HOSPITAL COUNCIL OF NORTHWEST OHIO: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOSPITAL COUNCIL OF NORTHWEST OHIO (EIN 34-1116795)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-01
- IRS object ID
- 201323059349300512
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-01T09:11:16-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341827159 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILMORE JASION & MAHLER LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1715 INDIAN WOOD CIRCLE STE 100 | AddressLine1 |
| City | MAUMEE | City |
| State | OH | State |
| ZIP Code | 43537 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341116795 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL COUNCIL OF NORTHWEST OHIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 4198420800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST NO 200 | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43617 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W SCOTT FRY | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 4198420800 | Phone |
| Date Signed | 2013-11-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HEIDI FERGUSON | Name |
| PTIN | P00410007 | PTIN |
| Phone | 4197942000 | Phone |
| Date Prepared | 2013-10-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | W SCOTT FRY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST NO 200 | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4032902 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HCNO.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 21 | TotalNbrEmployees |
| Total Nbr Volunteers | 46 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2952844 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1846679 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1501231 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2141688 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3038 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1882 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 35711 | OtherRevenuePriorYear |
| Other Revenue Current Year | 21906 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4492824 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4012155 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1709819 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1905276 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1343439 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1478150 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 825330 | OtherExpensePriorYear |
| Other Expenses Current Year | 1201683 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3878588 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4585109 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 614236 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -572954 | RevenuesLessExpensesCY |
| Total Assets BOY | 3814577 | TotalAssetsBOY |
| Total Assets EOY | 3374968 | TotalAssetsEOY |
| Total Liabilities BOY | 424645 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 557990 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3389932 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2816978 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. -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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4323563 | Expense |
| Grants | 1905276 | Grants |
| Revenue | 2170151 | Revenue |
| Description | -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. | Description |
| Total Program Service Expense | 4323563 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 44 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 21 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | W SCOTT FRY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4198420800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43617 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| W SCOTT FRY | ||||||||
| PRESIDENT & CEO | 19.70 | 20.70 | X | X | 101628 | 107053 | 55618 | |
| ALAN SATTLER | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| BRADLEY BERTKE | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| DALE THORNTON | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| DANIEL L WAKEMAN | ||||||||
| TREASURER | 4.00 | X | X | 0 | 0 | 0 | ||
| DANIEL SCHWANKE | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| E DEAN BECK | ||||||||
| FORMER TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| GARY ADKINS | ||||||||
| CHAIRMAN ELECT | 4.00 | X | X | 0 | 0 | 0 | ||
