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AULTMAN HEALTH FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
AULTMAN HEALTH FOUNDATION (EIN 34-1445390)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202103199349318775
Schema version
2020v4.1
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)
Return2021-11-15T14:42:58-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1501 GRANT STREET SUITE 425AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341445390EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AULTMAN HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAULTBusinessNameControlTxt
Phone3303636352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 SIXTH STREET SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK D WRIGHTPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone3303636352PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastWRIGHTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN SANTARELLAPreparerPersonNm
PTINP02069285PTIN
Phone4124856700PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICK HAINESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 SIXTH STREET SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$56,992,481GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AULTMAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE MISSION OF AULTMAN HEALTH FOUNDATION IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH."ActivityOrMissionDesc
Voting Members Governing Body76VotingMembersGoverningBodyCnt
Voting Members Independent60VotingMembersIndependentCnt
Total Employee439TotalEmployeeCnt
Total Volunteers302TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$530PYContributionsGrantsAmt
CY Contributions Grants$7,511CYContributionsGrantsAmt
PY Program Service Revenue$51,060,546PYProgramServiceRevenueAmt
CY Program Service Revenue$53,053,869CYProgramServiceRevenueAmt
PY Investment Income$4,057,898PYInvestmentIncomeAmt
CY Investment Income$3,643,396CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$215,004CYOtherRevenueAmt
PY Total Revenue$55,118,974PYTotalRevenueAmt
CY Total Revenue$56,919,780CYTotalRevenueAmt
PY Grants And Similar Paid$1,102,393PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,636,198CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,026,556PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,994,288CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,700,699PYOtherExpensesAmt
CY Other Expenses$27,244,924CYOtherExpensesAmt
PY Total Expenses$55,829,648PYTotalExpensesAmt
CY Total Expenses$57,875,410CYTotalExpensesAmt
PY Revenues Less Expenses-$710,674PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$955,630CYRevenuesLessExpensesAmt
Total Assets BOY$485,704,990TotalAssetsBOYAmt
Total Assets EOY$589,960,745TotalAssetsEOYAmt
Total Liabilities BOY$148,054,830TotalLiabilitiesBOYAmt
Total Liabilities EOY$148,248,868TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$337,650,160NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$441,711,877NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$22,282,535ExpenseAmt
Grant$0GrantAmt
Revenue$47,774RevenueAmt
DescWITH 120 EMPLOYEES, THE AULTMAN SYSTEMS AND TECHNOLOGY DEPARTMENT PROVIDES THE TECHNICAL INFRASTRUCTURE FOR BUSINESS AND CLINICAL SYSTEMS THROUGHOUT AHF, ITS SATELLITE FACILITIES AND SUBSIDIARIES. THE SYSTEMS AND TECHNOLOGY TEAM HANDLES EVERYTHING RELATED TO INFORMATION TECHNOLOGY AT AULTMAN HEALTH FOUNDATION - INCLUDING HARDWARE, SOFTWARE DATA SECURITY AND INTERNAL CUSTOMER SUPPORT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,619,176ExpenseAmt
Grant$0GrantAmt
Revenue$6,004,417RevenueAmt
DescTHE AULTMAN SPECIALTY HOSPITAL, LOCATED ON THE MAIN AULTMAN CAMPUS, PROVIDES LONG-TERM ACUTE CARE FOR PATIENTS WITH MEDICALLY COMPLEX CONDITIONS. PATIENTS' AVERAGE LENGTH OF STAY IS 25 DAYS, AND THEY ARE TYPICALLY TRANSFERRED FROM AULTMAN ICU OR STEP-DOWN UNITS OR OTHER LOCAL HOSPITALS. IN 2019, 201 PATIENTS WERE CARED FOR AT THE AULTMAN SPECIALTY HOSPITAL. THE FACILITY'S QUALITY PROGRAM HAS BEEN ENHANCED IN THE AREAS OF IMPROVED PREVENTION OF SKIN BREAKDOWN, VENTILATOR-ASSOCIATED PNEUMONIA, LINE SEPSIS, AND CLOSTRIDIUM DIFFICILE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,956,483ExpenseAmt
Grant$0GrantAmt
Revenue$12,330RevenueAmt
DescTHE 29-MEMBER AULTMAN HEALTH FOUNDATION HUMAN RESOURCES DEPARTMENT PROVIDES SUPPORT SERVICES RELATIVE TO EMPLOYEE BENEFITS, COMPENSATION, EDUCATION AND DEVELOPMENT, EMPLOYEE RECRUITING, NEW-HIRE ORIENTATION, DIVERSITY AND INCLUSION, AND EMPLOYEE EVENTS ACROSS AHF FACILITIES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$15,524,410ExpenseAmt
Grant$1,636,198GrantAmt
Revenue$46,989,348RevenueAmt
DescAULTMAN HEALTH FOUNDATION (AHF) WAS FORMED AS A SUPPORT ENTITY AULTMAN HOSPITAL (AH) AND AHF'S SUBSIDIARIES. THIS STRUCTURE IS COMMON TO MANY HEALTH CARE SYSTEMS. AHF PERFORMS ACTIVITIES THAT DIRECTLY AND INDIRECTLY IMPACT AH. THERE IS A CLOSE WORKING RELATIONSHIP BETWEEN AHF AND AH AND SUBSTANTIAL RESOURCES OF AHF ARE COMMITTED TO FURTHERING THE AH MISSION.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$15,524,410TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,636,198TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$46,989,348TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$47,382,604TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document114IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee439EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryEIForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members76GoverningBodyVotingMembersCnt
Independent Voting Member60IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK D WRIGHTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3303636192PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 SIXTH STREET SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (87 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
EDWARD J ROTH III
PRESIDENT/CEO47.008.00Yes (X)Yes (X)$776,388$0$15,474
MARK D WRIGHT
TREASURER/CFO/ DIRECTOR - AHF48.007.00Yes (X)Yes (X)$468,572$0$3,630
DARRYL J DILLENBACK
CHAIR - AHF7.000.00Yes (X)Yes (X)$0$0$0
EMIL ALECUSAN
VICE CHAIR - AHF8.000.00Yes (X)Yes (X)$0$0$0
BRYAN RICE
2ND VICE CHAIR/SECRETARY6.000.00Yes (X)Yes (X)$0$0$0
BARBARA ABBOTT
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
BRIAN S BELDEN
DIRECTOR - AHF5.004.00Yes (X)$0$0$0
ROGER BETTIS
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
PEGGY CLAYTOR
DIRECTOR - AHF3.000.00Yes (X)$0$0$0
NATE J COOKS
DIRECTOR - AHF1.003.00Yes (X)$0$0$0
STEPHEN G DEUBLE
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
MILAN R DOPIRAK MD
DIRECTOR - AHF1.001.00Yes (X)$0$0$0
LEO DOYLE
DIRECTOR - AHF8.008.00Yes (X)$0$0$0
DAVID M FINDLEY
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
RYAN FULMER
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
T STEPHEN GREGORY
DIRECTOR - AHF6.004.00Yes (X)$0$0$0
PATRICIA A GRISCHOW
DIRECTOR - AHF2.003.00Yes (X)$0$0$0
RICK L HAINES
DIRECTOR - AHF; CEO - AULTCARE4.0051.00Yes (X)$0$579,171$12,027
JOSEPH R HALTER JR
DIRECTOR - AHF1.002.00Yes (X)$0$0$0
MICHAEL E HANKE
DIRECTOR - AHF3.002.00Yes (X)$0$0$0
JOHN B HUMPHREY JR MD
DIRECTOR - AHF6.002.00Yes (X)$0$0$0
GEOFF KARCHER
DIRECTOR - AHF4.000.00Yes (X)$0$0$0
JOANNE KRIVETZKY MD
DIRECTOR - AHF; MED STAFF PRES-ELECT2.004.00Yes (X)$30,000$0$0
BRIAN LAYMAN
DIRECTOR - AHF3.001.00Yes (X)$0$0$0
MICHAEL LYNCH MD
DIRECTOR - AHF7.0048.00Yes (X)$7,254$419,157$27,246
RON LYONS
DIRECTOR - AHF1.001.00Yes (X)$0$0$0
LORI MARTINO
DIRECTOR - AHF1.001.00Yes (X)$0$0$0
JUDY MINTON
DIRECTOR - AHF; AH WOMEN'S BOARD PRESIDENT1.003.00Yes (X)$0$0$0
LORI L MERTES MD
PRESIDENT - INNOVATIONS BOARD1.0054.00Yes (X)$0$419,849$3,989
JEFFREY MILLER MD
DIRECTOR - AHF2.007.00Yes (X)$0$0$0
PRABHCHARAN GILL MD
DIRECTOR - AHF2.0053.00Yes (X)$16,350$664,164$30,101
MICHAEL RICH MD
DIRECTOR - AHF51.004.00Yes (X)$447,367$0$26,879
JESSE ROPER
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
TIM SEIFERT
DIRECTOR - AHF1.001.00Yes (X)$0$0$0
LOUIS G SHAHEEN MD
DIRECTOR - AHF1.003.00Yes (X)$6,250$0$0
DOUGLAS J SIBILA
DIRECTOR - AHF2.002.00Yes (X)$0$0$0
JOHN A SIRPILLA
DIRECTOR - AHF4.001.00Yes (X)$0$0$0
TODD M SOMMER
DIRECTOR - AHF1.002.00Yes (X)$0$0$0
RYAN STENGER
DIRECTOR - AHF2.000.00Yes (X)$0$0$0
R CLINT ZOLLINGER ESQ
DIRECTOR - AHF6.000.00Yes (X)$0$0$0
SHRUTI TREHAN MD
DIRECTOR - AHF2.0053.00Yes (X)$0$1,447,468$21,983
WILLIAM WALLACE MD
DIRECTOR - AHF4.006.00Yes (X)$0$0$0
MARK AUBLE
DIRECTOR - AHF1.001.00Yes (X)$0$0$0
AKBAR SHAH MD
CHAIR - ASH; PHYSICIAN5.0050.00Yes (X)Yes (X)$0$903,981$26,536
DANIEL RODRIGUEZ MD
VICE CHAIR - ASH5.0050.00Yes (X)Yes (X)$0$212,548$17,120
DIANA BOYD
SECRETARY & TREASURER - ASH5.000.00Yes (X)Yes (X)$0$0$0
KRISTEN DEDENT
CEO - ASH52.003.00Yes (X)Yes (X)$112,664$0$125
JACQUELINE DEGARMO
DIRECTOR - ASH5.001.00Yes (X)$0$0$0
DEANNA HATFIELD
DIRECTOR - ASH1.000.00Yes (X)$0$0$0
DENISE HILL
DIRECTOR - ASH1.001.00Yes (X)$0$0$0
ERIC JOHNSON
DIRECTOR - ASH1.000.00Yes (X)$0$0$0
GEORGE KEFALAS MD
DIRECTOR - ASH1.002.00Yes (X)$0$0$0
ELLEN LINZ
DIRECTOR - ASH1.000.00Yes (X)$0$0$0
DAVID MOTTS
DIRECTOR - ASH1.000.00Yes (X)$0$0$0
CHADI BOU SERHAL MD
DIRECTOR - ASH1.001.00Yes (X)$0$0$0
MELANIE MIRANDE MD
CHAIR - IHC1.000.00Yes (X)Yes (X)$0$0$0
BRIAN MCCLAIN MD
VICE CHAIR - IHC1.002.00Yes (X)Yes (X)$0$0$0
STEVE NAM MD
TREASURER - IHC1.004.00Yes (X)Yes (X)$12,369$0$0
DOUGLAS BLOCKER MD
DIRECTOR - IHC1.000.00Yes (X)$5,854$0$0
ANTHONY DEGENHARD DO
DIRECTOR - IHC2.005.00Yes (X)$18,625$0$0
ANDY R HART MD
DIRECTOR - IHC1.000.00Yes (X)$0$0$0
LEWIS HUMBLE MD
DIRECTOR - IHC1.000.00Yes (X)$1,625$0$0
JAMES JOHNS MD
DIRECTOR - IHC1.000.00Yes (X)$38,931$0$0
STEVEN KELLY MD
DIRECTOR - IHC4.0051.00Yes (X)$0$1,014,785$23,796
ROGER MUSA MD
DIRECTOR - IHC5.0050.00Yes (X)$8,624$259,882$314
TIMOTHY O'TOOLE MD
DIRECTOR - IHC1.002.00Yes (X)$1,625$0$0
JOHN PRODAFIKAS
DIRECTOR - IHC3.0052.00Yes (X)$0$757,643$23,996
CHRISTOPHER E REMARK
DIRECTOR - IHC7.0048.00Yes (X)$0$519,756$4,303
ROBERT SABOTA MD
DIRECTOR - IHC1.001.00Yes (X)$0$0$0
JOHN WESTERBECK MD
DIRECTOR - IHC1.003.00Yes (X)$2,438$0$0
JAMES WILSON MD
DIRECTOR - IHC1.000.00Yes (X)$3,688$0$0
ANDREW ZURICK MD
MEDICARE BENEFICIARY - IHC1.000.00Yes (X)$2,250$0$0
DAVID MALLAMACI MD
DIRECTOR - IHC1.000.00Yes (X)$15,563$0$0
HOWARD METZGER MD
DIRECTOR - IHC55.000.00Yes (X)$263,752$0$13,561
CHARLES ZOLLINGER
DIRECTOR - IHC1.000.00Yes (X)$3,938$0$0
ALLISON M OPRANDI MD
CEO - IHC53.002.00$440,799$0$6,369Yes (X)
MATTHEW RITZERT
VP - IHC55.000.00$160,829$0$2,840Yes (X)
ELIZABETH A GETZ
CIO50.005.00$321,481$0$3,683Yes (X)
ROBERT C MOLNAR
SVP, REGIONAL DEVELOPMENT51.004.00$273,357$0$2,982Yes (X)
