SALEM COMMUNITY HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SALEM COMMUNITY HOSPITAL (EIN 34-1041385)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-04-22
- IRS object ID
- 201521139349300117
- Schema version
- 2013v4.0
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-04-22T15:24:20-07:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341041385 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SALE | BusinessNameControlTxt |
| Phone | 3303327214 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1 |
| City | Salem | City |
| State | OH | State |
| ZIP Code | 44460 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Giangardella | PersonNm |
| Person Title | VP Finance/Administration | PersonTitleTxt |
| Phone | 3303327214 | PhoneNum |
| Signature | 2015-04-22 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Regional Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dr Anita Hackstedde MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1 |
| City | Salem | City |
| State | OH | State |
| ZIP Code | 44460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $111,350,129 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.salemregional.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Salem Regional Medical Center (SRMC) is a 110-bed, not-for-profit rural facility, which provides a continuum of medical services to the residents of Columbiana and southern Mahoning counties, including inpatient and outpatient medical and surgical care, obstetrics, and gynecology, pediatrics, orthopedics, intensive care and a 15-bed skilled nursing facility. The Hospital also operates a full-time 24-hour Emergency Department, and treats all patients requiring medical care, irrespective of their financial means. The Hospital provides its services free of charge or on a sliding scale to uninsured/underinsured patients, regardless of race, creed, origin, handicap, age or ability to pay.; in support of its mission- "To Serve. To Care. To Heal.", adopted by the Board of Directors in March 2013. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1014 | TotalEmployeeCnt |
| Total Volunteers | 206 | TotalVolunteersCnt |
| Total Gross UBI | $2,023,416 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $527,923 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,600 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $94,712,559 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,771,765 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,547,466 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,426,844 | CYInvestmentIncomeAmt |
| PY Other Revenue | $749,032 | PYOtherRevenueAmt |
| CY Other Revenue | $863,004 | CYOtherRevenueAmt |
| PY Total Revenue | $102,536,980 | PYTotalRevenueAmt |
| CY Total Revenue | $111,066,213 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $34,790 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $36,259 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,394,827 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,503,211 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $49,398,640 | PYOtherExpensesAmt |
| CY Other Expenses | $53,317,636 | CYOtherExpensesAmt |
| PY Total Expenses | $98,828,257 | PYTotalExpensesAmt |
| CY Total Expenses | $102,857,106 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,708,723 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,209,107 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $234,566,857 | TotalAssetsBOYAmt |
| Total Assets EOY | $245,043,049 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $74,532,194 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $70,731,524 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $160,034,663 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $174,311,525 | NetAssetsOrFundBalancesEOYAmt |
| Mission | "To Serve. To Care. To Heal," encompasses the Hospital's mission of providing high quality care on both an inpatient and outpatient basis; and addresses our patients' health care needs at each life stage, within our available resources. SRMC seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community-based hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $72,466,495 | ExpenseAmt |
| Grant | $52,864 | GrantAmt |
| Revenue | $100,558,605 | RevenueAmt |
| Desc | SRMC's mission and purpose is achieved by providing quality care to the sick and injured on both and inpatient and outpatient basis, while addressing our patients' healthcare needs at each life stage, within our available resources. The Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. During fiscal year 2014, SRMC provided comprehensive healthcare services including: 5,266 Admissions; 3,611 Surgeries; and 27,584 Emergency Department visits. In support of this commitment, SRMC operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. The Medical Center also accepts all patients covered by Medicare, Medicaid and General Assistance. Subsidized health services provided by the Hospital that are not self-sustaining include obstetric services, and the Medical Center' costs for supporting these services is $1,170,188. If these programs were closed or not available to the community, the cost to the government or to another tax-exempt organization would increase. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2014, costs incurred by SRMC for net charity care provided were $1,610,187, with unpaid costs of Medicaid and other public programs representing $1,266,751, and unreimbursed costs from other governmental programs representing $3,482,415. These community benefits, arising from patient care provided by SRMC are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Medical Center's charitable purpose. Community investment grants provided by SRMC totaled $52,864 during FY 2014, and included financial support of a medication assistance program to the elderly or disadvantaged and disaster preparedness activities related to the development of a county-wide alternate care site. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $72,466,495 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 105 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1014 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Giangardella | PersonNm |
