2020-11-16T12:19:28-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 388 SOUTH MAIN STREET SUITE 420 AKRON OH 44311 990 2019-01-01 341445390 AULTMAN HEALTH FOUNDATION AULT 3303636352 2600 SIXTH STREET SW CANTON OH 44710 MARK D WRIGHT CHIEF FINANCIAL OFFICER 3303636352 2020-11-16 1 LISA HILLING P01624111 3303760100 67.137.57.251 2020-11-16 09:54:15 ES P 2EEED599B99E77CDBDF45BEBFA9D7EF6A807E359 F7225F1D60C6CE8BB87848C96BBC564CF175B6D7 2019 2021-01-29 14:40:06Z EDWARD J ROTH III 2600 SIXTH STREET SW CANTON OH 44710 56577204 0 X WWW.AULTMAN.ORG X 1975 OH THE MISSION OF AULTMAN HEALTH FOUNDATION IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." 75 60 481 40 0 0 0 530 47979263 51060546 7708145 4057898 716068 0 56403476 55118974 1025804 1102393 0 0 27190989 29026556 0 0 0 23614716 25700699 51831509 55829648 4571967 -710674 433220948 485704990 149079203 148054830 284141745 337650160 X SEE SCHEDULE O 0 0 21456214 0 22917 WITH 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. 5139212 0 7195449 THE 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. 5317087 0 200 THE 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. 13727880 1102393 43841980 AULTMAN 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. 13727880 1102393 43841980 45640393 1 0 0 1 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 116 0 481 1 0 1 CJ EI 0 0 0 0 0 0 0 0 1 0 X 75 60 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH X MARK D WRIGHT 3303636192 2600 SIXTH STREET SW CANTON OH 44710 EDWARD J ROTH III PRESIDENT/CEO 47.00 8.00 X X 801904 0 52747 MARK D WRIGHT TREASURER/CFO/ DIRECTOR - AHF 48.00 7.00 X X 488716 0 46744 BARBARA HAMMONTREE BENNETT PAST CHAIR - AHF 6.00 0.00 X X 0 0 0 DARRYL J DILLENBACK CHAIR - AHF 7.00 0.00 X X 0 0 0 EMIL ALECUSAN VICE CHAIR - AHF 8.00 0.00 X X 0 0 0 BRYAN RICE 2ND VICE CHAIR/SECRETARY 6.00 0.00 X X 0 0 0 BARBARA ABBOTT DIRECTOR - AHF 2.00 0.00 X 0 0 0 BRIAN S BELDEN DIRECTOR - AHF 5.00 4.00 X 0 0 0 ROGER BETTIS DIRECTOR -AHF 2.00 0.00 X 0 0 0 PEGGY CLAYTOR DIRECTOR - AHF 3.00 0.00 X 0 0 0 NATE J COOKS DIRECTOR - AHF 1.00 3.00 X 0 0 0 STEPHEN G DEUBLE DIRECTOR - AHF 2.00 0.00 X 0 0 0 MILAN R DOPIRAK MD DIRECTOR - AHF 1.00 1.00 X 0 0 0 LEO DOYLE DIRECTOR - AHF 8.00 8.00 X 0 0 0 DAVID M FINDLEY DIRECTOR - AHF 2.00 0.00 X 0 0 0 RYAN FULMER DIRECTOR - AHF 2.00 0.00 X 0 0 0 T STEPHEN GREGORY DIRECTOR - AHF 6.00 4.00 X 0 0 0 PATRICIA A GRISCHOW DIRECTOR - AHF 2.00 3.00 X 0 0 0 RICK L HAINES DIRECTOR - AHF 4.00 51.00 X 0 569241 849869 JOSEPH E HALTER JR DIRECTOR - AHF 1.00 2.00 X 0 0 0 MICHAEL E HANKE DIRECTOR - AHF 3.00 2.00 X 0 0 0 JOHN B HUMPHREY JR MD DIRECTOR - AHF 6.00 2.00 X 0 0 0 BECKY L JEWELL DIRECTOR - AHF 1.00 1.00 X 0 0 0 GEOFF KARCHER DIRECTOR - AHF 4.00 0.00 X 0 0 0 JOANNE KRIVETZKY MD DIRECTOR - AHF; MED STAFF PRES-ELECT 2.00 4.00 X 0 0 0 BRIAN LAYMAN DIRECTOR - AHF 3.00 1.00 X 0 0 0 MICHAEL LYNCH MD DIRECTOR - AHF 48.00 7.00 X 461549 0 34034 RON LYONS DIRECTOR - AHF 1.00 1.00 X 0 0 0 LORI MARTINO DIRECTOR - AHF; AH WOMEN'S BOARD PRESIDENT 1.00 3.00 X 0 0 0 LORI L MERTES MD PRESIDENT - INNOVATIONS BOARD 1.00 54.00 X 0 475667 47347 JEFFREY MILLER MD DIRECTOR - AHF 2.00 7.00 X 0 0 0 PRABHCHARAN GILL MD DIRECTOR - AHF 2.00 53.00 X 0 672045 52747 MICHAEL RICH MD DIRECTOR - AHF 4.00 51.00 X 0 462586 52747 JESSE ROPER DIRECTOR - AHF 2.00 0.00 X 0 0 0 TIM SEIFERT DIRECTOR - AHF 1.00 1.00 X 0 0 0 LOUIS G SHAHEEN MD DIRECTOR - AHF 1.00 3.00 X 0 0 0 DOUGLAS J SIBILA DIRECTOR - AHF 2.00 2.00 X 0 0 0 JOHN A SIRPILLA DIRECTOR - AHF 4.00 1.00 X 0 0 0 TODD M SOMMER DIRECTOR - AHF 1.00 2.00 X 0 0 0 RYAN STENGAR DIRECTOR - AHF 2.00 0.00 X 0 0 0 GAIL STERLING DIRECTOR - AHF 1.00 1.00 X 0 0 0 R CLINT ZOLLINGER ESQ DIRECTOR - AHF 6.00 0.00 X 0 0 0 SHRUTI TREHAN MD DIRECTOR - AHF 2.00 53.00 X 0 1207540 52247 WILLIAM WALLACE MD DIRECTOR - AHF 4.00 6.00 X 0 0 0 AKBAR SHAH MD CHAIR - ASH; PHYSICIAN 5.00 50.00 X X 0 1184206 51967 DANIEL RODRIGUEZ MD VICE CHAIR - ASH 5.00 50.00 X X 0 260383 37172 DIANA BOYD SECRETARY & TREASURER - ASH 5.00 0.00 X X 0 0 0 RYAN KUHARICH CEO - ASH 50.00 5.00 X X 160763 0 39393 JACQUELINE DEGARMO DIRECTOR - ASH 3.00 1.00 X 0 0 0 DEANNA HATFIELD DIRECTOR - ASH 1.00 0.00 X 0 0 0 DENISE HILL DIRECTOR - ASH 1.00 1.00 X 0 0 0 ERIC JOHNSON DIRECTOR - ASH 1.00 0.00 X 0 0 0 GEORGE KEFALAS MD DIRECTOR - ASH 1.00 2.00 X 0 0 0 ELLEN LINZ DIRECTOR - ASH 1.00 0.00 X 0 0 0 DAVID MOTTS DIRECTOR - ASH 1.00 0.00 X 0 0 0 CHADI BOU SERHAL MD DIRECTOR - ASH 1.00 1.00 X 0 0 0 MELANIE MIRANDE MD CHAIR - IHC 1.00 0.00 X X 0 0 0 BRIAN MCCLAIN MD VICE CHAIR - IHC 1.00 2.00 X X 0 0 0 STEVE NAM MD TREASURER - IHC 1.00 4.00 X X 0 0 0 DOUGLAS BLOCKER MD DIRECTOR - IHC 1.00 0.00 X 0 0 0 ANTHONY DEGENHARD DO DIRECTOR - IHC 2.00 5.00 X 0 0 0 ANDY R HART MD DIRECTOR - IHC 1.00 0.00 X 0 0 0 LEWIS HUMBLE MD DIRECTOR - IHC 1.00 54.00 X 0 190140 30599 JAMES JOHNS MD DIRECTOR - IHC 1.00 0.00 X 0 0 0 STEVEN KELLY MD DIRECTOR - IHC 4.00 51.00 X 0 1136534 47975 ROGER MUSA MD DIRECTOR - IHC 5.00 50.00 X 0 259180 47019 TIMOTHY O'TOOLE MD DIRECTOR - IHC 1.00 2.00 X 0 0 0 JOHN PRODAFIKAS DIRECTOR - IHC 3.00 52.00 X 0 1030740 52747 CHRISTOPHER E REMARK CEO - AH; DIRECTOR - IHC 7.00 48.00 X 0 589797 47544 ROBERT SABOTA MD DIRECTOR - IHC 1.00 1.00 X 0 0 0 JOHN WESTERBECK MD DIRECTOR - IHC 1.00 3.00 X 0 0 0 JAMES WILSON MD DIRECTOR - IHC 1.00 0.00 X 0 0 0 ANDREW ZURICK MD MEDICARE BENEFICIARY - IHC 1.00 0.00 X 0 0 0 DAVID MALLAMACI MD DIRECTOR - IHC 1.00 0.00 X 0 0 0 HOWARD METZGER MD DIRECTOR - IHC 55.00 0.00 X 274024 0 36991 CHARLES ZOLLINGER DIRECTOR - IHC 1.00 0.00 X 0 0 0 ALLISON M OPRANDI MD CEO - IHC 53.00 2.00 X 482042 0 44285 MATTHEW RITZERT VP - IHC 55.00 0.00 X 177161 0 16895 ELIZABETH A GETZ CIO 50.00 5.00 X 376122 0 52747 ROBERT C MOLNAR SVP, REGIONAL DEVELOPMENT 51.00 4.00 X 279225 0 46336 MARK N ROSE SVP - LEGAL SERVICES 50.00 5.00 X 393904 0 52747 JASON JUSTUS VP - POMERENE FINANCE 55.00 0.00 X 254577 0 35417 SUSAN E OLIVERA VP - HUMAN RESOURCES 53.00 2.00 X 335268 0 52747 FRANCIS SNYDER CEO - POMERENE 55.00 0.00 X 374767 0 46422 RONALD RUSNAK MD DIRECTOR OF CLINICAL INFORMATICS 55.00 0.00 X 363305 0 41685 KEVIN D PETE SVP 50.00 5.00 X 337830 0 41747 TIMOTHY TEYNOR VP - PUBLIC POLICY 50.00 5.00 X 247439 0 37847 TRACY SABO VP OF HUMAN RESOURCES 55.00 0.00 X 220027 0 32606 6028623 8038059 2081370 44 0 1 0 CERNER CORP 2800 ROCKCREEK PWKY KANSAS CITY MO 64117 SOFTWARE SUPPORT 7509807 DELL FINANCIAL SERVICES ONE DELL WAY ROUND ROCK TX 78682 SOFTWARE SUPPORT 1334280 CISCO SYSTEMS INC 170 W TASMAN DRIVE SAN JOSE CA 95134 SOFTWARE SUPPORT 884646 HURON CONSULTING GROUP INC 550 W VAN BUREN STREET CHICAGO IL 60607 MANAGEMENT CONSULTING 344658 MICROSOFT CORPORATION ONE MICROSOFT WAY REDMOND WA 98052 SOFTWARE SUPPORT 158055 42 530 530 HEALTH SYSTEM ADMINISTRATION 561000 40643974 40643974 PATIENT SERVICE REVENUE 624100 7195449 7195449 OTHER INCOME 561000 2201134 2201134 PROPERTY MANAGEMENT REVENUE 561000 1019989 1019989 51060546 4109303 4109303 1406825 1458230 -51405 -51405 -51405 55118974 51060546 0 4057898 X 1081893 1081893 20500 20500 5027924 4072618 955306 19081765 15456230 3625535 690645 559423 131222 2460737 1993197 467540 1765485 1430042 335443 54624 44245 10379 31700 25677 6023 147248 119271 27977 8130812 6585958 1544854 61517 49829 11688 371179 300655 70524 10982479 8895808 2086671 1791043 1450745 340298 215051 174191 40860 25113 20342 4771 601939 487571 114368 39257 31798 7459 ALL OTHER EXPENSES 1312950 1063490 249460 MEDICAL SUPPLIES 607715 607715 EDUCATION 580088 469871 110217 MEDICATION 491878 491878 256106 207446 48660 55829648 45640393 10189255 0 2190126 573943 1285722 1392630 1107916 1107916 1692303 2367526 7906027 4502799 3589945 3403228 50090181 75268014 372029657 395342700 0 1716667 1235098 4532366 433220948 485704990 9961737 10876281 613891 651731 131554573 131606087 6621745 4266336 327257 654395 149079203 148054830 X 284141745 337650160 284141745 337650160 433220948 485704990 X -710674 1128768 53090321 X 0 1 X 1 0 X X 1 AULTMAN HOSPITAL 340714538 3 1 13518960 0 1 13518960 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART I, LINE 12G, COLUMN V: AULTMAN 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. 