MARK N ROSE
SVP - LEGAL SERVICES50.005.00$375,216$0$6,583Yes (X)
JASON JUSTUS
CEO - POMERENE55.000.00$239,348$0$835Yes (X)
SUSAN E OLIVERA
VP - HUMAN RESOURCES53.002.00$295,523$0$3,580Yes (X)
ADAM LUNTZ
CFO - AH; TREASURER - ACON50.005.00$304,199$0$3,095Yes (X)
RONALD RUSNAK MD
DIRECTOR OF CLINICAL INFORMATICS55.000.00$362,196$0$2,336Yes (X)
KEVIN D PETE
SVP50.005.00$316,289$0$5,357Yes (X)
TIMOTHY TEYNOR
VP - PUBLIC POLICY50.005.00$223,308$0$11,612Yes (X)
RAFAEL GONZALEZ
VP - CHIEF TECHNOLOGY OFFICER55.000.00$217,504$0$715Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,774,176TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,198,404TotReportableCompRltdOrgAmt
Total Other Compensation$301,067TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORP
2800 ROCKCREEK PWKYKANSAS CITYMO64117SOFTWARE SUPPORT$6,721,456
DELL FINANCIAL SERVICES
ONE DELL WAYROUND ROCKTX78682SOFTWARE SUPPORT$1,471,732
PNC BANK
PO BOX 931034CLEVELANDOH44193FINANCIAL SERVICES$1,376,695
ALLSCRIPTS HEALTHCARE
305 CHURCH AT NORTH HILLSRALEIGHNC27609SOFTWARE SUPPORT$993,906
CISCO SYSTEMS INC
170 W TASMAN DRIVESAN JOSECA95134SOFTWARE SUPPORT$683,371
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
All Other Contributions$7,511AllOtherContributionsAmt
Total Contributions$7,511TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HEALTH SYSTEM ADMINISTRATION561000$42,918,947$42,918,947
PATIENT SERVICE REVENUE624100$6,004,417$6,004,417
OTHER INCOME561000$3,206,360$3,206,360
PROPERTY MANAGEMENT REVENUE561000$924,145$924,145
FieldValueIRS element (for citing)
Total Program Service Revenue$53,053,869TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,716,097TotalRevenueColumnAmt
Exclusion$3,716,097ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$72,701SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$72,701SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$72,701TotalRevenueColumnAmt
Exclusion-$72,701ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER MISC INCOMEDesc
Business900099BusinessCd
Total Revenue Column$215,004TotalRevenueColumnAmt
Exclusion$215,004ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$215,004OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,919,780TotalRevenueColumnAmt
Related Or Exempt Func Income$53,053,869RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,858,400ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,634,698TotalAmt
Program Services$1,634,698ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Program Services$1,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,581,810TotalAmt
Program Services$3,711,266ProgramServicesAmt
Management And General$870,544ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,358,121TotalAmt
Program Services$15,680,079ProgramServicesAmt
Management And General$3,678,042ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$216,411TotalAmt
Program Services$175,293ProgramServicesAmt
Management And General$41,118ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,043,263TotalAmt
Program Services$2,465,043ProgramServicesAmt
Management And General$578,220ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,794,683TotalAmt
Program Services$1,453,694ProgramServicesAmt
Management And General$340,989ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$54,624TotalAmt
Program Services$44,245ProgramServicesAmt
Management And General$10,379ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,816TotalAmt
Program Services$3,091ProgramServicesAmt
Management And General$725ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$171,821TotalAmt
Program Services$139,175ProgramServicesAmt
Management And General$32,646ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,058,325TotalAmt
Program Services$6,527,246ProgramServicesAmt
Management And General$1,531,079ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$76,925TotalAmt
Program Services$62,309ProgramServicesAmt
Management And General$14,616ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$686,555TotalAmt
Program Services$556,110ProgramServicesAmt
Management And General$130,445ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,871,100TotalAmt
Program Services$9,615,592ProgramServicesAmt
Management And General$2,255,508ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,906,059TotalAmt
Program Services$1,543,907ProgramServicesAmt
Management And General$362,152ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$151,533TotalAmt
Program Services$122,742ProgramServicesAmt
Management And General$28,791ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,861TotalAmt
Program Services$37,958ProgramServicesAmt
Management And General$8,903ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$740,696TotalAmt
Program Services$599,964ProgramServicesAmt
Management And General$140,732ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$95,905TotalAmt
Program Services$77,683ProgramServicesAmt
Management And General$18,222ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$598,203$598,203
MEDICATION$415,686$415,686
EDUCATION$398,914$323,120$75,794
RECRUITMENT$255,459$206,922$48,537

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,712,442TotalAmt
Program Services$1,387,078ProgramServicesAmt
Management And General$325,364ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$57,875,410TotalAmt
Program Services$47,382,604ProgramServicesAmt
Management And General$10,492,806ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$573,943BOYAmt
EOY$1,152,355EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,392,630BOYAmt
EOY$1,588,394EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,107,916BOYAmt
EOY$1,107,916EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,367,526BOYAmt
EOY$2,034,604EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,480,803LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,728,467LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,403,228BOYAmt
EOY$3,752,336EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$75,268,014BOYAmt
EOY$163,422,329EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$395,342,700BOYAmt
EOY$405,407,137EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,716,667BOYAmt
EOY$1,304,667EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,532,366BOYAmt
EOY$10,191,007EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$485,704,990BOYAmt
EOY$589,960,745EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,876,281BOYAmt
EOY$12,154,420EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$651,731BOYAmt
EOY$585,469EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$131,606,087BOYAmt
EOY$129,429,115EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,266,336BOYAmt
EOY$4,575,770EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$654,395BOYAmt
EOY$1,504,094EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,054,830BOYAmt
EOY$148,248,868EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$337,650,160BOYAmt
EOY$441,711,877EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$337,650,160BOYAmt
EOY$441,711,877EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$485,704,990BOYAmt
EOY$589,960,745EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$955,630ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$595,052NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$104,422,295OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AULTMAN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN340714538EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$15,524,407SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$15,524,407SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 12G, COLUMN V:FormAndLineReferenceDesc
ExplanationAULTMAN HEALTH FOUNDATION (AHF) WAS FORMED TO HANDLE THE OVERALL MANAGEMENT FOR AULTMAN HOSPITAL (AH) AND AHF'S SUBSIDIARIES. THIS STRUCTURE IS COMMON TO MANY HEALTH CARE SYSTEMS. AHF PERFORMS ACTIVITIES THAT DIRECTLY AND INDIRECTLY IMPACT AH. THERE IS A CLOSE WORKING RELATIONSHIP BETWEEN AHF AND AH AND SUBSTANTIAL RESOURCES OF AHF ARE COMMITTED TO FURTHERING THE AH MISSION.ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$271,675OtherActivitiesAmt
Total Lobbying Expenditures$271,675TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHIS REPRESENTS PAYMENTS TO VARIOUS PROFESSIONAL ORGANIZATIONS FOR CONDUCTING FEDERAL AND STATE ADVOCACY, GOVERNMENT RELATIONS REPRESENTATION, AND GENERAL LEGISLATIVE COUNSELING AND BUSINESS REGULATIONS ON BEHALF OF THE ORGANIZATION.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$776,367BeginningYearBalanceAmt
Investment Earnings Or Losses$44,156InvestmentEarningsOrLossesAmt
Administrative Expenses$4,000AdministrativeExpensesAmt
End Year Balance$816,523EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$733,598BeginningYearBalanceAmt
Investment Earnings Or Losses$46,769InvestmentEarningsOrLossesAmt
Administrative Expenses$4,000AdministrativeExpensesAmt
End Year Balance$776,367EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$734,605BeginningYearBalanceAmt
Investment Earnings Or Losses$4,643InvestmentEarningsOrLossesAmt
Administrative Expenses$5,650AdministrativeExpensesAmt
End Year Balance$733,598EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$727,562BeginningYearBalanceAmt
Investment Earnings Or Losses$13,033InvestmentEarningsOrLossesAmt
Administrative Expenses$5,990AdministrativeExpensesAmt
End Year Balance$734,605EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$718,271BeginningYearBalanceAmt
Contributions$25,000ContributionsAmt
Investment Earnings Or Losses$15,263InvestmentEarningsOrLossesAmt
Administrative Expenses$30,972AdministrativeExpensesAmt
End Year Balance$727,562EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,877,417OtherCostOrOtherBasisAmt
Book Value$1,877,417BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,260,935OtherCostOrOtherBasisAmt
Depreciation$2,284,474DepreciationAmt
Book Value$976,461BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,230,881OtherCostOrOtherBasisAmt
Depreciation$2,335,481DepreciationAmt
Book Value$895,400BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,570OtherCostOrOtherBasisAmt
Depreciation$108,512DepreciationAmt
Book Value$3,058BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,752,336TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN AFFILIATES$381,760,881C
ASSETS LIMITED AS TO USE$23,646,256C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$405,407,137TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$492,309
INTERCOMPANY PAYABLES$1,011,785
FieldValueIRS element (for citing)
Total Liability$1,504,094TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE CHAPLANCY PROGRAM.
