HOSPITAL COUNCIL OF NORTHWEST OHIO: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HOSPITAL COUNCIL OF NORTHWEST OHIO (EIN 34-1116795)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201513179349304676
- Schema version
- 2014v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T12:25:28-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341827159 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILMORE JASION MAHLER LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1715 INDIAN WOOD CIRCLE STE 100 | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43537 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341116795 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COUNCIL OF NORTHWEST OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 4198420800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST NO 200 | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | W SCOTT FRY | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 4198420800 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HEIDI FERGUSON | PreparerPersonNm |
| PTIN | P00410007 | PTIN |
| Phone | 4197942000 | PhoneNum |
| Preparation | 2015-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | W SCOTT FRY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST NO 200 | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,466,084 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HCNO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | SEE 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 Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 37 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,756,767 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,017,852 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,402,613 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,402,333 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,565 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,239 | CYInvestmentIncomeAmt |
| PY Other Revenue | $29,224 | PYOtherRevenueAmt |
| CY Other Revenue | $27,475 | CYOtherRevenueAmt |
| PY Total Revenue | $4,190,169 | PYTotalRevenueAmt |
| CY Total Revenue | $4,448,899 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,584,782 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,001,964 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,641,812 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,798,383 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $970,522 | PYOtherExpensesAmt |
| CY Other Expenses | $1,295,680 | CYOtherExpensesAmt |
| PY Total Expenses | $4,197,116 | PYTotalExpensesAmt |
| CY Total Expenses | $4,096,027 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,947 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $352,872 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,767,064 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,599,552 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $957,033 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,436,649 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,810,031 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,162,903 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,812,714 | ExpenseAmt |
| Grant | $1,001,964 | GrantAmt |
| Revenue | $2,436,443 | RevenueAmt |
| 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 | $3,812,714 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 37 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | W SCOTT FRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4198420800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ALAN SATTLER | ||||||||
| FORMER TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| BRADLEY BERTKE | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL L WAKEMAN | ||||||||
| FORMER CHAIR-ELECT/CURRENT CHAIRMAN | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GARY ADKINS | ||||||||
| FORMER CHAIRMAN | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GARY CATES | ||||||||
| FORMER TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| HOLLY BRISTOLL | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JTODD ALMENDINGER | ||||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JACALYN LIEBOWITZ | ||||||||
| FORMER TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| KIM BORDENKIRCHER | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNN DETTERMAN | ||||||||
| IMMEDIATE PAST CHAIR | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL WINTHROP | ||||||||
| TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAM JENSEN | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PATTI FINN | ||||||||
| FORMER TREASURER/CURRENT CHAIR-ELECT | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PHIL ENNEN | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT C MALANEY | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SONYA SELHORST | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| STANLEY KORDUCKI | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| W SCOTT FRY | ||||||||
| PRESIDENT & CEO | 21.20 | Yes (X) | $109,690 | $98,846 | $66,386 | Yes (X) | 19.10 | |
| LORNA STRAYER | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| WILBURN MCKENNIE | ||||||||
| INTERIM TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY DEMPSEY | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| KERRY TIRMAN | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDALL RUGE | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIE YAROCH | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| NEERAJ KANWAL | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ARTURO POLIZZI | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID MORLOCK | ||||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSS MATLACK | ||||||||