| GARY CATES | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| HOLLY BRISTOLL | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| KEVIN COOK | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| KEVIN WEBB PHD | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| KIM BORDENKIRCHER | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| LYNN DETTERMAN | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| MICHAEL LONG | ||||||||
| FORMER TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| MICHAEL WINTHROP | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| NORMA TOMLINSON | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| PAM JENSEN | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| PATRICK MARTIN | ||||||||
| IMMEDIATE PAST CHAIR | 4.00 | X | X | 0 | 0 | 0 | ||
| PATTI FINN | ||||||||
| SECRETARY | 4.00 | X | X | 0 | 0 | 0 | ||
| ROBERT E GOSPODAREK | ||||||||
| CHAIRMAN | 4.00 | X | X | 0 | 0 | 0 | ||
| SCOTT C MALANEY | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| SCOTT SCARBOROUGH | ||||||||
| FORMER TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| STANLEY KORDUCKI | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| TODD ALMENOINGER | ||||||||
| TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| WESLEY OSWALD | ||||||||
| FORMER TRUSTEE | 4.00 | X | 0 | 0 | 0 | |||
| JAN RUMA | ||||||||
| VICE PRESIDENT | 43.30 | 147881 | 0 | 48333 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 249509 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 107053 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 103951 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 2600 | FundraisingEvents |
| Government Grants | 903242 | GovernmentGrants |
| All Other Contributions | 940837 | AllOtherContributions |
| Total Contributions | 1846679 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CONTRACT INCOME | 900099 | 1741780 | 1741780 |
| MEMBERSHIP DUES | 900099 | 399908 | 399908 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2141688 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1882 | TotalRevenueColumn |
| Exclusion | $1,882 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 14190 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 2600 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 20747 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6557 | TotalRevenueColumn |
| Exclusion | -$6,557 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28463 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28463 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28463 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4012155 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2170151 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$4,675 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1905276 | Total |
| Program Services | 1905276 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264299 | Total |
| Program Services | 178204 | ProgramServices |
| Management And General | 86095 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 874970 | Total |
| Program Services | 832045 | ProgramServices |
| Management And General | 42925 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85122 | Total |
| Program Services | 75759 | ProgramServices |
| Management And General | 9363 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172440 | Total |
| Program Services | 153472 | ProgramServices |
| Management And General | 18968 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81319 | Total |
| Program Services | 72374 | ProgramServices |
| Management And General | 8945 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2276 | Total |
| Management And General | 2276 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20619 | Total |
| Management And General | 20619 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325574 | Total |
| Program Services | 315651 | ProgramServices |
| Management And General | 9923 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16128 | Total |
| Program Services | 9128 | ProgramServices |
| Management And General | 7000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175266 | Total |
| Program Services | 147457 | ProgramServices |
| Management And General | 27809 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31086 | Total |
| Program Services | 26764 | ProgramServices |
| Management And General | 4322 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79560 | Total |
| Program Services | 71398 | ProgramServices |
| Management And General | 8162 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46601 | Total |