| Phone | 3303327214 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1 |
| City | Salem | City |
| State | OH | State |
| ZIP Code | 44460 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Derek Hiscox | ||||||||||
| Chair | 1 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Matt Bender | ||||||||||
| Vice-chair | 1 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dick Wilk | ||||||||||
| secretary | 1 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Todd Olson | ||||||||||
| treasurer | 1 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Greg Bestic | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| John Haller | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Catherine Hubbs | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Peter Apicella MD | ||||||||||
| Director | 1 | 0 | Yes (X) | $22,739 | $0 | $0 | ||||
| Jon Rettig Sr | ||||||||||
| Director | 1 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Mollenkopf | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Dave Gano | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Jeffrey Cohen DO | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| John Biastro | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Jon Vollnogle | ||||||||||
| Director | 1 | 0 | Yes (X) | $12,243 | $0 | $0 | ||||
| Vicki Hall | ||||||||||
| Director | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||||
| Jim Bachmeier MD | ||||||||||
| Director | 1 | 0 | Yes (X) | $7,500 | $0 | $0 | ||||
| Dr John Dawson MD | ||||||||||
| Director | 1 | 0 | Yes (X) | $20,000 | $0 | $0 | ||||
| Dr Mike Sevilla MD | ||||||||||
| Director | 1 | 0 | Yes (X) | $24,598 | $0 | $0 | ||||
| Dr Bart Brine | ||||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Anita Hackstedde | ||||||||||
| VP Medical Affairs | 35 | 5 | $256,553 | $0 | $53,181 | Yes (X) | ||||
| Mike Giangardella | ||||||||||
| VP Finance/Administration | 39.00 | 1.00 | $193,941 | $0 | $87,891 | Yes (X) | ||||
| Barbara Hirst | ||||||||||
| VP Nursing/Human Resources | 40 | 0 | $167,175 | $0 | $84,709 | Yes (X) | ||||
| Keith Meredith | ||||||||||
| VP Clinical Operations | 40 | 0 | $140,847 | $0 | $34,847 | Yes (X) | ||||
| Mark LItalien | ||||||||||
| Director Information Services | 40 | 0 | $124,878 | $0 | $85,396 | Yes (X) | ||||
| Kimberly Meek | ||||||||||
| Pharmacist | 42.00 | 0 | $117,143 | $0 | $35,111 | Yes (X) | ||||
| Doreen Sheck | ||||||||||
| Pharmacist | 41.00 | 0 | $116,568 | $0 | $30,075 | Yes (X) | ||||
| Stephen Ferenchak | ||||||||||
| Pharmacist | 41.00 | 0 | $115,693 | $0 | $47,233 | Yes (X) | ||||
| Steven Ruwoldt--Former | ||||||||||
| President/CEO | 40 | 0 | $261,443 | $0 | $77,153 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,581,321 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $535,596 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2 |
|---|---|---|---|---|---|---|
| Associates in Anesthesiology Inc | ||||||
| PO Box 2190 | Youngstown | OH | 44504 | Medical Services | $1,383,278 | |
| Inpatient Medical Services Inc | ||||||
| 822 Kumho Drive | Fairlawn | OH | 44333 | Medical Services | $902,404 | Suite 202 |
| Laboratory Corporation of America | ||||||
| PO box 12140 | Burlington | NC | 27216 | Laboratory services | $629,904 | |
| Skanksa USA Buildng Inc | ||||||
| 30 Burton hills Blvd | Nashville | TN | 37215 | Construction Managment Services | $553,445 | Suite 400 |
| Healogics Wound Care | ||||||
| 5220 Belfort Road | Jacksonville | FL | 32256 | Healthcare Services | $361,184 | Suite 130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| All Other Contributions | $4,600 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $4,600 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenue | 622000 | $99,748,349 | $99,748,349 | $0 | $0 |
| Patient Service Revenue | 621500 | $916,058 | $0 | $916,058 | $0 |
| Patient Service Revenue | 621610 | $1,107,358 | $0 | $1,107,358 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,771,765 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,426,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,426,844 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $336,664 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $283,916 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $52,748 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,748 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,748 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Dietary Income | 900099 | $597,883 | $597,883 | $0 | $0 |
| Chart Fees/Medical Records | 900099 | $23,114 | $23,114 | $0 | $0 |
| Gift Shop Income | 900099 | $84,977 | $84,977 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,282 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,282 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $810,256 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,066,213 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,558,605 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,023,416 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,479,592 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,259 | TotalAmt |
| Program Services | $36,259 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,773 | TotalAmt |
| Management And General | $754,773 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,317,921 | TotalAmt |
