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Nonprofiteer
← LAKE HOSPITAL FOUNDATION INC

Form 990 for tax year 2023

Filed by LAKE HOSPITAL FOUNDATION INC.

Totals

Total revenue
$848,068
Total expenses
$875,147
Contributions and grants received
$500,058
Grants paid
$482,059
Program service revenue
$0
Investment income
$348,010
Other revenue
$0
Total assets, end of year
$23,646,363
Total liabilities, end of year
$5,418,403
Net assets or fund balances, end of year
$18,227,960
Program services expenses (Part IX)
$841,651
Management and general expenses
$33,496
Fundraising expenses
$0
Program service expenses (Part III)
$841,651

Program services were 96.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $500,058

  • 3 · Investment income

    total $335,115 · excluded $335,115

  • 7a · Gross sales of assets other than inventory

    securities $56,613

  • 7b · Less cost or other basis and sales expenses

    securities $43,718

  • 7c · Gain or loss

    securities $12,895

  • 7d · Net gain or loss

    total $12,895 · excluded $12,895

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $482,059 · program services $482,059

  • 7 · Other salaries and wages

    total $277,622 · program services $260,965 · management and general $16,657

  • 8 · Pension plan contributions

    total $3,289 · program services $3,092 · management and general $197

  • 9 · Other employee benefits

    total -$4,706 · program services -$4,424 · management and general -$282

  • 10 · Payroll taxes

    total $17,257 · program services $16,222 · management and general $1,035

  • 11c · Fees: accounting

    total $6,000 · program services $5,640 · management and general $360

  • 13 · Office expenses

    total $4,848 · program services $4,557 · management and general $291

  • 19 · Conferences, conventions and meetings

    total $2,668 · program services $2,508 · management and general $160

  • 24a · Other expenses: DONOR RECOGNITION

    total $65,884 · program services $61,931 · management and general $3,953

  • 24e · All other expenses

    total $20,226 · program services $9,101 · management and general $11,125

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $970,464 · end of year $267,955

  • 3 · Pledges and grants receivable

    beginning of year $455,292 · end of year $593,043

  • 4 · Accounts receivable

    beginning of year $0 · end of year $294,953

  • 8 · Inventories for sale or use

    beginning of year $1,650 · end of year $1,649

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,078 · end of year $5,078

  • 11 · Investments: publicly traded securities

    beginning of year $20,071,975 · end of year $21,693,489

  • 12 · Investments: other securities

    beginning of year $479,957 · end of year $525,669

  • 15 · Other assets

    beginning of year $480,300 · end of year $264,527

  • 17 · Accounts payable and accrued expenses

    beginning of year $80,996 · end of year $5,355,112

  • 19 · Deferred revenue

    beginning of year $7,500 · end of year $7,500

  • 25 · Other liabilities

    beginning of year $5,869,604 · end of year $55,791

  • 27 · Net assets without donor restrictions

    beginning of year $9,156,109 · end of year $10,483,433

  • 28 · Net assets with donor restrictions

    beginning of year $7,350,507 · end of year $7,744,527

Mission and programs · 2023

Mission

SUPPORT AND ASSIST LAKE HOSPITAL SYSTEM, INC. IN ITS EFFORTS TO SERVE THE NEEDS OF LAKE COUNTY RESIDENTS AND ITS SURROUNDING COMMUNITIES BY PROVIDING FUNDING FOR ENHANCED OR ADDITIONAL PROGRAMS THAT OTHERWISE MIGHT NOT BE AVAILABLE.

Activities or mission (Part I)

SUPPORT AND ASSIST THE MISSION OF LAKE HOSPITAL SYSTEM, INC.

  • THE FOUNDATION GRANTS ASSISTANCE TO LAKE HOSPITAL SYSTEM, INC. TO FURTHER ENHANCE THE HOSPITAL'S MISSION AND COMMUNITY BENEFIT.

    Expenses $841,651 · Grants $482,059

As filed on the 2023 return.

Listed in Part VII

  • Baumberger Ronald

    TRUSTEE/VICE CHAIR (BEGIN 03/23)

    Total calculated
    $0
    Hours/week
    2

  • Cahill Timothy A

    TRUSTEE/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Combs Bridget MD

    TRUSTEE/SECRETARY

    Total calculated
    $327,703
    From this org
    $0
    From related orgs
    $301,575
    Other
    $26,128
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,980 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $595 related
    Deferred
    $0 + $17,435 related
    Nontaxable benefits
    $0 + $8,693 related
    Filer's total
    $0 + $327,703 related

  • Guban Philip

    TRUSTEE/CHAIR (END 03/23)

    Total calculated
    $0
    Hours/week
    2

  • Thompson Kathleen

    TRUSTEE/CHAIR (BEGIN 03/23)

    Total calculated
    $0
    Hours/week
    2

  • Bileci-Cocca Amy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Cicero Richard

