Civic Intelligence

Barnesville Hospital Foundation

990 • Fiscal year 2013 • EIN 11-3804786

Jan 01, 2013 to Dec 31, 2013 • Filed on Jun 18, 2014

639 West Main StreetBarnesville, OH 43713

(740) 425-5789

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

80th percentile

0.16x

Higher debt load relative to assets than 80% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

85th percentile

0.17x

Higher debt load relative to revenue than 85% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

10th percentile

-38%

Higher net margin than 10% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

99th percentile

$196,271

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 45.5% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

18th percentile

-24%

Faster asset growth than 18% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

84th percentile

46%

Faster revenue growth than 84% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2010 to 2013

Assets

Down

$474,743

Down $151,764 (-24%) from 2012

Net Assets

Down

$400,686

Down $161,947 (-29%) from 2012

Liabilities

Up

$74,057

Up $10,183 (+16%) from 2012

Revenue

$431,552

No earlier filing loaded for comparison.

Expenses

Up

$593,499

Up $514,345 (+650%) from 2012

Net Income

-$161,947

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $393,352Liabilities 2010: $65,640Net Assets 2010: $327,7122010Assets 2011: $508,639Liabilities 2011: $59,937Net Assets 2011: $448,7022011Assets 2012: $626,507Liabilities 2012: $63,874Net Assets 2012: $562,6332012Assets 2013: $474,743Liabilities 2013: $74,057Net Assets 2013: $400,6862013Assets 2014: $1,906,104Liabilities 2014: $105,374Net Assets 2014: $1,800,7302014Assets 2015: $1,184,172Liabilities 2015: $89,638Net Assets 2015: $1,094,5342015Assets 2016: $739,246Liabilities 2016: $57,793Net Assets 2016: $681,4532016Assets 2017: $846,418Liabilities 2017: $58,657Net Assets 2017: $787,7612017Assets 2018: $470,925Liabilities 2018: $16,404Net Assets 2018: $454,5212018Assets 2019: $149,349Liabilities 2019: $0Net Assets 2019: $149,3492019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2013

Assets$474,743
Liabilities$74,057
Net Assets$400,686

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MRevenue 2010: $138,056Expenses 2010: $65,648Net Income 2010: $72,4082010Expenses 2011: $109,2112011Expenses 2012: $79,1542012Revenue 2013: $431,552Expenses 2013: $593,499Net Income 2013: -$161,9472013Revenue 2014: $1,735,466Expenses 2014: $335,422Net Income 2014: $1,400,0442014Revenue 2015: $451,063Expenses 2015: $1,157,259Net Income 2015: -$706,1962015Revenue 2016: $151,027Expenses 2016: $564,108Net Income 2016: -$413,0812016Revenue 2017: $918,486Expenses 2017: $812,178Net Income 2017: $106,3082017Revenue 2018: $167,257Expenses 2018: $500,497Net Income 2018: -$333,2402018Revenue 2019: $109,935Expenses 2019: $415,107Net Income 2019: -$305,1722019Revenue 2020: $92,572Expenses 2020: $172,666Net Income 2020: -$80,0942020

Highlighted filing

2013

Revenue$431,552
Expenses$593,499
Net Income-$161,947
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jun 18, 2014
Return Version
2013v3.0
Gross Receipts
$431,552
Mission and Program Overview

Mission

The barnesville hospital foundation's mission is to work to guarantee that barnesville hospital has sufficient resources to improve the community's health through the efficient provision, coordination, and integration of quality health services, health education, and research.