0 0 0 0 0 0 1 0 1 182570 182570 0 PART II-B, LINE 1: THIS 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. 733598 46769 4000 776367 734605 4643 5650 733598 727562 13033 5990 734605 718271 25000 15263 30972 727562 719326 5815 6870 718271 1.00000 0 1 1 1877417 1877417 3260935 2178529 1082406 2656105 2217794 438311 111570 106476 5094 3403228 INVESTMENT IN AFFILIATES 366299190 C ASSETS LIMITED AS TO USE 29043510 C 395342700 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 56130 INTERCOMPANY PAYABLES 598265 654395 X 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. 1 1 X 1 X 0 1 1 0 1 1 1465 0 1465 0.00000 709437 635749 73688 0.00130 710902 635749 75153 0.00130 710902 635749 75153 0.00130 1 104076 0 2534820 2169936 364884 X 1 1 1 1 AULTMAN SPECIALTY HOSPITAL 2600 SIXTH ST SW CANTON OH 44710 HTTP://WWW.AULTMAN.ORG 1454 AULTMAN SPECIALTY HOSPITAL 134246188 X LONG-TERM ACUTE CARE AULTMAN SPECIALTY HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, SECTION B, LINE 7D X X 1 16 1 SEE PART V, SECTION B, LINE 7D 0 1 X 100.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 AULTMAN SPECIALTY HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA AULTMAN SPECIALTY HOSPITAL USED THE STARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE IS MADE UP OF A VARIETY OF HEALTH AND SOCIAL SERVICES AGENCIES AND VOLUNTEERS IN THE COMMUNITY. THE FOLLOWING AGENCIES HAVE BEEN INVOLVED IN THE COMMITTEE: STARK COUNTY HEALTH DEPARTMENT, CANTON CITY HEALTH DEPARTMENT, ALLIANCE COMMUNITY HOSPITAL, PEGASUS FARM, PRESCRIPTION ASSISTANCE NETWORK, MERCY MEDICAL CENTER, SISTERS OF CHARITY FOUNDATION OF CANTON, AUSTIN BAILEY HEALTH AND WELLNESS FOUNDATION, MENTAL HEALTH AND RECOVERY SERVICES BOARD OF STARK COUNTY, COMMUNITY ADVOCATES, STARK COUNTY FAMILY COUNCIL, HEALTH FOUNDATION OF GREATER MASSILLON, ACCESS HEALTH STARK COUNTY, STARK COUNTY MEDICAL SOCIETY, UNITED WAY OF GREATER STARK COUNTY, THE AULTMAN HEALTH FOUNDATION, STARK PARKS/LIVE WELL STARK COUNTY, STARK COUNTY COMMUNITY ACTION AGENCY, ALLIANCE CITY HEALTH DEPARTMENT, MASSILLON CITY HEALTH DEPARTMENT, AND THE OHIO STATE UNIVERSITY EXTENSION OFFICE. PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, PARTICIPATED IN THE CHNA PROCESS THROUGH THE COMMUNITY SURVEY AND COMMUNITY LEADER WEB SURVEY, AS MEMBERS OF THE ADVISORY COMMITTEE AND AS SUMMIT PARTICIPANTS. THE COMMUNITY SURVEY INCLUDED A RANDOM SAMPLE TELEPHONE SURVEY OF STARK COUNTY HOUSEHOLDS THAT INCLUDED A REPRESENTATIVE SAMPLE OF STARK COUNTY RESIDENTS AS WELL AS AN OVERSAMPLE OF AFRICAN-AMERICAN AND CANTON HOUSEHOLDS. TELEPHONE INTERVIEWS WERE UTILIZED TO ENSURE REPRESENTATIVENESS OF THE POPULATION. THE FINAL SAMPLE CONSISTED OF 1065 RESPONDENTS. DATA COLLECTION FROM TELEPHONE INTERVIEWS BEGAN ON JUNE 1 AND ENDED ON JULY 10, 2015. THE OVERSAMPLE OF AFRICAN-AMERICAN AND CANTON HOUSEHOLDS BEGAN JULY 5,2018 AND ENDED AUG. 7, 2018. THE COMMUNITY LEADER SURVEY WAS A WEB-BASED SURVEY WITH 101 SURVEYS COMPLETED FROM A TOTAL OF 476 INVITEES WITH VALID EMAIL ADDRESSES. INVITATIONS WERE SENT ON OCT 25, 2018 AND NOV 12, 2018. THE ADVISORY COMMITTEE GUIDED THE DEVELOPMENT OF THE SURVEY AND APPROVED THE HEALTH INFORMATION PROVIDED.THE ADVISORY COMMITTEE HELD FIVE MEETINGS THROUGHOUT 2015 TO REVIEW INDICATORS, IDENTIFY SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFY EXISTING HEALTH CARE FACILITIES AND RESOURCES WHICH ARE POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED. DURING THE EARLIER MEETINGS, THE ADVISORY COMMITTEE REVIEWED PRELIMINARY RESEARCH FINDINGS, DISCUSSED CONTENT FOR THE COMMUNITY LEADER WEB SURVEY, AND DISCUSSED THE NEED FOR ADDITIONAL DATA FOR THE ASSESSMENT, INCLUDING DATA ON CULTURAL COMPETENCY, GAPS IN SERVICE AND YOUTH. THE ADVISORY COMMITTEE AGREED TO USE THE COMMUNITY HEALTH IMPROVEMENT CYCLE PROCESS AS THE ASSESSMENT MODEL FOR THE CHNA. THE ADVISORY