FOSTORIA COMMUNITY HOSPITAL FOUNDATION

Address
501 VAN BUREN STREET
FOSTORIA, OH 448300907
Contact
Website: http://www.promedica.org
Phone: +1 (419) 891-8504
Nonprofit
NTEE: E112 - Health care
EIN: 34-1805993

Mission

FOSTORIA COMMUNITY HOSPITAL FOUNDATION EXISTS TO SECURE, INVEST, AND ADMINISTER FUNDS PROVIDED THROUGH THE GENEROSITY OF OUR CONTRIBUTORS FOR THE BENEFIT OF IDENTIFIED HEALTHCARE NEEDS IN OUR COMMUNITY.
 20102009
Basic features of the organization
Year of formation1994
Subsection501(c)(3)
Organization typeCorporation
Metropolitan statistical area0000
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation$0.00 
Number of employees0 
Number of people compensated >$100k0 
Number of volunteers103 
Personnel
Akenberger, Gary
TitleSR VP FINANCE 
Name of key/compensated personGARY AKENBERGER 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$52,386.00 
Sum of all compensation from org$0.00 
PositionKey employee 
Corresponding comp from related orgs
Reportable compensation from related orgs $306,678.00 
Base reportable compensation from related orgs$234,600.00 
Bonus and incentive reportable comp from related orgs$60,931.00 
Other reportable compensation from related orgs$11,147.00 
Retirement and other deferred compensation from related orgs$37,437.00 
Nontaxable benefits from related orgs$14,949.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$359,064.00 
Basu, Asish
TitleCHAIRPERSON 
Name of key/compensated personASISH BASU MD 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$32,343.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director, Officer 
Corresponding comp from related orgs
Reportable compensation from related orgs $310,472.00 
Base reportable compensation from related orgs$300,000.00 
Bonus and incentive reportable comp from related orgs$0.00 
Other reportable compensation from related orgs$10,472.00 
Retirement and other deferred compensation from related orgs$17,000.00 
Nontaxable benefits from related orgs$15,343.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$342,815.00 
Beidelschies, Jill
TitleTRUSTEE 
Name of key/compensated personJILL BEIDELSCHIES 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Beidelschies, Tim
TitleTRUSTEE 
Name of key/compensated personTIM BEIDELSCHIES MD 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $142,771.00 
Fruth, Stephen
TitleTRUSTEE 
Name of key/compensated personSTEPHEN FRUTH 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Goodman, Susan
TitleTRUSTEE 
Name of key/compensated personSUSAN GOODMAN 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Gray, Robert
TitleEX OFFICIO 
Name of key/compensated personROBERT GRAY 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Green, Martha
TitleTRUSTEE 
Name of key/compensated personMARTHA GREEN 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Guernsey, Donald
TitleTRUSTEE 
Name of key/compensated personDONALD GUERNSEY 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Hagen, Amy
TitleTRUSTEE 
Name of key/compensated personAMY HAGEN 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$6,285.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $61,948.00 
Hammerling, Lee
TitleTRUSTEE 
Name of key/compensated personLEE HAMMERLING MD 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$78,042.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $654,244.00 
Base reportable compensation from related orgs$467,445.00 
Bonus and incentive reportable comp from related orgs$179,582.00 
Other reportable compensation from related orgs$7,217.00 
Retirement and other deferred compensation from related orgs$63,805.00 
Nontaxable benefits from related orgs$14,237.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$732,286.00 
Hanley, Kathleen
TitleTREASURER 
Name of key/compensated personKATHLEEN HANLEY 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$87,366.00 
Sum of all compensation from org$0.00 
PositionOfficer 
Corresponding comp from related orgs
Reportable compensation from related orgs $571,583.00 
Base reportable compensation from related orgs$414,848.00 
Bonus and incentive reportable comp from related orgs$151,504.00 
Other reportable compensation from related orgs$5,231.00 
Retirement and other deferred compensation from related orgs$69,789.00 
Nontaxable benefits from related orgs$17,577.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$658,949.00 
Hoening, Barbara
TitleTRUSTEE 
Name of key/compensated personBARBARA HOENING 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Horns, John
TitleTRUSTEE 
