AULTMAN HEALTH FOUNDATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- AULTMAN HEALTH FOUNDATION (EIN 34-1445390)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201823199349306207
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T11:06:04-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4505 STEPHEN CIRCLE NW STE 200 | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44718 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341445390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AULT | BusinessNameControlTxt |
| Phone | 3303636352 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44710 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK D WRIGHT | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3303636352 | PhoneNum |
| Signature | 2018-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA HILLING | PreparerPersonNm |
| PTIN | P01624111 | PTIN |
| Phone | 3304972000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-13 | IPDt |
| IP Tm | 14:56:02 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 48FB96C2C824C9A755BE195929E44C7DF1071BED | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8739E866F75F2F341519EDCD4F5C2A8FD19BE669 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EDWARD J ROTH III | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44710 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,239,605 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AULTMAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF AULTMAN HEALTH FOUNDATION IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." | ActivityOrMissionDesc |
| Voting Members Governing Body | 70 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 57 | VotingMembersIndependentCnt |
| Total Employee | 438 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,961,630 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $44,136,705 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,801,848 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,847,548 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $45,763,478 | PYTotalRevenueAmt |
| CY Total Revenue | $51,984,253 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $726,584 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $703,823 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,063,645 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,145,688 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,791,605 | PYOtherExpensesAmt |
| CY Other Expenses | $24,017,116 | CYOtherExpensesAmt |
| PY Total Expenses | $47,581,834 | PYTotalExpensesAmt |
| CY Total Expenses | $49,866,627 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,818,356 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,117,626 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $304,911,105 | TotalAssetsBOYAmt |
| Total Assets EOY | $325,101,516 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,359,347 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,035,183 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $277,551,758 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $279,066,333 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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 WORKING ON WELLNESS MOBILE HEALTH-FAIR UNIT PROVIDES HEALTH SCREENINGS AND WELLNESS EDUCATION FOR OUR COMMUNITY. THE WOW TEAM PARTICIPATED IN 348 EVENTS IN 2017, RANGING FROM COMMUNITY GATHERINGS TO HEALTH FAIRS, AND WOW NURSES HAD PERSONAL INTERACTION WITH MORE THAN 15,000 COMMUNITY MEMBERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,785,382 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | WITH 120 EMPLOYEES, THE AULTMAN SYSTEMS AND TECHNOLOGY DEPARTMENT PROVIDES THE TECHNICAL INFRASTRUCTURE FOR BUSINESS AND CLINICAL SYSTEMS THROUGHOUT AULTMAN HOSPITAL, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,993,181 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,896,236 | RevenueAmt |
| Desc | 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 2017, 177 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,324,370 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,153 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,422,761 | ExpenseAmt |
| Grant | $703,823 | GrantAmt |
| Revenue | $38,226,316 | RevenueAmt |
| Desc | OTHER EXPENSES INCURRED ARE IN SUPPORT OF AULTMAN HEALTH FOUNDATION'S PURPOSE TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,422,761 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $703,823 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $38,226,316 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $40,525,694 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 149 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 438 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Foreign Country | EI | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 70 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 57 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK D WRIGHT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3303636192 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44710 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (81 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| EDWARD J ROTH III | |||||||||
| PRESIDENT/CEO | 50.00 | 5.00 | Yes (X) | Yes (X) | $681,924 | $0 | $45,100 | ||
| DOUGLAS J SIBILA | |||||||||
| PAST CHAIR - AHF | 6.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARBARA HAMMONTREE BENNETT | |||||||||
| CHAIR - AHF | 5.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DARRYL J DILLENBACK | |||||||||
| VICE CHAIR - AHF | 8.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER E REMARK | |||||||||
| TREASURER/CEO-AH; DIRECTOR - IHC | 5.00 | 50.00 | Yes (X) | Yes (X) | $0 | $506,042 | $42,328 | ||
| EMIL ALECUSAN | |||||||||
| 2ND VICE CHAIR & SECRETARY - AHF | 6.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARB ABBOTT | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID W BARTLEY II | |||||||||
| DIRECTOR - AHF | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN S BELDEN | |||||||||
| DIRECTOR - AHF | 3.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM H BELDEN JR | |||||||||
| DIRECTOR - AHF | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL R BISHOP | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THEODORE V BOYD | |||||||||
| DIRECTOR - AHF | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PEGGY CLAYTOR | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NATE J COOKS | |||||||||