| FORMER TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN WEBB | ||||||||
| FORMER TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| NORMA TOMLINSON | ||||||||
| FORMER SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAN RUMA | ||||||||
| VICE PRESIDENT | 46.60 | $163,980 | $0 | $53,066 | Yes (X) | |||
| KATHY SILVESTRI | ||||||||
| DIRECTOR-HEALTH PLANNING/NWO COORDINATOR | 41.50 | $100,328 | $0 | $26,248 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $373,998 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $98,846 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $145,700 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $50,000 | FederatedCampaignsAmt |
| Fundraising | $4,600 | FundraisingAmt |
| Government Grants | $1,389,122 | GovernmentGrantsAmt |
| All Other Contributions | $574,130 | AllOtherContributionsAmt |
| Total Contributions | $2,017,852 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT INCOME | 900099 | $1,882,103 | $1,882,103 |
| MEMBERSHIP DUES | 900099 | $520,230 | $520,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,402,333 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,239 | TotalRevenueColumnAmt |
| Exclusion | $1,239 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,550 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,600 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $17,185 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,635 | TotalRevenueColumnAmt |
| Exclusion | -$6,635 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,110 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $34,110 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,448,899 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,436,443 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$5,396 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,001,964 | TotalAmt |
| Program Services | $1,001,964 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,920 | TotalAmt |
| Program Services | $170,451 | ProgramServicesAmt |
| Management And General | $104,469 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,070,076 | TotalAmt |
| Program Services | $1,016,573 | ProgramServicesAmt |
| Management And General | $53,503 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,021 | TotalAmt |
| Program Services | $102,745 | ProgramServicesAmt |
| Management And General | $3,276 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,420 | TotalAmt |
| Program Services | $235,971 | ProgramServicesAmt |
| Management And General | $18,449 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,946 | TotalAmt |
| Program Services | $82,722 | ProgramServicesAmt |
| Management And General | $10,224 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,108 | TotalAmt |
| Management And General | $7,108 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,044 | TotalAmt |
| Management And General | $24,044 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $586,749 | TotalAmt |
| Program Services | $586,160 | ProgramServicesAmt |
| Management And General | $589 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,368 | TotalAmt |
| Program Services | $3,490 | ProgramServicesAmt |
| Management And General | $3,878 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,448 | TotalAmt |
| Program Services | $154,543 | ProgramServicesAmt |
| Management And General | $24,905 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,829 | TotalAmt |
| Program Services | $52,495 | ProgramServicesAmt |
| Management And General | $7,334 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,639 | TotalAmt |
| Program Services | $83,985 | ProgramServicesAmt |
| Management And General | $7,654 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,502 | TotalAmt |
| Program Services | $44,955 | ProgramServicesAmt |
| Management And General | $4,547 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,977 | TotalAmt |
| Program Services | $4,812 | ProgramServicesAmt |
| Management And General | $11,165 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,319 | TotalAmt |
| Program Services | $1,925 | ProgramServicesAmt |
| Management And General | $394 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,093 | TotalAmt |
| Program Services | $16,147 | ProgramServicesAmt |
| Management And General | $946 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM EXPENSE | $246,370 | $246,370 | |
| TRAINING | $4,124 | $3,745 | $379 |
| ORG DUES AND MEMBERSHIP | $3,952 | $3,518 | $434 |
| SUBSCRIPTIONS | $155 | $142 | $13 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3 | TotalAmt |
| Program Services | $1 | ProgramServicesAmt |
| Management And General | $2 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,096,027 | TotalAmt |
| Program Services | $3,812,714 | ProgramServicesAmt |
| Management And General | $283,313 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,989,501 | BOYAmt |
| EOY | $2,020,104 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,307 | BOYAmt |
| EOY | $1,000,806 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,729 | BOYAmt |
| EOY | $949,764 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,964 | BOYAmt |
| EOY | $617,839 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,365 | BOYAmt |
| EOY | $6,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $95,193 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $90,314 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,198 | BOYAmt |
| EOY | $4,879 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,767,064 | BOYAmt |
| EOY | $4,599,552 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,261 | BOYAmt |
