CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY INC (EIN 31-0792022)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-05
IRS object ID: 202241259349301704
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-05T10:50:11-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	202122306	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GBQ PARTNERS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5580 MONROE STREET SUITE 210	AddressLine1Txt
City	SYLVANIA	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43560	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	310792022	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL COMMUNITY HEALTH BOARD OF	BusinessNameLine1Txt
Business Name Line2	HAMILTON COUNTY INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	5135592907	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	532 MAXWELL AVE	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45219	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DONNA JABLONSKI	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5135592907	PhoneNum
Signature	2022-04-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DONNA	PersonFirstNm
Person Last	JABLONSKI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID PEER	PreparerPersonNm
PTIN	P01343155	PTIN
Phone	4198858338	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DONNA JABLONSKI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3909 WOODLEY ROAD	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43606	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$8,520,304	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	CCHBINC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1970	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMMUNITY LEADERSHIP AND COMPREHENSIVE BEHAVIORAL HEALTH PROGRAMS THAT SUPPORT A STRONG, WELL FUNCTIONING COMMUNITY AND ASSISTS RESIDENTS OF SOUTHWEST OHIO AND SURROUNDING AREAS TO ACHIEVE THEIR GREATEST POTENTIAL AND WELL BEING.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	118	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,496,913	PYContributionsGrantsAmt
CY Contributions Grants	$4,654,160	CYContributionsGrantsAmt
PY Program Service Revenue	$3,912,772	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,806,304	CYProgramServiceRevenueAmt
PY Investment Income	$18,151	PYInvestmentIncomeAmt
CY Investment Income	$16,545	CYInvestmentIncomeAmt
PY Other Revenue	$63,884	PYOtherRevenueAmt
CY Other Revenue	$43,295	CYOtherRevenueAmt
PY Total Revenue	$7,491,720	PYTotalRevenueAmt
CY Total Revenue	$8,520,304	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,458,143	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,222,660	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,686,187	PYOtherExpensesAmt
CY Other Expenses	$3,977,429	CYOtherExpensesAmt
PY Total Expenses	$8,144,330	PYTotalExpensesAmt
CY Total Expenses	$7,200,089	CYTotalExpensesAmt
PY Revenues Less Expenses	-$652,610	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,320,215	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,573,875	TotalAssetsBOYAmt
Total Assets EOY	$3,528,770	TotalAssetsEOYAmt
Total Liabilities BOY	$3,129,705	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,764,385	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$444,170	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,764,385	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE COMMUNITY LEADERSHIP AND COMPREHENSIVE BEHAVIORAL HEALTH PROGRAMS THAT SUPPORT A STRONG, WELL FUNCTIONING COMMUNITY AND ASSISTS RESIDENTS OF SOUTHWEST OHIO AND SURROUNDING AREAS TO ACHIEVE THEIR GREATEST POTENTIAL AND WELL BEING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$5,481,963	ExpenseAmt
Revenue	$3,806,304	RevenueAmt
Desc	MENTAL HEALTH PROGRAM, ADAS PROGRAMA AND ADAPT PROGRAM. MENTAL HEALTH PROGRAM PROVIDES MENTAL HEALTH SERVICES TO ADULT RESIDENTS OF HAMILTON COUNTY. ADAS PROVIDES INDIVIDUAL AND GROUP COUNSELING FOR ALCOHOL AND DRUG DEPENDENCY. THE ADAPT PROGRAM PROGRAM PROVIDES RESIDENTIAL AND OUTPATIENT PROGRAM SERVICES FOR DRUG AND ALCOHOL ADDICTED ADULTS CHARGED WITH DRUG-DRIVEN FELONY OFFENSES THROUGH THE HAMILTON COUNTY DRUG COURT.	Desc
Total Program Service Expenses	$5,481,963	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	72	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	118	EmployeeCnt
Employment Tax Returns Filed	0	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS JENSEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4197249431	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3909 WOODLEY ROAD	AddressLine1Txt
City	TOLEDO	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43606	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DON MONTELEONE
FORMER CHAIR	1.00	Yes (X)	$0	$0	$0
DUSTIN WATKINS
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
KAREN ALBRIGHT
CHAIR ELECT	1.00	Yes (X)	$0	$0	$0	Yes (X)
JAN KNAPE
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
CYNTHIA PINCHBACK-HINES
SECRETARY	1.00	Yes (X)	$0	$0	$0
ROSIE JORDAN
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JANELL VICKERS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
BERNARD YOUNG JR
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DAN BRIONES
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MIMI YOON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DONNA JABLONSKI
CEO	1.00	Yes (X)	$0	$363,967	$26,942		39.00
GWENDOLYN BALDWIN-JONES
PRESIDENT	40.00		$158,918	$0	$7,391	Yes (X)
NAVONDA BLACKWELL