| DIRECTOR - AHF | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN G DEUBLE | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MILAN R DOPIRAK MD | |||||||||
| DIRECTOR - AHF | 1.00 | 54.00 | Yes (X) | $0 | $460,686 | $40,680 | |||
| LEO DOYLE | |||||||||
| DIRECTOR - AHF | 8.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID M FINDLEY | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EILEEN GOOD | |||||||||
| SENIOR VP - CLINIAL ADVOCACY; DIRECTOR - ASH | 55.00 | 0.00 | Yes (X) | $427,560 | $0 | $75,383 | |||
| T STEPHEN GREGORY | |||||||||
| DIRECTOR - AHF | 6.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA A GRISCHOW | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICK L HAINES | |||||||||
| DIRECTOR - AHF/CEO-AULTCARE | 5.00 | 50.00 | Yes (X) | $0 | $510,381 | $41,533 | |||
| JOSEPH E HALTER JR | |||||||||
| DIRECTOR - AHF | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL E HANKE | |||||||||
| DIRECTOR - AHF | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SUE HOSTETLER | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN B HUMPHREY JR MD | |||||||||
| DIRECTOR - AHF | 5.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| BECKY JEWELL | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GEOFF KARCHER | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES E KNISELY | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE W LEMON | |||||||||
| DIRECTOR - AHF | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| GENE E LITTLE | |||||||||
| DIRECTOR - AHF | 4.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL LYNCH | |||||||||
| DIRECTOR - AHF | 2.00 | 53.00 | Yes (X) | $0 | $446,604 | $44,588 | |||
| HARRY C C MACNEALY | |||||||||
| DIRECTOR - AHF | 5.00 | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY MILLER MD | |||||||||
| DIRECTOR - AHF | 3.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| BRYAN RICE | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL RICH MD | |||||||||
| DIRECTOR - AHF | 1.00 | 54.00 | Yes (X) | $0 | $476,577 | $48,420 | |||
| LOUIS G SHAHEEN MD | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN A SIRPILLA | |||||||||
| DIRECTOR - AHF | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TODD M SOMMER | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RYAN STENGAR | |||||||||
| DIRECTOR - AHF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GAIL STERLING | |||||||||
| DIRECTOR - AHF | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| VICKY STERLING | |||||||||
| DIRECTOR - AHF | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM WALLACE MD | |||||||||
| DIRECTOR - AHF | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| R CLINT ZOLLINGER ESQ | |||||||||
| DIRECTOR - AHF | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK D WRIGHT | |||||||||
| CFO | 50.00 | 5.00 | Yes (X) | $424,542 | $0 | $43,120 | |||
| AKBAR SHAH MD | |||||||||
| CHAIR - ASH/PHYSICIAN | 55.00 | 0.00 | Yes (X) | $935,505 | $0 | $47,526 | |||
| DANIEL RODRIQUEZ MD | |||||||||
| VICE CHAIR - ASH | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DIANA BOYD | |||||||||
| SECRETARY & TREASURER - ASH | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE BOYD | |||||||||
| CEO - ASH | 55.00 | 0.00 | Yes (X) | $149,338 | $0 | $17,139 | |||
| CHADI BOU SERHAL MD | |||||||||
| DIRECTOR - ASH | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JACQUELINE DEGARMO | |||||||||
| DIRECTOR - ASH | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE HILL | |||||||||
| DIRECTOR - ASH | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE KEFALAS | |||||||||
| DIRECTOR - ASH | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID MOTTS | |||||||||
| DIRECTOR - ASH | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MELANIE MIRANDE MD | |||||||||
| CHAIR - IHC | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY DEGENHARD DO | |||||||||
| VICE CHAIR - IHC; DIRECTOR - AHF | 3.50 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BRIAN MCCLAIN MD | |||||||||
| TREASURER - IHC | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DOUGLAS BLOCKER MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY BURRIER MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRENDAN DUFFY MD | |||||||||
| DIRECTOR - IHC | 1.00 | 54.00 | Yes (X) | $834,138 | $0 | $36,073 | |||
| ANDY R HART MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LEWIS HUMBLE MD | |||||||||
| DIRECTOR - IHC | 1.00 | 54.00 | Yes (X) | $300,891 | $0 | $36,560 | |||
| BRUCE JAMES | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES JOHNS MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN KELLY MD | |||||||||
| DIRECTOR - IHC | 1.00 | 54.00 | Yes (X) | $897,367 | $0 | $42,340 | |||
| ROGER MUSA MD | |||||||||
| DIRECTOR - IHC | 1.00 | 54.00 | Yes (X) | $244,295 | $0 | $42,424 | |||
| TIMOTHY O'TOOLE MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT SABOTA MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN WESTERBECK MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES WILSON MD | |||||||||
| DIRECTOR - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW ZURICK MD | |||||||||
| MEDICARE BENEFICIARY - IHC | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALLISON M OPRANDI MD | |||||||||
| CEO - IHC | 45.00 | 10.00 | $0 | $416,658 | $41,409 | Yes (X) | |||
| ELIZABETH A GETZ | |||||||||
| CIO | 50.00 | 5.00 | $315,612 | $0 | $44,875 | Yes (X) | |||
| ROBERT C MOLNAR | |||||||||
| VP - PHYSICIAN SERVICES | 50.00 | 5.00 | $237,696 | $0 | $41,048 | Yes (X) | |||
| SUSAN E OLIVERA | |||||||||
| VP - HUMAN RESOURCES | 50.00 | 5.00 | $284,304 | $0 | $48,420 | Yes (X) | |||
| MARK N ROSE | |||||||||
| VP - LEGAL SERVICES | 50.00 | 5.00 | $340,418 | $0 | $48,420 | Yes (X) | |||
| JASON JUSTUS | |||||||||
| ASSOC. VP - POMERENE FINANCE | 55.00 | 0.00 | $205,964 | $0 | $27,698 | Yes (X) | |||
| KEVIN D PETE | |||||||||
| SENIOR VP - IHN | 50.00 | 5.00 | $274,886 | $0 | $35,843 | Yes (X) | |||
| RONALD RUSNAK | |||||||||
| DIRECTOR OF CLINICAL INFORMATICS | 50.00 | 5.00 | $334,158 | $0 | $37,675 | Yes (X) | |||
| FRANCIS SNYDER | |||||||||
| CEO - POMERENE | 55.00 | 0.00 | $332,907 | $0 | $37,989 | Yes (X) | |||
| TIMOTHY TEYNOR | |||||||||
| VP - PUBLIC POLICY | 50.00 | 5.00 | $225,058 | $0 | $39,296 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,446,563 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,816,948 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,005,887 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORP | |||||