    TRUSTEE (EX-OFFICIO)

    Total calculated
    $436,327
    From this org
    $0
    From related orgs
    $388,713
    Other
    $47,614
    Hours/week
    2 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,709 related
    Bonus
    $0 + $47,616 related
    Other
    $0 + $28,388 related
    Deferred
    $0 + $29,196 related
    Nontaxable benefits
    $0 + $18,418 related
    Filer's total
    $0 + $436,327 related

  • Flynn Oscar

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Kochik George

    TRUSTEE (EX-OFFICIO)

    Total calculated
    $0
    Hours/week
    2

  • Lingenfelter Andrew

    TRUSTEE (BEGIN 11/23)

    Total calculated
    $0
    Hours/week
    2

  • Nekic John

    TRUSTEE (BEGIN 11/23)

    Total calculated
    $0
    Hours/week
    2

  • Paganini Raymond J

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Patel Chetan P MD

    TRUSTEE

    Total calculated
    $733,222
    From this org
    $0
    From related orgs
    $697,196
    Other
    $36,026
    Hours/week
    2 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $690,211 related
    Bonus
    $0 + $14 related
    Other
    $0 + $6,971 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $22,826 related
    Filer's total
    $0 + $733,222 related

  • Perrico Michael A

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • Schiebli Robert

    TRUSTEE (END 02/23)

    Total calculated
    $0
    Hours/week
    2

  • Stein Neil

    TRUSTEE (END 02/23)

    Total calculated
    $0
    Hours/week
    2

  • Tadese Tinu MD

    TRUSTEE (EX-OFFICIO)

    Total calculated
    $403,391
    From this org
    $0
    From related orgs
    $362,551
    Other
    $40,840
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $323,052 related
    Bonus
    $0 + $20,265 related
    Other
    $0 + $19,234 related
    Deferred
    $0 + $6,539 related
    Nontaxable benefits
    $0 + $34,301 related
    Filer's total
    $0 + $403,391 related

  • Flash Mark

    EXECUTIVE DIRECTOR

    Total calculated
    $222,521
    From this org
    $0
    From related orgs
    $205,635
    Other
    $16,886
    Hours/week
    40 + 10 related

    Schedule J breakdown matched by us

    Base
    $0 + $174,606 related
    Bonus
    $0 + $14,067 related
    Other
    $0 + $16,962 related
    Deferred
    $0 + $5,713 related
    Nontaxable benefits
    $0 + $11,173 related
    Filer's total
    $0 + $222,521 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
UNIVERSITY HOSPITALS HEALTH SYSTEM, INC., A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. NO SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CONCORD MEDICAL CAMPUS PHYSICIAN BUILDING LLC

    OFFICE SPACE · OH

  • NEW MANNA CLG LLC

    MEDICAL SERVICES · OH

  • SAMARITAN REGIONAL PAIN MANAGEMENT LLC

    MEDICAL SERVICES · OH

  • UH VALUEHEALTH HOLDINGS LLC

    HOLDING COMPANY · OH

  • UHHS ENDOSCOPY HOLDINGS LLC

    MEDICAL SERVICES · OH

  • UNIVERSITY SUBURBAN REAL ESTATE LTD

    REAL ESTATE · OH

  • UNIVERSITY HOSPITALS URGENT CARE BY WELLSTREET LLC

    MEDICAL SERVICES · GA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • COMPREHENSIVE VENTURES UNLIMITED INC

    C · PHYSICIAN ADMINISTRATION · OH

  • EMH MEDICAL OFFICE BUILDING IN AVON INC

    C · REAL ESTATE · OH

  • EMH PROFESSIONAL SERVICES INC

    C · PHYSICIANS GROUP · OH

  • NORTH OHIO HEART INC

    C · PHYSICIANS GROUP · OH

  • PRL CORPORATION

    C · PHYSICIANS GROUP · OH

  • QUALITY CARE NETWORK INC

    C · MEDICAL MANAGEMENT · OH

  • USHC MANAGEMENT INC

    C · HOLDING COMPANY · OH

  • UHHS PROVIDER AND CENTRAL VERIFICATION ORGANIZATION INC

    C · MEDICAL MANAGEMENT · OH

  • UNIVERSITY HOSPITALS ACCOUNTABLE CARE ORGANIZATION INC

    C · ACCOUNT CARE · OH

  • UNIVERSITY HOSPITALS HOLDINGS INC

    C · HOLDING COMPANY · OH

  • UNIVERSITY HOSPITALS PHYSICIAN SERVICES INC

    C · PHYSICIAN ADMINISTRATION · OH

  • UNIVERSITY PRIMARY CARE PRACTICES INC

    C · PHYSICIAN GROUP · OH

  • WESTERN RESERVE ASSURANCE CO LTD SPC

    C · INSURANCE · CJ

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202403209349310145

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