| Program Services | 42661 | ProgramServices |
| Management And General | 3940 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22905 | Total |
| Program Services | 13515 | ProgramServices |
| Management And General | 9390 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2938 | Total |
| Program Services | 2439 | ProgramServices |
| Management And General | 499 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17313 | Total |
| Program Services | 16482 | ProgramServices |
| Management And General | 831 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROGRAM EXPENSE | 456226 | 456226 | |
| ORG DUES AND MEMBERSHIP | 3330 | 2946 | 384 |
| SUBSCRIPTIONS | 1085 | 1061 | 24 |
| TRAINING | 776 | 705 | 71 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4585109 | Total |
| Program Services | 4323563 | ProgramServices |
| Management And General | 261546 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1808832 | BOY |
| EOY | 1098602 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1650497 | BOY |
| EOY | 1985673 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72453 | BOY |
| EOY | 12000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257939 | BOY |
| EOY | 263639 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15361 | BOY |
| EOY | 4987 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 95193 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 85126 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9495 | BOY |
| EOY | 10067 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3814577 | BOY |
| EOY | 3374968 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126539 | BOY |
| EOY | 202440 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295838 | BOY |
| EOY | 348656 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2268 | BOY |
| EOY | 6894 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424645 | BOY |
| EOY | 557990 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1716027 | BOY |
| EOY | 1913057 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1673905 | BOY |
| EOY | 903921 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3389932 | BOY |
| EOY | 2816978 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3814577 | BOY |
| EOY | 3374968 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -572954 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3459099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3633414 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2370103 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2952844 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1846679 | CurrentTaxYear |
| Total | 14262139 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3459099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3633414 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2370103 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2952844 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1846679 | CurrentTaxYear |
| Total | 14262139 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 14262139 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 44580 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14229 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3652 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3038 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1882 | CurrentTaxYear |
| Total | 67381 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 31696 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27087 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27487 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 51153 | CurrentTaxYearMinus1Year |
| Current Tax Year | 42653 | CurrentTaxYear |
| Total | 180076 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14509596 | TotalSupport |
| Gross Receipts From Admissions Etc | 7006287 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98290 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97950 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REIMBURSEMENT INCOME SPECIAL EVENT INCOME | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $196 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 196 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36269 | OtherCostOrOtherBasis |
| Depreciation | 30601 | Depreciation |
| Book Value | 5668 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58924 | OtherCostOrOtherBasis |
| Depreciation | 54525 | Depreciation |
