Civic Intelligence

Forum Health Foundation

EIN 20-2711674 • 501(c)3 • Warren, OH

Revoked

Profile

Revocation date: May 15, 2015

1350 E Market St Attn Acct DeptWarren, OH 44483-6608
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2010

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2010

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2010

Top Officer Pay

Score unavailable

No value available

No filing with officer or executive compensation is available for this organization yet.

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2010

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

$0

No earlier filing loaded for comparison.

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

$0

No earlier filing loaded for comparison.

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

-

No earlier filing loaded for comparison.

Net Income

-

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

Grouped bars show assets, liabilities, and net assets across loaded filings.

$0Assets 2010: $0Net Assets 2010: $02010

Highlighted filing

2010

Assets$0
Liabilities-
Net Assets$0
Open 2010 Filing

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

No historical points available for this chart yet.

Filings

Most recent year

2010 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$0
Liabilities
-
Net assets
$0
Revenue
-
Expenses
-
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0$0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2010 to Dec 31, 2010
Signed
Nov 7, 2011
Return Version
2010v3.4
Filing and Contact Details

Filer

EIN
20-2711674
Raw XML Appendix127 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.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRpt00
IRS990EZ/AmountOfTaxImposedOnOrgMgr00
IRS990EZ/AmountOfTaxReimbursedByOrg00
IRS990EZ/DirectIndirectPoliticalExpend00
IRS990EZ/DoesOrgHaveHospital00
IRS990EZ/EngagedInExcessBenefitTrans00
IRS990EZ/EngageInLobbyingActivities00
IRS990EZ/EngagePoliticalCmpgnActivities00
IRS990EZ/FiledScheduleA01
IRS990EZ/ForeignFinancialAccount00
IRS990EZ/ForeignOffice00
IRS990EZ/GrossReceipts00
IRS990EZ/GrossReceiptsLessThan250000X
IRS990EZ/InfoInScheduleOPartIII0X
IRS990EZ/MadeChangesToOrgnzngEtcDoc00
IRS990EZ/MadeLoansToFromOfficers00
IRS990EZ/MaintainAnyDonorAdvisedFunds00
IRS990EZ/MethodOfAccountingAccrual0X
IRS990EZ/NetAssetsOrFundBalances/BOY00
IRS990EZ/NetAssetsOrFundBalances/EOY00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine101350 E MARKET ST
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine111350 E MARKET ST
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine121350 E MARKET ST
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City0WARREN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City1WARREN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City2WARREN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State0OH
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State1OH
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State2OH
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode044483
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode144483
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode244483
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition050.00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition150.00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition250.00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation0755000
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation1144162
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation2139421
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc110868
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc23023
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances027966
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances112720
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances212600
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName0CHARLES W NEUMANN
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName1LISA M MEDOVICH
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName2KRISTIN K HOWARD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title0INTERIM CEO
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title1SR VP & CFO
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title2CH LEGAL OFF
IRS990EZ/OperatingSchool00
IRS990EZ/Organization501c30X
IRS990EZ/OrganizationDissolvedEtc00
IRS990EZ/OrganizationHadUBI00
IRS990EZ/OtherChangesInNetAssets00