COMMITTEE DISCUSSED THE TIMING FOR UPDATING THE INDICATORS REPORT AND IDENTIFIED DATA SETS TO BE USED FOR COMPLETING THE STARK COUNTY HEALTH NEEDS ASSESSMENT. INDIVIDUAL HOSPITALS DISCUSSED THEIR PRIORITIES AND PROGRAMS THAT ARE ADDRESSING THOSE PRIORITIES. THE LATER MEETINGS INCLUDED DISCUSSIONS OF COMMUNITY HEALTH IMPROVEMENT PLANS AND PROGRAMS ADDRESSING COMMUNITY NEEDS.IN FEBRUARY, 2018, DURING THE STARK COUNTY ANNUAL HEALTH IMPROVEMENT SUMMIT, THE FIVE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WERE DISCUSSED AND PRIORITIZED FOLLOWED BY A DISCUSSION OF EXISTING RESOURCES AND ACTIVITIES WITHIN THE COMMUNITY ADDRESSING THOSE SIGNIFICANT HEALTH NEEDS. SUMMIT PARTICIPANTS, WHICH INCLUDED MORE THAN 50 HEALTH AND SOCIAL SERVICES AGENCIES AND VOLUNTEERS IN THE COMMUNITY, IDENTIFIED THE TOP THREE NEEDS AS THOSE NEEDS TO BE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN. ALL REQUIRED SOURCES FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY PARTICIPATED IN THE CHNA PROCESS. AULTMAN SPECIALTY HOSPITAL PART 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 HOSPITAL PART 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 HOSPITAL PART 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 HOSPITAL PART V, SECTION B, LINE 11: THE 2018 CHNA IDENTIFIED ACCESS TO HEALTH CARE, MENTAL HEALTH SERVICES (SPECIFICALLY ACCESS, YOUTH SUICIDE, AND HEROIN/OPIOID USE); INFANT MORTALITY, AND OBESITY AND HEALTHY LIFESTYLE AS THE FOUR MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. THE FOLLOWING IDENTIFIES THE NEED, ACTIONS TAKEN TO ADDRESS THE NEED, AND IMPACT OF THE ACTION IN ADDRESSING THE NEED.NEED 1: ACCESS TO HIGH-QUALITY, AFFORDABLE, HOLISTIC, AND CULTURALLY RELEVANT CAREAULTMAN IS COMMITTED TO A VARIETY OF STRATEGIES TO ADDRESS THE NEED FOR ACCESSIBLE CARE. AULTMAN ALIGNS SERVICES TO PROVIDE RESIDENTS OF STARK COUNTY, AND SURROUNDING AREAS, WITH EQUITABLE ACCESS TO HEALTHCARE SERVICES BY REDUCING BARRIERS TO CARE FOR VULNERABLE POPULATIONS AND DECREASING THE PERCENTAGE OF RESPONDENTS FROM VULNERABLE POPULATIONS WHO REPORT NOT HAVING A PRIMARY CARE PROVIDER. AULTMAN SPECIALTY HOSPITAL PROVIDES LONG-TERM ACUTE CARE SERVICES TO MEDICALLY COMPLEX PATIENTS IN A SAFE AND PATIENT-CENTERED ENVIRONMENT. PATIENTS CAN RECEIVE CARE IN THEIR LOCAL COMMUNITY FOR COMPLEX WOUNDS, COMPLEX RESPIRATORY DISEASES OR VENTILATOR WEANING BEYOND A SHORT-TERM ACUTE CARE HOSPITAL STAY. PRIOR TO DISCHARGE, AULTMAN SPECIALTY HOSPITAL ARRANGES NECESSARY SERVICES (E.G., FOLLOW-UP APPOINTMENTS, THERAPY SERVICES, HOME HEALTH CARE OR CARE AT ANOTHER NURSING FACILITY AND TRANSPORTATION SERVICES AVAILABLE AT FREE OR REDUCED COST). A FULL-TIME REGISTERED NURSE DISCHARGE PLANNER FACILITATES THE PLAN OF CARE FOR THE PATIENT UPON DISCHARGE. AULTMAN SPECIALTY HOSPITAL COLLABORATES WITH AREA TRANSITIONAL CARE UNITS, SKILLED NURSING FACILITIES AND HOME HEALTH AGENCIES FOR COORDINATION OF CARE TO ASSURE APPROPRIATE HANDOFF COMMUNICATION AND SAFE PATIENT TRANSFERS TO MEET COMMUNITY HEALTH NEEDS. AULTMAN SPECIALTY HOSPITAL EXPANDED THIRD-PARTY PAYER COVERAGE TO INCLUDE MANY COMMERCIAL PAYERS AS IN-NETWORK PROVIDERS TO INCREASE COMMUNITY ACCESS TO AFFORDABLE, QUALITY LONG-TERM ACUTE CARE SERVICES. A HOSPITAL REPRESENTATIVE COLLABORATES WITH AREA HOSPITALS WITH OUTREACH TO AULTMAN SPECIALTY HOSPITAL PART 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 HOSPITAL PART 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%. 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 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 22,565. 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. THIS 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 2019. 