| Book Value | 4399 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10067 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 4085902 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 53000 | OtherRevenues |
| Revenue Not Rptd F990 | 53000 | RevenueNotRptdF990 |
| Revenue Subtotal | 4032902 | RevenueSubtotal |
| Other Revenues Not Included | -20747 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -20747 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4012155 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4608856 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 23747 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 23747 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4585109 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4585109 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 2B: | HOSPITAL COUNCIL IS A FISCAL AGENT FOR THE LUCAS COUNTY SUICIDE PREVENTION COALITION. | |
| 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 2012 OR 2011. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| INTERCOMPANY TRANSACTIONS 53,000. | PART XI, LINE 2D - OTHER ADJUSTMENTS: | |
| SPECIAL EVENT EXPENSE -20,747. | PART XI, LINE 4B - OTHER ADJUSTMENTS: | |
| INTERCOMPANY TRANSACTIONS 3,000. SPECIAL EVENT EXPENSE 20,747. | PART XII, LINE 2D - OTHER ADJUSTMENTS: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BLACK SWAMP GOLF | NameOfEvent1 |
| Gross Receipts Event1 | 16790 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 2600 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 14190 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 2864 | CashPrizesEvent1 |
| Rent Facility Costs Event1 | 3536 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 2514 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 11834 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 16790 | GrossReceiptsTotal |
| Charitable Contributions Total | 2600 | CharitableContributionsTotal |
| Gross Revenue Total Events | 14190 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2864 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 3536 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 2514 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 11834 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 20748 | DirectExpenseSummaryEvents |
| Net Income Summary | -6558 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (49 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|
| BELLEVUE HOSPITAL | ||||||
| 1400 WEST MAIN STREET | BELLEVUE | OH | 44811 | 344428205 | 17752 | SUPPORT |
| BLANCHARD VALLEY HEALTH SYSTEM | ||||||
| 1900 SOUTH MAIN STREET | FINDLAY | OH | 45840 | 341369963 | 44362 | SUPPORT |
| BLUFFTON HOSPITAL | ||||||
| 139 GARAU STREET | BLUFFTON | OH | 45817 | 341369963 | 12398 | SUPPORT |
| BOWLING GREEN FIRE DIVISION | ||||||
| 552 EAST COURT STREET | BOWLING GREEN | OH | 43402 | 346400148 | 18799 | SUPPORT |
| COMMUNITY HOSPITALS AND WELLNESS CENTERSBRYAN | ||||||
| 433 W HIGH STREET | BRYAN | OH | 43506 | 341048666 | 18999 | SUPPORT |
| COMMUNITY HOSPITALS AND WELLNESS CENTERSMONTPELIER | ||||||
| 909 SNYDER | MONTPELIER | OH | 43543 | 341048666 | 18285 | SUPPORT |
| COMMUNITY MEMORIAL HOSPITAL | ||||||
| 208 N COLUMBUS STREET | HICKSVILLE | OH | 43526 | 346401873 | 21495 | SUPPORT |
| FIRELANDS PHYSICIAN | ||||||
| 1031 PIERCE STREET SUITE D | SANDUSKY | OH | 44870 | 341608091 | 19500 | SUPPORT |
| FIRELANDS REGIONAL MEDICAL CENTER | ||||||
| 1101 DECATUR STREET | SANDUSKY | OH | 44870 | 344428218 | 21460 | SUPPORT |
| FISHER-TITUS MEDICAL CENTER | ||||||
| 272 BENEDICT AVE | NORWALK | OH | 44857 | 344430716 | 70965 | SUPPORT |
| FULTON COUNTY HEALTH CENTER | ||||||
| 725 SOUTH SHOOP AVENUE | WAUSEON | OH | 43567 | 344428214 | 32086 | SUPPORT |
| HENRY COUNTY HOSPITAL | ||||||
| 1600 EAST RIVERVIEW AVENUE | NAPOLEON | OH | 43545 | 344477047 | 30902 | SUPPORT |
| ISTHMUS LTD | ||||||
| 240 BRYANT AVE | WORTHINGTON | OH | 43085 | 010730930 | 57899 | SUPPORT |
| JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL | ||||||
| 200 ST CLAIR STREET | ST MARYS | OH | 45885 | 341623770 | 14124 | SUPPORT |
| LIMA MEMORIAL HOSPITAL | ||||||
| 1001 BELLEFONTAINE AVE | LIMA | OH | 43504 | 341883284 | 33805 | SUPPORT |
| LUCAS COUNTY AMATEUR RADIO EMERGENCY SERVICES INC | ||||||
| 4463 HOLLY HILL DRIVE | TOLEDO | OH | 43614 | 341343662 | 9664 | SUPPORT |
| LUCAS COUNTY REGIONAL HEALTH DEPARTMENT | ||||||
| 635 N ERIE STREET | TOLEDO | OH | 43604 | 346400806 | 6000 | SUPPORT |
| MAGRUDER HOSPITAL | ||||||
| 615 FULTON STREET | PORT CLINTON | OH | 43452 | 344441792 | 13043 | SUPPORT |
| MEMORIAL HOSPITAL | ||||||