PART X, LINE 2:WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CODIFICATION, THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,109,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$985,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,124,815NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,109,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$985,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,124,815NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,109,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$985,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,124,815NetCommunityBenefitExpnsAmt
Total Expense0.01940TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$77,062BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$1,622,892ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,389,763CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$233,129MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AULTMAN SPECIALTY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 SIXTH ST SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.AULTMAN.ORGWebsiteAddressTxt
State License1454StateLicenseNum

Subordinate Hospital Name SubordinateHospitalName

FieldValueIRS element (for citing)
Business Name Line1AULTMAN SPECIALTY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Subordinate Hospital EIN134246188SubordinateHospitalEIN
Licensed HospitalYes (X)LicensedHospitalInd
OtherLONG-TERM ACUTE CAREOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1AULTMAN SPECIALTY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION B, LINE 7DOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION B, LINE 7DStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 5: SINCE 2010, THE STARK COUNTY HEALTH DEPARTMENT HAS FACILITATED A COLLABORATIVE CHA PROCESS TO MEET AFFORDABLE CARE ACT REQUIREMENTS FOR NONPROFIT HOSPITALS AND PUBLIC HEALTH ACCREDITATION BOARD STANDARDS FOR HEALTH DEPARTMENTS. LOCAL PUBLIC HEALTH DEPARTMENTS, HEALTH CARE SYSTEMS, MENTAL HEALTH, SOCIAL SERVICE AGENCIES AND NON-PROFIT ORGANIZATIONS SUPPORT AND GUIDE THIS PROCESS. THE ASSESSMENT PROCESS IS AN ONGOING CYCLE THAT INCLUDES BUILDING PARTNERSHIPS; COORDINATING A CONSORTIUM; ASSESSING DATA, COMMUNITY NEEDS AND CAPACITY; AND PLANNING, PRIORITIZATION, ACTION DEVELOPMENT, IMPLEMENTATION AND EVALUATION. THE ADVISORY COMMITTEE SELECTED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL, FOR THE 2020-2022 CYCLE. THE MAPP MODEL IS AN EVIDENCE-BASED, COMMUNITY-WIDE STRATEGIC PLANNING PROCESS THAT ASSISTS COMMUNITIES WITH PRIORITIZING PUBLIC HEALTH ISSUES, IDENTIFYING RESOURCES FOR ADDRESSING THOSE ISSUES AND DEVELOPING A SHARED, LONG-TERM COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE APPROACH IMPROVES PUBLIC HEALTH PRACTICE THROUGH SIX PHASES AND FOUR ASSESSMENTS. THREE SIGNIFICANT COMPONENTS SERVE AS THE FOUNDATION OF THE MAPP PROCESS: 1) STRATEGIC PLANNING, 2) COLLABORATION AND 3) QUALITY IMPROVEMENT. THE ADVISORY COMMITTEE SELECTED CENTER FOR MARKETING AND OPINION RESEARCH (CMOR) TO CONDUCT THE 2019 CHA AS THEY DID FOR PREVIOUS CHA CYCLES. AULTMAN HEALTH FOUNDATION LEADERS SERVE AS MEMBERS OF THE ADVISORY COMMITTEE. THE 2019 CHA SERVES AS A FOUNDATION OF THE JOINT 2019 AULTMAN HOSPITAL, AULTMAN ALLIANCE COMMUNITY HOSPITAL, & AULTMAN SPECIALTY HOSPITAL CHNA. THE 2019 CHA IS AVAILABLE AT HTTPS://WWW.STARKCOUNTYOHIO.GOV/PUBLIC-HEALTH/COMMUNITY-HEALTH-ASSESSMENT. ADDITIONALLY, AULTMAN HEALTH FOUNDATION USES THE COMMUNITY HEALTH ASSESSMENT TOOLKIT AS A FRAMEWORK (ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT, 2017).CMOR GATHERED PRIMARY AND SECONDARY DATA COLLECTION THROUGH FOUR PHASES: 1) COMMUNITY SURVEY, 2) COMMUNITY HEALTH LEADER SURVEY, 3) SECONDARY DATA AND 4) COMMUNITY FOCUS GROUP. THE CHA INCLUDED A COMBINATION OF QUANTITATIVE DEMOGRAPHIC AND HEALTH DATA, AS WELL AS QUALITATIVE DATA THAT REFLECTS THE EXPERIENCES AND OPINIONS OF COMMUNITY RESIDENTS AND HEALTH LEADERS. AFTER GATHERING THE DATA, CMOR COMPILED THE INFORMATION BY SOURCE AND PREPARED A REPORT WITH NARRATIVE AND VISUAL DISPLAYS OF DATA. WHEN AVAILABLE, DATA WAS COMPARED TO PREVIOUS DATA, AS WELL AS OTHER STATE AND NATIONAL DATA. ANALYSIS INCLUDED SURVEY DATA IN CONJUNCTION WITH HEALTH AND DEMOGRAPHIC DATA. USING ALL DATA AVAILABLE, CMOR IDENTIFIED COMMUNITY HEALTH NEEDS FOR STARK COUNTY.COMMUNITY SURVEY. THE FIRST PHASE CONSISTED OF A RANDOM SAMPLE TELEPHONE SURVEY OF STARK COUNTY HOUSEHOLDS. TELEPHONE INTERVIEWS ENSURED ADEQUATE SAMPLE SIZE AND REPRESENTATIVENESS OF THE POPULATION. THE FINAL SAMPLE SIZE OF 800 RESULTED IN AN OVERALL SAMPLING ERROR OF +/- 3.5% WITHIN A 95% CONFIDENCE LEVEL. AN OVERSAMPLE OF APPROXIMATELY 160 AFRICAN-AMERICAN RESIDENTS AND 105 CANTON RESIDENTS WAS CONDUCTED IN ADDITION TO THE 800 INTERVIEWS IN ORDER TO ATTAIN ENOUGH CASES OF THIS POPULATION TO BE ABLE TO DRAW STATISTICALLY VALID CONCLUSIONS. DATA COLLECTION BEGAN ON JULY 5, 2018 AND ENDED ON AUGUST 7, 2018. MOST CALLING TOOK PLACE BETWEEN THE EVENING HOURS OF 5:15 P.M. AND 9:15 P.M. SOME INTERVIEWS WERE CONDUCTED DURING THE DAY AND ON SOME WEEKENDS TO ACCOMMODATE RESPONDENT SCHEDULES. THE INTERVIEWS TOOK AN AVERAGE OF 14.4 MINUTES.SECONDARY DATA. THE SECOND PHASE CONSISTED OF REVIEWING AND ANALYZING SECONDARY DATA SOURCES TO IDENTIFY PRIORITY AREAS OF CONCERN WHEN ANALYZED ALONGSIDE SURVEY DATA. CMOR GATHERED AND COMPILED HEALTH AND DEMOGRAPHIC DATA FROM VARIOUS SOURCES. COMMUNITY LEADER SURVEY. THE THIRD PHASE CONSISTED OF A WEB SURVEY OF COMMUNITY LEADERS WHO WERE KNOWLEDGEABLE ABOUT PUBLIC HEALTH. A TOTAL OF 101 COMMUNITY LEADERS COMPLETED THE WEB SURVEY BETWEEN OCTOBER 25 AND NOVEMBER 12, 2018. SEE APPENDIX 2 ORGANIZATIONS RESPONDING TO THE INVITATION TO PARTICIPATE IN THE COMMUNITY LEADER SURVEY.COMMUNITY FOCUS GROUP. THE FOURTH PHASE CONSISTED OF A MODERATED DISCUSSION WITH A DIVERSE DEMOGRAPHIC MIX OF ADULT STARK COUNTY RESIDENTS. THE COMMUNITY FOCUS GROUP WAS HELD ON FEBRUARY 20, 2019, AT THE STARK COUNTY HEALTH DEPARTMENT. CMOR MODERATED THE DISCUSSION. PARTICIPANTS IN THE COMMUNITY FOCUS GROUP COMPRISED A DIVERSE GROUP OF INDIVIDUAL CITIZENS.
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITAL FACILITIES: AULTMAN HOSPITAL, AULTMAN ALLIANCE COMMUNITY HOSPITAL, AND MERCY MEDICAL CENTER.
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: ACCESS HEALTH STARK COUNTY; ALLIANCE CITY HEALTH DEPARTMENT; ALLIANCE FAMILY HEALTH CENTER; BEACON CHARITABLE PHARMACY; CANTON CITY PUBLIC HEALTH; COMMQUEST; MASSILLON CITY HEALTH DEPARTMENT; MY COMMUNITY HEALTH CENTER; OHIO STATE UNIVERSITY EXTENSION; PARAMOUNT ADVANTAGE; PEGASUS FARM; SISTERS OF CHARITY FOUNDATION OF CANTON; STARKFRESH; STARK COUNTY HEALTH DEPARTMENT; STARK COUNTY COMMUNITY ACTION AGENCY; STARK COUNTY FAMILY COUNCIL; STARK COUNTY JOBS AND FAMILY SERVICES; STARK COUNTY DISTRICT LIBRARY; STARK MENTAL HEALTH & ADDICTION RECOVERY; STARK PARKS; STARK COUNTY TASC; UNITED WAY OF GREATER STARK COUNTY; YMCA OF CENTRAL STARK COUNTY.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH TO CONDUCT THE 2018 STARK COUNTY HEALTH NEEDS ASSESSMENT AS THEY DID FOR PREVIOUS CYCLES. CMOR PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTH CARE ORGANIZATIONS, BUSINESSES AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. THEY HAVE EXPERTISE IN ASKING THE RIGHT QUESTIONS TO THE RIGHT PEOPLE THE RIGHT WAY USING TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS AND FOCUS GROUP ADMINISTRATION, AS WELL AS A WIDE RANGE OF CONSULTING SERVICES.
