STRATEGY STUDIO / PUBLIC DATA EXPLORER

BROWN COUNTY HEALTH AND WELLNESS FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BROWN COUNTY HEALTH AND WELLNESS FOUNDATION (EIN 31-1787176)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-03
IRS object ID
201721239349301012
Schema version
2016v3.0
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)
Return2017-05-03T13:01:28-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FARRELL INCORPORATEDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1205 W STATE STAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311787176EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROWN COUNTY HEALTH AND WELLNESS FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBROWBusinessNameControlTxt
Phone9373787500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 HOME STREETAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUDY HUFFMANPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9373787500PhoneNum
Signature2017-05-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY H WOOLLARDPreparerPersonNm
Phone9373786757PhoneNum
Preparation2017-05-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.219.234.98IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-03IPDt
IP Tm13:01:16IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB4F22F5307F7B5F3F49A0DB7474E5F9B366B5284AtSubmissionCreationDeviceId
At Submission Filing Device Id2BAC91821B7F3DF199136709D21DB400D8600447AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLORIE LAYNEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 HOME STREETAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45121ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$70,208GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THE BCGH FOUNDATION IS TO ACKNOWLEDGE THE IMPORTANCE OF HEALTH TO QUALITY OF LIFE, TO RECOGNIZE THE CENTRAL ROLE THE HOSPITAL PLAYS IN IMPROVING HEALTH, AND TO ENCOURAGE FINANCIAL SUPPORT FOR THE HOSPITAL THROUGH CHARITABLE GIFTS, CREATING GREATER ACCESS TO CARE AND ENHANCING THE MEANING AND DIGNITY OF LIFE.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$4,393TotalGrossUBIAmt
PY Contributions Grants$8,259PYContributionsGrantsAmt
CY Contributions Grants$25,561CYContributionsGrantsAmt
PY Program Service Revenue$15,680PYProgramServiceRevenueAmt
CY Program Service Revenue$40,254CYProgramServiceRevenueAmt
PY Investment Income$3,902PYInvestmentIncomeAmt
CY Investment Income$4,393CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$27,841PYTotalRevenueAmt
CY Total Revenue$70,208CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$50,032PYOtherExpensesAmt
CY Other Expenses$80,938CYOtherExpensesAmt
PY Total Expenses$50,032PYTotalExpensesAmt
CY Total Expenses$80,938CYTotalExpensesAmt
PY Revenues Less Expenses-$22,191PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,730CYRevenuesLessExpensesAmt
Total Assets BOY$602,043TotalAssetsBOYAmt
Total Assets EOY$595,310TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$602,043NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$595,310NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE OF THE BCGH FOUNDATIONMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,005ExpenseAmt
Revenue$4,178RevenueAmt
DescHEART OF BROWN COUNTY GALA FOR BENEFIT OF GOOD NEIGHBOR FUND THAT ASSISTS PATIENTS WHO CANNOT AFFORD HEALTHCARE EXPENSES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,250ExpenseAmt
Revenue$16,197RevenueAmt
DescCOACHES COMMUNITY RELIEF FUNDDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,750ExpenseAmt
Revenue$19,879RevenueAmt
DescHERO FUNDDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$49,005TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundYes (true)DonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
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 EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJUDY HUFFMANPersonNm
Phone9373787500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1425 HOME STREETAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45121ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtOfficerOfficerInd
LORIE LAYNE
FOUNDATION CHAIRYes (X)
DALE CAHALL
FOUNDATION VICE CHAIRYes (X)
JUDY HUFFMAN
TREASURERYes (X)
TERI BAUMANN
SECRETARYYes (X)
ROGER ADKINS
BOARD MEMBERYes (X)
ALTA BEASLEY
BOARD MEMBERYes (X)
JEANNIE BULOW
BOARD MEMBERYes (X)