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 21-22 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: ASH HAS A SURPLUS OF $364,844 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 2016, 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 2018, THE WOW STAFF REACHED MORE THAN 17,000 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.2018 MARKED THE ELEVENTH 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 2018, 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 2017, HUNDREDS OF AULTMAN EMPLOYEES VOLUNTEERED TO TEACH MORE THAN 5,000 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 30,000 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 450 SITES IN 2019 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 19,000 COMMUNITY MEMBERS IN 2019.THE AULTMAN CANCER PROGRAM CONTINUES TO PLACE A HIGH PRIORITY ON COMMUNITY OUTREACH. IN 2017, 5 FREE CANCER SCREENING EVENTS WERE OFFERED IN CANTON, CARROLLTON, AND TUSCARAWAS PROVIDING 361 CANCER SCREENINGS TO OVER 200 UNINSURED OR UNDERINSURED INDIVIDUALS. THE CANCER TEAM ALSO PARTICIPATED IN MORE THAN 20 COMMUNITY EVENTS THAT FOCUSED ON CANCER PREVENTION, EDUCATION, AND AWARENESS. THE HEALTHY U PROGRAM, A COLLABORATION BETWEEN AULTMAN CANCER CENTER AND STARK COUNTY SCHOOLS, EDUCATED 200 6TH GRADE STUDENTS ON CANCER BASICS AND HOW LIFETIME CANCER RISK CAN BE REDUCED THROUGH HEALTHY LIFESTYLE HABITS. A NEW PARTNERSHIP WITH STARK COUNTY FIREFIGHTERS WAS ESTABLISHED TO EDUCATE THE FIREFIGHTERS IN OUR COMMUNITY ON THEIR INCREASED RISK FOR CANCER AND HOW TO LOWER THOSE RISKS. IN 2018 20 EDUCATIONAL SESSIONS WERE HELD. 370 FIREFIGHTERS ATTENDED THE EDUCATIONAL SESSIONS. WE WOULD LIKE TO EXPLORE FURTHER OPPORTUNITIES TO EDUCATE HEALTH CARE PROVIDERS ON THE INCREASED RISK OF FIREFIGHTERS AND GIVING THEM CURRENT GUIDELINES THAT MAY HELP INSURE THAT ADEQUATE SCREENING IS DONE THROUGH LONG-TERM CAREGIVERS OVER THE FIREFIGHTER'S LIFETIME.FOOD INSECURITY IS A CRITICAL ISSUE IN NORTHEASTERN OHIO, AND AULTMAN TEAM MEMBERS GIVE GENEROUSLY TO THE ANNUAL HARVEST FOR HUNGER CAMPAIGN. IN 2019, AULTMAN EMPLOYEES PROVIDED 5,503 POUNDS OF NONPERISHABLE FOOD DONATIONS AND $10,600 IN MONETARY GIFTS THAT HELPED THOUSANDS OF FAMILIES AND INDIVIDUALS IN NEED.AULTMAN MEDICAL EDUCATION HOSTED THE TENTH 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 2017, AULTMAN EMPLOYEES AND PHYSICIANS GENEROUSLY DONATED $250,552 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.THROUGH ITS RESIDENT TEACHING PROGRAMS, AULTMAN DELIVERS A SIGNIFICANT LEVEL OF QUALITY OUTPATIENT AND INPATIENT HEALTH CARE TO INSURED, UNDERINSURED AND UNINSURED INDIVIDUALS IN OUR MARKET. FOR MEMBERS OF THE AMISH COMMUNITY, AULTMAN OFFERS FREE TRANSPORTATION TO AND FROM DOCTORS' APPOINTMENTS AND AULTMAN HOSPITAL. AN AMISH HOUSE IS ALSO LOCATED ADJACENT TO THE AULTMAN CAMPUS, GIVING VISITORS A FREE PLACE TO STAY WHEN LOVED ONES ARE HOSPITALIZED. PART VI, LINE 6: AULTMAN'S BOARD OF DIRECTORS HAS 50 NON-EMPLOYED MEMBERS. A TOTAL OF 70 OF THE 75 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. 4 RESIDE IN THE TERTIARY MARKET AND 1 LIVES 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 STATES OH 1 STARK ECONOMIC DEVELOPMENT BOARD 400 3RD ST STE 310 CANTON OH 44702 341476938 501(C)(3) 100000 2021 CAMPAIGN CANTON REGIONAL CHAMBER OF COMMERCE 222 MARKET AVE N CANTON OH 44702 340129930 501(C)(6) 67737 ECONOMIC DEVELOPMENT - ANNUAL DINNER - BALLOON CLASSIC - CHAMBER WEBSITE - ETC. ARTS IN STARK 1001 MARKET AVE N CANTON OH 44702 346609771 501(C)(3) 67500 SUPPORT ARTS PROGRAMS IN STARK COUNTY SCHOOLS AND COMMUNITIES YMCA OF CENTRAL STARK 1201 30TH STREET NW CANTON OH 44709 340714392 501(C)(3) 53000 SCHALMO FAMILY YMCA CAPITAL PROJECT, TO SUPPORT MEYERS LAKE YMCA, PAUL AND CAAROL DAVID YMCA, NORTH CANTON YMCA PRO FOOTBALL HALL OF FAME 2121 GEORGE HALAS DR NW CANTON OH 44708 340898576 501(C)(3) 46250 SOVEREIGN HEALTH CONSULTING AGREEMENT ACCESS HEALTH STARK COUNTY 408 NINTH STREET SW CANTON OH 44707 462949527 501(C)(3) 40000 GRANT TO ACCESS HEALTH STARK COUNTY TO CONTINUE TO PROVIDE SERVICES FOR 2019 ALLIANCE AREA DEVELOPMENT FOUNDATION 2500 W STATE STREET SUITE E11 ALLIANCE OH 44601 311652174 501(C)(3) 20000 2019 AAD CHARITABLE CONTRIBUTION MASSILLON MUSEUM 121 LINCOLN WAY E MASSILLON OH 44646 346001833 501(C)(3) 20000 CAPITAL CAMPAIGN