Civic Intelligence

Huron County Medical Assistance Program

990 • Fiscal year 2017 • EIN 34-1420025

Jan 01, 2017 to Dec 31, 2017 • Filed on Apr 10, 2018

Organization Profile
272 Benedict AveNorwalk, OH 44857

(419) 577-0024

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

21st percentile

-12%

Higher net margin than 21% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

30th percentile

-8.5%

Faster asset growth than 30% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

13th percentile

-38%

Faster revenue growth than 13% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets56th percentile

Assets

Down

$41,379

Down $3,852 (-8.5%) from 2016

Net Assets

Down

$41,379

Down $3,852 (-8.5%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue And Expenses
Liabilities / Revenue56th percentileNet Margin21st percentile

Revenue

Down

$31,150

Down $19,100 (-38%) from 2016

Expenses

Down

$35,002

Down $7,951 (-19%) from 2016

Net Income

Down

-$3,852

Down $11,149 (-153%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth30th percentile

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

$60K$40K$20K$0Assets 2010: $11,057Liabilities 2010: $0Net Assets 2010: $11,0572010Assets 2011: $12,669Liabilities 2011: $0Net Assets 2011: $12,6692011Assets 2012: $19,125Liabilities 2012: $0Net Assets 2012: $19,1252012Assets 2014: $33,067Liabilities 2014: $0Net Assets 2014: $33,0672014Assets 2015: $37,934Liabilities 2015: $0Net Assets 2015: $37,9342015Assets 2016: $45,231Liabilities 2016: $0Net Assets 2016: $45,2312016Assets 2017: $41,379Liabilities 2017: $0Net Assets 2017: $41,3792017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2017

Assets$41,379
Liabilities$0
Net Assets$41,379
Open 2017 Filing

Operations Trend

Revenue Growth13th percentile

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

$100K$50K$0-$50KExpenses 2010: $59,1262010Expenses 2011: $63,7382011Expenses 2012: $59,4192012Revenue 2014: $53,425Expenses 2014: $33,439Net Income 2014: $19,9862014Revenue 2015: $79,750Expenses 2015: $74,883Net Income 2015: $4,8672015Revenue 2016: $50,250Expenses 2016: $42,953Net Income 2016: $7,2972016Revenue 2017: $31,150Expenses 2017: $35,002Net Income 2017: -$3,8522017Revenue 2018: $250Expenses 2018: $41,629Net Income 2018: -$41,3792018

Highlighted filing

2017

Revenue$31,150
Expenses$35,002
Net Income-$3,852
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Apr 10, 2018
Return Version
2017v2.2
Gross Receipts
$31,150
Mission and Program Overview

Mission

Financial assistance for medical care including prescription, medical equipment, specialty physician visits: counseling for future plans to obtain these services; and low cost health care for those with no source of payment and/or primary care physician.

Finanacial assistance for medical care including prescription, medical equipment, specialty physician visits: counseling for future plans to obtain these services: and low cost health care for those with no source of payment and/or primary care physician.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$45,231$41,379▼ $3,852
Total Assets$45,231$41,379▼ $3,852
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$45,231$41,379▼ $3,852
Total Net Assets Fund Balance$45,231$41,379▼ $3,852
Total Liabilities and Net Assets / Fund Balance$45,231$41,379▼ $3,852
Compensation and Service Providers
Top Officer Pay76th percentile

Board Members and Trustees

NameTitle
Jill SchaferChair
Jennifer SandersVice-Chair
Cherie SpraggExecutive Director
Christina CherrySecretary
Kathy KilgroveTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$31,150
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-3,852
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$34,802
Other Expenses$200
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$19,802--$19,802
Grants to Domestic Orgs$15,000--$15,000
Fees for Services Accounting-$150-$150
Fees for Services Other-$50-$50
Total Functional Expenses$34,802$200$0$35,002
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Huron County General HealthNorwalk, OHGovMedical$15,000
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Organizational document changes Part VI line 4

“The organization updated the by-laws and the voucher system that is used. There was a policy update to reflect how to use the vouchers and training requirements for people writing the vouchers.”