| 2800 ROCKCREEK PKWY | KANSAS CITY | MO | 64117 | SOFTWARE SUPPORT | $5,935,224 |
| DELL FINANCIAL SERVICES | |||||
| ONE DELL WAY | ROUND ROCK | TX | 78682 | SOFTWARE SUPPORT | $1,315,421 |
| MICROSOFT CORPORATION | |||||
| ONE MICROSOFT WAY | REDMOND | WA | 98052 | SOFTWARE SUPPORT | $928,834 |
| CISCO SYSTEMS INC | |||||
| 170 W TASMAN DRIVE | SAN JOSE | CA | 95134 | SOFTWARE SUPPORT | $589,809 |
| HURON CONSULTING GROUP INC | |||||
| 550 W VAN BUREN STREET | CHICAGO | IL | 60607 | MANAGEMENT CONSULTING | $399,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH SYSTEM ADMINISTRATION | 561000 | $36,371,463 | $36,371,463 |
| PATIENT SERVICE REVENUE | 624100 | $5,958,092 | $5,958,092 |
| PROPERTY MANAGEMENT REVENUE | 561000 | $1,458,447 | $1,458,447 |
| OTHER INCOME | 561000 | $348,703 | $348,703 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $44,136,705 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,249,526 | TotalRevenueColumnAmt |
| Exclusion | $1,249,526 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,853,374 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,251,864 | SecuritiesAmt |
| Other | $3,488 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,601,510 | SecuritiesAmt |
| Other | -$3,488 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,598,022 | TotalRevenueColumnAmt |
| Exclusion | $6,598,022 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,984,253 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,136,705 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,847,548 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,823 | TotalAmt |
| Program Services | $703,823 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,217,577 | TotalAmt |
| Program Services | $5,846,237 | ProgramServicesAmt |
| Management And General | $1,371,340 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,098,774 | TotalAmt |
| Program Services | $11,420,007 | ProgramServicesAmt |
| Management And General | $2,678,767 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,746 | TotalAmt |
| Program Services | $616,204 | ProgramServicesAmt |
| Management And General | $144,542 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,418,207 | TotalAmt |
| Program Services | $1,148,748 | ProgramServicesAmt |
| Management And General | $269,459 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,650,384 | TotalAmt |
| Program Services | $1,336,811 | ProgramServicesAmt |
| Management And General | $313,573 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,729 | TotalAmt |
| Program Services | $33,800 | ProgramServicesAmt |
| Management And General | $7,929 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,808 | TotalAmt |
| Program Services | $149,694 | ProgramServicesAmt |
| Management And General | $35,114 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,642 | TotalAmt |
| Program Services | $20,770 | ProgramServicesAmt |
| Management And General | $4,872 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,439,702 | TotalAmt |
| Program Services | $6,836,158 | ProgramServicesAmt |
| Management And General | $1,603,544 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,697 | TotalAmt |
| Program Services | $62,935 | ProgramServicesAmt |
| Management And General | $14,762 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,791 | TotalAmt |
| Program Services | $157,781 | ProgramServicesAmt |
| Management And General | $37,010 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,537,148 | TotalAmt |
| Program Services | $8,535,090 | ProgramServicesAmt |
| Management And General | $2,002,058 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365,917 | TotalAmt |
| Program Services | $1,106,393 | ProgramServicesAmt |
| Management And General | $259,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,136 | TotalAmt |
| Program Services | $201,800 | ProgramServicesAmt |
| Management And General | $47,336 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195 | TotalAmt |
| Program Services | $158 | ProgramServicesAmt |
| Management And General | $37 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,190 | TotalAmt |
| Program Services | $756,694 | ProgramServicesAmt |
| Management And General | $177,496 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,496 | TotalAmt |
| Program Services | $83,832 | ProgramServicesAmt |
| Management And General | $19,664 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EDUCATION | $640,102 | $518,483 | $121,619 |
| MEDICATION | $427,418 | $346,209 | $81,209 |
| MEDICAL SUPPLIES | $396,569 | $321,221 | $75,348 |
| MISCELLANEOUS EXPENSES | $182,062 | $147,470 | $34,592 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,514 | TotalAmt |
| Program Services | $175,376 | ProgramServicesAmt |
| Management And General | $41,138 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,866,627 | TotalAmt |
| Program Services | $40,525,694 | ProgramServicesAmt |
| Management And General | $9,340,933 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,066,387 | BOYAmt |
| EOY | $2,807,977 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,629,080 | BOYAmt |
| EOY | $1,305,604 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,284,166 | BOYAmt |
| EOY | $3,143,166 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,159,280 | BOYAmt |
| EOY | $2,348,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,251,045 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,131,505 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,480,538 | BOYAmt |
| EOY | $4,119,540 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,888,689 | BOYAmt |
| EOY | $51,620,298 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,522,362 | BOYAmt |
| EOY | $241,076,494 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $720,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,160,603 | BOYAmt |
| EOY | $18,679,997 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,911,105 | BOYAmt |
| EOY | $325,101,516 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,420,062 | BOYAmt |
| EOY | $10,670,547 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,400,000 | BOYAmt |
| EOY | $635,246 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,309,857 | BOYAmt |
| EOY | $26,200,615 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,428 | BOYAmt |
| EOY | $8,528,775 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,359,347 | BOYAmt |
| EOY | $46,035,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,551,758 | BOYAmt |
| EOY | $279,066,333 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,551,758 | BOYAmt |