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 7D: THE CHNA AND CHNA IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 11: AULTMAN SPECIALTY HOSPITAL DEVELOPED A STRATEGY FOR THE SELECTED PRIORITY HEALTH NEEDS AND/OR SOCIAL DETERMINANTS OF HEALTH. THE HOSPITAL THEN SELECTED STRATEGIES THAT IMPACT THE CLINICAL NEEDS OF OUR PATIENT POPULATION AND SOCIAL DETERMINANTS OF THE PRIORITY NEED.NEED 1: OBESITY & HEALTHY LIFESTYLE1. BEE HEALTHY EMPLOYEE WELLNESS PROGRAM DECREASE ADULT OBESITY BY 5%, DECREASE PERCENT OF ADULTS REPORTING A BMI OF 30 OR MORE TO < 31%, INCREASE PERCENT OF ADULTS REPORTING EXERCISE IN PAST MONTH TO >78.8%, INCREASE THE PERCENT OF ADULTS THAT REPORT THE FREQUENCY OF EXERCISE 3-7 TIMES PER WEEK TO >44%, DECREASE THE PERCENT OF ADULTS THAT SELF-DESCRIBE WEIGHT AS OVERWEIGHT TO <53.4%ACTIONS:A. BEE HEALTHY RUNB. CAF NUTRITION OFFERINGSC. ONLINE WELLNESS PORTAL (CHALLENGES, PROGRAMS, TRACKING FOOD/FITNESS/WATER)D. AULTMAN EMPLOYEE GYME. TELEPHONE COACHINGF. 100 DAYS OF SUMMER WALKING CHALLENGEG. BEE HEALTHY PROGRAM CASH INCENTIVE AND REDUCED HEALTH PLAN PREMIUMS FOR COMPLETION OF REQUIREMENTS:- ONE AGE- OR GENDER-APPROPRIATE PREVENTIVE SCREENING.- A DENTAL AND/OR VISION VISIT.- COMPLETE THE ONLINE HEALTH RISK ASSESSMENT VIA THE BEE HEALTHY WELLNESS PORTAL.ANTICIPATED IMPACT: BEE HEALTHY PARTICIPATION RATE = NUMBER OF EMPLOYEES ENROLLED/NUMBER OF EMPLOYEESNEED 2: MENTAL HEALTH1. HEROIN/OPIATE USE DECREASE "UNINTENTIONAL OVERDOSE DEATH RATE, STARK COUNTY" TO <75 PER YEAR, INCREASE THE PERCENTAGE OF COMMUNITY HEALTH LEADERS THAT FEEL THAT THERE ARE ADEQUATE SERVICES AND PROGRAMS ALREADY IN PLACE IN THE COMMUNITY TO ADDRESS THE HEROIN AND OPIATE CRISIS >49.5%, DECREASE THE PERCENTAGE OF COMMUNITY HEALTH LEADERS THAT REPORT TREATMENT SERVICES AS "WHAT IS MISSING:HEROIN/OPIOID USE" TO <37.2%ACTIONS:A. AULTMAN OPIOID COMMITTEE- AULTMAN HOSPITAL'S MEDICAL EXECUTIVE COMMITTEE RECOMMENDATION TO ADD AN ADDICTION SPECIALIST- SUBCOMMITTEE IT: GOAL BETTER TRANSITIONS BETWEEN PRACTITIONERS. DESCRIPTION: PROMOTE SAFE, EFFECTIVE AND OPTIMAL UTILIZATION OF TECHNOLOGY WITHIN THE CLINICAL SETTING: CREATE DASHBOARD(S) FOR PROVIDER FEEDBACK (CHRONIC OPIOID MEASURES AND ACUTE OPIOID MEASURES) (I.E. BENZODIAZEPINE CO-PRESCRIBING), EVALUATE CERNER'S OPIOID TOOLKIT AND MAKE RECOMMENDATION, FACILITATE CHANGES TO EMR- SUBCOMMITTEE REGULATORY/COMPLIANCE: GOAL SAFE PRESCRIBING. DESCRIPTION: ASSURE THAT REGULATORY AND COMPLIANCE STANDARDS RELATING TO PAIN ASSESSMENT AND MANAGEMENT ARE BEING MET.- SUBCOMMITTEE ACUTE/CHRONIC PAIN: GOAL PROPER TREATMENT & PROPER EVALUATION. DESCRIPTION: EVALUATES STANDARDS OF CLINICAL PRACTICE AND PATIENT CARE FOR CONSISTENCY WITH EVIDENCE-BASED PRACTICE, QUALITY OUTCOMES, REGULATORY REQUIREMENTS.- SUBCOMMITTEE EDUCATION: GOAL EDUCATION TO PHYSICIANS, NURSES, CLINICIANS AND PATIENTS. DESCRIPTION: TO UTILIZE CONSISTENT EDUCATIONAL PROGRAMS TO ENHANCE STAFF KNOWLEDGE BASE ABOUT ALL ASPECTS OF THE OPIOID CRISIS. WORKS IN COLLABORATION WITH MEDICAL STAFF AND ADMINISTRATION TO SECURE TOPICS, SPEAKERS AND LOGISTICS FOR THE HEALTHCARE DELIVERY SYSTEM. FOCUS ON UNDERSTANDING OHIO LAW, MORPHINE EQUIVALENT DOSE AND INTERPRETATION OF A URINE DRUG SCREEN. PROVIDE PATIENT EDUCATION AND DRUG DISPOSAL KITS ON DISCHARGE.ANTICIPATED IMPACT:A. OPIOID PRESCRIPTION PILL QUANTITY/DAY SUPPLY <7 DAYS AT PATIENT DISCHARGEB. NUMBER OF OPIOID IV PUSH DOSES IN ACCEPTABLE RANGE ADMINISTERED IN INPATIENT SETTINGS (EXCLUSIONS: ED, OR, END OF LIFE CARE PATIENTS)C. NUMBER OF NALOXONE DOSES ADMINISTERED IN INPATIENT SETTINGS (UNITS EXCLUDED: ED, OR)D. NUMBER OF DISCHARGE SCRIPTS WRITTEN FOR OPIOIDS INCLUDING QUANTITY DISPENSED, DAY SUPPLY AND ICD-10 INDICATION.E. PERCENT COMPLIANCE WITH REGULATORY AND COMPLIANCE STANDARDS FOR PAIN ASSESSMENT AND MANAGEMENT.F. PERCENT OF CREDENTIALED AND EMPLOYED PROVIDERS COMPLETING SMARTRX EDUCATION.
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 13H: AULTMAN HEALTH FOUNDATION IS THE PARENT COMPANY OF AULTMAN SPECIALTY HOSPITAL (ASH). ASH HAS A FINANCIAL ASSISTANCE POLICY (FAP) WHICH HAS THE SAME PROVISIONS AS THE POLICY FOR AULTMAN HOSPITAL AND OTHER FACILITIES WITHIN AULTMAN HEALTH FOUNDATION. ACCORDING TO THE POLICY ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES HEALTH AND HUMAN SERVICES DEPARTMENT. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% - 100% OF FPG RECEIVES A 100% DISCOUNT, 101% - 150% OF FPG RECEIVES A 90% DISCOUNT, 151% - 200% OF FPG RECEIVES A 80% DISCOUNT, 201% - 300% OF FPG RECEIVES A 65% DISCOUNT, 301% AND ABOVE IS DISCOUNTED AT 58%.
AULTMAN SPECIALTY HOSPITALPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE INFORMATION CAN BE FOUND AT THE FOLLOWING URL:AULTMAN.ORG/HOME/PATIENTS-AND-VISITORS/INSURANCE-AND-BILLING/ FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 13A:ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% - 100% OF FPG RECEIVES A 100% DISCOUNT, 101% - 150% OF FPG RECEIVES A 90% DISCOUNT, 151% - 200% OF FPG RECEIVES A 80% DISCOUNT, 201% - 300% OF FPG RECEIVES A 65% DISCOUNT, 301% AND ABOVE IS DISCOUNTED AT 58%.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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PART I, LINE 3C:AULTMAN HEALTH FOUNDATION IS THE PARENT COMPANY OF AULTMAN SPECIALTY HOSPITAL (ASH). ASH HAS A FINANCIAL ASSISTANCE POLICY (FAP) WHICH HAS THE SAME PROVISIONS AS THE POLICY FOR AULTMAN HOSPITAL AND OTHER FACILITIES WITHIN AULTMAN HEALTH FOUNDATION. ACCORDING TO THE POLICY ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES HEALTH AND HUMAN SERVICES DEPARTMENT. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% - 100% OF FPG RECEIVES A 100% DISCOUNT, 101% - 150% OF FPG RECEIVES A 90% DISCOUNT, 151% - 200% OF FPG RECEIVES A 80% DISCOUNT, 201% - 300% OF FPG RECEIVES A 65% DISCOUNT, 301% AND ABOVE IS DISCOUNTED AT 58%.
PART I, LINE 7:THE ORGANIZATION USED THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H.
PART I, LINE 6A:AULTMAN HEALTH FOUNDATION, THE PARENT COMPANY, PUBLISHES ANNUALLY ITS ANNUAL REPORT WHICH INCLUDES ALL RELATED ORGANIZATIONS' PROGRAMS AND SERVICES DESIGNED TO LEAD THE COMMUNITY TO IMPROVED HEALTH AND PROMOTE HEALTHY LIFESTYLES. THE MOST RECENT REPORT IS AVAILABLE ON AULTMAN'S WEBSITE (SEE AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/ANNUAL-REPORT/).
PART III, LINE 2:BAD DEBT EXPENSE CONSISTS OF AMOUNTS DEEMED UNCOLLECTIBLE AND REFERRED TO COLLECTION AGENCY, PER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY.
PART III, LINE 3:METHODOLOGY FOR BAD DEBT RELATED TO CHARITY CARE:PATIENTS REFERRED TO THE ASH ARE REFERRED HERE BECAUSE THEIR ILLNESSES ARE COMPLEX AND WILL REQUIRE LONG-TERM ACUTE CARE SERVICES. MOST OF THE PATIENTS WITH SUCH MEDICALLY COMPLEX ILLNESSES ARE ELDERLY AND HAVE CHRONIC AS WELL AS ACUTE ILLNESS AND ARE ABLE TO QUALIFY FOR MEDICARE OR MEDICAID. IF THE PATIENT MEETS THE HEALTH CRITERIA FOR ADMISSIONS INTO A LONG TERM ACUTE CARE FACILITY, ASH ACCEPTS THE PATIENT REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS ARE OFTEN CONSIDERED SELF-PAY PATIENTS AT THE TIME OF ADMISSION AND THEN THROUGH OUR OUTREACH PROGRAM THESE PATIENTS ARE USUALLY ABLE TO QUALIFY FOR MEDICAID OR SOME OTHER FORM OF ASSISTANCE. BECAUSE OF THIS, ASH HAD NO BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE IN 2020. THE ORGANIZATION DOES HAVE A FINANCIAL ASSISTANCE POLICY WHICH HAS THE SAME PROVISIONS AS THE POLICY FOR ANY OTHER FACILITY WITHIN THE AULTMAN HEALTH FOUNDATION.
PART III, LINE 4:SEE THE "PATIENT SERVICE REVENUE AND PATIENT RECEIVABLES" PARAGRAPHS IN NOTE 3 ON PAGES 20-21 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:ASH HAS A SURPLUS OF $233,129 WITH ITS MEDICARE PATIENTS. 100% OF THIS SURPLUS SHOULD BE TREATED AS COMMUNITY BENEFIT, SINCE ASH IS PROVIDING SERVICES TO ELDERLY INDIVIDUALS WHO MAY OTHERWISE STRUGGLE TO RECEIVE CARE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED IN LINE 6 IS THE MEDICARE COST REPORT.
PART III, LINE 9B:ASH FOLLOWS THE SAME COLLECTION PROCEDURES OUTLINED IN THE PARENT COMPANY'S COLLECTION POLICY. FOR THOSE PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAY AND AFTER AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT DECLINE TO DO SO; WHEN PATIENTS DECLINE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; OR WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL.