| EOY | $160,412 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $799,772 | BOYAmt |
| EOY | $1,276,237 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $957,033 | BOYAmt |
| EOY | $1,436,649 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,925,302 | BOYAmt |
| EOY | $1,956,065 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $884,729 | BOYAmt |
| EOY | $1,206,838 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,810,031 | BOYAmt |
| EOY | $3,162,903 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,767,064 | BOYAmt |
| EOY | $4,599,552 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $352,872 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,370,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,952,844 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,846,679 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,756,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,017,852 | CurrentTaxYearAmt |
| Total | $10,944,245 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,370,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,952,844 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,846,679 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,756,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,017,852 | CurrentTaxYearAmt |
| Total | $10,944,245 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,944,245 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,652 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,882 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,565 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,239 | CurrentTaxYearAmt |
| Total | $11,376 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,487 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,153 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,653 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,660 | CurrentTaxYearAmt |
| Total | $217,246 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,172,867 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,662,567 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97950 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98250 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | REIMBURSEMENT INCOME - 2010 AMOUNT: $ 27,487. 2011 AMOUNT: $ 29,590. 2012 AMOUNT: $ 28,463. 2013 AMOUNT: $ 36,968. 2014 AMOUNT: $ 34,110. SPECIAL EVENT INCOME - 2011 AMOUNT: $ 21,563. 2012 AMOUNT: $ 14,190. 2013 AMOUNT: $ 14,325. 2014 AMOUNT: $ 10,550. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,269 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,765 | DepreciationAmt |
| Book Value | $2,504 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,924 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,549 | DepreciationAmt |
| Book Value | $2,375 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,879 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,466,084 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,466,084 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$17,185 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$17,185 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,448,899 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,113,212 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $17,185 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $17,185 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,096,027 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,096,027 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2014 OR 2013. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSE -17,185. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSE 17,185. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BLACK SWAMP GOLF | Event1Nm |
| Gross Receipts Event1 | $15,150 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $4,600 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $10,550 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $2,798 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $2,601 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,290 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $9,496 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $15,150 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $4,600 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $10,550 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,798 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,601 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,290 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,496 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $17,185 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$6,635 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|
| ALLEN COUNTY COMBINED HEALTH DISTRICT | |||||||
| 219 EAST MARKET STREET | LIMA | OH | 45802 | 346400019 | $14,700 | SUPPORT | |
| BLANCHARD VALLEY HEALTH SYSTEM | |||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 341369963 | $40,195 | SUPPORT | 501(C)(3) |
| BLUFFTON HOSPITAL | |||||||
| 139 GARAU STREET | BLUFFTON | OH | 45817 | 341369963 | $12,280 | SUPPORT | 501(C)(3) |
| COMMUNITY HOSPITALS AND WELLNESS CENTERSBRYAN | |||||||
| 433 W HIGH STREET | BRYAN | OH | 43506 | 341048666 | $9,222 | SUPPORT | 501(C)(3) |
| COMMUNITY HOSPITALS AND WELLNESS CENTERSMONTPELIER | |||||||
| 909 SNYDER | MONTPELIER | OH | 43543 | 341048666 | $15,268 | SUPPORT | 501(C)(3) |
| DEFIANCE COUNTY GENERAL HEALTH DISTRICT | |||||||
| 1300 EAST SECOND ST SUITE 100 | DEFIANCE | OH | 43512 | 346400373 | $10,500 | SUPPORT | |
| ERIE COUNTY GENERAL HEALTH DISTRICT | |||||||
| 420 SUPERIOR STREET | SANDUSKY | OH | 44870 | 346400428 | $6,450 | SUPPORT | |
| FIRELANDS REGIONAL MEDICAL CENTER | |||||||