NURSE PRACTITIONER	40.00		$116,333	$0	$9,547			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$275,251	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$363,967	TotReportableCompRltdOrgAmt
Total Other Compensation	$43,880	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TONETTE OTCHERE DBA PROVISIONS HOMES
PO BOX 11369	CINCINNATI	OH	45211	FOSTER HOME	$194,830
ALANDO LONGMIRE
7010 VINE ST	CINCINNATI	OH	45216	FOSTER HOME	$131,603
JADA LONGMIRE
7962 BRADFORD CT	MASON	OH	45040	FOSTER HOME	$113,363

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,654,160	GovernmentGrantsAmt
Total Contributions	$4,654,160	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID AND MEDICARE	621400	$2,806,824	$2,806,824
OTHER	621400	$999,480	$999,480

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,806,304	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,545	TotalRevenueColumnAmt
Exclusion	$16,545	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER	Desc
Business	900099	BusinessCd
Total Revenue Column	$43,295	TotalRevenueColumnAmt
Related Or Exempt Func Income	$43,295	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$43,295	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,520,304	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,849,599	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$16,545	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$292,189	TotalAmt
Program Services	$250,940	ProgramServicesAmt
Management And General	$41,249	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,390,644	TotalAmt
Program Services	$2,066,933	ProgramServicesAmt
Management And General	$323,711	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$75,396	TotalAmt
Program Services	$65,321	ProgramServicesAmt
Management And General	$10,075	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$304,263	TotalAmt
Program Services	$260,439	ProgramServicesAmt
Management And General	$43,824	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$160,168	TotalAmt
Program Services	$136,794	ProgramServicesAmt
Management And General	$23,374	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,513	TotalAmt
Program Services	$356	ProgramServicesAmt
Management And General	$6,157	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,750	TotalAmt
Program Services	$969	ProgramServicesAmt
Management And General	$16,781	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$201,909	TotalAmt
Program Services	$11,022	ProgramServicesAmt
Management And General	$190,887	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,330	TotalAmt
Management And General	$7,330	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$62,987	TotalAmt
Program Services	$15,252	ProgramServicesAmt
Management And General	$47,735	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$136,766	TotalAmt
Program Services	$116,589	ProgramServicesAmt
Management And General	$20,177	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$308,365	TotalAmt
Program Services	$237,933	ProgramServicesAmt
Management And General	$70,432	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$42,603	TotalAmt
Program Services	$39,193	ProgramServicesAmt
Management And General	$3,410	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,512	TotalAmt
Program Services	$407	ProgramServicesAmt
Management And General	$6,105	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$104,347	TotalAmt
Program Services	$53,944	ProgramServicesAmt
Management And General	$50,403	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$112,085	TotalAmt
Program Services	$96,192	ProgramServicesAmt
Management And General	$15,893	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROGRAM OCCUPANCY EXPEN	$1,961,022	$1,960,842	$180
MANAGEMENT FEES	$820,000		$820,000
CONTRACT SERVICES	$96,867	$92,550	$4,317
OPERATING SUPPLIES	$54,966	$54,966

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,407	TotalAmt
Program Services	$21,321	ProgramServicesAmt
Management And General	$16,086	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,200,089	TotalAmt
Program Services	$5,481,963	ProgramServicesAmt
Management And General	$1,718,126	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$872,056	BOYAmt
EOY	$105,992	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,759,300	BOYAmt
EOY	$2,498,769	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$27,233	BOYAmt
EOY	$12,777	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,949,936	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,081,704	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$872,286	BOYAmt
EOY	$868,232	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$43,000	BOYAmt
EOY	$43,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,573,875	BOYAmt
EOY	$3,528,770	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$974,538	BOYAmt
EOY	$924,049	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$871,793	BOYAmt
EOY	$24,385	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,283,374	BOYAmt
EOY	$815,951	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,129,705	BOYAmt
EOY	$1,764,385	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$444,170	BOYAmt
EOY	$1,764,385	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$444,170	BOYAmt
EOY	$1,764,385	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,573,875	BOYAmt
EOY	$3,528,770	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,320,215	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,454,654	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,387,092	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,570,924	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,496,913	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,654,160	CurrentTaxYearAmt
