Liabilities / Assets
71st percentile
Higher debt load relative to assets than 71% of similar nonprofits.
Barnesville Hospital Foundation
990 • Fiscal year 2018 • EIN 11-3804786
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.03x
Liabilities / Revenue
82nd percentile
Higher debt load relative to revenue than 82% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 119.1% of source-year revenue.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
4th percentile
Faster revenue growth than 4% of similar nonprofits.
Balance Sheet
Assets
Down$470,925
Down $375,493 (-44%) from 2017
Net Assets
Down$454,521
Down $333,240 (-42%) from 2017
Liabilities
Down$16,404
Down $42,253 (-72%) from 2017
Revenue And Expenses
Revenue
Down$167,257
Down $751,229 (-82%) from 2017
Expenses
Down$500,497
Down $311,681 (-38%) from 2017
Net Income
Down-$333,240
Down $439,548 (-413%) from 2017
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2018 to Dec 31, 2018
- Signed
- Oct 28, 2019
- Return Version
- 2018v3.1
- Gross Receipts
- $167,257
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
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $724,673 | $450,799 | ▼ $273,874 |
| Pledges and Grants Receivable | $121,745 | $20,126 | ▼ $101,619 |
| Total Assets | $846,418 | $470,925 | ▼ $375,493 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $58,657 | $16,404 | ▼ $42,253 |
| Total Liabilities | $58,657 | $16,404 | ▼ $42,253 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $666,016 | $434,395 | ▼ $231,621 |
| Temporarily Rstr Net Assets | $121,745 | $20,126 | ▼ $101,619 |
| Total Net Assets Fund Balance | $787,761 | $454,521 | ▼ $333,240 |
| Total Liabilities and Net Assets / Fund Balance | $846,418 | $470,925 | ▼ $375,493 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Willie Cooper-lohr | Hospital CFO | - | $134,852 | $134,852 |
| Janet Chambers | Executive Director | PT | $110,114 | $110,114 |
Board Members and Trustees
| Name | Title |
|---|---|
| John Rataiczak | Chair |
| John Cheffy | Vice Chair |
| Joel Braido | Board Member |
| Lynda Mayberry | Board Member |
| Sharon Lee-wood | Board Member |
| David Phillips | Hospital CEO |
| Doug Huff | Secretary/treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $160,755
- Program Service Revenue
- $0
- Investment Income
- $6,502
- Other Revenue
- $0
- All Other Contributions
- $160,755
- Change in Net Assets
- $-333,240
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $422,678 |
| Total Fundraising Expense | $77,819 |
| Salaries, Compensation, and Employee Benefits | $65,887 |
| Other Expenses | $11,932 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $422,678 | - | - | $422,678 |
| Other Salaries and Wages | - | - | $31,625 | $31,625 |
| Other Employee Benefits | - | - | $31,278 | $31,278 |
| Office Expenses | - | - | $6,742 | $6,742 |
| Fees for Services Other | - | - | $2,872 | $2,872 |
| Payroll Taxes | - | - | $2,420 | $2,420 |
| Occupancy | - | - | $2,060 | $2,060 |
| Pension Plan Contributions | - | - | $564 | $564 |
| Travel | - | - | $243 | $243 |
| Advertising | - | - | $15 | $15 |
| Total Functional Expenses | $422,678 | $0 | $77,819 | $500,497 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Barnesville Hospital Association | Barnesville, OH | 501(c)(3) | Operations Support | $422,678 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- 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
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 6
“The sole member of barnesville hospital foundation is barnesville hospital association, inc., an ohio nonprofit corporation.”
Form 990, Part VI, Section A, Line 7A
“Barnesville hospital association, inc. Is the parent corporation and sole member of barnesville hospital foundation. As the member, barnesville hospital association has the sole right to elect the directors of this corporation and remove, with or without cause, any director of this corporation prior to expiration of the director's term. The member has the right to fill any vacancy for the office of voting director.”
Form 990, Part VI, Section A, Line 7B
“While the board of directors of the foundation is granted certain powers with respect to its operations, as the sole member, barnesville hospital association, inc. Retains approval rights with respect to certain corporate actions such as (i) selection of the director of development, (ii) approval of the annual operating budget of the foundation prior to its implementation, (iii) any expenditure of, or donation made by, the foundation in excess of limits set from time to time by the member shall be subject to approval by the member, (iv) the appointment of independent auditors and/or accountants for the foundation shall be subject to prior approval by the member, (v) adoption of any long-range plan or the adoption of specific management objectives for the foundation shall be subject to approval by the member, (vi) the sale or lease or other disposition of any personal property of the foundation comprising a significant portion of the foundation's assets or any real property of the foundation is subject to prior approval of the member, and (vii) the incurrence of any short or long term debt, secured or unsecured, in amounts to be determined from time to time by the member shall be subject to prior approval by the member.”