PART VI, LINE 2:NEEDS ASSESSMENT:AULTMAN SPECIALTY HOSPITAL (ASH) ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS IN A VARIETY OF WAYS. IT STUDIES PROTOCOL VOLUME AND PATIENT SATISFACTION SURVEYS. IT DOCUMENTS MEDICAL CONDITIONS THAT THOUSANDS OF COMMUNITY MEMBERS AND MEDICAL STAFF MEMBERS CAN INQUIRE ABOUT IN THE SHARON LANE HEALTH CENTER HEALTH LIBRARY. IT TRACKS ATTENDANCE AT THE MORE THAN 100 "HEALTH TALK" PRESENTATIONS HELD EACH YEAR TO DETERMINE WHAT TOPICS ARE OF MOST INTEREST TO THE COMMUNITY. IN 2019, ASH COLLABORATED WITH AREA HOSPITALS AND HEALTH CARE FACILITIES TO CONDUCT A COMMUNITY HEALTH SURVEY. THE GOAL WAS TO GAUGE THE HEALTH STATUS AND HEALTH HABITS OF STARK COUNTY RESIDENTS - AND IDENTIFY AREAS WHERE AULTMAN CAN IMPROVE THE HEALTH OF OUR COMMUNITY. FIFTEEN QUESTIONS WERE INCLUDED ON THE POLL OF 1,276 STARK COUNTY HOUSEHOLDS. THE SURVEY SHOWED ACCESS TO HEALTH INSURANCE COVERAGE AND HEALTH CARE AS THE TOP PRIORITY; ALONG WITH OBESITY AND LACK OF HEALTHY LIFESTYLE CHOICE; OTHER AREAS OF CONCERN WERE PRESCRIPTION DRUG MISUSE, LARGER NEED FOR MENTAL HEALTH SERVICES, AND GREATER ACCESS TO DENTAL CARE. THE HOSPITAL IS CURRENTLY IN THE PROCESS OF DEVELOPING ITS IMPLEMENTATION PLAN.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:IF ABLE, AT THE TIME OF REGISTRATION PATIENTS ARE ASKED TO FILL OUT THE HOSPITAL CARE ASSURANCE PROGRAM APPLICATION WHICH INCLUDES CONTACT INFORMATION FOR QUESTIONS AND ASSISTANCE IN COMPLETING THE FORMS. SIGNS AND APPLICATIONS ARE POSTED AT ALL POINTS OF ADMISSIONS INFORMING PATIENTS OF THE FREE CARE PROGRAMS WHICH ARE AVAILABLE. IN 2010, THE APPLICATION WAS ADDED TO THE INTERNET FOR EASY PATIENT ACCESS. ASH STAFF ASSISTS SELF-PAY INPATIENTS WITH THE MEDICAID PROCESS AND OTHER PROGRAMS UNDER WHICH THEY ARE ELIGIBLE FOR ASSISTANCE. PATIENTS WHO ARE UNABLE TO BE SCREENED DURING THEIR STAY RECEIVE FOLLOW UP ASSISTANCE WITH QUALIFYING FOR THE ASSISTANCE PROGRAM THAT MOST APPROPRIATELY FITS THEIR FINANCIAL NEEDS. THE APPLICATION AND CONTACT INFORMATION FOR THE OUTREACH DEPARTMENT IS PRINTED ON THE BACK OF EVERY STATEMENT.
PART VI, LINE 4:COMMUNITY INFORMATION:ASH ENCOURAGES ITS EMPLOYEES AND BOARD MEMBERS TO BE ACTIVELY INVOLVED IN THE COMMUNITY.THE ORGANIZATION HAS ELEVEN BOARD MEMBERS WHO ARE ACTIVELY INVOLVED IN THE COMMUNITY TO BE REPRESENTATIVES OF THE COMMUNITY'S INTERESTS IN HEALTH CARE SERVICES.THE MEDICAL STAFF IS COMPRISED OF 202 PHYSICIANS. ANY PHYSICIAN IN GOOD STANDING WITHIN AULTMAN HOSPITAL'S MEDICAL STAFF AND WITH AN APPROPRIATE SPECIALTY TO CARE FOR MEDICALLY COMPLEX PATIENTS MAY APPLY FOR PRIVILEGES AT ASH.ASH'S SERVICE AREA INCLUDES STARK, WAYNE, HOLMES, CARROLL AND TUSCARAWAS COUNTIES. THE CORE MARKET FOR THE HOSPITAL IS STARK COUNTY. THE UNITED STATES CENSUS BUREAU ESTIMATED THE 2017 POPULATION OF OUR FIVE COUNTY AREAS TO BE OVER 650,690. THE ORGANIZATION IS ONE OF ONLY 2 FACILITIES WITHIN THE 5 COUNTY AREAS WHO ARE CONSIDERED LONG-TERM ACUTE CARE FACILITIES AND WHO PROVIDE THE SPECIALIZATION NEEDED TO CARE FOR PATIENTS WITH SUCH COMPLEX MEDICAL CONDITIONS.
PART VI, LINE 5:AULTMAN SPECIALTY HOSPITAL (ASH) IS A WHOLLY OWNED SUBSIDIARY OF AULTMAN HEALTH FOUNDATION. AULTMAN HEALTH FOUNDATION SUPPORTS AND PROMOTES THE HEALTH OF ITS COMMUNITY MEMBERS IN A VARIETY OF WAYS. FROM EDUCATIONAL PROGRAMS TO HEALTH SCREENINGS, AULTMAN ACTIVELY PROMOTES HEALTH AND WELLNESS IN THE COMMUNITY. EDUCATIONAL PROGRAMS INCLUDE MORE THAN 100 FREE HEALTH TALK PRESENTATIONS EACH YEAR, FEATURING LOCAL PHYSICIANS AND HEALTH CARE PROFESSIONALS. THE AULTMAN WEBSITE HAS ADDITIONAL HEALTH CARE RESOURCES, INCLUDING A HEALTH LIBRARY, SYMPTOM CHECKER, VIDEOS AND RISK ASSESSMENTS.AULTMAN'S WORKING ON WELLNESS (WOW) MOBILE HEALTH-FAIR UNIT DEBUTED IN FEBRUARY 2009. STAFFED BY MEDICAL PROFESSIONALS, THE WOW VAN VISITS SCHOOLS, COMMUNITY CENTERS, CHURCHES, SENIOR CENTERS AND BLOCK PARTIES TO PROVIDE FREE SCREENINGS AND HEALTH EDUCATION. SCREENINGS SUCH AS BLOOD PRESSURE CHECKS, HEIGHT, WEIGHT AND BODY MASS INDEX/PERCENTAGE OF BODY FAT ARE PROVIDED. IN 2020, THE WOW STAFF REACHED MORE THAN 3,700 PEOPLE.ADDITIONAL OUTREACH EFFORTS INCLUDED AULTMAN REPRESENTATIVES ATTENDING HEALTH FAIRS THROUGHOUT THE YEAR. THESE EVENTS INCLUDE SENIOR DAY AT THE PRO FOOTBALL HALL OF FAME, THE CANTON FARMERS' MARKET AND HEALTH FAIRS AT LOCAL SCHOOLS.2020 MARKED THE THIRTEENTH YEAR AULTMAN HOSTED THE CAREERS IN HEALTH CARE SUMMER PROGRAM FOR HIGH SCHOOL SENIORS AND COLLEGE STUDENTS INTERESTED IN HEALTH CARE CAREERS. SYMPOSIUM PRESENTERS INCLUDED AULTMAN DOCTORS, NURSES, STAFF AND ADMINISTRATORS WHO SHARED INSIGHT ON THE CHALLENGES AND OPPORTUNITIES OF WORKING IN HEALTH CARE. THE EVENT ALSO INCLUDED A HEALTH CARE CAREER FAIR WITH MORE THAN A DOZEN DEPARTMENTS AND SERVICES REPRESENTED. JOB SHADOWING EXPERIENCES WITH DOCTORS, NURSES AND OTHER HEALTH CARE PROFESSIONALS WERE AVAILABLE.CRITICALLY INJURED PATIENTS WHO NEED SPECIALIZED CARE ARE BROUGHT TO AULTMAN'S LEVEL II TRAUMA CENTER. AULTMAN HOSPITAL HAS THE ONLY LEVEL II TRAUMA CENTER FOR ADULT AND PEDIATRIC PATIENTS IN ITS FIVE-COUNTY SERVICE AREA. THE LEVEL II DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS CERTIFIES AULTMAN HAS THE FACILITIES, TECHNOLOGY AND SPECIALLY TRAINED CLINICAL STAFF TO TREAT TRAUMA PATIENTS. IN 2020, AULTMAN HEALTH FOUNDATION CONTRIBUTED TO THE BETTERMENT OF THE STARK COUNTY COMMUNITY WITH THE FOLLOWING ACTIVITIES.THROUGH THE SAFETY FIRST PROGRAM, AULTMAN STRIVES TO KEEP OUR COMMUNITY'S KIDS SAFE BY PREVENTING HEAD TRAUMA AND OTHER BIKE-RELATED INJURIES. IN 2020, HUNDREDS OF AULTMAN EMPLOYEES VOLUNTEERED TO TEACH NEARLY 4,300 LOCAL FIRST-GRADE STUDENTS ABOUT BIKE SAFETY. TOPICS INCLUDED THE IMPORTANCE OF WEARING A BIKE HELMET AND OTHER SAFETY GEAR; OBEYING TRAFFIC SIGNS AND SIGNALS; AND USING HAND SIGNALS. IN ADDITION TO THE IN-CLASS EDUCATION, EACH STUDENT RECEIVED A FREE BICYCLE SAFETY BOOKLET AND BIKE HELMET. SINCE THE PROGRAM'S INCEPTION IN 2005, SAFETY FIRST HAS REACHED ABOUT 35,000 STUDENTS WITH THE IMPORTANT MESSAGE OF BICYCLE SAFETY. THE AULTMAN WORKING ON WELLNESS (WOW) TEAM PROVIDES HEALTH SCREENINGS AND EDUCATION AT NO COST TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. THE WOW TEAM VISITED 100 SITES IN 2020 RANGING FROM SCHOOLS, COMMUNITY/OUTREACH CENTERS, CHURCHES, HEALTH FAIRS AND MORE. THE WOW TEAM IS STAFFED BY REGISTERED NURSES WHO PROVIDE HEALTH EDUCATION, RESOURCES AND REFERRALS, AS NEEDED. HEALTH INFORMATION IS AVAILABLE ON A VARIETY OF MEDICAL TOPICS AND CAN BE CUSTOMIZED TO FIT AN INDIVIDUAL'S NEEDS. THE WOW TEAM PROVIDED HEALTH EDUCATION TO MORE THAN 3,700 COMMUNITY MEMBERS IN 2020.AULTMAN CANCER CENTER BELIEVES THAT EVERY CANCER PATIENT SHOULD BE ABLE TO RECEIVE UP-TO-DATE QUALITY CARE IN THEIR OWN COMMUNITY. THIS DRIVES THE COMMITMENT FOR EXCELLENCE, QUALITY, VALUE AND SERVICE. AULTMAN HOSPITAL REGISTERED NURSE NAVIGATORS, A FINANCIAL RESOURCE ADVOCATE AND A SURVIVORSHIP COORDINATOR RAISE AWARENESS OF HEALTHY LIFESTYLE CHOICES AND CANCER PREVENTION STRATEGIES THROUGH COMMUNITY CANCER SCREENING EVENTS, EDUCATION AND FOLLOW-UP ACTIVITIES. THESE ANNUAL CANCER PREVENTION OUTREACH EVENTS DEMONSTRATE HOW AULTMAN EMPLOYEES AND LOCAL PHYSICIANS WHO VOLUNTEER THEIR TIME FOR THIS ENDEAVOR PROVIDED ACCESS TO SCREENING SERVICES FOR OVER 500 RESIDENTS WITH OVER 1000 SCREENINGS IN STARK AND SURROUNDING COUNTIES. THEY PARTICIPATE IN COMMUNITY OUTREACH EVENTS, A SCHOOL-BASED INITIATIVE WITH SIXTH-GRADE STUDENTS, A HOMELESS SHELTER AND PARTNER WITH THE MINORITY COMMUNITY TO RAISE AWARENESS ABOUT HEALTH DISPARITIES ASSOCIATED WITH LIFESTYLE CHOICES. THE AULTMAN CANCER CENTER CONDUCTS FREE CANCER