Civic Intelligence

Lake Hosp System Self-Insurance Fund

EIN 34-6771096 • 501(c)3

340 S Cleveland Ave Bldg 35043081
Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2011

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2011

Net Margin

1st percentile

-87450%

Higher net margin than 1% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2011

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

51st percentile

-1.2%

Faster asset growth than 51% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2010 to 2011

Revenue Growth

Score unavailable

No value available

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

Source year 2011

Balance Sheet
Liabilities / Assets60th percentile

Assets

Down

$148,789

Down $1,749 (-1.2%) from 2010

Liabilities

Flat

$0

Flat from 2010

Net Assets

Down

$148,789

Down $1,749 (-1.2%) from 2010

Operations
Liabilities / Revenue62nd percentileNet Margin1st percentile

Revenue

$2

No earlier filing loaded for comparison.

Expenses

Down

$1,751

Down $54,013 (-97%) from 2010

Net Income

-$1,749

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth51st percentile

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

$200K$150K$100K$50K$0Assets 2010: $150,538Liabilities 2010: $0Net Assets 2010: $150,5382010Assets 2011: $148,789Liabilities 2011: $0Net Assets 2011: $148,7892011

Highlighted filing

2011

Assets$148,789
Liabilities$0
Net Assets$148,789
Open 2011 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$60K$40K$20K$0-$20KExpenses 2010: $55,7642010Revenue 2011: $2Expenses 2011: $1,751Net Income 2011: -$1,7492011

Highlighted filing

2011

Revenue$2
Expenses$1,751
Net Income-$1,749
Open 2011 Filing

Filings

Most recent year

2011 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$148,789
Liabilities
$0
Net assets
$148,789
Revenue
$2
Expenses
$1,751
Net income
-$1,749
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.49$0.00$1.49$0.00$0.02$0.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.51$0.00$1.51$0.56
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2011 to Dec 31, 2011
Signed
May 8, 2012
Return Version
2011v1.2
Filing and Contact Details