| Program Services | $27,628,504 | ProgramServicesAmt |
| Management And General | $9,689,417 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,696,013 | TotalAmt |
| Program Services | $1,224,537 | ProgramServicesAmt |
| Management And General | $471,476 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,942,943 | TotalAmt |
| Program Services | $4,700,439 | ProgramServicesAmt |
| Management And General | $2,242,504 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,791,561 | TotalAmt |
| Program Services | $2,049,075 | ProgramServicesAmt |
| Management And General | $742,486 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,153 | TotalAmt |
| Management And General | $152,153 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,898 | TotalAmt |
| Management And General | $55,898 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,744,634 | TotalAmt |
| Program Services | $4,667,432 | ProgramServicesAmt |
| Management And General | $3,077,202 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,058 | TotalAmt |
| Management And General | $521,058 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,627,791 | TotalAmt |
| Program Services | $17,167,411 | ProgramServicesAmt |
| Management And General | $2,460,380 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,234,541 | TotalAmt |
| Management And General | $3,234,541 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,443,861 | TotalAmt |
| Program Services | $3,052,702 | ProgramServicesAmt |
| Management And General | $1,391,159 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,644 | TotalAmt |
| Program Services | $27,804 | ProgramServicesAmt |
| Management And General | $134,840 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,455 | TotalAmt |
| Management And General | $830,455 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,096,204 | TotalAmt |
| Program Services | $6,026,096 | ProgramServicesAmt |
| Management And General | $3,070,108 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,628 | TotalAmt |
| Program Services | $450,515 | ProgramServicesAmt |
| Management And General | $122,113 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Bad Debts | $5,435,721 | $5,435,721 | $0 | $0 |
| State Franchise Fee | $1,440,048 | $0 | $1,440,048 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,857,106 | TotalAmt |
| Program Services | $72,466,495 | ProgramServicesAmt |
| Management And General | $30,390,611 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,943,548 | BOYAmt |
| EOY | $5,312,427 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,975,895 | BOYAmt |
| EOY | $8,555,797 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $763,142 | BOYAmt |
| EOY | $814,812 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,790,521 | BOYAmt |
| EOY | $3,907,425 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $211,429,833 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $111,455,862 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,278,509 | BOYAmt |
| EOY | $99,973,971 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,649,303 | BOYAmt |
| EOY | $126,246,482 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,939 | BOYAmt |
| EOY | $232,135 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,566,857 | BOYAmt |
| EOY | $245,043,049 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,445,674 | BOYAmt |
| EOY | $10,394,719 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,000,000 | BOYAmt |
| EOY | $52,000,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,098 | BOYAmt |
| EOY | $344,894 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,638,422 | BOYAmt |
| EOY | $7,991,911 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,532,194 | BOYAmt |
| EOY | $70,731,524 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,914,663 | BOYAmt |
| EOY | $174,311,525 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,034,663 | BOYAmt |
| EOY | $174,311,525 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,566,857 | BOYAmt |
| EOY | $245,043,049 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,209,107 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,152,904 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$3,085,149 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,908,632 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $1,908,632 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $128,796,634 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,024,599 | DepreciationAmt |
| Book Value | $76,772,035 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,523,508 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,234,181 | DepreciationAmt |
| Book Value | $289,327 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $78,961,790 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,197,082 | DepreciationAmt |
| Book Value | $20,764,708 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $239,269 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $239,269 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $99,973,971 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Liability | $242,142 |