SCREENING DAYS FOR BREAST, CERVICAL, COLON, LUNG, PROSTATE AND SKIN CANCER FOLLOWING NATIONALLY RECOMMENDED SCREENING GUIDELINES. THE AULTMAN CANCER CENTER ENCOURAGES PEOPLE WITH A FAMILY HISTORY OF CANCER OR THOSE WHO HAVE NEVER BEEN SCREENED TO TAKE ADVANTAGE OF THE FREE CANCER SCREENINGS. CANCER SCREENING DAYS ALSO OFFER EDUCATIONAL MATERIALS THAT TEACH THE SIGNS AND SYMPTOMS OF CANCER, AS WELL AS IMPORTANT SCREENING GUIDELINES FOR MEN AND WOMEN AS THEY AGE. THE EVENTS EMPHASIZE THAT BEST CANCER PREVENTION IS TO LIVE A HEALTHY LIFESTYLE BY NOT USING TOBACCO PRODUCTS, LIMITING TIME IN THE SUN AND ALWAYS USING SUNSCREEN WITH SPF 15 OR HIGHER, LEADING A PHYSICALLY ACTIVE LIFE AND MAINTAINING A HEALTHY WEIGHT.FOOD INSECURITY IS A CRITICAL ISSUE IN NORTHEASTERN OHIO, AND AULTMAN TEAM MEMBERS GIVE GENEROUSLY TO THE ANNUAL HARVEST FOR HUNGER CAMPAIGN. IN 2020, AULTMAN EMPLOYEES DONATED $31,282 IN MONETARY GIFTS THAT HELPED THOUSANDS OF FAMILIES AND INDIVIDUALS IN NEED.AULTMAN MEDICAL EDUCATION HOSTED THE TWELFTH ANNUAL CAREERS IN HEALTH CARE PROGRAM, DESIGNED FOR STUDENTS 18 AND OLDER WITH INTERESTS IN HEALTH CARE CAREERS. THE PROGRAM INCLUDED PRESENTATIONS FROM DOCTORS, NURSES AND HOSPITAL ADMINISTRATORS, PROVIDING A GLIMPSE AT HOW A HOSPITAL RUNS. THE SYMPOSIUM ALSO FEATURED A CAREER FAIR THAT ENABLE THE STUDENTS TO TALK WITH EMPLOYEES FROM MORE THAN A DOZEN AULTMAN DEPARTMENTS. SUMMER JOB SHADOWING EXPERIENCES WERE ALSO AVAILABLE FOR SYMPOSIUM PARTICIPANTS. FOR WOMEN WHO CANNOT AFFORD BASIC CLOTHING ITEMS SUCH AS BRAS, EACH DAY PRESENTS EMOTIONAL AND UNCOMFORTABLE SITUATIONS. WHILE AULTMAN EMPLOYEES CONTINUE TO DONATE TOWARDS THIS BASIC NEED, AND DONATIONS HAVE BEEN DISTRIBUTED TO LOCAL BATTERED WOMEN AND HOMELESS SHELTERS AS WELL AS THE STARK COUNTY YWCA.AULTMAN HEALTH FOUNDATION TEAM MEMBERS AND THEIR LOVED ONES SUPPORT ANNUAL FUNDRAISING WALKS FOR ORGANIZATIONS INCLUDING THE MARCH OF DIMES AND JUVENILE DIABETES RESEARCH FOUNDATION. AULTMAN NOT ONLY PARTICIPATES IN THE AMERICAN CANCER SOCIETY'S RELAY FOR LIFE AND MAKING STRIDES AGAINST BREAST CANCER WALK - ALONG WITH THE AMERICAN HEART ASSOCIATION'S HEART WALK - BUT CLINICIANS ARE ON HAND TO PROVIDE EDUCATIONAL INFORMATION ABOUT REDUCING RISKS OF CANCER AND HEART DISEASE.EVERY YEAR, AULTMAN ORGANIZES A FUNDRAISING CAMPAIGN TO BENEFIT UNITED WAY. IN 2020, AULTMAN EMPLOYEES AND PHYSICIANS GENEROUSLY DONATED $457,659 TO FUND PROGRAMS TO BENEFIT COMMUNITY MEMBERS OF ALL AGES AND FROM ALL WALKS OF LIFE.AS PART OF AULTMAN HEALTH FOUNDATION'S MISSION TO LEAD OUR COMMUNITY TO IMPROVED HEALTH, THE AULTMAN AMBASSADOR PROGRAM (AAP) PROVIDES AN OPPORTUNITY TO EMPOWER HIGH SCHOOL STUDENTS TO BE "AULTMAN AMBASSADORS" TO ENGAGE THEIR PEERS, FAMILIES AND COMMUNITIES IN PROMOTING HEALTHY LIFESTYLE CHANGES. AAP IS PARTNERED WITH THE ALLIANCE FOR A HEALTHIER GENERATION HEALTHY SCHOOLS PROGRAM TO PROVIDE EVIDENCE-BASED RESOURCES ON THE CORE PRINCIPLES OF THE AAP: NUTRITION, HYDRATION, PHYSICAL ACTIVITY, SLEEP AND STRESS. THE AAP IS CURRENTLY PARTNERED WITH SIXTEEN HIGH SCHOOLS AND FIVE COLLEGE/UNIVERSITIES IN THREE COUNTIES; STARK, MAHONING, AND WAYNE. FOR THE 2019/2020 SCHOOL YEAR THE PROGRAM INVOLVED 201 TOTAL STUDENT AMBASSADORS WITH 51 SENIORS. AULTMAN CONTINUES TO EXPAND THE AMBASSADOR PROGRAM IN THE GREATER STARK COUNTY AREAS. IN ADDITION TO PROVIDING CARE FOR PATIENTS WITH NO INSURANCE, AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID. PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE.
PART VI, LINE 6:AULTMAN'S BOARD OF DIRECTORS HAS 50 NON-EMPLOYED MEMBERS. A TOTAL OF 69 OF THE 75 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. 4 RESIDE IN THE TERTIARY MARKET AND 2 LIVE OUT OF STATE.COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS.
PART VI, LINE 7, REPORTS FILED WITH STATESOH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtRecipient EINRecipientEINIRC SectionIRCSectionDesc
HOF VILLAGE
2626 FULTON DR NWCANTONOH44718$443,5542019-2020 SPONSORSHIP BILLING - 5 PAYMENTS OVER THE LAST 5 MONTHS OF 2020
COMMUNITY BUILDING PARTNERSHIP
400 MARKET AVENUE N STE 100CANTONOH44702$66,000FUNDING PARTNERSHIP FOR ANOTHER 3 - YEAR PERIOD (2020, 2021, 2022) FOR $66,000 PER YEAR451560552501(C)(3)
CANTON REGIONAL CHAMBER
222 MARKET AVENUE NCANTONOH44702$65,930ECONOMIC DEVELOPMENT, CHAMBER WEBSITE, 2020 LIGHT UP DOWNTOWN, 2020 BLUES FEST, AND OTHER EVENTS340129930501(C)(6)
YMCA OF CENTRAL STARK
4700 DRESSLER ROAD NWCANTONOH44718$53,000CAMPAIGN PLEDGE FOR THE YMCA CAPITAL PROJECT340714392501(C)(3)
ARTS IN STARK
900 CLEVELAND AVENUE NWCANTONOH44702$52,0002020 ANNUAL ARTS CAMPAIGN346609771501(C)(3)
CITY OF MASSILLON
151 LINCOLN WAY EASTMASSILLONOH44646$50,000SUPPORT THE COMPLETION OF THE DUNCAN PLAZA PROJECTCITY OF MASSILLON
HOF MARATHON LLC
132 5TH ST NWCANTONOH44702$40,000TITLE SPONSORSHIP FOR THE HOF MARATHON
ACCESS HEALTH STARK COUNTY
408 9TH ST SWCANTONOH44707$40,000SUPPORT OF ACCESS HEALTH STARK COUNTY462949527501(C)(3)
UNITED WAY GREATER STARK
401 MARKET AVENUE NCANTONOH44702$37,566SUPPORT FOR PROSPERITY @ WORK134254191501(C)(3)
THE NORTH CANTON MEDICAL FOUNDATION
6046 WHIPPLE AVENUE NWNORTH CANTONOH44720$30,000GENERAL SUPPORT463060489501(C)(3)
MASSILLON MUSEUM
121 LINCOLN WAY EASTMASSILLONOH44646$20,000CAPITAL CAMPAIGN PLEDGE - MASSILLON MUSEUM - 2ND INSTALLMENT346001833501(C)(3)
AKRON CANTON FOOD BANK
350 OPPORTUNITY PARKWAYAKRONOH44307$20,000GROWING FOR GOOD CAPITAL CAMPAIGN FOR ALRON-CANTON REGIONAL FOODBANK341369388501(C)(3)
ALLIANCE AREA DEVELOP
2500 W STATE ST SUITE E11ALLIANCEOH44601$20,0002020 AAD CHARITABLE CONTRIBUTION - ALLIANCE AREA DEVELOPMENT311652174501(C)(3)
UNIVERSITY OF MOUNT UNION
1972 CLARK AVENUEALLIANCEOH44601$20,000UNIVERSITY OF MOUNT UNION HEALTH AND MEDICAL SUPPORT340714687501(C)(3)
QUALITY HEATING & COOLING
1930 LINCOLN WAY EASTMASSILLONOH44646$17,843INSTALLATION OF DUCTLESS SYSTEM FOR MALONE ATHLETICS
JR COLEMAN FAMILY SERVICES
1731 GRACE AVENUE NECANTONOH44705$15,000CAPITAL CAMPAIGN PLEDGE - NAMING RIGHTS TO ADULT DAY MEMORY ROOM341321317501(C)(3)
AMERICAN HEART ASSOCIATION
4916 HILLS DALES RD NWCANTONOH44708$14,000SPONSOR GALA S20 CANTON OH135613797501(C)(3)
ELITE CONSTRUCTION
817 SOUTH UNION AVENUEALLIANCEOH44601$13,382MALONE ATHLETIC TRAINING ROOM, OSBOURNE HALL
GREATER STARK COUNTY URBAN LEAGUE
1400 SHERRICK ROAD SWCANTONOH44707$10,600HOLIDAY FOOD GIVEAWAY, BRONZE SPONSORSHIP BLACK AND WHITE BALL203863189501(C)(3)
OHIO FOUNDATION OF INDEPENDENT COLLEGES
250 E BROAD ST SUITE 1700COLUMBUSOH43215$10,000SCHOLARSHIP FUNDS FOR THE OFIC 2019-20 CAMPAIGN314441082501(C)(3)
TEAM NEO FOUNDATION
1111 SUPERIOR AVENUE - SUITE 1600CLEVELANDOH44114$10,000TEAM NEO 2020 INVESTMENT PARTNER COMMITMENT341885407501(C)(3)
AMERICAN CANCER SOCIETY
10501 EUCLID AVENUECLEVELANDOH44106$9,000CORPORATE SPONSORSHIP - RELAY FOR LIFE & MAKING STRIDES AGAINST BREAST CANCER240726080501(C)(3)
INNIS MAGGIORE GROUP
4715 WHIPPLE AVENUE NWCANTONOH44718$8,500WALSH STADIUM SPONSORSHIP
COPLEY OHIO NEWSPAPER
PO BOX 5214CAROL STREAMIL60197$7,000VAPING MAGAZINES
WHISLER PLUMBING
2521 LINCOLN WAY EASTMASSILLONOH44646$6,348PLUMBING RENOVATIONS AT MALONE OSBOURNE HALL
EVENT DAY MARKETING
PO BOX 2203NORTH CANTONOH44720$6,000NAME ON PRESS RELEASES, ADVERTISING, AND WEB PROMOTION & LOGO RECOGNITION AND LINKS TO AULTMAN
CENTRAL CATHOLIC HIGH SCHOOL
4824 TUSCARAWAS ST WCANTONOH44708$5,500SCOREBOARD SPONSORSHIP340714566501(C)(3)
JUNIOR ACHIEVEMENT OF NORTH CENTRAL OHIO INC
4353 EXECUTIVE CIRCLE NWCANTONOH44718$5,3002020 JUNIOR ACHIEVEMENT BOWL-A-THON & INSPIRE340940986501(C)(3)
FieldValueIRS element (for citing)
Total501c3 Org19Total501c3OrgCnt