IRS990EZ/PartVIAHghstPaidCntrctProfSer0NONE
IRS990EZ/PartVIOfCompOfHighestPaidEmpl0NONE
IRS990EZ/PrimaryExemptPurpose0FORUM HEALTH FOUNDATION SUPPORTS THE FORUM HEALTH INTEGRATED HEALTH SYSTEM, SPECIFICALLY TRUMBULL MEMORIAL HOSPITAL AND WESTERN RESERVE CARE SYSTEM. THE FOUNDATION'S PURPOSE IS TO ENGAGE IN CHARITABLE ACTIVITIES, INCLUDING THE ESTABLISHMENT, SUPPORT (FINANCIAL OR OTHERWISE) AND MAINTENANCE OF COMMUNITY-BASED HEALTH PROGRAMS WHICH ARE DIRECTED TOWARD IMPROVING THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE FORUM HEALTH INTEGRATED HEALTH SYSTEM.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom0FORUM HEALTH FOUNDATION SUPPORTS THE FORUM HEALTH INTEGRATED HEALTH SYSTEM, SPECIFICALLY TRUMBULL MEMORIAL HOSPITAL AND WESTERN RESERVE CARE SYSTEM. THE FOUNDATION'S PURPOSE IS TO ENGAGE IN CHARITABLE ACTIVITIES, INCLUDING THE ESTABLISHMENT, SUPPORT (FINANCIAL OR OTHERWISE) AND MAINTENANCE OF COMMUNITY-BASED HEALTH PROGRAMS WHICH ARE DIRECTED TOWARD IMPROVING THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE FORUM HEALTH INTEGRATED HEALTH SYSTEM.
IRS990EZ/ProgramServiceAccomplishment/GrantsAndAllocations00
IRS990EZ/ProgramServiceAccomplishment/ProgramServiceExpenses00
IRS990EZ/ProhibitedTaxShelterTrans00
IRS990EZ/RelatedOrgControlledEntity00
IRS990EZ/ScheduleBNotRequired0X
IRS990EZ/TanningServicesProvided00
IRS990EZ/TaxImposedUnderIRC491100
IRS990EZ/TaxImposedUnderIRC491200
IRS990EZ/TaxImposedUnderIRC495500
IRS990EZ/TheBooksAreInCareOf/AddressUS/AddressLine101350 E MARKET ST
IRS990EZ/TheBooksAreInCareOf/AddressUS/City0WARREN
IRS990EZ/TheBooksAreInCareOf/AddressUS/State0OH
IRS990EZ/TheBooksAreInCareOf/AddressUS/ZIPCode044483
IRS990EZ/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10LISA M MEDOVICH
IRS990EZ/TheBooksAreInCareOf/TelephoneNumber03308419929
IRS990EZ/TotalAssets/BOY00
IRS990EZ/TotalAssets/EOY00
IRS990EZ/TransactionWithControlEntity00
IRS990EZ/TrnsfrsExemptNonCharRelatedOrg00
IRS990EZ/WebSite0WWW.FORUMHEALTH.ORG
IRS990ScheduleA/CertificationCheckbox0X
IRS990ScheduleA/ContribBy35ControlledEntity00
IRS990ScheduleA/ContribByControllingIndividual00
IRS990ScheduleA/ContributionByRelatedParty00
IRS990ScheduleA/SumOfAmounts00
IRS990ScheduleA/SupportedOrgInformation/Amount00
IRS990ScheduleA/SupportedOrgInformation/Amount10
IRS990ScheduleA/SupportedOrgInformation/EIN0341461049
IRS990ScheduleA/SupportedOrgInformation/EIN1341454933
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc01
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc11
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine10TRUMBULL MEMORIAL HOSPITAL
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine11WESTERN RESERVE CARE SYSTEM
IRS990ScheduleA/SupportedOrgInformation/OrganizedInUS01
IRS990ScheduleA/SupportedOrgInformation/OrganizedInUS11
IRS990ScheduleA/SupportedOrgInformation/SupportedOrganizationNotified01
IRS990ScheduleA/SupportedOrgInformation/SupportedOrganizationNotified11
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization03
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization13
IRS990ScheduleA/SupportingOrg509a3Type20X
IRS990ScheduleA/SupportingOrganization509a30X
IRS990ScheduleA/TotalNumberOfSupportedOrgs02
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/Filer/EIN0202711674
ReturnHeader/Filer/Name/BusinessNameLine10FORUM HEALTH FOUNDATION
ReturnHeader/Filer/NameControl0FORU
ReturnHeader/Filer/Phone03308419929
ReturnHeader/Filer/USAddress/AddressLine101350 E MARKET ST ATTN ACCT DEPT
ReturnHeader/Filer/USAddress/City0WARREN
ReturnHeader/Filer/USAddress/State0OH
ReturnHeader/Filer/USAddress/ZIPCode0444836608
ReturnHeader/Officer/AuthorizeThirdParty01
ReturnHeader/Officer/DateSigned02011-11-07
ReturnHeader/Officer/Name0DALTON T EDGECOMB
ReturnHeader/Officer/Phone03308419929
ReturnHeader/Officer/Title0CHIEF RESTRUCTURING OFFICER
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10PACKER THOMAS
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine106601 WESTFORD PLACE SUITE 101
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0CANFIELD
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0OH
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode044406
ReturnHeader/Preparer/Name0KAREN S COHEN
ReturnHeader/Preparer/Phone03305339777
ReturnHeader/ReturnType0990EZ
ReturnHeader/TaxPeriodBeginDate02010-01-01
ReturnHeader/TaxPeriodEndDate02010-12-31
ReturnHeader/TaxYear02010
ReturnHeader/Timestamp02011-11-14T08:22:23-06:00

Document Assets

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