PLEDGE UNIVERSITY OF MOUNT UNION 1972 CLARK AVE ALLIANCE OH 44601 340714687 501(C)(3) 20000 THE UNIVERSITY OF MOUNT UNION HEALTH AND MEDICAL SUPPORT STARK EDUCATION PARTNERSHIP INC 400 MARKET AVE N CANTON OH 44702 341625250 501(C)(3) 15000 2017 - 2020 CAMPAIGN AMERICAN HEART ASSOCIATION 4682 DOUGLAS COURT NW CANTON OH 44718 135613797 501(C)(3) 14000 2019 CANTON GO RED FOR WOMEN - 2019 CANTON HEART BALL - 2019 CANTON HEART WALK J BABE STERN COMMUNITY CENTER 2628 13TH STREET SW CANTON OH 44710 340828418 501(C)(3) 10000 BABES KIDS LEARNING TODAY CAPITAL CAMPAIGN 2019 TEAM NEO FOUNDATION 1111 SUPERIOR AVE SUITE 1600 CLEVELAND OH 44114 341885407 501(C)(3) 10000 SUPPORT 2019 TEAM NEO CLEVELAND PLUS OHIO FOUNDATION OF INDEPENDENT COLLEGES 250 E BROAD ST STE 1700 COLUMBUS OH 43215 314441082 501(C)(3) 10000 SCHOLARSHIP FUNDS STARK COUNTY MENTAL HEALTH & ADDICTION RECOVERY 121 CLEVELAND AVE SW CANTON OH 44702 10000 "STARK CARES" AMERICAN CANCER SOCIETY 525 NORTH BROAD STREET CANFIELD OH 44406 240726080 501(C)(3) 9000 RELAY FOR LIFE, AND MAKING STRIDES AGAINST BREAST CANCER MALONE UNIVERSITY 2600 CLEVELAND AVE NW CANTON OH 44709 340737794 5215 TO PURCHASE MALONE ATHLETICS DEPARTMENT EQUIPMENT THE AULTMAN FOUNDATION 2600 SIXTH ST SW CANTON OH 44710 208090459 501(C)(3) 104148 TO SUPPORT VARIOUS ORGANIZATIONS IN THE COMMUNITY 17 1 PART I, LINE 2: AULTMAN 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. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 EDWARD J ROTH III PRESIDENT/CEO 713244 0 74439 0 14221 0 33400 0 19347 0 854651 0 0 0 MARK D WRIGHT TREASURER/CFO/ DIRECTOR - AHF 425501 0 62096 0 1119 0 27400 0 19344 0 535460 0 0 0 RICK L HAINES DIRECTOR - AHF 0 457501 0 106149 0 5591 0 839013 0 10856 0 1419110 0 0 MICHAEL LYNCH MD DIRECTOR - AHF 419198 0 40750 0 1601 0 33400 0 634 0 495583 0 0 0 LORI L MERTES MD PRESIDENT - INNOVATIONS BOARD 0 385744 0 88411 0 1512 0 28000 0 19347 0 523014 0 0 PRABHCHARAN GILL MD DIRECTOR - AHF 0 600094 0 65000 0 6951 0 33400 0 19347 0 724792 0 0 MICHAEL RICH MD DIRECTOR - AHF 0 226266 0 188038 0 48282 0 33400 0 19347 0 515333 0 0 SHRUTI TREHAN MD DIRECTOR - AHF 0 854706 0 349419 0 3415 0 32900 0 19347 0 1259787 0 0 AKBAR SHAH MD CHAIR - ASH; PHYSICIAN 0 718044 0 367361 0 98801 0 33400 0 18567 0 1236173 0 0 DANIEL RODRIGUEZ MD VICE CHAIR - ASH 0 227832 0 31104 0 1447 0 17825 0 19347 0 297555 0 0 RYAN KUHARICH CEO - ASH 133379 0 27134 0 250 0 20046 0 19347 0 200156 0 0 0 LEWIS HUMBLE MD DIRECTOR - IHC 0 167581 0 22130 0 429 0 25307 0 5292 0 220739 0 0 STEVEN KELLY MD DIRECTOR - IHC 0 590691 0 434409 0 111434 0 33400 0 14575 0 1184509 0 0 ROGER MUSA MD DIRECTOR - IHC 0 222943 0 35830 0 407 0 26875 0 20144 0 306199 0 0 JOHN PRODAFIKAS DIRECTOR - IHC 0 679681 0 345288 0 5771 0 33400 0 19347 0 1083487 0 0 CHRISTOPHER E REMARK CEO - AH; DIRECTOR - IHC 0 494648 0 93840 0 1309 0 27400 0 20144 0 637341 0 0 HOWARD METZGER MD DIRECTOR - IHC 231165 0 40582 0 2277 0 26517 0 10474 0 311015 0 0 0 ALLISON M OPRANDI MD CEO - IHC 372341 0 107060 0 2641 0 33400 0 10885 0 526327 0 0 0 MATTHEW RITZERT VP - IHC 156482 0 20416 0 263 0 16895 0 0 0 194056 0 0 0 ELIZABETH A GETZ CIO 306147 0 68796 0 1179 0 33400 0 19347 0 428869 0 0 0 ROBERT C MOLNAR SVP, REGIONAL DEVELOPMENT 236982 0 41800 0 443 0 26989 0 19347 0 325561 0 0 0 MARK N ROSE SVP - LEGAL SERVICES 329060 0 60820 0 4024 0 33400 0 19347 0 446651 0 0 0 JASON JUSTUS VP - POMERENE FINANCE 237013 0 17000 0 564 0 16705 0 18712 0 289994 0 0 0 SUSAN E OLIVERA VP - HUMAN RESOURCES 280081 0 54117 0 1070 0 33400 0 19347 0 388015 0 0 0 FRANCIS SNYDER CEO - POMERENE 344201 0 27000 0 3566 0 27075 0 19347 0 421189 0 0 0 RONALD RUSNAK MD DIRECTOR OF CLINICAL INFORMATICS 331216 0 29633 0 2456 0 30800 0 10885 0 404990 0 0 0 KEVIN D PETE SVP 282999 0 53760 0 1071 0 22400 0 19347 0 379577 0 0 0 TIMOTHY TEYNOR VP - PUBLIC POLICY 238530 0 0 0 8909 0 31753 0 6094 0 285286 0 0 0 TRACY SABO VP OF HUMAN RESOURCES 188824 0 30744 0 459 0 26591 0 6015 0 252633 0 0 0 PART I, LINE 1A ALL 