Secure funds for the hospital to further their community service.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$517,827$468,981▼ $48,846
Rtn Earn Endowment Incm Other Fnds$562,633$400,686▼ $161,947
Cash and Non-Interest-Bearing Accounts$108,680$5,762▼ $102,918
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$626,507$474,743▼ $151,764
Liabilities
Other Liabilities$63,874$74,057▲ $10,183
Total Liabilities$63,874$74,057▲ $10,183
Net Assets / Fund Balance
Total Net Assets Fund Balance$562,633$400,686▼ $161,947
Total Liabilities and Net Assets / Fund Balance$626,507$474,743▼ $151,764
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Willie Cooper-lohrHospital CFO--$110,828$110,828
Janet ChambersExecutive DirectorPT$31,840$68,484$100,324

Board Members and Trustees

NameTitle
John RataiczakChair
John CheffyVice Chair
Dick SulsbergerBoard Member
Dr David J HilliardBoard Member
Joel BraidoBoard Member
Julie MccortBoard Member
Lynda MayberryBoard Member
Richard YossBoard Member
Sharon Lee-woodBoard Member
William KnoxBoard Member
David PhillipsHospital CEO
Doug HuffSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$417,109
Program Service Revenue
$0
Investment Income
$14,443
Other Revenue
$0
All Other Contributions
$353,235
Change in Net Assets
$-161,947
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$518,461
Salaries, Compensation, and Employee Benefits$57,563
Other Expenses$17,475
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$518,461--$518,461
Current Officers, Directors, Trustees, and Key Employees$31,840--$31,840
Other Employee Benefits$21,852--$21,852
Information Technology$7,523--$7,523
Office Expenses$4,769--$4,769
Payroll Taxes$2,900--$2,900
Occupancy$2,060--$2,060
Conferences and Meetings-$1,450-$1,450
Fees for Services Accounting-$1,439-$1,439
Pension Plan Contributions$971--$971
Travel$234--$234
Total Functional Expenses$590,610$2,889$0$593,499
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
34-0719172-501(c)(3)The First Donation for the New Er Project$500,000
34-0719172-501(c)(3)Remodel the Ccu Waiting Room So It Would Be Helpful for Families of the Ccu Patients.$8,461
34-0719172-501(c)(3)Community Education$1,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Barnesville Hospital$74,057
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

The 990 is prepared by an independent cpa firm and reviewed by the cfo and ceo. After the initial review it is electronically sent to all board members for review and comment. If they have questions or comments the cfo will answer all questions or comments.

Form 990, Part VI, Section B, Line 12C

All board members and any leadership or management positions are required to fill out a conflict of interest form each year. They are reviewed by the corporate compliance officer. If a conflict would exist, no matter how small, it would be reviewed by the ceo and board members to decide if the person would need to resign from their position or disassociate themselves from the conflicting entity. We had no conflicts of interest in 2012.

Form 990, Part VI, Section B, Line 15B

All officer's salaries or executive director's salaries are recommended by a compensation committee and salary surveys are reviewed by the committee. The full board would then approve or deny the salary. The foundation employee has no input on what the salaries will be.

Form 990, Part VI, Section C, Line 19

The 990 and financial statements are available for the public to review. We have them request a copy and we then send it to them. They can also come to the office and review.

Filing and Contact Details

Filer

EIN
11-3804786
Phone
7404255789

Signing Officer

Name
Willie Cooper-lohr
Title
CFO
Phone
7404255789
Signed
2014-06-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Willie Cooper-lohr
Formed
2006
Legal Domicile
Oh
Voting Board Members
11
Independent Board Members
10
Employees
0
Volunteers
10

Preparer

Preparer
Stephen a Sheridan
Phone
6148852583
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken and recognize a tax liability if an uncertain position has been taken that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by these entities, and has concluded that as of december 31, 2013 and 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. The entities are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