| Pension Liability | $7,749,769 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,991,911 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| 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 | $3,137,326 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,527,139 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,610,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0157 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,141,710 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,874,959 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,266,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0123 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,177,782 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,695,367 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,482,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0339 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $17,456,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,097,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,359,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0619 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 346 | ActivitiesOrProgramsCnt |
| Persons Served | 139693 | PersonsServedCnt |
| Total Community Benefit Expns | $244,312 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,668 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $223,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0022 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 253 | ActivitiesOrProgramsCnt |
| Persons Served | 512 | PersonsServedCnt |
| Total Community Benefit Expns | $594,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $594,136 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0058 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,663,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,493,213 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,170,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0114 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 599 | ActivitiesOrProgramsCnt |
| Persons Served | 140205 | PersonsServedCnt |
| Total Community Benefit Expns | $4,501,849 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,513,881 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,987,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0194 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 599 | ActivitiesOrProgramsCnt |
| Persons Served | 140205 | PersonsServedCnt |
| Total Community Benefit Expns | $21,958,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,611,346 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,347,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0813 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 41 | PersonsServedCnt |
| Total Community Benefit Expns | $371 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $371 | NetCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 33 | ActivitiesOrProgramsCnt |
| Persons Served | 1022 | PersonsServedCnt |
| Total Community Benefit Expns | $22,053 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,053 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 61 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $18,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,620 | NetCommunityBenefitExpnsAmt |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 129 | PersonsServedCnt |
| Total Community Benefit Expns | $9,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,409 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$7,063 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 34 | PersonsServedCnt |
| Total Community Benefit Expns | $16,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,541 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 5470 | PersonsServedCnt |
| Total Community Benefit Expns | $16,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,050 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 1335 | PersonsServedCnt |
| Total Community Benefit Expns | $7,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,071 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 240 | PersonsServedCnt |
| Total Community Benefit Expns | $4,424 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,424 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 181 | ActivitiesOrProgramsCnt |
| Persons Served | 8271 | PersonsServedCnt |
| Total Community Benefit Expns | $94,476 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,409 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,378,996 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $304,323 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $22,961,876 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,603,099 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,641,223 | 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 | 0 | 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 | Salem Community Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1 |
| City | Salem | City |
| State | OH | State |
| ZIP Code | 44460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Other | 15 bed skilled nursing facility | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | salemregional.com | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 150 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 350 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Permit Lien On Residence | Yes (X) | PermitLienOnResidenceInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| Liens On Residences | Yes (X) | LiensOnResidencesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3-Salem Community Hospital | To take into account input from persons representing the community served, the CHNA primary data collection process included 2 focus groups that were conducted with a total of 37 adult participants, along with 11 individual interviews conducted with key stakeholders in the community to gather additional insight into the health of a community from diverse community groups and underrepresented populations. In addition, an internet and paper-based Community Needs Survey was conducted with 1,091 completed surveys obtained. |
| Schedule H, Part V, Section B, Line 4-Salem Community Hospital | Along with Salem Regional Medical Center , East Liverpool City Hospital also provided financial support for the CHNA process. |