Members or stockholder classes and rights Part VI line 6

“All members are treated equally. The elected officers have separate responsibilities that are understood at the time the office is taken. There are no classes.”

Member election for additional members Part VI line 7A

“Members are added by nominations by other members at monthly meetings.”

Form 990 governing body review Part VI line 11

“The Form 990 was presented to the treasurer and executive director who in turn reviewed it with the governing body at their next meeting after completion.”

Conflict of interest policy compliance Part VI line 12C

“The governing board has accepted a written privacy and confidentiality conflict of interest form which members are asked to sign.”

Governing documents etc available to public Part VI line 19

“Governing documents are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Huron County Medical Assistance Program
EIN
34-1420025
Address
272 Benedict Ave, Norwalk, OH 44857
Doing Business As
co Fisher Titus Medical Center

Signing Officer

Name
Cherie Spragg
Title
Executive Direc
Phone
4195770024
Signed
2018-04-10
Discuss with paid preparer
Yes

Organization Details

Formed
1950
Legal Domicile
Oh
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
6

Preparer

Firm
Ellis-Rinner CPA Ltd
Address
P O Box 150, Norwalk, OH 44857
Preparer
Bonita A Barna EA
Phone
4196601890
Supplemental Narrative

Additional Explanations

Amended return information

“The box on Sch A, line 18, showing private foundation was checked on original return in error. The information on line 5 should reflect zero in 2015 rather than $288,785. These contributions were all from government or public organizations. The percentage on line 14 should be 100% public support.Box 16a should be checked to reflect greater than 33 1/3 % of public support.”

Raw XML Appendix324 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/ProgSrvcAccomActy2Grp/ExpenseAmt015000
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The box on Sch A, line 18, showing private foundation was checked on original return in error. The information on line 5 should reflect zero in 2015 rather than $288,785. These contributions were all from government or public organizations. The percentage on line 14 should be 100% public support.Box 16a should be checked to reflect greater than 33 1/3 % of public support.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The organization updated the by-laws and the voucher system that is used. There was a policy update to reflect how to use the vouchers and training requirements for people writing the vouchers.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2All members are treated equally. The elected officers have separate responsibilities that are understood at the time the office is taken. There are no classes.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Members are added by nominations by other members at monthly meetings.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Form 990 was presented to the treasurer and executive director who in turn reviewed it with the governing body at their next meeting after completion.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The governing board has accepted a written privacy and confidentiality conflict of interest form which members are asked to sign.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Governing documents are available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Amended return information
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Organizational document changes Part VI line 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Governing documents etc available to public Part VI line 19
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ReturnHeader/BuildTS02018-06-14 16:35:46Z
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ReturnHeader/Filer/USAddress/CityNm0Norwalk
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd044857
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0ABDBD925AF2B96707D54E02A4D5531E49FE09FDB
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0ABDBD925AF2B96707D54E02A4D5531E49FE09FDB
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId03401022018100rgbkcrc
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02018-04-10
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt063.251.162.66
ReturnHeader/FilingSecurityInformation/IPDt02018-04-10
ReturnHeader/FilingSecurityInformation/IPTm016:15:28
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0810626555
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Ellis-Rinner CPA Ltd
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0P O Box 150
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Norwalk
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd044857
ReturnHeader/PreparerPersonGrp/PhoneNum04196601890
ReturnHeader/PreparerPersonGrp/PreparationDt02018-04-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Bonita A Barna EA
ReturnHeader/ReturnTs02018-04-10T11:04:33-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$41,379
Liabilities
$0
Net assets
$41,379
Revenue
$31,150
Expenses
$35,002
Net income
-$3,852
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.25$41.6$41.4
2017Detailed filing. Detailed filing data is available for this year.$41.4$0.00$41.4$31.2$35.0$3.85
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$45.2$0.00$45.2$50.3$43.0$7.30
2015Detailed filing. Detailed filing data is available for this year.$37.9$0.00$37.9$79.8$74.9$4.87
2014Detailed filing. Detailed filing data is available for this year.$33.1$0.00$33.1$53.4$33.4$20.0
2012XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$19.1$0.00$19.1$59.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.7$0.00$12.7$63.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.1$0.00$11.1$59.1