Total$14,643,153TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,756,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,017,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,302,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,288,814CurrentTaxYearMinus1YearAmt
Current Tax Year$4,277,681CurrentTaxYearAmt
Total$14,643,153TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$14,643,153PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,565CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,410CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,136CurrentTaxYearMinus1YearAmt
Current Tax Year$10,524CurrentTaxYearAmt
Total$18,874TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,363CurrentTaxYearMinus1YearAmt
Current Tax Year$34,703CurrentTaxYearAmt
Total$194,192TotalAmt
FieldValueIRS element (for citing)
Total Support$14,856,219TotalSupportAmt
Gross Receipts Rltd Activities$13,701,261GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98570PublicSupportCY170Pct
Public Support PY1700.98290PublicSupportPY170Pct
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 - 2013 AMOUNT: $ 36,968. 2014 AMOUNT: $ 34,110. 2015 AMOUNT: $ 33,054. 2016 AMOUNT: $ 22,244. 2017 AMOUNT: $ 30,584. SPECIAL EVENT INCOME - 2013 AMOUNT: $ 14,325. 2014 AMOUNT: $ 10,550. MISCELLANEOUS - 2015 AMOUNT: $ 4,119. 2016 AMOUNT: $ 4,119. 2017 AMOUNT: $ 4,119.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$477MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$477TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,435OtherCostOrOtherBasisAmt
Depreciation$57,614DepreciationAmt
Book Value$15,821BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,460OtherCostOrOtherBasisAmt
Depreciation$23,754DepreciationAmt
Book Value$706BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,527TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,683,601TotalRevEtcAuditedFinclStmtAmt
Other Revenue$32,102OtherRevenueAmt
Revenue Not Reported$32,102RevenueNotReportedAmt
Revenue Subtotal$7,651,499RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,651,499TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,566,643TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$171,102OtherExpensesIncludedAmt
Expenses Not Reported$171,102ExpensesNotReportedAmt
Expenses Subtotal$6,395,541ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,395,541TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2017 OR 2016.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY TRANSACTIONS 32,102.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY TRANSACTIONS 171,102.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ZEPF CENTER
6605 W CENTRAL AVENUETOLEDOOH43617341168947501(C)(3)$5,000SUPPORT
YMCA & JCC OF GREATER TOLEDO
1500 N SUPERIOR STREET 2ND FLOORTOLEDOOH43604344428262501(C)(3)$59,585SUPPORT
WOOD COUNTY HOSPITAL
950 W WOOSTER STREETBOWLING GREENOH43402344440884501(C)(3)$6,570SUPPORT
VAN WERT COUNTY HOSPITAL
1250 SOUTH WASHINGTON STREETVAN WERTOH45891344429514501(C)(3)$6,055SUPPORT
TOLEDO-LUCAS COUNTY CARENET INC
3231 CENTRAL PARK WEST DR ROOM/SUITTOLEDOOH43617431986672501(C)(3)$186,074SUPPORT200
THE UNIVERSITY CHURCH
4747 HILL AVENUETOLEDOOH43615352484010$20,423SUPPORT
THE BELLEVUE HOSPITAL
1400 WEST MAINBELLEVUEOH44811344428205501(C)(3)$10,007SUPPORT
ST RITA'S MEDICAL CENTER
730 W MARKET STREETLIMAOH45801341105619501(C)(3)$20,419SUPPORT
SALVATION ARMY
620 ERIE STREETTOLEDOOH43604135562351501(C)(3)$8,245SUPPORT
PROMEDICA TRANSPORTATION NETWORK
7140 PORT SYLVANIA DRIVE STE 150TOLEDOOH43617344428256501(C)(3)$10,000SUPPORT
PROMEDICA TOLEDO HOSPITAL
2142 NORTH COVE BLVDTOLEDOOH43606344428256501(C)(3)$205,834SUPPORT
PROMEDICA ST LUKES HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232501(C)(3)$6,682SUPPORT
PROMEDICA PHYSICIANS GROUP INC
3949 SUNFOREST COURT SUITE 203TOLEDOOH43623341899439501(C)(3)$67,480SUPPORT
PROMEDICA FOSTORIA COMMUNITY HOSPITAL
501 VAN BUREN STREETFOSTORIAOH44830340898745501(C)(3)$6,012SUPPORT
PROMEDICA FLOWER HOSPITAL
5200 HARROUN ROADSYLVANIAOH43560344428794501(C)(3)$14,361SUPPORT
PROMEDICA DEFIANCE REGIONAL HOSPITAL
1200 RALSTON AVENUEDEFIANCEOH43512344446484501(C)(3)$6,100SUPPORT
PROMEDICA BAY PARK HOSPITAL
2801 BAY PARK DRIVEOREGONOH43616341883132501(C)(3)$18,081SUPPORT