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 3 SEE SCHEDULE O FOR THE NARRATIVE RELATED TO FORM 990, PART VI, LINE 15 FOR AN EXPLANATION OF EXECUTIVE COMPENSATION REVIEW. PART I, LINE 4B EDWARD J ROTH II, VIVIAN LEGGETT, MARK ROSE, TIM TEYNOR, FRANCIS SNYDER, MARK WRIGHT, AND CHRIS REMARK ARE PARTICIPANTS IN THE ORGANIZATION'S 457 (F) PLAN. THERE WERE NO CONTRIBUTIONS IN 2019. A OHIO HIGHER EDUCATIONAL FACILITY COMMISSION 346849674 67756CDM7 2018-11-02 135145347 TO REFUND SERIES 2017 BONDS, REFINANCE PRIOR DEBTS AND NEW MONEY 0 0 0 A 135145347 8972310 106069026 20104011 1 1 0 1 A 0 1 1 0 0 0.02290 0.00190 0.02480 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 RICE'S NURSERY BRYAN RICE, AHF BOARD MEMBER,OWNS RICE'S NURSERY 116331 LANDSCAPING SERVICES FOR AULTMAN HEALTH FOUNDATION 0 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 450 SITES IN 2019 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 19,000 COMMUNITY MEMBERS IN 2019. PART V, LINE 2 AULTMAN 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 1 THE 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 2 GEOFF 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 7A ONE 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 11B THE 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 12C THE 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 15 THE 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 19 AULTMAN HEALTH FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, SECTION A, LINE 2 EDWARD 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 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,104,643. MANAGEMENT AND GENERAL EXPENSES 259,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,363,757. PURCHASED MAINTENANCE: PROGRAM SERVICE EXPENSES 1,566,992. MANAGEMENT AND GENERAL EXPENSES 367,566. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,934,558. ASH PATIENT SERVICES: PROGRAM SERVICE EXPENSES 881,186. MANAGEMENT AND GENERAL EXPENSES 206,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,087,884. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,760,675. MANAGEMENT AND GENERAL EXPENSES 647,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,408,240. PROFESSIONAL FEES - PHYSICIAN : PROGRAM SERVICE EXPENSES 165,418. MANAGEMENT AND GENERAL EXPENSES 38,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 204,220. PROFESSIONAL FEES - NONPHYSICIAN : PROGRAM SERVICE EXPENSES 24,690. MANAGEMENT AND GENERAL EXPENSES 5,791. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,481. HOSPITAL FRANCHISE FEE: PROGRAM SERVICE EXPENSES 82,354. MANAGEMENT AND GENERAL EXPENSES 19,318. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,672. FORM 990, PART XI, LINE 9: INTERFUND TRANSFERS 51,581,011. SUBPART F INCOME -442,774. CHANGE IN VALUE OF INVESTMENT IN IHC 1,952,084. FEDERAL ELECTIONS SECTION 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). AULTMAN SPECIALTY HOSPITAL 2600 SIXTH ST SW CANTON OH 44710 134246188 LONG-TERM ACUTE CARE OH 7172919 4623017 AULTMAN HEALTH FOUNDATION INTEGRATED HEALTH COLLABORATIVE LLC 2600 SIXTH ST SW CANTON OH 44710 454325320 HEALTH COLLABORATIVE OH 1682558 63128 AULTMAN HEALTH FOUNDATION AULTMAN INNOVATIONS LLC 2600 SIXTH ST SW CANTON OH 44710 810847842 IP HOLDING AND MARKETING OH 0 1877 AULTMAN HEALTH FOUNDATION AULTMAN HOSPITAL 2600 SIXTH ST SW CANTON OH 44710 340714538 HOSPITAL OH 501(C)(3) LINE 3 AULTMAN HEALTH FOUNDATION 1 THE AULTMAN FOUNDATION 2600 SIXTH ST SW CANTON OH 44710 208090459 FUNDRAISING OH 501(C)(3) LINE 7 AULTMAN HEALTH FOUNDATION 1 ORRVILLE HOSPITAL FOUNDATION (DBA AULTMAN ORRVILLE HOSPITAL) 832 S MAIN ST ORRVILLE OH 44667 340733138 HOSPITAL OH 501(C)(3) LINE 3 AULTMAN HEALTH FOUNDATION 1 AULTMAN COLLEGE OF NURSING AND HEALTH 2600 SIXTH ST SW CANTON OH 44710 201359433 COLLEGE OH 501(C)(3) LINE 2 AULTMAN HOSPITAL 0 AULTMAN NORTH CANTON MEDICAL GROUP 2600 SIXTH ST SW CANTON OH 44710 341088530 HEALTHCARE OH 501(C)(3) LINE 10 AULTMAN HEALTH FOUNDATION 1 TUSCARAWAS VALLEY REGIONAL CANCER CENTER 300 