| EOY | $279,066,333 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,911,105 | BOYAmt |
| EOY | $325,101,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,117,626 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$757,366 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $154,315 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714538 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $11,422,761 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $11,422,761 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 12G, COLUMN V | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $180,029 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $180,029 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,208,531 | OtherCostOrOtherBasisAmt |
| Book Value | $2,208,531 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,250,535 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,966,331 | DepreciationAmt |
| Book Value | $1,284,204 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,680,409 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,062,873 | DepreciationAmt |
| Book Value | $617,536 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,570 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,301 | DepreciationAmt |
| Book Value | $9,269 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,119,540 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN AFFILIATES | Desc |
| Book Value | $241,076,494 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $241,076,494 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY RECEIVABLE | Desc |
| Book Value | $18,679,997 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,679,997 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $58,050 |
| INTERCOMPANY PAYABLES | $8,470,725 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,528,775 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $897,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $816,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $80,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $897,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $816,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $80,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $897,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $816,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $80,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $61,856 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,312,855 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,343,564 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$30,709 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN SPECIALTY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH ST SW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44710 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.AULTMAN.ORG | WebsiteAddressTxt |
| State License | 1454 | StateLicenseNum |
Subordinate Hospital Name SubordinateHospitalName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN SPECIALTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subordinate Hospital EIN | 134246188 | SubordinateHospitalEIN |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | LONG-TERM ACUTE CARE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN SPECIALTY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | AULTMAN.ORG/HOME/ABOUT/AULTMAN-HOSPITAL/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 800 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 13 AND ENDED AUG. 25, 2015. THE COMMUNITY LEADER SURVEY WAS A WEB-BASED SURVEY WITH 72 SURVEYS COMPLETED FROM A TOTAL OF 476 INVITEES WITH VALID EMAIL ADDRESSES. INVITATIONS WERE SENT ON SEPT. 30, 2015 AND TWO REMINDER INVITATIONS WERE SENT ON OCT. 20 AND OCT. 28, 2015. 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.ON FEB. 24, 2016, 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, AFFINITY MEDICAL CENTER, 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 COMMUNITY GARDEN COMMITTEE, ALLIANCE CITY HEALTH DEPARTMENT, THE AULTMAN HEALTH FOUNDATION, AULTMAN MEDICAL GROUP, AUSTIN BAILEY HEALTH AND WELLNESS FOUNDATION, BUCKEYE HEALTH PLAN, CANTON CITY HEALTH DEPARTMENT, CANTON REGIONAL AREA HEALTH EDUCATION CENTER, CARROLL COUNTY GENERAL HEALTH DISTRICT, CIRV - COMMUNITY INITIATIVE TO REDUCE VIOLENCE, COMING TOGETHER STARK COUNTY, COMMUNITY ADVOCATES, CREATING HEALTHY COMMUNITIES, DELI OHIO LLC, GENTLEBROOK, GREYLEDGE CONSULTING, HEALTH FOUNDATION OF GREATER MASSILLON, HEALTH POLICY INSTITUTE OF OHIO, ICAN, LATINO BUSINESS LEAGUE, LIFECARE FAMILY HEALTH & DENTAL CENTER, LIGHTHOUSE VISIONS, INC., MASSILLON CITY HEALTH DEPARTMENT, MENTAL HEALTH AND RECOVERY SERVICES BOARD OF STARK COUNTY, MOLINA HEALTHCARE OF OHIO, NORTH CANTON MEDICAL FOUNDATION, NORTH CANTON YMCA, NORTHEAST OHIO MEDICAL UNIVERSITY, THE OHIO STATE UNIVERSITY EXTENSION OFFICE, PATHWAY CARING FOR CHILDREN, PRESCRIPTION ASSISTANCE NETWORK, SCOTT'S TRAINING CENTER, STARK COMMUNITY FOUNDATION, STARK COUNTY COMMUNITY ACTION AGENCY, STARK COUNTY EDUCATIONAL SERVICES CENTER, STARK COUNTY FAMILY COUNCIL, STARK COUNTY HEALTH DEPARTMENT, STARK COUNTY JOB AND FAMILY SERVICE, CHILDREN SERVICES DIVISION, STARK COUNTY MEDICAL SOCIETY, STARK COUNTY URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, STARK FRESH, STARK METROPOLITAN HOUSING AUTHORITY, STARK PARKS/LIVE WELL STARK COUNTY, SUMMA HEALTH, PEGASUS FARM, SISTERS OF CHARITY FOUNDATION OF CANTON, THRIVE - TOWARD HEALTH RESILIENCY FOR INFANT VITALITY & EQUITY, UNITED HEALTHCARE COMMUNITY PLAN, UNITED WAY OF GREATER STARK COUNTY, WALSH UNIVERSITY, AND YWCA CANTON.IN ADDITION, THE COLLABORATION CONTRACTED WITH CENTER FOR MARKETING & OPINION RESEARCH, LLC TO CONDUCT THE STARK COUNTY HEALTH NEEDS ASSESSMENT AND PREPARE THE 2015 STARK COUNTY HEALTH NEEDS ASSESSMENT. THE CENTER FOR MARKETING & OPINION RESEARCH PROVIDES PUBLIC OPINION RESEARCH SERVICES TO COLLEGES AND UNIVERSITIES, HOSPITALS AND HEALTH CARE ORGANIZATIONS, BUSINESSES, AND COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. SERVICES INCLUDE TELEPHONE, WEB AND MAIL SURVEYS, FIELD, INTERCEPT AND KEY INFORMANT INTERVIEWS, 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 MOST RECENT CHNA IDENTIFIED ACCESS TO HEALTHCARE, OBESITY AND LACK OF HEALTHY LIFESTYLE CHOICES, ACCESS TO MENTAL HEALTH SERVICES, AS INFANT MORTALITY, AND HEROIN/OPIATE USE AS THE FIVE MOST SIGNIFICANT COMMUNITY HEALTH NEEDS. THE FOLLOWING IDENTIFIES THE NEED, ACTIONS TAKEN IN 2017 TO ADDRESS THE NEED, AND