Total	$20,563,743	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,454,654	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,387,092	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,570,924	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,496,913	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,654,160	CurrentTaxYearAmt
Total	$20,563,743	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$20,563,743	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,313	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,897	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$24,654	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,151	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,545	CurrentTaxYearAmt
Total	$95,560	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,338	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$16,338	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$26,332	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$63,884	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,295	CurrentTaxYearAmt
Total	$166,187	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$20,825,490	TotalSupportAmt
Gross Receipts Rltd Activities	$21,908,480	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.98740	PublicSupportCY170Pct
Public Support PY170	0.98860	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,520	OtherCostOrOtherBasisAmt
Book Value	$26,520	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,461,898	OtherCostOrOtherBasisAmt
Depreciation	$840,042	DepreciationAmt
Book Value	$621,856	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,477	OtherCostOrOtherBasisAmt
Depreciation	$3,242	DepreciationAmt
Book Value	$80,235	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$378,041	OtherCostOrOtherBasisAmt
Depreciation	$238,420	DepreciationAmt
Book Value	$139,621	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$868,232	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	REFUNDABLE ADVANCE	Desc
Amt	$815,951	Amt

Field	Value	IRS element (for citing)
Total Liability	$815,951	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$8,520,304	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$8,520,304	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$8,520,304	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$7,200,089	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$7,200,089	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$7,200,089	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION WAS INCORPORATED AS A NON-PROFIT ORGANIZATION UNDER THE LAWS OF THE STATE OF OHIO. UNDER PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3), AND SIMILAR PROVISIONS OF STATE LAW, THE ORGANIZATION IS EXEMPT FROM PAYMENT OF FEDERAL AND STATE OF OHIO INCOME TAXES. THE INCOME TAXES TOPIC OF FASB ASC 740, INCOME TAXES, CLARIFIES HOW TAX BENEFITS FOR UNCERTAIN TAX POSITIONS ARE TO BE RECOGNIZED, MEASURED, AND REPORTED IN FINANCIAL STATEMENTS AND REQUIRES CERTAIN DISCLOSURES OF UNCERTAIN TAX MATTERS. AT JUNE 30, 2021 AND 2020, THE ORGANIZATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION'S POLICY IS TO CLASSIFY INTEREST AND PENALTIES RECOGNIZED IN CONNECTION WITH INCOME TAX MATTERS IN INTEREST EXPENSE AND MANAGEMENT AND GENERAL EXPENSE, RESPECTIVELY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DONNA JABLONSKI
CEO	$0	$276,973	$0	$86,994	$0	$0	$0	$17,100	$0	$9,842	$0	$390,909	$0	$0
GWENDOLYN BALDWIN-JONES
PRESIDENT	$158,918	$0	$0	$0	$0	$0	$6,529	$0	$862	$0	$166,309	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PROVIDED TO THE BOARD FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION'S QUALITY IMPROVEMENT AREA REVIEWS ALL POLICIES ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION OF CERTAIN POSITIONS IS DETERMINED BY A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY, AND/OR APPROVAL BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH REQUEST BEING MADE AND EVALUATED BY THE MANAGEMENT AND/OR THE ORGANIZATION.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DISASTER PLANNING RESOURCES
280 SOUTH MAIN STREET	BOWLING GREEN	OH	43402	204353030	CURRENTLY NOT ACTIVE	OH	N/A
LIGHTHOUSE TELEHEALTH LLC
3909 WOODLEY ROAD	TOLEDO	OH	43606	824691337	TO OFFER THOSE WE SERVE HEALTH, HOPE, HAPPINESS AND OPPORTUNITY	OH		HARBOR INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
HARBOR INC
3909 WOODLEY ROAD	TOLEDO	OH	43606	344434924	TO OFFER THOSE WE SERVE HEALTH, HOPE, HAPPINESS AND OPPORTUNITY	OH	LINE 7	N/A	0
BEHAVIORAL CONNECTIONS OF WOOD COUNTY
3909 WOODLEY ROAD	TOLEDO	OH	43606	341262376	PROVIDING COMPREHENSIVE CARE FOR CRISIS, ADDICTION, AND MENTAL	OH	LINE 7	N/A	0
WOOD COUNTY VILLAGE
804 THURSTIN AVE	BOWLING GREEN	OH	43402	341823400	PROVIDING LIVING FACILITIES FOR RESIDENTS WITH DISABILITIES	OH	LINE 7	N/A	0
WOOD COUNTY VILLAGE II
311 PARKVIEW	BOWLING GREEN	OH	43402	341970725	PROVIDING LIVING FACILITIES FOR RESIDENTS WITH DISABILITIES	OH	LINE 7	N/A	0
RESIDENCE CONNECTIONS OF WOOD COUNTY INC
1015 KLOTZ ROAD	BOWLING GREEN	OH	43402	043732828	PROVIDING LIVING FACILITIES FOR RESIDENTS WITH DISABILITIES	OH	LINE 7	N/A	0
BEHAVIORAL HEALTH CONNECTIONS
3909 WOODLEY ROAD	TOLEDO	OH	43606	550803357	NO CURRENT ACTIVITY	OH	LINE 7	N/A	0
LIFESTREAM LLC
3909 WOODLEY ROAD	TOLEDO	OH	43606	472857004	TO OFFER THOSE WE SERVE HEALTH, HOPE, HAPPINESS AND OPPORTUNITY	OH	LINE 7	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LIGHTHOUSE TELEHEALTH LLC
P	$410,000	COST
HARBOR INC
P	$410,000	COST