| 715 SOUTH TAFT AVENUE | FREMONT | OH | 43420 | 344430849 | 39145 | SUPPORT |
| MERCER COUNTY JT TWP COMMUNITY HOSPITAL | ||||||
| 800 WEST MAIN STREET | COLDWATER | OH | 45828 | 341101385 | 10624 | SUPPORT |
| MERCY HEALTH PARTNERS | ||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43624 | 341344482 | 10144 | SUPPORT |
| MERCY HEALTH PARTNERS | ||||||
| 578 NORTH LEAVITT ROAD | AMHERST | OH | 44001 | 341803352 | 90000 | SUPPORT |
| MERCY HOSPITAL OF DEFIANCE | ||||||
| 1404 E SECOND STREET | DEFIANCE | OH | 43512 | 020701635 | 25938 | SUPPORT |
| MERCY HOSPITAL OF TIFFIN | ||||||
| 485 W MARKET STREET | TIFFIN | OH | 44883 | 344431174 | 13988 | SUPPORT |
| MERCY HOSPITAL OF WILLARD | ||||||
| 110 EAST HOWARD STREET | WILLARD | OH | 44890 | 341577110 | 17854 | SUPPORT |
| MERCY PHYSICIAN ENTERPRISE | ||||||
| 2200 JEFFERSON AVE | TOLEDO | OH | 43624 | 264779623 | 105000 | SUPPORT |
| NAPOLEON FIRE & RESCUE | ||||||
| 265 W RIVERVIEW AVENUE | NAPOLEON | OH | 43545 | 346400941 | 5831 | SUPPORT |
| NORTHERN OHIO MEDICAL SPECIALISTS LLC | ||||||
| 3004 HAYES AVE | SANDUSKY | OH | 44870 | 341933718 | 30000 | SUPPORT |
| PAULDING COUNTY HOSPITAL | ||||||
| 1035 W WAYNE STREET | PAULDING | OH | 45879 | 346405718 | 22438 | SUPPORT |
| PAULDING COUNTY EMA | ||||||
| 115 N WILLIAMS ST | PAULDING | OH | 45879 | 346401048 | 7339 | SUPPORT |
| PROMEDICA BAY PARK HOSPITAL | ||||||
| 2801 BAY PARK DRIVE | OREGON | OH | 43616 | 341883132 | 35660 | SUPPORT |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL | ||||||
| 1200 RALSTON AVE | DEFIANCE | OH | 43512 | 344446484 | 13959 | SUPPORT |
| PROMEDICA FLOWER HOSPITAL | ||||||
| 5200 HARROUN ROAD | SYLVANIA | OH | 43560 | 344428794 | 11997 | SUPPORT |
| PROMEDICA FOSTORIA COMMUNITY HOSPITAL | ||||||
| 501 VAN BUREN STREET | FOSTORIA | OH | 44830 | 340898745 | 17863 | SUPPORT |
| PROMEDICA PHYSICIANS | ||||||
| 5855 MONROE STREET | SYLVANIA | OH | 43560 | 341880767 | 235800 | SUPPORT |
| PROMEDICA ST LUKES HOSPITAL | ||||||
| 5901 MONCLOVA RD | MAUMEE | OH | 43537 | 344428232 | 28139 | SUPPORT |
| PROMEDICA TOLEDO HOSPITAL | ||||||
| 2142 NORTH COVE BLVD | TOLEDO | OH | 43606 | 344428256 | 48568 | SUPPORT |
| SANDUSKY CO EMA | ||||||
| 2323 COUNTRYSIDE DRIVE SUITE B | FREMONT | OH | 43420 | 346401312 | 12225 | SUPPORT |
| SHEALY GROUP LTD | ||||||
| 68 PARK AVENUE WEST | MANSFIELD | OH | 44902 | 010724512 | 76500 | SUPPORT |
| ST ANNE MERCY HOSPITAL | ||||||
| 3404 SYLVANIA AVENUE | TOLEDO | OH | 43623 | 311556401 | 14485 | SUPPORT |
| ST CHARLES MERCY HOSPITAL | ||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 344445373 | 19207 | SUPPORT |
| ST RITA'S MEDICAL CENTER | ||||||
| 730 W MARKET STREET | LIMA | OH | 45801 | 341105619 | 37001 | SUPPORT |
| ST VINCENT MERCY MEDICAL CENTER | ||||||
| 2213 CHERRY STREET | TOLEDO | OH | 43608 | 344428250 | 35461 | SUPPORT |
| TOLEDO CLINIC | ||||||
| 4235 SECOR ROAD | TOLEDO | OH | 43623 | 340936207 | 63000 | SUPPORT |
| TOLEDO RADIOLOGICAL ASSOCIATES | ||||||
| PO BOX 2204 | INDIANAPOLIS | IN | 43206 | 341029988 | 13980 | SUPPORT |
| UNITED WAY OF GREATER TOLEDO | ||||||
| 424 JACKSON STREET | TOLEDO | OH | 43604 | 344427947 | 50000 | SUPPORT |
| UNIVERSITY OF TOLEDO | ||||||
| 3000 ARLINGTON | TOLEDO | OH | 43614 | 346401483 | 42905 | SUPPORT |
| VAN WERT COUNTY HOSPITAL | ||||||
| 1250 SOUTH WASHINGTON STREET | VAN WERT | OH | 45891 | 344429514 | 13572 | SUPPORT |
| WOOD COUNTY HOSPITAL | ||||||
| 950 W WOOSTER STREET | BOWLING GREEN | OH | 43402 | 344440884 | 56029 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 34 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 15 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W SCOTT FRY | ||||||||||||||
| PRESIDENT & CEO | 97965 | 103195 | 0 | 0 | 3663 | 3858 | 15102 | 15908 | 11984 | 12624 | 128714 | 135585 | 0 | 0 |
| JAN RUMA | ||||||||||||||
| VICE PRESIDENT | 147431 | 0 | 0 | 0 | 450 | 0 | 18960 | 0 | 29373 | 0 | 196214 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 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. | FINANCIAL STATEMENTS AND REPORTING |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST OHIO SHARED SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3231 CENTRAL PARK WEST DR | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341388279 | EIN |
| Primary Activity | PURCHASE CORPORATION | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| NORTHWEST OHIO SHARED SERVICES INC | |
| L | 120084 |
| NORTHWEST OHIO SHARED SERVICES INC | |
| O | 140916 |
| NORTHWEST OHIO SHARED SERVICES INC | |
| Q | 72467 |