IMPACT OF THE ACTION IN ADDRESSING THE NEED.NEED 1: ACCESS TO HEALTH CAREACTION: DEVELOPMENT OF ACCESS LINES - DEVELOP ACCESS LINES FOR PATIENTS TO SCHEDULE WITH A PCP ACCEPTING PATIENTS & NEEDED HOSPITAL SERVICES - VOLUME OF SCHEDULED PCPIMPACT: - IN THE PLANNING STAGES, EXPECTED TO BE IMPLEMENTED BY Q4 2017 - UPDATE TO FOLLOW IN 2018 - 2,311 NEW PATIENT VISITS IN THE FIRST 6 MONTHS - 3,569 NEW PATIENT VISITS IN THE SECOND HALF OF 2017 - TOTAL 2017 - 5,880 NEW PATIENT VISITSACTION: DEVELOPMENT OF FQHC - DEVELOPMENT OF FQHC - VOLUME SERVED - EXTENDING HOURS OF OPERATION - INCREASE NUMBER OF PROVIDERS THROUGH COLLABORATION WITH THE RESIDENCY PROGRAM AND/OR USE OF APRNSIMPACT: - APPLICATION APPROVED - SITE VISIT SCHEDULEDACTION: MEDICARE PATIENTS - TRADITIONAL MEDICARE BENEFICIARIES IDENTIFIED AS HIGH UTILIZERS REFERRED FOR THE MEDICARE SHARED SAVINGS: LINKING PATIENTS TO COMMUNITY RESOURCES / PROVIDING EDUCATION ON CHRONIC CONDITIONS & HEALTHY LIFESTYLE RECOMMENDATIONSIMPACT: - PC SERVICES 60,934 - ANNUAL WELLNESS VISITS 4,615 - ER VISITS 6,428ACTION: CARE COORDINATION - SOCIAL WORKERS IN ED TO ENSURE HIGH RISK PATIENTS HAVE A DISCHARGE PLAN; FOLLOW UP WITH >6 ED VISITS IN 6 MONTHS; AND FACILITATE SKILLS PLACEMENT - CONTINUE TO DEVELOP CARE COORDINATION TO FOLLOW PATIENTS FOR 30 DAYS POST DISCHARGEIMPACT: - WE ATTEMPT TO SECURE A PCP FOLLOW UP APPOINTMENT FOR ALL PATIENTS. SOME PRACTICES MAKE THEIR OWN SO WE DOCUMENT ON DEPART THAT INFORMATION. WE ATTEMPT TO SECURE A PCP IF PATIENTS DO NOT HAVE ONE. WE ALSO SECURE ALL CARDIAC APPOINTMENTS AND OTHER SPECIALTIES AS INDICATED. - SOCIAL WORKER PRESENCE IN THE ED HAS INCREASED TO 7 DAYS A WEEK, 15-16 HOURS A DAY. - ATTEMPTS TO CALL >6 VISITS, BUT CONTACT NOT ALWAYS SUCCESSFUL. - ER PLACEMENTS: THROUGH AUGUST 2017 - 28 PATIENTS HAVE BEEN PLACED DIRECTLY FROM THE ED. ONLY 1 WAS READMITTED AND IT WAS UNRELATED. 6 WOULD HAVE BEEN READMISSIONS. - WILL BE ABLE TO TRACK VOLUMES ONCE CERNER MANAGEMENT IS IMPLEMENTED. ACTION: HEART SERVICES - PERCENTAGE OF PATIENTS WITH ACUTE MI (STEMI & NSTEMI) USING EMS TRANSPORT - CARDIAC NURSES TO EDUCATE COMMUNITY ON SIGNS/SYMPTOMS OF ACUTE MIIMPACT: - 36% - 1ST HALF OF 2017 - 55% - 2ND HALF OF 2017 - 2017 ACUTE MI % OF PATIENTS PRESENTING TO ER: EMS: 37%, SELF: 63% - 434 PEOPLE IN THE COMMUNITYNEED 2: OBESITY AND LACK OF HEALTHY LIFESTYLE CHOICESACTION: CANCER PREVENTION STRATEGIES - RAISE AWARENESS BY EDUCATING THE COMMUNITY ON CANCER PREVENTION STRATEGIES AT COMMUNITY OUTREACH EVENTS - EDUCATING 6TH GRADE STUDENTS ON PREVENTION - PARTNERING WITH MINORITY COMMUNITY TO RAISE DISPARITIES WITH LIFESTYLE CHOICESIMPACT: - EDUCATED ONE MIDDLE SCHOOL SO FAR - ANOTHER EVENT PLANNED FOR THE FALL ACTION: HEALTH PREVENTION ACTIVITIES IN LOCAL SCHOOLS - AULTMAN AMBASSADOR PROGRAM - THE KIDS KICK THE CANIMPACT: - LHS 2016 - 2017 = 15, 2017 - 2018 = 10 - CSHS 2016-2017 = 9 , 2017 - 2018 = 10 - KICK THE CAN - 2 CLASSES IN MARCH 36 STUDENTS - FALL 2017 - 2 SCHOOLS, 85 STUDENTS MONTHLYACTION: AULTMAN'S HEART AND CANCER PROGRAMS - WORK WITH LOCAL FIREFIGHTERS TO PROVIDE UP TO 20 EDUCATIONAL SESSIONS (OVER 3 YEARS) ON CARDIAC AND CANCER RISK ASSESSMENTS, STRATEGIES AND SCREENINGS - EDUCATE THE COMMUNITY ON CANCER PREVENTION STRATEGIES (COMMUNITY OUTREACH EVENTS) - EDUCATE 6TH GRADERS TO PREVENT LIFETIME RISK OF CANCER - PARTNER WITH MINORITY COMMUNITY TO RAISE AWARENESS OF DISPARITIES ASSOCIATED WITH LIFESTYLE CHOICES IMPACT: - NUMBER OF CLASSES PROVIDED THROUGH JUNE 2017: - 18 EDUCATIONAL SESSIONS - 373 FIREFIGHTERS ATTENDED EDUCATIONS SESSIONS - 320 NEEDS ASSESSMENT RESPONSES - 86% RETURN RATE - DEMOGRAPHICS: AVE YEARS AS FIREFIGHTER - 18 - AVE AGE OF FIREFIGHTER - 47 - 30 FEMALES (9%) / 290 MALES (91%) - 5 EVENTS - 205 PARTICIPANTSACTION: TOBACCO CESSATIONAULTMAN REMAINED COMMITTED TO TOBACCO TREATMENT INITIATIVES IN 2017 AND SCREENED ALL INPATIENTS FOR TOBACCO USE, PROVIDING RESOURCES, INCLUDING EDUCATION MATERIALS, VIDEOS, QUIT CALL LINE INFORMATION AND REFERRAL TO AULTMAN'S FREE TOBACCO TREATMENT PROGRAM. THE HOSPITAL FINANCIALLY SUPPORTS TOBACCO TREATMENT BY PROVIDING: - WAGES FOR HOSPITAL EMPLOYEES FOR ALL TOBACCO PATIENT EDUCATION, COUNSELING, OR TREATMENT EFFORTS SUCH AS INPATIENT COUNSELING, PRACTITIONER OR COMMUNITY EDUCATION AND "GIVE IT UP!" TOBACCO TREATMENT PROGRAM. - TOBACCO CESSATION AIDES (NICOTINE REPLACEMENT) - SUPPLIES (SUCH AS CARBON MONOXIDE TESTING ITEMS) - WAGES FOR HOSPITAL EMPLOYEES FOR ANY TOBACCO CESSATION RELATED EDUCATION - EDUCATION MATERIALS/BROCHURES FOR TOBACCO CESSATION AND STAFF TIME TO DEVELOP AND DISSEMINATE THE MATERIALS - HOSPITALIZED PATIENTS WILL RECEIVE INFORMATION - PROVIDE AT LEAST SIX STAFF/PRACTITIONER EDUCATION CLASSES TO INCREASE SKILL LEVEL - INCREASE NUMBER OF CERTIFIED TOBACCO SPECIALISTS BY AT LEAST ONE MEMBER - FOLLOW UP CALLS TO D/C PATIENTS WITH RECENT HISTORY OF TOBACCO USE - OFFER "GIVE IT UP" CESSATION CLASSES - AT LEAST 15-25 COURSES (6 SESSIONS EACH) YEARLY - WORK WITH PHYSICIAN OFFICES TO PROVIDE STANDARDIZED EDUCATION MATERIALS - STREAMLINE PHYSICIAN REFERRAL PROCESS BY INTEGRATION INTO THE EMR - AULTMAN HOSPITAL WILL PARTICIPATE IN THE "GREAT AMERICAN SMOKEOUT" - COMMIT RESOURCES (STAFF, TOBACCO CESSATION AIDES, AND EDUCATION MATERIAL) FREE OF CHARGEIMPACT: - ALL INPATIENTS SCREENED BY NURSING FOR TOBACCO USE & RESPIRATORY THERAPY NOTIFIED VIA CERNER TO OFFER TOBACCO CESSATION COUNSELING - JAN - JUNE 2017: SCREENED 11,488, COUNSELED 56 - 2 TOBACCO COUNSELING CLASSES OFFERED TO CLINICAL STAFF IN FEB 2017. AHF IS WORKING WITH THE DIRECTOR OF RESPIRATORY TO REQUIRE TOBACCO COUNSELING EDUCATION AS PART OF THEIR 2017 COMPETENCY PLAN. WE MEET NEXT WEEK TO FINALIZE THE EDUCATION ABOUT COUNSELING TECHNIQUES. - 2 NEW CERTIFIED TREATMENT SPECIALIST, BOTH WORKING IN AULTCARE - EDUCATION - FOLLOW UP CALLED TO RECENT SMOKERS HAS BEEN ELIMINATED DUE TO HIGH VOLUMES IN CARDIAC REHAB, FELT AS THOUGH RETURN ON INVESTMENT FOR CALLS WAS MINIMAL IF NOT NONEXISTENT - YES - ONGOING PROGRAM AND A NEW COURSE BEGINS EVERY 2 WEEKS - COMPLETED - MET WITH 36 PHYSICIAN OFFICE MANAGERS TO DEMONSTRATE A SYSTEM WHERE THEY CAN ACCESS TOBACCO CESSATION INFORMATION FOR THEIR PATIENTS FROM A NEWLY DESIGNED RESOURCE ON THE EMPLOYEE PORTAL. THIS WILL ASSIST IN HAVING THE INFORMATION DIRECTLY AVAILABLE FOR THEM. - ONE CHART INITIATIVE THROUGH CERNER/AULTMAN WILL PROVIDE INTEGRATED INFORMATION OF SMOKING HISTORY TO BOTH HOSPITAL AND PHYSICIAN OFFICE. INFORMATION ABOUT REFERRING PATIENTS TO AULTMAN TOBACCO CESSATION IS AVAILABLE TO ALL EMPLOYED PHYSICIAN OFFICES. - PARTICIPATED IN 2016 (116 VISITS) & 2017 (100 VISITS), AULTMAN ORRVILLE ALSO PARTICIPATED - STAFF AND RESOURCES INTEGRATED INTO THE OPERATING BUDGET (95138 FOR SUPPLIES; 10145 FOR STAFF TIME) - WE CONTINUE TO OFFER NICOTINE REPLACEMENT THERAPY AND A NEW TOBACCO CESSATION WORKBOOK AT ALL TOBACCO CESSATION CLASSES. ALL CLASSES ARE FREE AND STAFFED BY PAID TOBACCO TREATMENT SPECIALISTS.NEED 3: NEED FOR ADDITIONAL MENTAL HEALTH SERVICESACTION: MENTAL HEALTH REFERRALS - VOLUME OF MENTAL HEALTH REFERRALS FOR INTERVENTION AND TREATMENTIMPACT: - LICENSED SOCIAL WORKER HIRED - REFERRAL MODULE PURCHASEDACTION: BEHAVIORAL NAVIGATOR IN ED - BEHAVIORAL NAVIGATOR IN ED FOR SEAMLESS LINKAGE TO COMMUNITY MENTAL HEALTH AGENCIESIMPACT: WORKING WITH STARKMHAR & CRISIS TO PROVIDE FUNDING /SUPPORT FOR BEHAVIORAL HEALTH NAVIGATOR POSITION. EMPLOYEE WILL BE A CRISIS EMPLOYEE & AULTMAN WILL SUPPORT 50% OF SALARY.(CONTINUED IN SCHEDULE H, PART VI) |