| 1111 HAYES AVE | SANDUSKY | OH | 44870 | 344428218 | $24,459 | SUPPORT | 501(C)(3) |
| FISHER-TITUS MEDICAL CENTER | |||||||
| 272 BENEDICT AVE | NORWALK | OH | 44857 | 344430716 | $31,038 | SUPPORT | 501(C)(3) |
| FULTON COUNTY HEALTH CENTER | |||||||
| 725 SOUTH SHOOP AVENUE | WAUSEON | OH | 43567 | 344428214 | $27,555 | SUPPORT | 501(C)(3) |
| HENRY COUNTY HOSPITAL | |||||||
| 1600 EAST RIVERVIEW AVENUE | NAPOLEON | OH | 43545 | 344477047 | $12,092 | SUPPORT | 501(C)(3) |
| LIMA MEMORIAL HOSPITAL | |||||||
| 1001 BELLEFONTAINE AVE | LIMA | OH | 45804 | 341883284 | $23,902 | SUPPORT | 501(C)(3) |
| LUCAS COUNTY REGIONAL HEALTH DEPARTMENT | |||||||
| 635 N ERIE STREET | TOLEDO | OH | 43604 | 346400806 | $5,000 | SUPPORT | |
| MAGRUDER HOSPITAL | |||||||
| 615 FULTON STREET | PORT CLINTON | OH | 43452 | 344441792 | $16,122 | SUPPORT | 501(C)(3) |
| MEMORIAL HOSPITAL | |||||||
| 715 SOUTH TAFT AVENUE | FREMONT | OH | 43420 | 344430849 | $6,342 | SUPPORT | 501(C)(3) |
| MERCER COUNTY JT TWP COMMUNITY HOSPITAL | |||||||
| 800 WEST MAIN STREET | COLDWATER | OH | 45828 | 341101385 | $14,262 | SUPPORT | |
| MERCY HEALTH PARTNERS | |||||||
| 2200 JEFFERSON AVE | TOLEDO | OH | 43624 | 341344482 | $12,448 | SUPPORT | 501(C)(3) |
| MERCY HOSPITAL OF DEFIANCE | |||||||
| 1404 E SECOND STREET | DEFIANCE | OH | 43512 | 020701635 | $9,930 | SUPPORT | 501(C)(3) |
| MERCY HOSPITAL OF TIFFIN | |||||||
| 45 ST LAWRENCE DRIVE | TIFFIN | OH | 44883 | 344431174 | $8,750 | SUPPORT | 501(C)(3) |
| MERCY HOSPITAL OF WILLARD | |||||||
| 1100 NEAL ZICK ROAD | WILLARD | OH | 44890 | 341577110 | $5,939 | SUPPORT | 501(C)(3) |
| MERCY PHYSICIAN ENTERPRISE | |||||||
| 2200 JEFFERSON AVE | TOLEDO | OH | 43624 | 264779623 | $9,000 | SUPPORT | |
| MERCY ST VINCENT MEDICAL CENTER | |||||||
| 2224 CHERRY STREET | TOLEDO | OH | 43608 | 344428250 | $8,237 | SUPPORT | 501(C)(3) |
| MERCY ST ANNE HOSPITAL | |||||||
| 3404 SYLVANIA AVENUE | TOLEDO | OH | 43623 | 311556401 | $12,362 | SUPPORT | 501(C)(3) |
| MERCY ST CHARLES HOSPITAL | |||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 344445373 | $11,034 | SUPPORT | 501(C)(3) |
| PROMEDICA BAY PARK HOSPITAL | |||||||
| 2801 BAY PARK DRIVE | OREGON | OH | 43616 | 341883132 | $28,796 | SUPPORT | 501(C)(3) |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL | |||||||
| 1200 RALSTON AVE | DEFIANCE | OH | 43512 | 344446484 | $15,548 | SUPPORT | 501(C)(3) |
| PROMEDICA FLOWER HOSPITAL | |||||||
| 5200 HARROUN ROAD | SYLVANIA | OH | 43560 | 344428794 | $26,472 | SUPPORT | 501(C)(3) |
| PROMEDICA FOSTORIA COMMUNITY HOSPITAL | |||||||
| 501 VAN BUREN STREET | FOSTORIA | OH | 44830 | 340898745 | $16,520 | SUPPORT | 501(C)(3) |
| PROMEDICA PHYSICIANS | |||||||
| 5855 MONROE STREET | SYLVANIA | OH | 43560 | 341880767 | $52,250 | SUPPORT | 501(C)(3) |
| PROMEDICA ST LUKES HOSPITAL | |||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 344428232 | $28,282 | SUPPORT | 501(C)(3) |
| PROMEDICA TOLEDO HOSPITAL | |||||||
| 2142 NORTH COVE BLVD | TOLEDO | OH | 43606 | 344428256 | $73,887 | SUPPORT | 501(C)(3) |
| ST RITA'S MEDICAL CENTER | |||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341105619 | $40,539 | SUPPORT | 501(C)(3) |
| THE BELLEVUE HOSPITAL | |||||||
| 1400 WEST MAIN | BELLVUE | OH | 44811 | 344428205 | $23,487 | SUPPORT | 501(C)(3) |
| UNITED WAY OF GREATER TOLEDO | |||||||
| 424 JACKSON STREET | TOLEDO | OH | 43604 | 344427947 | $50,000 | SUPPORT | 501(C)(3) |
| UNIVERSITY OF TOLEDO | |||||||
| 3000 ARLINGTON | TOLEDO | OH | 43614 | 346401483 | $12,042 | SUPPORT | 501(C)(3) |
| VAN WERT COUNTY HOSPITAL | |||||||
| 1250 SOUTH WASHINGTON STREET | VAN WERT | OH | 45891 | 344429514 | $16,568 | SUPPORT | 501(C)(3) |
| WGTE PUBLIC MEDIA | |||||||
| 1270 S DETROIT AVE | TOLEDO | OH | 43614 | 346554586 | $30,900 | SUPPORT | 501(C)(3) |
| WILLIAMS COUNTY HILLSIDE COUNTRY LIVING | |||||||
| 09876 CO ROAD 16 | BRYAN | OH | 43506 | 346401595 | $14,497 | SUPPORT | |
| WOOD COUNTY HOSPITAL | |||||||
| 950 W WOOSTER STREET | BOWLING GREEN | OH | 43402 | 344440884 | $7,224 | SUPPORT | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 32 | Total501c3OrgCnt |
| Total Other Org | 7 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE PROGRAM STAFF WORK CLOSELY WITH EACH SUB GRANTEE REGARDING PAPER WORK 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W SCOTT FRY | ||||||||||||||
| PRESIDENT & CEO | $104,234 | $93,929 | $0 | $0 | $5,456 | $4,917 | $16,339 | $14,724 | $18,580 | $16,743 | $144,609 | $130,313 | $0 | $0 |
| JAN RUMA | ||||||||||||||
| VICE PRESIDENT | $163,014 | $0 | $0 | $0 | $966 | $0 | $20,473 | $0 | $32,593 | $0 | $217,046 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | AREA HOSPITALS COMPRISE THE MEMBERSHIP OF HOSPITAL COUNCIL OF NORTHWEST OHIO. |
| FORM 990, PART VI, SECTION A, LINE 7A | THESE MEMBER HOSPITALS MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE GOVERNING DECISIONS OF THE FILING ENTITY ARE SUBJECT TO APPROVAL BY THE MEMBER HOSPITALS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE 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 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 586,160. MANAGEMENT AND GENERAL EXPENSES 589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 586,749. |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST OHIO SHARED SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST DR | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341388279 | EIN |
| Primary Activities | PURCHASE CORPORATION | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| NORTHWEST OHIO SHARED SERVICES INC | |
| L | $125,657 |
| NORTHWEST OHIO SHARED SERVICES INC | |
| O | $135,343 |
| NORTHWEST OHIO SHARED SERVICES INC | |
| Q | $102,760 |