Form 990, Part VI, Section B, Line 11B
“After the initial review it is reviewed by a committee of the barnesville hospital board of trustees for review and comment.”
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 2018.”
Form 990, Part VI, Section B, Line 15
“All officers' salaries or executive directors' salaries are recommended by the hospital board.”
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
- Filer Name
- Barnesville Hospital Foundation
- EIN
- 11-3804786
- Phone
- 7404255789
- Address
- 639 WEST MAIN STREET, BARNESVILLE, OH 43713
Signing Officer
- Name
- Willie Cooper-lohr
- Title
- CFO
- Phone
- 7404255789
- Signed
- 2019-10-28
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Willie Cooper-lohr
- Formed
- 2006
- Legal Domicile
- Oh
- Voting Board Members
- 6
- Independent Board Members
- 6
- Employees
- 0
- Volunteers
- 6
Preparer
- Firm
- Blue & Co LLC
- Address
- 500 N MERIDIAN ST SUITE 200, INDIANAPOLIS, IN 46204
- Preparer
- Margot Burke
- Phone
- 3176334705
Supplemental Narrative
Additional Explanations
FORM 990 PAGE 12 PART XII, LINE 2C:
“The process has not changed from the prior year.”
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, 2018 and 2017, 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.”
Raw XML AppendixShowing 400 of 483 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ActivityOrMissionDesc | 0 | SECURE FUNDS FOR THE HOSPITAL TO FURTHER THEIR COMMUNITY SERVICE. |
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| IRS990/AdvertisingGrp/TotalAmt | 0 | 15 |
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| IRS990/Desc | 0 | THE PURPOSE OF THE FOUNDATION IS TO SUSTAIN BARNESVILLE HOSPITAL AS A MODEL FOR EXCELLENCE IN RURAL HEALTH CARE AND A VITAL CENTER OF COMMUNITY HEALTH ACTIVITIES IN BARNESVILLE, OHIO AND THROUGHOUT SOUTHEASTERN OHIO. THE LONG TERM GOAL OF THE FOUNDATION IS TO WORK WITH COMMUNITY LEADERS, ORGANIZATIONS, BUSINESSES, AND CORPORATIONS TO MOBILIZE RESOURCES TO MEET THE HEALTH CARE NEEDS OF AREA RESIDENTS AND TO INSURE THE VIABILITY OF THE HOSPITAL FOR OUR COMMUNITY. |
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| IRS990/MissionDesc | 0 | 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. |
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| IRS990/PYTotalExpensesAmt | 0 | 812178 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 918486 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -333240 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
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| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 450799 |
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| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
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| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
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| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
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| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 340719172 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
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| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | BARNESVILLE HOSPITAL ASSOCIATION INC |
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| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 422678 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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, 2018 AND 2017, 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/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 1 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 422678 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(C)(3) |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | OPERATIONS SUPPORT |
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| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 340719172 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | 639 W MAIN STREET |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | BARNESVILLE |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 0 | 43713 |
| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | THE FOUNDATION ONLY SUPPORTS ACTIVITIES OF THE HOSPITAL TO FURTHER HELP THE HOSPITAL IN ITS ENDEAVOR TO HELP PATIENTS AND THE COMMUNITY. |
| IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 2: |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 1 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
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| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 12524 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 39925 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | DAVID PHILLIPS |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | HOSPITAL CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 199176 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | THE FOLLOWING METHODS WERE USED BY A RELATED PARTY (BARNESVILLE HOSPITAL ASSOCIATION) TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR: -COMPENSATION COMMITTEE -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 3 |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE SOLE MEMBER OF BARNESVILLE HOSPITAL FOUNDATION IS BARNESVILLE HOSPITAL ASSOCIATION, INC., AN OHIO NONPROFIT CORPORATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | BARNESVILLE HOSPITAL ASSOCIATION, INC. IS THE PARENT CORPORATION AND SOLE MEMBER OF BARNESVILLE HOSPITAL FOUNDATION. AS THE MEMBER, BARNESVILLE HOSPITAL ASSOCIATION HAS THE SOLE RIGHT TO ELECT THE DIRECTORS OF THIS CORPORATION AND REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR OF THIS CORPORATION PRIOR TO EXPIRATION OF THE DIRECTOR'S TERM. THE MEMBER HAS THE RIGHT TO FILL ANY VACANCY FOR THE OFFICE OF VOTING DIRECTOR. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | WHILE THE BOARD OF DIRECTORS OF THE FOUNDATION IS GRANTED CERTAIN POWERS WITH RESPECT TO ITS OPERATIONS, AS THE SOLE MEMBER, BARNESVILLE HOSPITAL ASSOCIATION, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) SELECTION OF THE DIRECTOR OF DEVELOPMENT, (II) APPROVAL OF THE ANNUAL OPERATING BUDGET OF THE FOUNDATION PRIOR TO ITS IMPLEMENTATION, (III) ANY EXPENDITURE OF, OR DONATION MADE BY, THE FOUNDATION IN EXCESS OF LIMITS SET FROM TIME TO TIME BY THE MEMBER SHALL BE SUBJECT TO APPROVAL BY THE MEMBER, (IV) THE APPOINTMENT OF INDEPENDENT AUDITORS AND/OR ACCOUNTANTS FOR THE FOUNDATION SHALL BE SUBJECT TO PRIOR APPROVAL BY THE MEMBER, (V) ADOPTION OF ANY LONG-RANGE PLAN OR THE ADOPTION OF SPECIFIC MANAGEMENT OBJECTIVES FOR THE FOUNDATION SHALL BE SUBJECT TO APPROVAL BY THE MEMBER, (VI) THE SALE OR LEASE OR OTHER DISPOSITION OF ANY PERSONAL PROPERTY OF THE FOUNDATION COMPRISING A SIGNIFICANT PORTION OF THE FOUNDATION'S ASSETS OR ANY REAL PROPERTY OF THE FOUNDATION IS SUBJECT TO PRIOR APPROVAL OF THE MEMBER, AND (VII) THE INCURRENCE OF ANY SHORT OR LONG TERM DEBT, SECURED OR UNSECURED, IN AMOUNTS TO BE DETERMINED FROM TIME TO TIME BY THE MEMBER SHALL BE SUBJECT TO PRIOR APPROVAL BY THE MEMBER. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | AFTER THE INITIAL REVIEW IT IS REVIEWED BY A COMMITTEE OF THE BARNESVILLE HOSPITAL BOARD OF TRUSTEES FOR REVIEW AND COMMENT. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | 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 2018. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | ALL OFFICERS' SALARIES OR EXECUTIVE DIRECTORS' SALARIES ARE RECOMMENDED BY THE HOSPITAL BOARD. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | 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. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | FORM 990 PAGE 12 PART XII, LINE 2C: |
| IRS990ScheduleR/AssetExchangeInd | 0 | 1 |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd | 0 | 1 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd | 0 | N/A |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN | 0 | 341566526 |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt | 0 | C |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd | 0 | OH |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt | 0 | RETAIL PHARMACY |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt | 0 | BELMONT COUNTY HEALTH SERVICES |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt | 0 | 639 W MAIN STREET |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm | 0 | BARNESVILLE |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd | 0 | 43713 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 1 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 0 | BARNESVILLE HOSPITAL |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd | 0 | N/A |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 0 | BARNESVILLE HOSPITAL ASSOCIATION |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 1 | BELMONT PROFESSIONAL ASSOCIATES INC |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 0 | 340719172 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 1 | 311352493 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 0 | 501(C)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 1 | 501(C)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd | 0 | OH |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd | 1 | OH |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 0 | HOSPITAL |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 1 | PHYSICIAN PRACTICE |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt | 1 | LINE 3 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt | 0 | 639 W MAIN STREET |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt | 1 | 639 W MAIN STREET |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 0 | BARNESVILLE |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 1 | BARNESVILLE |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 1 | OH |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 0 | 43713 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 1 | 43713 |
| IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/PaidEmployeesSharingInd | 0 | 1 |
| IRS990ScheduleR/PerformOfServicesByOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/PerformOfServicesForOthOrgInd | 0 | 0 |
| IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidByOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidToOtherOrgInd | 0 | 1 |
| IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd | 0 | 1 |
| IRS990ScheduleR/RentalOfFcltsFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/SharingOfFacilitiesInd | 0 | 0 |
| IRS990ScheduleR/TransferFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/TransferToOtherOrgInd | 0 | 0 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | OH |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt | 0 | 121745 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $470,925
- Liabilities
- $16,404
- Net assets
- $454,521
- Revenue
- $167,257
- Expenses
- $500,497
- Net income
- -$333,240