DORIS CHARLES MD
BOARD MEMBERYes (X)
DALE DYER
BOARD MEMBERYes (X)
DOUG DYER
BOARD MEMBERYes (X)
JOANN FAUTH
BOARD MEMBERYes (X)
CHESTER GREENE
BOARD MEMBERYes (X)
CAROL HOLTON
BOARD MEMBERYes (X)
RALPH JENNINGS
BOARD MEMBERYes (X)
GARY LAYNE
BOARD MEMBERYes (X)
DENNIS LEWIS
BOARD MEMBERYes (X)
DWIGHT MARRIOTT
BOARD MEMBERYes (X)
FREIDA MYERS
BOARD MEMBERYes (X)
JIM MYERS
BOARD MEMBERYes (X)
GREG PFEFFER
BOARD MEMBERYes (X)
GERRY SCHUMACHER
BOARD MEMBERYes (X)
YVONNE SCHUMACHER
BOARD MEMBERYes (X)
REV JAMES SETTLES
BOARD MEMBERYes (X)
SHELLEY SROUFE
BOARD MEMBERYes (X)
LORI MCKENNEY
BOARD MEMBERYes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$25,561AllOtherContributionsAmt
Total Contributions$25,561TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
HERO FUND624190$19,879
COACHES CANCER624190$16,197
GALA-GOOD NEIGHBOR FUND624190$4,178
FieldValueIRS element (for citing)
Total Program Service Revenue$40,254TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,393TotalRevenueColumnAmt
Unrelated Business Revenue$4,393UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,208TotalRevenueColumnAmt
Related Or Exempt Func Income$40,254RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,393UnrelatedBusinessRevenueAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
AED EQUIPMENT EXPENSE$13,416$0$13,416$0
JOHN R. DONOHOO EXPENSE$250$0$250$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$67,272TotalAmt
Program Services$49,005ProgramServicesAmt
Management And General$18,267ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$80,938TotalAmt
Program Services$49,005ProgramServicesAmt
Management And General$31,933ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$602,043BOYAmt
EOY$595,310EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$602,043BOYAmt
EOY$595,310EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$602,043BOYAmt
EOY$595,310EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$602,043BOYAmt
EOY$595,310EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$602,043BOYAmt
EOY$595,310EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,730ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,995NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$98,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,309CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,908CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,259CurrentTaxYearMinus1YearAmt
Current Tax Year$25,561CurrentTaxYearAmt
Total$294,764TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$98,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,309CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$104,908CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,259CurrentTaxYearMinus1YearAmt
Current Tax Year$25,561CurrentTaxYearAmt
Total$294,764TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$294,764PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$3,902CurrentTaxYearMinus1YearAmt
Current Tax Year$4,393CurrentTaxYearAmt
Total$8,295TotalAmt
FieldValueIRS element (for citing)
Total Support$303,059TotalSupportAmt
Public Support CY1700.97260PublicSupportCY170Pct
Public Support PY1700.99310PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlYes (true)DisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsYes (true)DisclosedForCharitablePrpsInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALA-GOOD NEIGHBOR FUNDEvent1Nm
Event2COACHES COMMUNITY RELIEF FUNDEvent2Nm

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bTHE 990 IS REVIEWED DURING A BOARD MEETING.
Pt VI, Line 12cTHE CONFLICT OF INTEREST POLICY IS REQUIRED TO BE SIGNED
Pt VI, Line 12cEVERY YEAR BY THE FOUNDATION MEMBERS. THIS IS HOW THE
Pt VI, Line 12cORGANIZATION ENFORCES THE POLICY.
Pt XIROUNDING
Form 990, Part IX, Line 24eHOSPITAL ACTIVITIES EXPENSE 2188. 0. 2188. 0.
Form 990, Part IX, Line 24eSCHOLARSHIP-GOLF OUTING 5009. 0. 5009. 0.
Form 990, Part IX, Line 24eCELEBRATION OF LIGHTS 665. 0. 665. 0.
Form 990, Part IX, Line 24eCOACHES CANCER 18250. 18250. 0. 0.
Form 990, Part IX, Line 24eGALA-GOOD NEIGHBOR FUND 22005. 22005. 0. 0.
Form 990, Part IX, Line 24eBOB STEPHEN SCHOLARSHIP 250. 0. 250. 0.
Form 990, Part IX, Line 24eSCHOOL DENTAL PROGRAM 1155. 0. 1155. 0.
Form 990, Part IX, Line 24eAUXILIARY FUND 9000. 0. 9000. 0.
Form 990, Part IX, Line 24eHERO FUND 8750. 8750. 0. 0.