Total Other Org9TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAULTMAN HEALTH FOUNDATION'S (AHF) COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AHF DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. A SPONSORSHIP COMMITTEE MEETS REGULARLY TO REVIEW REQUESTS FOR SUPPORT FROM VARIOUS COMMUNITY ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHRUTI TREHAN MD
DIRECTOR - AHF$0$656,561$0$790,907$0$0$0$19,500$0$2,483$0$1,469,451$0$0
STEVEN KELLY MD
DIRECTOR - IHC$0$841,776$0$173,009$0$0$0$21,450$0$2,346$0$1,038,581$0$0
AKBAR SHAH MD
CHAIR - ASH; PHYSICIAN$0$756,369$0$147,612$0$0$0$21,450$0$5,086$0$930,517$0$0
EDWARD J ROTH III
PRESIDENT/CEO$625,029$0$151,359$0$0$0$2,659$0$12,815$0$791,862$0$0$0
JOHN PRODAFIKAS
DIRECTOR - IHC$0$641,815$0$115,828$0$0$0$21,453$0$2,543$0$781,639$0$0
PRABHCHARAN GILL MD
DIRECTOR - AHF$0$638,864$0$25,300$16,350$0$0$23,250$0$6,851$16,350$694,265$0$0
RICK L HAINES
DIRECTOR - AHF; CEO - AULTCARE$0$437,621$0$141,550$0$0$0$2,659$0$9,368$0$591,198$0$0
CHRISTOPHER E REMARK
DIRECTOR - IHC$0$422,456$0$97,300$0$0$0$2,659$0$1,644$0$524,059$0$0
MICHAEL RICH MD
DIRECTOR - AHF$322,536$0$124,831$0$0$0$25,357$0$1,522$0$474,246$0$0$0
MARK D WRIGHT
TREASURER/CFO/ DIRECTOR - AHF$385,272$0$83,300$0$0$0$2,659$0$971$0$472,202$0$0$0
MICHAEL LYNCH MD
DIRECTOR - AHF$0$415,357$0$3,800$7,254$0$0$25,637$0$1,609$7,254$446,403$0$0
ALLISON M OPRANDI MD
CEO - IHC$346,908$0$83,083$0$10,808$0$2,659$0$3,710$0$447,168$0$0$0
LORI L MERTES MD
PRESIDENT - INNOVATIONS BOARD$0$355,356$0$64,493$0$0$0$2,659$0$1,330$0$423,838$0$0
MARK N ROSE
SVP - LEGAL SERVICES$301,316$0$73,900$0$0$0$2,659$0$3,924$0$381,799$0$0$0
RONALD RUSNAK MD
DIRECTOR OF CLINICAL INFORMATICS$325,402$0$36,794$0$0$0$0$0$2,336$0$364,532$0$0$0
ELIZABETH A GETZ
CIO$271,436$0$50,045$0$0$0$2,659$0$1,024$0$325,164$0$0$0
KEVIN D PETE
SVP$261,044$0$55,245$0$0$0$3,545$0$1,812$0$321,646$0$0$0
ADAM LUNTZ
CFO - AH; TREASURER - ACON$271,499$0$32,700$0$0$0$2,659$0$436$0$307,294$0$0$0
SUSAN E OLIVERA
VP - HUMAN RESOURCES$247,298$0$48,225$0$0$0$2,659$0$921$0$299,103$0$0$0
HOWARD METZGER MD
DIRECTOR - IHC$219,235$0$44,517$0$0$0$11,284$0$2,277$0$277,313$0$0$0
ROBERT C MOLNAR
SVP, REGIONAL DEVELOPMENT$204,811$0$68,546$0$0$0$2,659$0$323$0$276,339$0$0$0
ROGER MUSA MD
DIRECTOR - IHC$0$239,694$0$20,188$8,624$0$0$0$0$314$8,624$260,196$0$0
JASON JUSTUS
CEO - POMERENE$239,048$0$300$0$0$0$0$0$835$0$240,183$0$0$0
TIMOTHY TEYNOR
VP - PUBLIC POLICY$223,008$0$300$0$0$0$2,659$0$8,953$0$234,920$0$0$0
DANIEL RODRIGUEZ MD
VICE CHAIR - ASH$0$180,365$0$32,183$0$0$0$15,960$0$1,160$0$229,668$0$0
RAFAEL GONZALEZ
VP - CHIEF TECHNOLOGY OFFICER$200,591$0$16,913$0$0$0$0$0$715$0$218,219$0$0$0
MATTHEW RITZERT
VP - IHC$134,354$0$26,475$0$0$0$2,659$0$181$0$163,669$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AALL EMPLOYEES ARE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR HEALTH CLUB COSTS UP TO $120 ANNUALLY AS PART OF THE ORGANIZATION'S EFFORT TO PROMOTE HEALTHY LIFESTYLES. THIS AMOUNT WAS INCLUDED AS TAXABLE COMPENSATION FOR ALL EMPLOYEES THAT RECEIVED THE BENEFIT.
PART I, LINE 3SEE SCHEDULE O FOR THE NARRATIVE RELATED TO FORM 990, PART VI, LINE 15 FOR AN EXPLANATION OF EXECUTIVE COMPENSATION REVIEW.
PART I, LINE 4BMARK ROSE, TIM TEYNOR, ED ROTH, & MARK WRIGHT ARE PARTICIPANTS IN THE ORGANIZATION'S 457 (F) PLAN. THERE WERE NO CONTRIBUTIONS IN 2020.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1OHIO HIGHER EDUCATIONAL FACILITY COMMISSIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN346849674BondIssuerEIN
CUSIP67756CDM7CUSIPNum
Bond Issued2018-11-02BondIssuedDt
Issue Price$135,145,347IssuePriceAmt
PurposeTO REFUND SERIES 2017 BONDS, REFINANCE PRIOR DEBTS AND NEW MONEYPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$135,145,347TotalProceedsAmt
In Reserve Fund$8,972,310InReserveFundAmt
Other Spent Proceeds$111,466,281OtherSpentProceedsAmt
Unspent$14,706,756UnspentAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.02290PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00190PrivateBusConcerningUBIPct
Total Private Business Use0.02480TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1 (CONTINUED);THE MISSION OF AULTMAN HEALTH FOUNDATION IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." THE VERTICALLY INTEGRATED HEALTH SYSTEM OF AULTMAN HOSPITAL AND AULTCARE HEALTH PLANS ENABLE AULTMAN TO BE ONE OF THE LOWEST-COST HEALTH CARE PROVIDERS IN NORTHEASTERN OHIO. LOWER COSTS HELP LOCAL BUSINESSES STAY FINANCIALLY HEALTHY AND MAINTAIN GOOD JOBS IN OUR COMMUNITY. IN ADDITION TO PROVIDING HIGH-QUALITY, LOW-COST HEALTH CARE, AULTMAN HEALTH FOUNDATION PROVIDES HEALTH EDUCATION FOR THE COMMUNITY. FOR EXAMPLE, THE AULTMAN WORKING ON WELLNESS (WOW) TEAM PROVIDES HEALTH SCREENINGS AND EDUCATION AT NO COST TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. THE WOW TEAM VISITED 100 SITES IN 2020 RANGING FROM SCHOOLS, COMMUNITY/OUTREACH CENTERS, CHURCHES, HEALTH FAIRS AND MORE. THE WOW TEAM IS STAFFED BY REGISTERED NURSES WHO PROVIDE HEALTH EDUCATION, RESOURCES AND REFERRALS, AS NEEDED. HEALTH INFORMATION IS AVAILABLE ON A VARIETY OF MEDICAL TOPICS AND CAN BE CUSTOMIZED TO FIT AN INDIVIDUAL'S NEEDS. THE WOW TEAM PROVIDED HEALTH EDUCATION TO MORE THAN 3,700 COMMUNITY MEMBERS IN 2020.
PART V, LINE 2AULTMAN HEALTH FOUNDATION'S EMPLOYEES ARE PAID BY A COMMON PAYMASTER. AULTMAN HEALTH FOUNDATION IS A PARENT COMPANY WITH THE FOLLOWING SUBSIDIARIES: - AULTMAN SPECIALTY HOSPITAL LLC - AULTMAN NORTH CANTON MEDICAL GROUP - MICKINLEY ASSURANCE SEGREGATED PORTFOLIO CO. - AULTMAN HOSPITAL AND SUBSIDIARIES - THE AULTMAN FOUNDATION - THE ORRVILLE HOSPITAL FOUNDATION DBA AULTMAN ORRVILLE HOSPITAL - AULTCARE CORPORATION - INTEGRATED HEALTH COLLABORATIVE LLC - AULTMAN INNOVATIONS LLC - ALLIANCE COMMUNITY HOSPITAL AND SUBSIDIARIES - CARING HANDS, INC. - AULTCARE HOLDING COMPANY AND SUBSIDIARIES
FORM 990, PART VI, SECTION A, LINE 1THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE THAT CONSISTS OF THE CHAIR, VICE CHAIR, PRESIDENT/CEO, SECRETARY, TREASURER, PRESIDENT OF THE MEDICAL STAFF AT AULTMAN HOSPITAL, AND THE PAST CHAIR. THE EXECUTIVE COMMITTEE MEETS ONLY AS NECESSARY BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND HAS AND EXERCISES THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORGANIZATION, EXCEPT IN MATTERS IN WHICH THE BOARD IS REQUIRED TO ACT BY LAW, BY THE ARTICLES OF INCORPORATION, OR BY THE CODE OF REGULATIONS.
FORM 990, PART VI, SECTION A, LINE 2GEOFF KARCHER AND BRYAN RICE ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. JOSEPH HALTER AND GEOFF KARCHER ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 7AONE AHF BOARD MEMBER IS APPOINTED BY ALLIANCE COMMUNITY HOSPITAL, ONE BOARD MEMBER IS APPOINTED BY AULTMAN ORRVILLE HOSPITAL. IN ADDITION, THE AULTMAN HOSPITAL MEDICAL STAFF PRESIDENT, THE AULTMAN HOSPITAL MEDICAL STAFF PRESIDENT-ELECT, AND THE PHYSICIAN CHAIRMAN OF THE BOARD OF AULTCARE CORPORATION ARE EX -OFFICIO VOTING MEMBERS OF THE AHF BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM BASED ON INFORMATION PROVIDED BY AULTMAN HEALTH FOUNDATION'S FINANCE DEPARTMENT. AHF'S FINANCE DEPARTMENT CAREFULLY REVIEWED AND ANALYZED THE TAX RETURN. THE DEPARTMENT RECONCILED THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARED THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. IN ADDITION, THE FINANCE DEPARTMENT DID A COMPARATIVE ANALYSIS TO THE PRIOR YEAR RETURN. THE ANALYSIS AND RECONCILIATION SCHEDULES, ALONG WITH A COMPLETE COPY OF THE 990, WERE PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. A COMPLETE COPY OF THE 990 WAS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH A SECURED INTERNET PORTAL PRIOR TO THE FILING DATE.