| AULTMAN SPECIALTY HOSPITAL | PART V, SECTION B, LINE 13H: AULTMAN HEALTH FOUNDATION IS THE PARENT COMPANY OF AULTMAN SPECIALTY HOSPITAL. 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, 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 V, LINE 11 | (CONTINUED FROM SCHEDULE H, PART V)NEED 4: REDUCE INFANT MORTAILITY IN THE COMMUNITYACTION: CENTERING PROGRAM - CENTERING PROGRAM - PRE-TERM SCREENING OFFEREDIMPACT: IN PROGRESSACTION: THRIVE - ACTIVE PARTICIPATION IN THRIVE (TOWARD HEALTH RESILIENCY FOR INFANT VITALITY & EQUITY) INITIATIVES - PROVIDE EDUCATION ON SAFE SLEEP, BIRTH SPACING, BREASTFEEDING & ACCESS TO CAREIMPACT: - ATTEND THRIVE MEETINGS AND PARTICIPATE IN INITIATIVES - ON-GOING EDUCATION PROVIDED AT WOW LOCATIONS ACTION: COMMUNITY INVOLVEMENT - FETAL INFANT MORTALITY REVIEW (FIMR) - COLLABORATIVE IMPROVEMENT & INNOVATION NETWORK TO REDUCE INFANT MORTALITY (COIN) - OHIO COLLABORATIVE TO PREVENT INFANT MORTALITY (OCPIM) - OHIO PERINATAL QUALITY COLLABORATIVE (OPQC)IMPACT: CURRENTLY STILL INVOLVED IN EXCEPT COIN NEED: HEROIN / OPIATE USEACTION: NARCAN KITS - PROVIDE NARCAN KITS & EDUCATION TO PATIENTS & FAMILIES THAT PRESENT TO THE ED AS AN OVERDOSE)IMPACT: 15 KITS DISTRIBUTED IN 2017 |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | AULTMAN HEALTH FOUNDATION IS THE PARENT COMPANY OF AULTMAN SPECIALTY HOSPITAL. 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 $ 61,856. |
| 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 2017. 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 "RECEIVABLES AND PROVISION FOR BAD DEBTS" PARAGRAPHS IN NOTE 1 ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | ASH HAS A SHORTFALL OF $30,709 WITH ITS MEDICARE PATIENTS. 100% OF THIS SHORTFALL 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 207 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 652,219. 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 2017, THE WOW STAFF REACHED MORE THAN 15,000 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.2017 MARKED THE TENTH 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.AULTMAN'S LEVEL III NEONATAL INTENSIVE CARE UNIT, DESIGNATED BY THE OHIO DEPARTMENT OF HEALTH, IS A TRANSFER HOSPITAL FOR SMALLER FACILITIES IN COUNTIES INCLUDING TUSCARAWAS, HOLMES, COSHOCTON AND COLUMBIANA. AULTMAN PROVIDES SPECIALIZED CARE FOR MOTHERS WITH HIGH-RISK PREGNANCIES AND PREMATURE BABIES, UNDER ONE ROOF.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 2017, 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 WOW TEAM VISITED MORE THAN 348 SITES IN 2017, RANGING FROM COMMUNITY EVENTS TO SENIOR CITIZEN CENTERS. WOW NURSES HAD PERSONAL INTERACTION WITH MORE THAN 15,000 COMMUNITY MEMBERS.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 2017, 18 EDUCATIONAL SESSIONS WERE HELD. 373 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 2017, AULTMAN EMPLOYEES PROVIDED 5,586 POUNDS OF NONPERISHABLE FOOD DONATIONS AND NEARLY $10,000 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. THE BREAST OASIS IS UNDER NEW LEADERSHIP. 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 LIFESTYLES AIMED AT REDUCING OBESITY AND INCREASING PHYSICAL ACTIVITY. THE PROGRAM IS A COLLABORATIVE EFFORT AMONG AULTMAN HEALTH FOUNDATION, AULTMAN COLLEGE, LOUISVILLE HIGH SCHOOL AND CANTON SOUTH HIGH SCHOOL. LOUISVILLE HAS PARTICIPATED IN THE PROGRAM FOR SIX YEARS, WHILE CANTON SOUTH HAS BEEN ON BOARD FOR FOUR YEARS. A TOTAL OF 20 STUDENT AMBASSADORS PARTICIPATED IN THE PROGRAM FOR THE 2017-2018 SCHOOL YEAR. IN THE FALL OF 2018 THE PROGRAM WILL EXPAND TO THE FOLLOWING SCHOOLS: UNIVERSITY OF MOUNT UNION, KENT STATE - STARK, WALSH UNIVERSITY, LAKE HIGH SCHOOL, ALLIANCE HIGH SCHOOL, NORTH CANTON HOOVER HIGH SCHOOL AND PERRY HIGH SCHOOL.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 38 NON-EMPLOYED MEMBERS. A TOTAL OF 64 OF THE 70 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. THE REMAINING PORTION RESIDES IN THE TERTIARY MARKET. COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 5555 FRANTZ RD | DUBLIN | OH | 43017 | 240726080 | 501(C)(3) | $9,000 | CORPORATE SPONSORSHIP - RELAY FOR LIFE & MAKING STRIDES AGAINST BREAST CANCER |
| AMERICAN HEART ASSOCIATION | |||||||
| 4916 HILLS DALES RD NW | CANTON | OH | 44708 | 135613797 | 501(C)(3) | $17,000 | SUPPORT THE CONTINUOUS IMPROVEMENT OF RESUSCITATION SKILLS PROVIDED BY HEALTHCARE WORKERS |
| ARTS IN STARK | |||||||
| 1001 MARKET AVE N | CANTON | OH | 44702 | 346609771 | 501(C)(3) | $50,000 | SUPPORT ARTS PROGRAMS IN STARK COUNTY SCHOOLS AND COMMUNITIES |
| CANTON REGIONAL CHAMBER OF COMMERCE | |||||||
| 222 MARKET AVE N | CANTON | OH | 44702 | 340129930 | 501(C)(6) | $63,385 | SUPPORT VARIOUS EVENTS IN THE COMMUNITY SUCH AS LIGHT UP DOWNTOWN, HOF EVENTS, LEADERSHIP STARK COUNTY |
| CITY OF MASSILLON | |||||||
| ONE JAMES DUNCAN PLAZA | MASSILLON | OH | 44646 | 346001829 | CITY OF MASSILLON | $50,000 | GRANT USED AS LOCAL MATCH TO COMPLETE CITY OF MASSILLON STREETSCAPE PROJECT |
| EVENT DAY MARKETING | |||||||
| PO BOX 2203 | NORTH CANTON | OH | 44720 | 473864370 | LLC | $7,200 | SUPPORT THE CANTON SENIOR EXPO |
| JACKSON TOWNSHIP BOARD OF TRUSTEES | |||||||
| 5737 WALES AVE NW | MASSILLON | OH | 44646 | 346001495 | JACKSON TOWNSHIP | $55,753 | CONTRIBUTION TOWARDS THE COST TO REPLACE A STRYKER AMBULANCE COT |
| TEAM NEO FOUNDATION | |||||||
| 737 BOLIVAR RD | CLEVELAND | OH | 44115 | 341885407 | 501(C)(3) | $10,000 | SUPPORT 2017 TEAM NEO/CLEVELAND PLUS |
| THE AULTMAN FOUNDATION | |||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 208090459 | 501(C)(3) | $75,000 | TO SUPPORT VARIOUS ORGANIZATIONS IN THE COMMUNITY |