Name of key/compensated personJOHN HORNS 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$55,966.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $416,959.00 
Base reportable compensation from related orgs$282,305.00 
Bonus and incentive reportable comp from related orgs$107,157.00 
Other reportable compensation from related orgs$27,497.00 
Retirement and other deferred compensation from related orgs$33,075.00 
Nontaxable benefits from related orgs$22,891.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$472,925.00 
Jakacki, Timothy
TitleTRUSTEE 
Name of key/compensated personTIMOTHY JAKACKI 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$54,714.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $307,326.00 
Base reportable compensation from related orgs$214,200.00 
Bonus and incentive reportable comp from related orgs$62,686.00 
Other reportable compensation from related orgs$30,440.00 
Retirement and other deferred compensation from related orgs$36,061.00 
Nontaxable benefits from related orgs$18,653.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$362,040.00 
Kuhn, Jeffrey
TitleSECRETARY 
Name of key/compensated personJEFFREY KUHN 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$64,541.00 
Sum of all compensation from org$0.00 
PositionOfficer 
Corresponding comp from related orgs
Reportable compensation from related orgs $433,955.00 
Base reportable compensation from related orgs$309,314.00 
Bonus and incentive reportable comp from related orgs$113,370.00 
Other reportable compensation from related orgs$11,271.00 
Retirement and other deferred compensation from related orgs$46,608.00 
Nontaxable benefits from related orgs$17,933.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$498,496.00 
Mennel, Donald
TitleEX OFFICIO 
Name of key/compensated personDONALD MENNEL 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Reffner, Ryan
TitleTRUSTEE 
Name of key/compensated personRYAN REFFNER 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Reineke, William
TitleTRUSTEE 
Name of key/compensated personWILLIAM REINEKE SR 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Rn, Pamela
TitleTRUSTEE 
Name of key/compensated personPAMELA HADACEK RN 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Schetter, Jane
TitleTRUSTEE 
Name of key/compensated personJANE SCHETTER 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Other comp, non-reportable, from org and related orgs$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 
Schwanke, Daniel
TitleEX OFFICIO 
Name of key/compensated personDANIEL SCHWANKE 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$49,014.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $266,112.00 
Base reportable compensation from related orgs$170,340.00 
Bonus and incentive reportable comp from related orgs$80,699.00 
Other reportable compensation from related orgs$15,073.00 
Retirement and other deferred compensation from related orgs$34,110.00 
Nontaxable benefits from related orgs$14,904.00 
Compensation from related orgs previously reported as deferred$51,302.00 
Sum of all compensation from related orgs$315,126.00 
Schwartz, Sheila
TitleEX OFFICIO 
Name of key/compensated personSHEILA SCHWARTZ 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$52,079.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $328,258.00 
Base reportable compensation from related orgs$229,500.00 
Bonus and incentive reportable comp from related orgs$85,658.00 
Other reportable compensation from related orgs$13,100.00 
Retirement and other deferred compensation from related orgs$34,749.00 
Nontaxable benefits from related orgs$17,330.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$380,337.00 
Steele, Barbara
TitleEX OFFICIO 
Name of key/compensated personBARBARA STEELE 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$84,913.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $767,506.00 
Base reportable compensation from related orgs$554,195.00 
Bonus and incentive reportable comp from related orgs$203,265.00 
Other reportable compensation from related orgs$10,046.00 
Retirement and other deferred compensation from related orgs$75,144.00 
Nontaxable benefits from related orgs$9,769.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$852,419.00 
Swint, Kenneth
TitleFORMER KEY EMPLOYEE 
Name of key/compensated personKENNETH SWINT 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$37,155.00 
Sum of all compensation from org$0.00 
PositionFormer employee 
Corresponding comp from related orgs
Reportable compensation from related orgs $156,794.00 