| Schedule H, Part V, Section B, Line 5-Salem Community Hospital | With financial support from East Liverpool City Hospital and Salem Regional Medical Center, as well as in-kind support provided by the Community Action Agency of Columbiana County; the Community Health Needs Assessment process not only brought forth the CHNA report, but also included investment in a web-based community health data platform developed by the Healthy Communities Institute. The system is hosted on Salem Regional Medical Center's website and can be accessed through: http://salemregional.com. The system includes a comprehensive dashboard of approximately 100 community indicators from over 12 sources, covering over 20 topics in the areas of health, determinants of health, and quality of life. |
| Schedule H, Part V, Section B, Line 7-Salem Community Hospital | The Columbiana County Needs Assessment identified a high percentage of poverty among children, families, and the general population, as compared to other U.S. counties; along with a high unemployment rate and low proportion of adults with a college degree compared to other U.S. counties. The top environmental needs identified in the Community Survey portion of the CHNA included not enough money, lack of access to employment/better jobs and safe water/clean air. In addition, focus group participants and stakeholders identified multi-faceted and intertwined demographic and socio-economic issues related to income, the poor economy, drug abuse, lack of education, and unemployment as key environmental drivers of the health status of the community. Each of these needs is important and should be addressed by various county-wide organizations and/or community partners of the Medical Center. However, due to their societal magnitude and SRMC's limited resources and capacity to meaningfully impact the economic foundation of the county, SRMC has chosen to allocate significant internal resources to the priority health needs which yield the greatest opportunities to affect a positive change, as outlined in the Implementation Plan; and will focus on the priorities of chronic disease; physical activity and nutrition; healthy mothers, babies and children; infectious disease; and access to medical care. The Implementation Plan was presented and approved by the Medical Center's Board in June 2013. |
| Schedule H, Part V, Section B, Line 14-Salem Community Hospital | The availability of free or discounted care is provided on billing statements provided to patients. This information is also posted on a sign at the billing office. |
| Schedule H, Part V, Section B, Line 20-Salem Community Hospital | The Medical Center's uninsured/underinsured policy provides discounts to patients based on the patient's income( up to 350% of the federal poverty level). The amount of the discount is based on the gross charges ,with the discount level increasing as charges increase. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1 |
| City | Salem | City |
| State | OH | State |
| ZIP Code | 44460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 bed skilled nursing facility | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a | Salem Regional Medical Center prepares an Annual Report that is distributed to the community in paper format as well as being posted on the SRMC website at www.salemregional.com. The Annual Report includes a summary of the Medical Center's statement of expenses and uncompensated care, along with highlighting the SRMC's major community benefit initiatives. This community benefit information is provided in an effort to document its tax exempt purpose and demonstrate the benefits provided for the broader community as determined by community need. |
| Schedule H, Part I, Line 7 | Costs are determined by applying the ratio of cost to charges to gross charges and utilizing the format as outlined in the Schedule H worksheets. Beyond charity care, "Other Benefits" reported includes community health improvement services and community benefit operations, with community building activities listed in Part II. The Medical Center seeks opportunities to further its tax exempt purpose by providing a wide variety of benefits for the broader community, including the development of a county-wide health needs assessment to identify regional health needs; and the development and adoption of a related implementation plan to address community need. Examples of other community benefit activities include, but are not limited to: grant-writing activities for improved community health; health professionals education for nurses, therapists (physical, occupational, speech, and respiratory), medical imaging and laboratory technologists and dietitians; financial and in-kind contributions for community-based feeding programs and food pantries, blood drives, social services for vulnerable populations (including assistance with medications, transportation, limited English proficiency and referrals to support systems); community health education regarding cancer, diabetes and other chronic disease treatment and prevention, obesity prevention and women's health; and community health fairs and free and reduced-cost clinical screenings for high blood pressure, cholesterol, blood sugar, and lung cancer. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within SRMC's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages. It is estimated that approximately 139,693 area residents participated in community benefit programs and/or events provided and/or sponsored by Salem Regional Medical Center. SRMC also provides a free, telephone emergency response service for over 90 area residents, enabling elderly and physically disadvantaged individuals to live independently in their homes. |