| UNITED WAY GREATER STARK COUNTY | |||||||
| 4825 HIGBEE AVE NW STE 101 | CANTON | OH | 44718 | 134254191 | 501(C)(3) | $250,552 | COMMUNITY INVOLVEMENT |
| WALSH UNIVERSITY | |||||||
| 2020 EAST MAPLE | NORTH CANTON | OH | 44720 | 340868798 | 501(C)(3) | $5,000 | SUPPORT THE JAMES B. RENACCI FORUM & CENTER FOR CIVIC ENGAGEMENT |
| YES FOR STARK | |||||||
| 4129 SHERER AVE SW | CANTON | OH | 44720 | 452977754 | 527 | $5,000 | SUPPORT THE EXTENSION OF THE CURRENT 0.05% STARK COUNTY CRIMINAL JUSTICE SALES TAX FROM 2020 TO 2028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD J ROTH III | ||||||||||||||
| PRESIDENT/CEO | $610,934 | $0 | $61,005 | $0 | $9,985 | $0 | $28,780 | $0 | $16,320 | $0 | $727,024 | $0 | $0 | $0 |
| CHRISTOPHER E REMARK | ||||||||||||||
| TREASURER/CEO-AH; DIRECTOR - IHC | $0 | $454,873 | $0 | $49,972 | $0 | $1,197 | $0 | $25,308 | $0 | $17,020 | $0 | $548,370 | $0 | $0 |
| MILAN R DOPIRAK MD | ||||||||||||||
| DIRECTOR - AHF | $0 | $297,425 | $0 | $147,815 | $0 | $15,446 | $0 | $32,100 | $0 | $8,580 | $0 | $501,366 | $0 | $0 |
| EILEEN GOOD | ||||||||||||||
| SENIOR VP - CLINIAL ADVOCACY; DIRECT | $392,678 | $0 | $15,000 | $0 | $19,882 | $0 | $59,646 | $0 | $15,737 | $0 | $502,943 | $0 | $0 | $0 |
| RICK L HAINES | ||||||||||||||
| DIRECTOR - AHF/CEO-AULTCARE | $0 | $444,665 | $0 | $60,715 | $0 | $5,001 | $0 | $32,100 | $0 | $9,433 | $0 | $551,914 | $0 | $0 |
| MICHAEL LYNCH | ||||||||||||||
| DIRECTOR - AHF | $0 | $409,441 | $0 | $35,562 | $0 | $1,601 | $0 | $32,100 | $0 | $12,488 | $0 | $491,192 | $0 | $0 |
| MICHAEL RICH MD | ||||||||||||||
| DIRECTOR - AHF | $0 | $227,115 | $0 | $207,523 | $0 | $41,939 | $0 | $32,100 | $0 | $16,320 | $0 | $524,997 | $0 | $0 |
| MARK D WRIGHT | ||||||||||||||
| CFO | $386,801 | $0 | $36,723 | $0 | $1,018 | $0 | $26,100 | $0 | $17,020 | $0 | $467,662 | $0 | $0 | $0 |
| AKBAR SHAH MD | ||||||||||||||
| CHAIR - ASH/PHYSICIAN | $502,790 | $0 | $334,742 | $0 | $97,973 | $0 | $31,986 | $0 | $15,540 | $0 | $983,031 | $0 | $0 | $0 |
| STEPHANIE BOYD | ||||||||||||||
| CEO - ASH | $138,773 | $0 | $10,357 | $0 | $208 | $0 | $10,085 | $0 | $7,054 | $0 | $166,477 | $0 | $0 | $0 |
| BRENDAN DUFFY MD | ||||||||||||||
| DIRECTOR - IHC | $506,911 | $0 | $272,906 | $0 | $54,321 | $0 | $22,885 | $0 | $13,188 | $0 | $870,211 | $0 | $0 | $0 |
| LEWIS HUMBLE MD | ||||||||||||||
| DIRECTOR - IHC | $251,815 | $0 | $48,378 | $0 | $698 | $0 | $26,100 | $0 | $10,460 | $0 | $337,451 | $0 | $0 | $0 |
| STEVEN KELLY MD | ||||||||||||||
| DIRECTOR - IHC | $591,304 | $0 | $167,067 | $0 | $138,996 | $0 | $26,100 | $0 | $16,240 | $0 | $939,707 | $0 | $0 | $0 |
| ROGER MUSA MD | ||||||||||||||
| DIRECTOR - IHC | $207,261 | $0 | $36,640 | $0 | $394 | $0 | $25,404 | $0 | $17,020 | $0 | $286,719 | $0 | $0 | $0 |
| ALLISON M OPRANDI MD | ||||||||||||||
| CEO - IHC | $0 | $359,886 | $0 | $54,230 | $0 | $2,542 | $0 | $32,100 | $0 | $9,309 | $0 | $458,067 | $0 | $0 |
| ELIZABETH A GETZ | ||||||||||||||
| CIO | $285,263 | $0 | $29,270 | $0 | $1,079 | $0 | $28,555 | $0 | $16,320 | $0 | $360,487 | $0 | $0 | $0 |
| ROBERT C MOLNAR | ||||||||||||||
| VP - PHYSICIAN SERVICES | $222,989 | $0 | $14,325 | $0 | $382 | $0 | $24,728 | $0 | $16,320 | $0 | $278,744 | $0 | $0 | $0 |
| SUSAN E OLIVERA | ||||||||||||||
| VP - HUMAN RESOURCES | $258,482 | $0 | $24,721 | $0 | $1,101 | $0 | $32,100 | $0 | $16,320 | $0 | $332,724 | $0 | $0 | $0 |
| MARK N ROSE | ||||||||||||||
| VP - LEGAL SERVICES | $304,466 | $0 | $33,813 | $0 | $2,139 | $0 | $32,100 | $0 | $16,320 | $0 | $388,838 | $0 | $0 | $0 |
| JASON JUSTUS | ||||||||||||||
| ASSOC. VP - POMERENE FINANCE | $181,522 | $0 | $24,000 | $0 | $442 | $0 | $12,112 | $0 | $15,586 | $0 | $233,662 | $0 | $0 | $0 |
| KEVIN D PETE | ||||||||||||||
| SENIOR VP - IHN | $248,742 | $0 | $25,212 | $0 | $932 | $0 | $19,523 | $0 | $16,320 | $0 | $310,729 | $0 | $0 | $0 |
| RONALD RUSNAK | ||||||||||||||
| DIRECTOR OF CLINICAL INFORMATICS | $316,053 | $0 | $15,768 | $0 | $2,337 | $0 | $28,366 | $0 | $9,309 | $0 | $371,833 | $0 | $0 | $0 |
| FRANCIS SNYDER | ||||||||||||||
| CEO - POMERENE | $293,425 | $0 | $36,450 | $0 | $3,032 | $0 | $30,417 | $0 | $7,572 | $0 | $370,896 | $0 | $0 | $0 |
| TIMOTHY TEYNOR | ||||||||||||||
| VP - PUBLIC POLICY | $213,559 | $0 | $7,500 | $0 | $3,999 | $0 | $30,363 | $0 | $8,933 | $0 | $264,354 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | MARK ROSE, EILEEN GOOD, RICK HAINES, ED ROTH, CHRIS REMARK, MARK WRIGHT, FRANCIS SNYDER, AND TIM TEYNOR ARE PARTICIPANTS IN THE ORGANIZATION'S 457(F) PLAN. THERE WERE NO CONTRIBUTIONS TO OR DISTRIBUTIONS FROM THE PLAN IN 2017. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICK HAINES | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | MEMBER OF AHF BOARD AND CEO OF AULTCARE (RELATED ENTITY) | RelationshipDescriptionTxt |
| Transaction | $551,914 | TransactionAmt |
| Transaction | COMPENSATION PAID TO RICK HAINES FOR ROLE AS AULTCARE CEO | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2B: | AULTMAN HEALTH FOUNDATION'S EMPLOYEES ARE PAID BY A COMMON PAYMASTER. AULTMAN HEALTH FOUNDATION IS A PARENT COMPANY WITH THE FOLLOWING SUBSIDIARIES: - THE AULTMAN FOUNDATION - AULTMAN HOSPITAL - NORTH CANTON MEDICAL RESOURCES, INC. - ORRVILLE HOSPITAL FOUNDATION (DBA: AULTMAN ORRVILLE HOSPITAL) - AULTCARE CORPORATION - MCKINLEY LIFE INSURANCE COMPANY - WEST TUSCARAWAS PROPERTY MANAGEMENT, LLC - MCKINLEY ASSURANCE SPC - AULTRA ADMINISTRATIVE GROUP - AULTMAN INNOVATIONS, LLC |
| 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 | JOHN SIRPILLA AND THEODORE BOYD ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. BRIAN BELDEN AND WILLIAM BELDEN ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A FAMILY RELATIONSHIP. GEOFF KARCHER AND BRYAN RICE ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND HAVE A BUSINESS RELATIONSHIP. JOSEPH HALTER AND GEOFF KARCHER ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND HAVE A BUSINESS RELATIONSHIP. GENE LITTLE AND HARRY MACNEALY ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. EDWARD ROTH AND HARRY MACNEALY ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE AULTMAN HOSPITAL MEDICAL STAFF PRESIDENT AND PRESIDENT-ELECT, AS WELL AS THE PHYSICIAN CHAIRMAN OF THE BOARD OF AULTCARE CORPORATION, ARE EX-OFFICIO VOTING MEMBERS OF THE BOARD OF DIRECTORS. |
