OHIOHEALTH CORPORATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
OHIOHEALTH CORPORATION (EIN 31-1045101)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-05
IRS object ID
201130369349300403
Schema version
2009v1.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-02-05T08:41:25-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Arnett & Foster PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1
CityCharlestonCity
StateWVState
ZIP Code25329ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311045101EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Appalachian Community Visiting NurseBusinessNameLine1
Business Name Line2Association Hospice and Health ServicesBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlAPPANameControl
Phone7405948226Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 Herrold AvenueAddressLine1
CityAthensCity
StateOHState
ZIP Code457012326ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDeborah SechkarName
TitlePresident/CEOTitle
Phone7405948226Phone
Date Signed2011-01-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameHarry C HarlessName
Phone3043460441Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDeborah SechkarNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 Herrold AvenueAddressLine1
CityAthensCity
StateOHState
ZIP Code457012326ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4134130GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.acvna.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionWe are dedicated to providing cost effective, high quality home health services to the people in our Appalachian Community. We provide services to Medicaid clients through Ohio Home Care programs as well as for clients with Workers' Compensation, Veteran's Administration, Medicare and other payor sources.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees124TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year153022ContributionsGrantsPriorYear
Contributions Grants Current Year230286ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3524933ProgramServiceRevenuePriorYear
Program Service Revenue CY3901744ProgramServiceRevenueCY
Investment Income Prior Year2425InvestmentIncomePriorYear
Investment Income Current Year2100InvestmentIncomeCurrentYear
Other Revenue Prior Year15504OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3695884TotalRevenuePriorYear
Total Revenue Current Year4134130TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2434107SalariesEtcPriorYear
Salaries Etc Current Year2347628SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1198TotalFundrsngExpCurrentYear
Other Expense Prior Year1078136OtherExpensePriorYear
Other Expenses Current Year1275923OtherExpensesCurrentYear
Total Expenses Prior Year3512243TotalExpensesPriorYear
Total Expenses Current Year3623551TotalExpensesCurrentYear
Revenues Less Expenses Prior Year183641RevenuesLessExpensesPriorYear
Revenues Less Expenses CY510579RevenuesLessExpensesCY
Total Assets BOY721340TotalAssetsBOY
Total Assets EOY872521TotalAssetsEOY
Total Liabilities BOY925882TotalLiabilitiesBOY
Total Liabilities EOY555073TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-204542NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY317448NetAssetsOrFundBalancesEOY
Mission DescriptionWe are Southeastern Ohio's primary source for quality home care, striving to identfy and fulfill the healthcare needs of our Appalachian community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3259570Expense
Revenue3901744Revenue
DescriptionThe organization provides care to home bound, indigent, and terminaly-ill patients in the community. To accomplish its charitable purpose, the organization provided 10,042 days of hospice care, 24,656 hours of health services and 12,001 home health visits. The organization provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates.Description
Total Program Service Expense3259570TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees124NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Chad CollinsBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7405929205TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Hospital DriveAddressLine1
CityAthensCity
StateOHState
ZIP Code45701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Larry Corrigan
Trustee1.00X000
Tracy Marx
Trustee1.00X000
Ray Stephens
Treasurer1.00X000
Ron Strickmaker
Chair1.00X000
David Stroh
Vice Chair1.00X000
Michael Turner
Trustee1.00X000
Kathy Tarantelli
Trustee1.00X000
Ruth Ann Althaus
Secretary1.00X000
Doreen Ireton
Trustee1.00X000
Sandra Shirey
Trustee1.00X000
Deborah Sechkar
President/CEO40.00623620877X
Thomas Campbell
Physical Therapist40.0012794000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org190302TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation877TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants15041GovernmentGrants
All Other Contributions215245AllOtherContributions
Total Contributions230286TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient servicesDescription
Business Code621610BusinessCode
Total Revenue Column3901744TotalRevenueColumn
Related Or Exempt Function Income3901744RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3901744TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2100TotalRevenueColumn
Exclusion$2,100ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4134130TotalRevenueColumn
Related Or Exempt Function Income3901744RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,100ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total71834Total
Program Services63753ProgramServices
Management And General8081ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1921240Total
Program Services1705101ProgramServices
Management And General216139ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1245Total
Program Services1105ProgramServices
Management And General140ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total193803Total
Program Services172000ProgramServices
Management And General21803ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total159506Total
Program Services141562ProgramServices
Management And General17944ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5996Total
Management And General5996ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total119846Total
Program Services106363ProgramServices
Management And General13483ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14826Total
Program Services13158ProgramServices
Management And General1668ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total325467Total
Program Services288852ProgramServices
Management And General36615ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3396Total
Program Services3014ProgramServices
Management And General382ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total84540Total
Program Services75029ProgramServices
Management And General9511ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total157708Total
Program Services139966ProgramServices
Management And General17742ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6940Total
Program Services6159ProgramServices
Management And General781ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total67Total
Management And General67ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27157Total