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IRS990/PYContributionsGrantsAmt0171152
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt014409
IRS990/PYInvestmentIncomeAmt021933
IRS990/PYOtherExpensesAmt013172
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0113931
IRS990/PYSalariesCompEmpBnftPaidAmt051573
IRS990/PYTotalExpensesAmt079154
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0193085
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-161947
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt063874
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0562633
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0400686
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0517827
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0468981
IRS990ScheduleA/CertificationInd0X
IRS990ScheduleA/Contribution35ControlledInd00
IRS990ScheduleA/ContributionControllerInd00
IRS990ScheduleA/ContributionFamilyInd00
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0340719172
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc0501 (C)(3)
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0518461
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10BARNESVILLE HOSPITAL ASSOCIATION INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd01
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt0518461
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt074057
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO BARNESVILLE HOSPITAL
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013 AND 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ENTITIES ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt074057
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt08461
IRS990ScheduleI/RecipientTable/CashGrantAmt11000
IRS990ScheduleI/RecipientTable/CashGrantAmt2500000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/IRCSectionDesc1501(C)(3)
IRS990ScheduleI/RecipientTable/IRCSectionDesc2501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0REMODEL THE CCU WAITING ROOM SO IT WOULD BE HELPFUL FOR FAMILIES OF THE CCU PATIENTS.
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1COMMUNITY EDUCATION
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt2THE FIRST DONATION FOR THE NEW ER PROJECT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10BARNESVILLE HOSPITAL ASSOCIATION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine11BARNESVILLE HOSPITAL ASSOCIATION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine12BARNESVILLE HOSPITAL ASSOCIATION
IRS990ScheduleI/RecipientTable/RecipientEIN0340719172
IRS990ScheduleI/RecipientTable/RecipientEIN1340719172
IRS990ScheduleI/RecipientTable/RecipientEIN2340719172
IRS990ScheduleI/RecipientTable/USAddress/AddressLine10639 W MAIN STREET
IRS990ScheduleI/RecipientTable/USAddress/AddressLine11639 W MAIN STREET
IRS990ScheduleI/RecipientTable/USAddress/AddressLine12639 W MAIN STREET
IRS990ScheduleI/RecipientTable/USAddress/City0BARNESVILLE
IRS990ScheduleI/RecipientTable/USAddress/City1BARNESVILLE
IRS990ScheduleI/RecipientTable/USAddress/City2BARNESVILLE
IRS990ScheduleI/RecipientTable/USAddress/State0OH
IRS990ScheduleI/RecipientTable/USAddress/State1OH
IRS990ScheduleI/RecipientTable/USAddress/State2OH
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode043713
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode143713
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode243713
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0171051
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1129906
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt07095
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt15634
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt018125
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt117500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DR DAVID J HILLIARD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1DAVID PHILLIPS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1HOSPITAL CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0196271
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1153040
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS PREPARED BY AN INDEPENDENT CPA FIRM AND REVIEWED BY THE CFO AND CEO. AFTER THE INITIAL REVIEW IT IS ELECTRONICALLY SENT TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT. IF THEY HAVE QUESTIONS OR COMMENTS THE CFO WILL ANSWER ALL QUESTIONS OR COMMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL BOARD MEMBERS AND ANY LEADERSHIP OR MANAGEMENT POSITIONS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM EACH YEAR. THEY ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IF A CONFLICT WOULD EXIST, NO MATTER HOW SMALL, IT WOULD BE REVIEWED BY THE CEO AND BOARD MEMBERS TO DECIDE IF THE PERSON WOULD NEED TO RESIGN FROM THEIR POSITION OR DISASSOCIATE THEMSELVES FROM THE CONFLICTING ENTITY. WE HAD NO CONFLICTS OF INTEREST IN 2012.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL OFFICER'S SALARIES OR EXECUTIVE DIRECTOR'S SALARIES ARE RECOMMENDED BY A COMPENSATION COMMITTEE AND SALARY SURVEYS ARE REVIEWED BY THE COMMITTEE. THE FULL BOARD WOULD THEN APPROVE OR DENY THE SALARY. THE FOUNDATION EMPLOYEE HAS NO INPUT ON WHAT THE SALARIES WILL BE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 990 AND FINANCIAL STATEMENTS ARE AVAILABLE FOR THE PUBLIC TO REVIEW. WE HAVE THEM REQUEST A COPY AND WE THEN SEND IT TO THEM. THEY CAN ALSO COME TO THE OFFICE AND REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine10BARNESVILLE HOSPITAL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0341566526
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0PHARMACY/DME
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine10BELMONT COUNTY HEALTH SERVICES

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