Base reportable compensation from related orgs$122,102.00 
Bonus and incentive reportable comp from related orgs$34,685.00 
Other reportable compensation from related orgs$7.00 
Retirement and other deferred compensation from related orgs$18,292.00 
Nontaxable benefits from related orgs$18,863.00 
Compensation from related orgs previously reported as deferred$16,589.00 
Sum of all compensation from related orgs$193,949.00 
Wachsman, Ronald
TitleTRUSTEE 
Name of key/compensated personRONALD WACHSMAN 
Average hours per week working for org1.00 
Reportable compensation from org$0.00 
Breakdown of reportable comp
Base reportable compensation from org$0.00 
Bonus and incentive reportable compensation$0.00 
Other reportable compensation from org$0.00 
Retirement and other deferred compensation$0.00 
Nontaxable benefits from org$0.00 
Compensation from org previously reported as deferred$0.00 
Other comp, non-reportable, from org and related orgs$50,992.00 
Sum of all compensation from org$0.00 
PositionIndividual trustee or director 
Corresponding comp from related orgs
Reportable compensation from related orgs $265,476.00 
Base reportable compensation from related orgs$204,918.00 
Bonus and incentive reportable comp from related orgs$54,705.00 
Other reportable compensation from related orgs$5,853.00 
Retirement and other deferred compensation from related orgs$35,205.00 
Nontaxable benefits from related orgs$15,787.00 
Compensation from related orgs previously reported as deferred$0.00 
Sum of all compensation from related orgs$316,468.00 
Purpose: mission, activities & accomplishments
Mission or significant activitiesFOSTORIA COMMUNITY HOSPITAL FOUNDATION EXISTS TO SECURE, INVEST, AND ADMINISTER FUNDS PROVIDED THROUGH THE GENEROSITY OF OUR CONTRIBUTORS FOR THE BENEFIT OF IDENTIFIED HEALTHCARE NEEDS IN OUR COMMUNITY. 
Program expenses (total)$213,907.00 
Programs, including revenue & expenses
TO RAISE FUNDS TO SUPPORT TO SUPPORT FOSTORIA HOSPITAL ASSOCIATION AND ITS PROGRAMS.
Program expenses$213,907.00 
Grants and allocations made$213,907.00 
Program descriptionTO RAISE FUNDS TO SUPPORT TO SUPPORT FOSTORIA HOSPITAL ASSOCIATION AND ITS PROGRAMS. 
Financial data
Expense categories (totals)
Sum (total functional expenses)$409,885.00 
Program services (total functional expenses)$213,907.00 
Management & general (total functional expenses)$40,295.00 
Fundraising (total functional expenses)$155,683.00 
Revenue
Total revenue$384,919.00 
Program service revenue (total)$0.00$0.00
Revenue from contributions (total)$260,551.00$509,834.00
Revenue from noncash contributions$2,095.00 
Investment income$157,497.00 
Total unrelated business revenue$0.00 
Other revenue, current yr-$33,129.00 
Net unrelated business taxable revenue$0.00 
Total revenue from grants, etc., current yr$260,551.00 
Gross receipts$7,429,953.00 
Sources of contributions
Revenue from fundraising events$53,009.00 
Contributions from related organizations$23,254.00 
Revenue from all other contributions$184,288.00 
Other types of revenue
Income from dividends, interest, and similar investments$54,182.00 
Net rental income$0.00$0.00
Net income from fundraising events-$33,129.00 
Fees for services
Fundraising service fees (total)$0.00 
Investment management fees (total)$10,116.00 
Assets and liabilities
Total assets$3,180,391.00$3,853,578.00
Total assets, beginning of year$3,853,578.00 
Total liabilities$71,400.00$876,248.00
Total liabilities, beginning of year$876,248.00 
Pledges & accounts receivable, net$368,191.00 
Temporarily restricted net assets$2,306,956.00 
Permanently restricted net assets, end of yr$843,895.00 
Net assets$3,108,991.00 
Net assets, beginning of year$2,977,330.00 
Other liabilities$71,400.00 
Other assets$250.00 
Investments: publicly traded securities$2,796,486.00 
Other financial variables
Revenue less expenses-$24,966.00 
Savings & temp cash investment$15,464.00 
Total net assets or fund balances$3,108,991.00 
Governance and accountability
Number of voting members18 
Number of independent voting members9 
Financial sheets auditedTrue 
Relationships among key personnelTrue 
Tax year start date2010-01-01 
Tax year end date2010-12-31 
Has local chaptersTrue 
Accounting methodAccrual 
Indicators for schedules (selected)
Grants to domestic org/gov't >$5kTrue 
Org has controlled entityTrue 
Org transacted with controlled entityTrue 
Metadata about the filing
E-return type990 
Date e-filing submitted2011-12-06 
IRS schema version2010v3.4 
Filing identifier201133149349303508 
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