Program Services24102ProgramServices
Management And General3055ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total32008Total
Program Services28407ProgramServices
Management And General3601ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Hospice room & board396571396571
Repairs and maintenance38596342544342
Emergency response syst2603926039
Bad debts2180621806
Training & continuing e66605911749

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8300Total
Program Services6418ProgramServices
Management And General684ManagementAndGeneral
Fundraising1198Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3623551Total
Program Services3259570ProgramServices
Management And General362783ManagementAndGeneral
Fundraising1198Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY214331BOY
EOY238984EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY353272BOY
EOY519337EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13713BOY
EOY11069EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22223BOY
EOY16892EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis834548LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec817815LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51390BOY
EOY16733EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14262BOY
EOY4772EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY52149BOY
EOY64734EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY721340BOY
EOY872521EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY298695BOY
EOY265845EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY627187BOY
EOY289228EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY925882BOY
EOY555073EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-206799BOY
EOY315192EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2257BOY
EOY2256EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-204542BOY
EOY317448EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY721340BOY
EOY872521EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years137407CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years259800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years269104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153016CurrentTaxYearMinus1Year
Current Tax Year230286CurrentTaxYear
Total1049613Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3082241CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3512978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3468287CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3524933CurrentTaxYearMinus1Year
Current Tax Year3901744CurrentTaxYear
Total17490183Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3219648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3772778CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3737391CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3677949CurrentTaxYearMinus1Year
Current Tax Year4132030CurrentTaxYear
Total18539796Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50918539796PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1522CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3438CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2180CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2425CurrentTaxYearMinus1Year
Current Tax Year2100CurrentTaxYear
Total11665Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1522CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3438CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2180CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2425CurrentTaxYearMinus1Year
Current Tax Year2100CurrentTaxYear
Total11665Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4205CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year15504CurrentTaxYearMinus1Year
Total19709Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3225375CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3776216CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3739571CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3695878CurrentTaxYearMinus1Year
Current Tax Year4134130CurrentTaxYear
Total18571170Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99830PublicSupportPercentage509
Prior Year Support Percentage0.99770PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00060PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2257BeginningOfYearBalance
Investment Earnings Or Losses2InvestmentEarningsOrLosses
End Of Year Balance2259EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2251BeginningOfYearBalance
Investment Earnings Or Losses6InvestmentEarningsOrLosses
End Of Year Balance2257EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis834548OtherCostOrOtherBasis
Depreciation817815Depreciation
Book Value16733BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16733TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCD - Internally designated for hospice servicesDescription
Book Value64734BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities64734TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to related party$265,000
Advances from third party payors$24,228
FieldValueIRS element (for citing)
Total Of Amounts289228TotalOfAmounts
Total Revenue4134130TotalRevenue
Total Expenses3623551TotalExpenses
Excess Or Deficit For Year510579ExcessOrDeficitForYear
Net Unrealized GL On Investments11411NetUnrealizedGLOnInvestments
Total Adjustments11411TotalAdjustments
Excess Or Deficit Per FS521990ExcessOrDeficitPerFS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11The President/CEO reviews the Form 990 prior to signing and submitting to the IRS.
Form 990, Part VI, Section B, line 12cWhenever a trustee feels that a conflict of interest situation is or may be involved, the trustee is to promptly and fully disclose the facts related to the conflict. Trustees are required to disclose possible conflicts of interest to the full Board of Trustees. Whenever conflicts are disclosed to the full Board, the Board discusses the possible conflict and decides on a course of action. Conflict of interest statements for board members are signed yearly.
The President/CEO is reviewed annually by an evaluation committee appointed by the board and the compensation is negotiated during this review.
Form 990, Part VI, Section C, line 19If requests are made from the public to view the organization's governing documents, conflict of interest policy or financial statements, the organization seeks legal counsel to ensure compliance with organization guidelines. A written request must be submitted to the organization asking to view these documents.
FORM 990, PART XI, LINE 2CThe audit is overseen by a committee for the Sheltering Arms Foundation and this has not changed since last year.CLARIFICATION OF ITEM MARKED YES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Sheltering Arms Hospital FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Hospital DriveAddressLine1
CityAthensCity
StateOHState
ZIP Code45701ZIPCode
FieldValueIRS element (for citing)
EIN314446959EIN
Primary ActivitiesPatient CarePrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section3ExemptCodeSection
Public Charity StatusHospitalPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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