| 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 MEMBERS, 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 1B | 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 1,619,622. MANAGEMENT AND GENERAL EXPENSES 379,911. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,999,533. PURCHASED MAINTENANCE: PROGRAM SERVICE EXPENSES 1,251,576. MANAGEMENT AND GENERAL EXPENSES 293,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,545,156. ASH PATIENT SERVICES: PROGRAM SERVICE EXPENSES 1,272,391. MANAGEMENT AND GENERAL EXPENSES 298,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,570,853. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,369,927. MANAGEMENT AND GENERAL EXPENSES 555,909. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,925,836. PROFESSIONAL FEES - PHYSICIAN: PROGRAM SERVICE EXPENSES 196,768. MANAGEMENT AND GENERAL EXPENSES 46,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,924. PROFESSIONAL FEES - NONPHYSICIAN: PROGRAM SERVICE EXPENSES 55,837. MANAGEMENT AND GENERAL EXPENSES 13,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,934. HOSPITAL FRANCHISE FEE: PROGRAM SERVICE EXPENSES 70,037. MANAGEMENT AND GENERAL EXPENSES 16,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,466. |
| FORM 990, PART XI, LINE 9: | INTERFUND TRANSFERS 160,716. INTEREST RATE SWAP -6,401. |
| 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, 2017 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| AULTMAN SPECIALTY HOSPITAL | |||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 134246188 | LONG-TERM ACUTE CARE | OH | $5,958,092 | $3,195,371 | AULTMAN HEALTH FOUNDATION |
| INTEGRATED HEALTH COLLABORATIVE LLC | |||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 454325320 | HEALTH COLLABORATIVE | OH | $155,949 | $314,246 | AULTMAN HEALTH FOUNDATION |
| AULTMAN INNOVATIONS LLC | |||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 810847842 | IP HOLDING AND MARKETING | OH | $0 | $0 | AULTMAN HEALTH FOUNDATION |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HOSPITAL | |||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 340714538 | HOSPITAL | OH | 501(C)(3) | LINE 3 | AULTMAN HEALTH FOUNDATION | Yes (1) | |
| THE AULTMAN FOUNDATION | |||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 208090459 | FUNDRAISING | OH | 501(C)(3) | LINE 7 | AULTMAN HEALTH FOUNDATION | Yes (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 | Yes (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 | Yes (1) | |
| TUSCARAWAS VALLEY REGIONAL CANCER CENTER | |||||||||||
| 300 MEDICAL PARK DRIVE | DOVER | OH | 44622 | 311689698 | MEDICAL SERVICE | OH | 501(C)(3) | LINE 3 | 0 | N/A | |
| 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 | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WEST TUSCARAWAS PROPERTY MANAGEMENT LLC | |||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 200090246 | PROPERTY MGMT | OH | AULTCARE INSURANCE COMPANY | EXCLUDED | -$186,880 | $11,852,255 | 0 | 0 | 0.97550 |
| AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC | |||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 454215510 | HEALTHCARE | OH | AULTMAN HOSPITAL | RELATED | $156,431 | $31,829 | 0 | 0 | 0.64770 |
| IHN POST-ACUTE NETWORK LLC | |||||||||||||
| 2821 WOODLAWN AVE NW | CANTON | OH | 44708 | 813136598 | HEALTHCARE | OH | AULTMAN HOSPITAL | RELATED | -$51,616 | $91,960 | 0 | 0 | 0.65800 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MCKINLEY ASSURANCE SPC | ||||||||||||||||||
| PO BOX 1051 | GEORGE TOWN | GRAND CAYMANS | CJ | 980468384 | PORTFOLIO | CJ | AULTMAN HEALTH FOUNDATION | C | $7,285,793 | $21,762,125 | 1.00000 | Yes (1) | ||||||
| AULTCARE CORPORATION | ||||||||||||||||||
| 341488123 | PREF. PROVIDER ORG. | C | 0 | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | N/A | |||||||||
| AULTCARE HOLDING COMPANY | ||||||||||||||||||
| 471165287 | HOLDING COMPANY | AULTMAN HEALTH FOUNDATION | C | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||||
| NORTH CENTRAL MEDICAL RESOURCES INC | ||||||||||||||||||
| 341610344 | MEDICAL EQUIPMENT RENTAL | AULTCARE HOLDING COMPANY | C | $2,832,007 | $187,936,971 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| OHIO SPECIALTY PHYSICIANS CORPORATION | ||||||||||||||||||
| 341853300 | HEALTH SERVICES | AULTCARE HOLDING COMPANY | C | $2,625,087 | $442,773 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| OHIO HOSPITAL BASED PHYSICIANS CORP | ||||||||||||||||||
| 341871647 | HEALTH SERVICES | AULTCARE HOLDING COMPANY | C | $11,682,212 | $1,860,400 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| OHIO PHYSICIANS PROFESSIONAL CORP | ||||||||||||||||||
| 311509897 | HEALTH SERVICES | AULTCARE HOLDING COMPANY | C | $22,082,267 | $3,290,406 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| AULTMAN MSO | ||||||||||||||||||
| 311509904 | ADMIN SERVICES | AULTCARE HOLDING COMPANY | C | $3,030,739 | $392,504 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| AULTCARE HEALTH INSURING CORPORATION | ||||||||||||||||||
| 463305099 | INSURANCE | AULTCARE HOLDING COMPANY | C | $245,508,875 | $106,588,873 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| AULTCARE INSURANCE COMPANY | ||||||||||||||||||
| 341624818 | INSURANCE | AULTCARE HOLDING COMPANY | C | $256,503,210 | $94,859,852 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| AULTRA ADMINISTRATIVE GROUP | ||||||||||||||||||
| 204951704 | ADMIN SERVICE | AULTCARE HOLDING COMPANY | C | $2,906,201 | $295,287 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| AULTCOMP MCO INC | ||||||||||||||||||
| 274379962 | HEALTH SERVICES | AULTCARE HOLDING COMPANY | C | $2,808,685 | $58,508 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| WAYNE HEALTH SERVICES & SUPPLIES | ||||||||||||||||||
| 341501390 | MEDICAL SUPPLIES | AULTCARE HOLDING COMPANY | C | $618,153 | $1,662,291 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| AULTMAN MEDICAL GROUP | ||||||||||||||||||
| 453166014 | HEALTH SERVICES | AULTCARE HOLDING COMPANY | C | $16,025,726 | $31,958,516 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | ||||||
| MAINSIGHT ASO LLC | ||||||||||||||||||
| 473587655 | HEALTH SERVICES | AULTCARE HOLDING COMPANY | C | $27,261 | 1.00000 | Yes (1) | 2600 SIXTH ST SW | CANTON | OH | 44710 | OH | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE AULTMAN FOUNDATION | ||
| B | $75,000 | FMV |
| AULTMAN HOSPITAL | ||
| K | $312,345 | FMV |
| AULTMAN HOSPITAL | ||
| P | $1,573,518 | FMV |
| AULTCARE INSURANCE COMPANY | ||
| Q | $1,267,750 | FMV |
| AULTMAN HOSPITAL | ||
| Q | $34,786,165 | FMV |
| ORRVILLE HOSPITAL FOUNDATION (DBA AULTMAN ORRVILLE HOSPITAL) | ||
| Q | $223,452 | FMV |