MEDICAL PARK DRIVE DOVER OH 44622 311689698 MEDICAL SERVICE OH 501(C)(3) LINE 3 N/A 0 DARTMOUTH CHILD CARE CENTER CONTRACTING SERVICES INC 125 DARTMOUTH AVE SW CANTON OH 44710 341652364 SUPPORT ORGANIZATION OH 501(C)(3) LINE 12C, III-FI AULTMAN HOSPITAL 1 AULTMAN RADIATION ONCOLOGY OF ALLIANCE COMMUNITY HOSPITAL 885 S SAWBURG AVE ALLIANCE OH 44601 814224503 MEDICAL SERVICE OH 501(C)(3) LINE 3 AULTMAN HOSPTIAL 1 ALLIANCE COMMUNITY HOSPITAL 200 E STATE STREET ALLIANCE OH 44601 340714581 HOSPITAL OH 501(C)(3) LINE 3 AULTMAN HEALTH FOUNDATION 1 CARING HANDS INC 885 S SAWBURG AVE ALLIANCE OH 44601 341505340 PRIVATE DUTY NURSING OH 501(C)(3) LINE 10 ALLIANCE COMMUNITY HOSPITAL 1 ALLIANCE COMMUNITY HOSPITAL AUXILIARY 200 E STATE STREET ALLIANCE OH 44601 340777659 SUPPORT ORGANIZATION OH 501(C)(3) LINE 12C, III-FI ALLIANCE COMMUNITY HOSPITAL 1 IHN SOURCING GROUP 2600 SIXTH ST SW CANTON OH 44710 451731318 SUPPORT ORGANIZATION OH 501(C)(3) LINE 12C, III-FI AULTMAN HOSPITAL 1 WEST TUSCARAWAS PROPERTY MANAGEMENT LLC 2600 SIXTH ST SW CANTON OH 44710 200090246 PROPERTY MGMT OH AULTCARE INSURANCE COMPANY EXCLUDED 928902 21487903 0 0 1.00000 AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC 2600 SIXTH ST SW CANTON OH 44710 454215510 HEALTHCARE OH AULTMAN HOSPITAL RELATED 164156 3429 0 0 0.81030 IHN POST-ACUTE NETWORK LLC 2821 WOODLAWN AVE NW CANTON OH 44708 813136598 HEALTHCARE OH AULTMAN HOSPITAL RELATED -68845 100329 0 0 0.73400 MCKINLEY ASSURANCE SPC PO BOX 1051 GEORGE TOWN GRAND CAYMANS CJ 980468384 PORTFOLIO CJ AULTMAN HEALTH FOUNDATION C 9959571 24043606 1.00000 1 AULTCARE CORPORATION 2600 SIXTH ST SW CANTON OH 44710 341488123 PREF. PROVIDER ORG. OH N/A C 0 AULTCARE HOLDING COMPANY 2600 SIXTH ST SW CANTON OH 44710 471165287 HOLDING COMPANY OH AULTMAN HEALTH FOUNDATION C 1.00000 1 NORTH CENTRAL MEDICAL RESOURCES INC 2600 SIXTH ST SW CANTON OH 44710 341610344 MEDICAL EQUIPMENT RENTAL OH AULTCARE HOLDING COMPANY C 5107332 238410989 1.00000 1 OHIO SPECIALTY PHYSICIANS CORPORATION 2600 SIXTH ST SW CANTON OH 44710 341853300 HEALTH SERVICES OH NORTH CENTRAL MEDICAL RESOURCES C 2286589 238728 1.00000 1 OHIO HOSPITAL BASED PHYSICIANS CORP 2600 SIXTH ST SW CANTON OH 44710 341871647 HEALTH SERVICES OH NORTH CENTRAL MEDICAL RESOURCES C 18298510 1671044 1.00000 1 OHIO PHYSICIANS PROFESSIONAL CORP 2600 SIXTH ST SW CANTON OH 44710 311509897 HEALTH SERVICES OH NORTH CENTRAL MEDICAL RESOURCES C 31199852 2840788 1.00000 1 AULTMAN MSO 2600 SIXTH ST SW CANTON OH 44710 311509904 ADMIN SERVICES OH NORTH CENTRAL MEDICAL RESOURCES C 898681 249201 1.00000 1 AULTCARE HEALTH INSURING CORPORATION 2600 SIXTH ST SW CANTON OH 44710 463305099 INSURANCE OH AULTCARE HOLDING COMPANY C 253532283 123839036 1.00000 1 AULTCARE INSURANCE COMPANY 2600 SIXTH ST SW CANTON OH 44710 341624818 INSURANCE OH AULTCARE HEALTH INSURING CORPORATION C 271922494 95809699 1.00000 1 AULTRA ADMINISTRATIVE GROUP 2600 SIXTH ST SW CANTON OH 44710 204951704 ADMIN SERVICE OH AULTCARE HOLDING COMPANY C 2551468 476082 1.00000 1 AULTCOMP MCO INC 2600 SIXTH ST SW CANTON OH 44710 274379962 HEALTH SERVICES OH AULTRA ADMINISTRATIVE GROUP C 2500462 67469 1.00000 1 WAYNE HEALTH SERVICES & SUPPLIES 2600 SIXTH ST SW CANTON OH 44710 341501390 MEDICAL SUPPLIES OH NORTH CENTRAL MEDICAL RESOURCES C -250240 114173 1.00000 1 AULTMAN MEDICAL GROUP 2600 SIXTH ST SW CANTON OH 44710 453166014 HEALTH SERVICES OH AULTCARE HOLDING COMPANY C 20703464 9199033 1.00000 1 MAINSITE ASO LLC 2600 SIXTH ST SW CANTON OH 44710 473587655 HEALTH SERVICES OH AULTCARE HOLDING COMPANY C 33600 25427 1.00000 1 HEALTH ALLIANCE INC 2600 SIXTH ST SW CANTON OH 44710 341531993 HEALTH SERVICES OH NORTH CENTRAL MEDICAL RESOURCES C 1112371 257573 1.00000 1 0 1 0 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0 THE AULTMAN FOUNDATION B 104148 FMV AULTMAN HOSPITAL K 352621 FMV AULTMAN HOSPITAL P 1284198 FMV AULTCARE INSURANCE COMPANY Q 1312106 FMV AULTMAN HOSPITAL Q 39044067 FMV ORRVILLE HOSPITAL FOUNDATION (DBA AULTMAN ORRVILLE HOSPITAL) Q 223452 FMV