PAULDING COMMUNITY HOSPITAL
1035 W WAYNE STREETPAULDINGOH45879346405718$6,544SUPPORT
OHIO LIVING
1730 REYNOLDS ROADTOLEDOOH43614272564811501(C)(3)$21,337SUPPORT
OE MEYER COMPANY
PO BOX 479SANDUSKYOH44871341602304$17,725SUPPORT
NEIGHBORHOOD HEALTH ASSOCIATION
313 JEFFERSON AVENUETOLEDOOH43604237272741501(C)(3)$21,466SUPPORT
MERCY ST CHARLES HOSPITAL
2600 NAVARRE AVENUEOREGONOH43616344445373501(C)(3)$6,100SUPPORT
MERCY ST ANNE HOSPITAL
3404 SYLVANIA AVENUETOLEDOOH43623311556401501(C)(3)$6,058SUPPORT
MERCY ST VINCENT MEDICAL CENTER
2213 CHERRY STREETTOLEDOOH43608344428250501(C)(3)$72,868SUPPORT
MERCY HOSPITAL OF WILLARD
1100 NEAL ZICK ROADWILLARDOH448901611341477110501(C)(3)$6,097SUPPORT
MERCY HOSPITAL OF TIFFIN
45 ST LAWRENCE DRIVETIFFINOH44883344431174501(C)(3)$6,092SUPPORT
MERCY FOUNDATION
2213 CHERRY STREET SUITE 307 ACCTOLEDOOH43608201072726501(C)(3)$208,246SUPPORT
MERCY DEFIANCE CLINIC
1400 E SECOND STREETDEFIANCEOH43512320350047501(C)(3)$6,262SUPPORT
MERCER HEALTH
800 W MAIN STREETCOLDWATEROH45828341101385501(C)(3)$6,004SUPPORT
MEMORIAL HOSPITAL
715 SOUTH TAFT AVENUEFREMONTOH43420344430849501(C)(3)$6,100SUPPORT
MAGRUDER HOSPITAL
615 FULTON STREETPORT CLINTONOH43452344441792501(C)(3)$6,369SUPPORT
LUCAS COUNTY REGIONAL HEALTH DISTRICT
635 N ERIE STREETTOLEDOOH43604346400806$258,098SUPPORT
LIMA MEMORIAL HEALTH SYSTEM
1001 BELLEFONTAINE AVELIMAOH45804341883284501(C)(3)$9,105SUPPORT
KENT STATE UNIVERSITY
PO BOX 5190 232 SCHWARTZ CENTERKENTOH44242346402079501(C)(3)$52,014SUPPORT
HENRY COUNTY HOSPITAL
1600 EAST RIVERVIEW AVENUENAPOLEONOH43545344477047501(C)(3)$7,173SUPPORT
HEARTBEAT OF TOLEDO
4041 W SYLVANIA AVENUE SUITE LL4TOLEDOOH43623237404777501(C)(3)$41,640SUPPORT
HARBOR BEHAVIORAL HEALTH
6629 W CENTRAL AVENUETOLEDOOH43623344434924501(C)(3)$18,769SUPPORT
FULTON COUNTY HEALTH CENTER
725 SOUTH SHOOP AVENUEWAUSEONOH43567344428214501(C)(3)$8,442SUPPORT
FISHER-TITUS MEDICAL CENTER
272 BENEDICT AVENORWALKOH44857344430716501(C)(3)$9,339SUPPORT
FIRELANDS REGIONAL MEDICAL CENTER
1111 HAYES AVESANDUSKYOH44870344428218501(C)(3)$6,265SUPPORT
FAMILY HOUSE
669 INDIANA AVENUETOLEDOOH43604341556086501(C)(3)$60,936SUPPORT
ERIE COUNTY GENERAL HEALTH DISTRICT
420 SUPERIOR STREETSANDUSKYOH44870346400428$29,635SUPPORT
EAST TOLEDO FAMILY CENTER
1020 VARLAND AVENUETOLEDOOH43605344429426501(C)(3)$216,500SUPPORT
DENTAL CENTER OF NORTHWEST OHIO
2138 MADISON AVETOLEDOOH43604344441883501(C)(3)$133,933SUPPORT
COMPASSION HEALTH TOLEDO
1638 BROADWAYTOLEDOOH436093240473197108501(C)(3)$15,500SUPPORT
COMMUNITY MEMORIAL HOSPTIAL
208 N COLUMBUS STREETHICKSVILLEOH43526346401873$6,100SUPPORT
COMMUNITY HOSPITALS AND WELLNESS CENTERSMONTPELIER
909 SNYDERMONTPELIEROH43543341048666501(C)(3)$6,100SUPPORT
COMMUNITY HOSPITALS AND WELLNESS CENTERSBRYAN
433 W HIGH STREETBRYANOH43506341048666501(C)(3)$6,100SUPPORT
CATHOLIC CHARITIES DIOCESE OF TOLEDO
1933 SPIELBUSCH AVENUETOLEDOOH43604344428254501(C)(3)$16,430SUPPORT
BLUFFTON HOSPITAL
139 GARAU STREETBLUFFTONOH45817341369963501(C)(3)$6,100SUPPORT
BLANCHARD VALLEY HEALTH SYSTEM
1900 SOUTH MAIN STREETFINDLAYOH45840341369963501(C)(3)$6,100SUPPORT
BABY UNIVERSITY
860 ORCHARD STREETTOLEDOOH43609474336051501(C)(3)$59,873SUPPORT
ADELANTE INC
520 BROADWAYTOLEDOOH43604341826214501(C)(3)$14,320SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org47Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
GIFT CARDS540$14,705
BABY SUPPLIES19$235ACTUAL COSTCAR SEATS, PERSONAL HYGIENE PRODUCTS
SURVEY INCENTIVES28051$56,102

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 (2 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$121,800$81,200$9,000$6,000$7,844$5,230$20,271$13,514$24,649$16,432$183,564$122,376$0$0
JAN RUMA
VICE PRESIDENT$183,000$0$10,775$0$966$0$24,371$0$42,693$0$261,805$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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 A, LINE 7BTHE GOVERNING DECISIONS OF THE FILING ENTITY ARE SUBJECT TO APPROVAL BY THE MEMBER HOSPITALS.
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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
NORTHWEST OHIO SHARED SERVICES INC
L$133,623
NORTHWEST OHIO SHARED SERVICES INC
O$122,377
NORTHWEST OHIO SHARED SERVICES INC
Q$98,918