FORM 990, PART VI, SECTION B, LINE 12CTHE AULTMAN HEALTH FOUNDATION'S BOARD OF DIRECTORS HAS A CONFLICT OF INTEREST POLICY. AS A RESULT OF THIS POLICY, EACH YEAR BOARD MEMEBERS, OFFICERS, AND SENIOR STAFF COMPLETE A FORM DISCLOSING ANY CONFLICTS OF INTEREST THEY MAY HAVE. THE COMPLIANCE OFFICE REVIEWS THESE DISCLOSURE FORMS AND INFORMS THE BOARD CHAIRMAN, AND OTHER APPROPRIATE OFFICERS, OF NOTABLE CONFLICTS, IF ANY. THOSE WITH CONFLICTS ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS RELATING TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE AULTMAN HEALTH FOUNDATION AND ITS AFFILIATED ENTITIES USE THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF EXECUTIVE COMPENSATION: OHIO HOSPITAL ASSOCIATION (OHA), MERCER INTEGRATED HEALTH NETWORK, INCLUDING SURVEY DATA FOR BOTH HOSPITALS AND HEALTH PLANS, AND SULLIVAN COTTER AND ASSOCIATES (SCA). ADDITIONAL SOURCES OF SALARY SURVEY DATA ARE AVAILABLE FOR USE WHERE APPROPRIATE INCLUDING COMPDATASURVEYS.COM, SALARY.COM, AND CHAMPS. IN THESE CASES, THE SURVEY IS REFERENCED WHERE APPLICABLE. EXECUTIVE PERFORMANCE, WAGE RECOMMENDATIONS AND BONUS PAYMENTS ARE REVIEWED BY THE CEO PRIOR TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS. THE CEO'S COMPENSATION IS ALSO REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS HAS ENGAGED SULLIVAN COTTER & ASSOCIATES, INC., AN INDEPENDENT COMPENSATION CONSULTING FIRM FOR REVIEW OF EXECUTIVE COMPENSATION PRACTICES. THE AULTMAN HEALTH FOUNDATION AND ITS AFFILIATED ENTITIES USE THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF PHYSICIAN COMPENSATION: MEDICAL GROUP MANAGEMENT ASSOCIATES (MGMA), AMERICAN MEDICAL GROUP ASSOCIATION (AMGA), HOSPITAL AND HEALTHCARE COMPENSATION SERVICE (HHCS) AND SULLIVAN COTTER AND ASSOCIATES (SCA). IN ADDITION TO SALARY SURVEYS, AULTMAN HOSPITAL ALSO RETAINS AN INDEPENDENT CONSULTING FIRM FOR PHYSICIANS COMPENSATION SERVICES. ALL PHYSICIAN COMPENSATION RECOMMENDATIONS ARE SENT TO THE CEO, VP OF PHYSICIAN SERVICES, COO, AND CNO FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19AULTMAN HEALTH FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VI, SECTION A, LINE 2EDWARD ROTH III IS A PAID EMPLOYEE OF THE ORGANIZATION. CHRISTOPHER REMARK, RICK HAINES, MILAN DOPIRAK MD, MICHAEL LYNCH MD, AND MICHAEL RICH MD ARE PAID EMPLOYEES OF A RELATED ORGANIZATION.
FORM 990, PART IX, LINE 11GCONSULTING FEES: PROGRAM SERVICE EXPENSES 1,247,183. MANAGEMENT AND GENERAL EXPENSES 292,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,539,732. PURCHASED MAINTENANCE: PROGRAM SERVICE EXPENSES 1,590,403. MANAGEMENT AND GENERAL EXPENSES 373,057. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,963,460. ASH PATIENT SERVICES: PROGRAM SERVICE EXPENSES 667,029. MANAGEMENT AND GENERAL EXPENSES 156,464. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 823,493. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,765,303. MANAGEMENT AND GENERAL EXPENSES 648,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,413,954. PROFESSIONAL FEES - PHYSICIAN: PROGRAM SERVICE EXPENSES 160,834. MANAGEMENT AND GENERAL EXPENSES 37,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,560. PROFESSIONAL FEES - NONPHYSICIAN: PROGRAM SERVICE EXPENSES 1,941. MANAGEMENT AND GENERAL EXPENSES 455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,396. HOSPITAL FRANCHISE FEE: PROGRAM SERVICE EXPENSES 94,553. MANAGEMENT AND GENERAL EXPENSES 22,177. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,730.
FORM 990, PART XI, LINE 9:INTERFUND TRANSFERS 104,422,295.
FEDERAL ELECTIONSSECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION AULTMAN HEALTH FOUNDATION 2600 SIXTH STREET SW CANTON, OH 44710 EMPLOYER IDENTIFICATION NUMBER: 34-1445390 FOR THE YEAR ENDING DECEMBER 31, 2019 AULTMAN HEALTH FOUNDATION IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AULTMAN SPECIALTY HOSPITAL
2600 SIXTH ST SWCANTONOH44710134246188LONG-TERM ACUTE CAREOH$6,219,433$5,578,767AULTMAN HEALTH FOUNDATION
INTEGRATED HEALTH COLLABORATIVE LLC
2600 SIXTH ST SWCANTONOH44710454325320HEALTH COLLABORATIVEOH$2,900,266$193,098AULTMAN HEALTH FOUNDATION
AULTMAN INNOVATIONS LLC
2600 SIXTH ST SWCANTONOH44710810847842IP HOLDING AND MARKETINGOH$1,005$2,691AULTMAN HEALTH FOUNDATION

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
AULTMAN HOSPITAL
2600 SIXTH ST SWCANTONOH44710340714538HOSPITALOH501(C)(3)LINE 3AULTMAN HEALTH FOUNDATIONYes (1)
THE AULTMAN FOUNDATION
2600 SIXTH ST SWCANTONOH44710208090459FUNDRAISINGOH501(C)(3)LINE 7AULTMAN HEALTH FOUNDATIONYes (1)
ORRVILLE HOSPITAL FOUNDATION (DBA AULTMAN ORRVILLE HOSPITAL)
832 S MAIN STORRVILLEOH44667340733138HOSPITALOH501(C)(3)LINE 3AULTMAN HEALTH FOUNDATIONYes (1)
AULTMAN COLLEGE OF NURSING AND HEALTH
2600 SIXTH ST SWCANTONOH44710201359433COLLEGEOH501(C)(3)LINE 2AULTMAN HOSPITAL0
AULTMAN NORTH CANTON MEDICAL GROUP
2600 SIXTH ST SWCANTONOH44710341088530HEALTHCAREOH501(C)(3)LINE 10AULTMAN HEALTH FOUNDATIONYes (1)
TUSCARAWAS VALLEY REGIONAL CANCER CENTER
300 MEDICAL PARK DRIVEDOVEROH44622311689698MEDICAL SERVICEOH501(C)(3)LINE 30N/A
DARTMOUTH CHILD CARE CENTER CONTRACTING SERVICES INC
125 DARTMOUTH AVE SWCANTONOH44710341652364SUPPORT ORGANIZATIONOH501(C)(3)LINE 12C, III-FIAULTMAN HOSPITALYes (1)
ALLIANCE COMMUNITY HOSPITAL
200 E STATE STREETALLIANCEOH44601340714581HOSPITALOH501(C)(3)LINE 3AULTMAN HEALTH FOUNDATIONYes (1)
ALLIANCE COMMUNITY HOSPITAL AUXILIARY
200 E STATE STREETALLIANCEOH44601340777659SUPPORT ORGANIZATIONOH501(C)(3)LINE 12C, III-FIALLIANCE COMMUNITY HOSPITALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
WEST TUSCARAWAS PROPERTY MANAGEMENT LLC
2600 SIXTH ST SWCANTONOH44710200090246PROPERTY MGMTOHAULTCARE INSURANCE COMPANYEXCLUDED$894,903$22,382,806001.00000
AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC
2600 SIXTH ST SWCANTONOH44710454215510HEALTHCAREOHAULTMAN HOSPITALRELATED$116,290$3,489000.83740

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
MCKINLEY ASSURANCE SPC
PO BOX 1051GEORGE TOWNGRAND CAYMANSCJ980468384PORTFOLIOCJAULTMAN HEALTH FOUNDATIONC$10,381,435$24,473,2581.00000Yes (1)
AULTCARE CORPORATION
341488123PREF. PROVIDER ORG.C02600 SIXTH ST SWCANTONOH44710OHN/A
AULTCARE HOLDING COMPANY
471165287HOLDING COMPANYAULTMAN HEALTH FOUNDATIONC1.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
NORTH CENTRAL MEDICAL RESOURCES INC
341610344MEDICAL EQUIPMENT RENTALAULTCARE HOLDING COMPANYC$5,175,325$259,243,6391.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
OHIO SPECIALTY PHYSICIANS CORPORATION
341853300HEALTH SERVICESNORTH CENTRAL MEDICAL RESOURCESC$2,172,456$168,2531.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
OHIO HOSPITAL BASED PHYSICIANS CORP
341871647HEALTH SERVICESNORTH CENTRAL MEDICAL RESOURCESC$14,402,723$976,4181.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
OHIO PHYSICIANS PROFESSIONAL CORP
311509897HEALTH SERVICESNORTH CENTRAL MEDICAL RESOURCESC$12,731,081$761,2651.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTMAN MSO
311509904ADMIN SERVICESNORTH CENTRAL MEDICAL RESOURCESC$820,930$487,6131.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTCARE HEALTH INSURING CORPORATION
463305099INSURANCEAULTCARE HOLDING COMPANYC$221,525,123$137,511,3091.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTCARE INSURANCE COMPANY
341624818INSURANCEAULTCARE HEALTH INSURING CORPORATIONC$267,936,109$100,635,9401.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTRA ADMINISTRATIVE GROUP
204951704ADMIN SERVICEAULTCARE HOLDING COMPANYC$1,641,422$369,4111.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTCOMP MCO INC
274379962HEALTH SERVICESAULTRA ADMINISTRATIVE GROUPC$2,523,539$42,8761.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
WAYNE HEALTH SERVICES & SUPPLIES
341501390MEDICAL SUPPLIESNORTH CENTRAL MEDICAL RESOURCESC-$522,307-$11.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTMAN MEDICAL GROUP
453166014HEALTH SERVICESAULTCARE HOLDING COMPANYC$17,143,210$5,007,2621.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
MAINSITE ASO LLC
473587655HEALTH SERVICESAULTCARE HOLDING COMPANYC$19,1751.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
HEALTH ALLIANCE INC
341531993HEALTH SERVICESNORTH CENTRAL MEDICAL RESOURCESC$485,933$37,8991.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTMAN DEUBLE HEART & VASCULAR
842848226HEALTH SERVICESAULTCARE HOLDING COMPANYC$24,666,012$2,213,6531.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTMAN NOW URGENT CARE LLC
844874605HEALTH SERVICESAULTCARE HOLDING COMPANYC$892,591$287,6551.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
AULTPLAN LLC
851242075HEALTH SERVICESAULTCARE HOLDING COMPANYC-$75,2521.00000Yes (1)2600 SIXTH ST SWCANTONOH44710OH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE AULTMAN FOUNDATION
B$100,000FMV
AULTMAN HOSPITAL
K$409,250FMV
AULTMAN HOSPITAL
P$892,961FMV
AULTCARE INSURANCE COMPANY
Q$1,392,619FMV
AULTMAN HOSPITAL
Q$41,141,671FMV
ORRVILLE HOSPITAL FOUNDATION (DBA AULTMAN ORRVILLE HOSPITAL)
Q$223,452FMV
AULTMAN MEDICAL GROUP
Q$72,000