Filer

EIN
34-6771096
Raw XML Appendix125 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/ActivitiesNotPreviouslyRpt0false
IRS990EZ/AmountOfTaxImposedOnOrgMgr00
IRS990EZ/AmountOfTaxReimbursedByOrg00
IRS990EZ/CashSavingsAndInvestments/BOY0150538
IRS990EZ/CashSavingsAndInvestments/EOY0148789
IRS990EZ/DidOrgFileForm1120POLThisYear0false
IRS990EZ/DoesOrgHaveHospital0false
IRS990EZ/EngagedInExcessBenefitTrans0false
IRS990EZ/EngageInLobbyingActivities0false
IRS990EZ/EngagePoliticalCmpgnActivities0false
IRS990EZ/ExcessOrDeficitForYear0-1749
IRS990EZ/FeesAndOthPymtToIndContractors01751
IRS990EZ/FiledScheduleA0true
IRS990EZ/ForeignFinancialAccount0false
IRS990EZ/ForeignOffice0false
IRS990EZ/GrossReceipts02
IRS990EZ/GrossReceiptsForPublicUse00
IRS990EZ/InitiationFeesAndCapitalContri00
IRS990EZ/InvestmentIncome02
IRS990EZ/MadeChangesToOrgnzngEtcDoc0false
IRS990EZ/MadeLoansToFromOfficers0false
IRS990EZ/MaintainAnyDonorAdvisedFunds0false
IRS990EZ/MethodOfAccountingCash0X
IRS990EZ/NetAssetsOrFundBalances/BOY0150538
IRS990EZ/NetAssetsOrFundBalancesBOY0150538
IRS990EZ/NetAssetsOrFundBalances/EOY0148789
IRS990EZ/NetAssetsOrFundBalancesEOY0148789
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine10311 SOUTH WACKER DRIVE SUITE 500
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine11340 S CLEVELAND AVE BLDG 350
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City0CHICAGO
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City1WESTERVILLE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State0IL
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State1OH
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode060606
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode143081
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition02
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition12
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/BusinessName/BusinessNameLine10JPMORGAN CHASE BANK NA
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation10
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ContriToEmplBenefitPlansEtc10
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances00
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/ExpenseAccountOtherAllowances10
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName0DAVID C HILLIARD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title0TRUSTEE
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title1TRUSTEE
IRS990EZ/OperatingSchool0false
IRS990EZ/Organization501c30X
IRS990EZ/OrganizationDissolvedEtc0false
IRS990EZ/OrganizationHadUBI0false
IRS990EZ/OtherChangesInNetAssets00
IRS990EZ/PrimaryExemptPurpose0TO PROVIDE PROGRAM SUPPORT FOR LAKE HOSPITAL SYSTEM OF CONCORD, OHIO
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom0TO PROVIDE SUPPORT FOR LAKE HOSPITAL SYSTEM OF CONCORD, OH
IRS990EZ/ProhibitedTaxShelterTrans0false
IRS990EZ/RelatedOrgControlledEntity0false
IRS990EZ/ScheduleBNotRequired0X
IRS990EZ/StatesWhereCopyOfReturnIsFiled0OH
IRS990EZ/SubjectToProxyTax0false
IRS990EZ/SumOfTotalLiabilities/BOY00
IRS990EZ/SumOfTotalLiabilities/EOY00
IRS990EZ/TanningServicesProvided0false
IRS990EZ/TaxImposedUnderIRC491100
IRS990EZ/TaxImposedUnderIRC491200
IRS990EZ/TaxImposedUnderIRC495500
IRS990EZ/TheBooksAreInCareOf/AddressUS/AddressLine10340 S CLEVELAND AVE BLDG 350
IRS990EZ/TheBooksAreInCareOf/AddressUS/City0WESTERVILLE
IRS990EZ/TheBooksAreInCareOf/AddressUS/State0OH
IRS990EZ/TheBooksAreInCareOf/AddressUS/ZIPCode043081
IRS990EZ/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10JPMORGAN CHASE BANK NA
IRS990EZ/TheBooksAreInCareOf/TelephoneNumber06142481343
IRS990EZ/TotalAssets/BOY0150538
IRS990EZ/TotalAssets/EOY0148789
IRS990EZ/TotalExpenses01751
IRS990EZ/TotalRevenue02
IRS990EZ/TransactionWithControlEntity0false
IRS990EZ/TrnsfrsExemptNonCharRelatedOrg0false
IRS990EZ/WebSite0N/A
IRS990ScheduleA/CertificationCheckbox0X
IRS990ScheduleA/ContribBy35ControlledEntity0false
IRS990ScheduleA/ContribByControllingIndividual0false
IRS990ScheduleA/ContributionByRelatedParty0false
IRS990ScheduleA/SumOfAmounts00
IRS990ScheduleA/SupportedOrgInformation/Amount00
IRS990ScheduleA/SupportedOrgInformation/EIN0341425870
IRS990ScheduleA/SupportedOrgInformation/ListedInGoverningDoc0true
IRS990ScheduleA/SupportedOrgInformation/Name/BusinessNameLine10LAKE HOSPITAL SYSTEM
IRS990ScheduleA/SupportedOrgInformation/OrganizedInUS0true
IRS990ScheduleA/SupportedOrgInformation/SupportedOrganizationNotified0false
IRS990ScheduleA/SupportedOrgInformation/TypeOfOrganization07
IRS990ScheduleA/SupportingOrg509a3Type3Other0X
IRS990ScheduleA/SupportingOrganization509a30X
IRS990ScheduleA/TotalNumberOfSupportedOrgs01
IRS990ScheduleO/GeneralExplanation/Explanation0TRUSTEE REVIEWS ALL UNDERLYING MONETARY AND FACTUAL INFORMATION BEFORE THE IRS FORM 990 IS FILED.
IRS990ScheduleO/GeneralExplanation/Explanation1AS TRUSTEE, JPMORGAN CHASE BANK, N.A. MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE OFFICERS OF THE SUPPORTED ORGANIZATIONS. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC BUT HAVE BEEN GIVEN AND ARE AVAILABLE TO ALL INTERESTED PARTIES SUCH AS BENEFICIARIES, TRUSTEES, EXECUTORS, ETC. JPMORGAN CHASE BANK, N.A. DOES NOT HAVE A PUBLIC CONFLICT OF INTEREST POLICY; HOWEVER, THE GOVERNING DOCUMENTS AND STATE LAW IMPOSE LIMITATIONS OF TRUSTEE POWERS THAT JPMORGAN CHASE BANK, N.A. STRICTLY FOLLOWS. FINANCIAL STATEMENTS ARE SENT TO EACH CHARITABLE BENEFICIARY FOR REVIEW AND COMMENT. COPIES OF THE TAX RETURNS ARE AVAILABLE TO THE PUBLIC THROUGH SEVERAL INTERNET WEBSITES.
IRS990ScheduleO/GeneralExplanation/Identifier0PART VI, SECTION B, LINE 11
IRS990ScheduleO/GeneralExplanation/Identifier1DESCRIPTION FOR MAKING DOCUMENTS PUBLIC
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990, PAGE 6, PART VI, LINE 19
ReturnHeader/BuildTS02016-02-24 21:20:13Z
ReturnHeader/Filer/EIN0346771096
ReturnHeader/Filer/Name/BusinessNameLine10LAKE HOSP SYSTEM SELF-INSURANCE FUND
ReturnHeader/Filer/NameControl0LAKE
ReturnHeader/Filer/Phone06142481343
ReturnHeader/Filer/USAddress/AddressLine10340 S CLEVELAND AVE BLDG 350
ReturnHeader/Filer/USAddress/City0WESTERVILLE
ReturnHeader/Filer/USAddress/State0OH
ReturnHeader/Filer/USAddress/ZIPCode043081
ReturnHeader/Officer/AuthorizeThirdParty0true
ReturnHeader/Officer/DateSigned02012-05-08
ReturnHeader/Officer/Name0JPMORGAN CHASE BANK NA
ReturnHeader/Officer/Phone06142481343
ReturnHeader/Officer/Title0TRUSTEE
ReturnHeader/Preparer/DatePrepared02012-05-08
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10THOMSON REUTERS (TAX & ACCOUNTING)
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine102 EASTON OVAL SUITE 425
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0COLUMBUS
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0OH
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode043219
ReturnHeader/Preparer/Name0LORI COX
ReturnHeader/Preparer/Phone06144185007
ReturnHeader/ReturnType0990EZ
ReturnHeader/TaxPeriodBeginDate02011-01-01
ReturnHeader/TaxPeriodEndDate02011-12-31
ReturnHeader/TaxYear02011
ReturnHeader/Timestamp02012-05-08T11:43:39-06:00

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