| Schedule H, Part I, Line 7g | Costs for subsidized health services include those attributable to providing women's obstetrical services and outpatient behavioral health services. There are no health services attributable to a physician health clinic. |
| Schedule H, Part II | During the taxable year, SRMC participated in 181 different community building activities in an effort to provide programs and activities that respond to demonstrated, unmet community needs and meet community benefit objectives by improving access to health services and/or enhancing population health and knowledge. SRMC participated in the Salem Area Industrial and Development Council and several area Chambers of Commerce activities; provided community support related to youth asset development through the Coordinated Action for School Health (CASH) Coalition and was a leading collaborative partner in disaster readiness; assisted in environmental improvements related to community medications disposals; offered leadership development and training related to cultural skills and language skills training for those with limited English proficiency; represented SRMC on diverse community coalitions related to improving community health; advocated for community health improvements on the local and state levels on behalf of improving access to health care; and assisted with workforce development related to participation in community workforce boards, partnerships with area universities to address the health care work force shortage, and providing many school-based programs on health care careers, including offering teen and college student mentoring opportunities. SRMC continues to serve as a community resource and partner for regional non-profit organizations, by providing collaborative programming with agencies such as the American Cancer Society, American Diabetes Association, American Heart Association, American Red Cross, Columbiana County Community Action Agency, Columbiana County and Salem City Departments of Health, Coordinated Action for School Health, Hospice of the Valley, Kent State University- Salem Campus, Northeast Ohio Workforce Development, Northeast Ohio Medical University, Retired Senior Volunteer Program-Medication Assistance, Salem Area Visiting Nurses Association, and the Salem Community Center. In addition, SRMC makes financial and in-kind contributions to many of these not-for-profit organizations through event sponsorships, less the cost of benefits received; and meeting space. |
| Schedule H, Part III, Section A, Line 2 | The cost for bad debt expense is determined by applying the ratio of cost to charges to gross charges of accounts written off to bad debt and utilizing the format as outlined in the schedule H worksheets. |
| Schedule H, Part III, Section A, Line 4 | Excerpt from footnote: "For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts." The cost of bad debts was determined by applying the Hodpital's cost to charge ratio to the charges that were written off to bad debt. The Hospital believes that this cost is a community benefit because patients ,who may likely qualify for assistance under the hospital's charity policy ,do not or are unwilling to provide documentation of their eligibility for charity care and are classified as bad debt. The Hospital is very willing to work out payment arrangements and discounted fees;however those patients who do not respond to repeated offers of assistance are categorized as bad debt expense. Had information been made available to make a determination of their eligibility ,the Hospital believes that many of the patients classified as bad debt would qualify for charity care. This judgement is based on the economic conditions of the area and the specific knowledge of the patients involved. |
| Schedule H, Part III, Section B, Line 8 | The costs were obtained from the Medicare cost report. The Medical Center incurred costs in excess of $30.6 million to care for and treat Medicare beneficiaries,while receiving reimbursement of approximately $ 22.96 million,leaving a shortfall of $7.6 million. This was a direct benefit provided by the Medical Center to local Medicare beneficairies who live in the surrounding communities. |
| Schedule H, Part III, Section C, Line 9b | Per the Medical Center's charity policy,the Medical Center will not pursue collection for non-payment of bills against individuals who demonstrate that they have neither sufficient income nor assets to meet their financial obligations. |
| Schedule H, Part VI, Line 2 | SRMC formally assesses the healthcare needs of the communities that it serves on a minimum of a triennial basis, and does so in collaboration with other community health providers. The most recent comprehensive, county-wide needs assessment was published in May 2013, and included the formation of a collaborative Columbiana County Health Coalition including Salem Regional Medical Center; East Liverpool City Hospital; the Columbiana County, East Liverpool and Salem City Health Departments; Community Action Agency of Columbiana County; Columbiana County Job and Family Services, the Coordination Action for School Health (CASH) Coalition; Kent State University; and the Columbiana County Mental Health Services and Recovery Board. The CHNA process began in July 2011, when the Columbiana County Health Coalition convened to outline the approach for following the 6-step Community Health Improvement model outlined by the Association for Community Health Improvement. The coalition initially requested assistance from Kent State University to facilitate the process and to direct the primary and secondary data collection efforts. When the process was not completed by September 2012, the coalition decided to invest in a web-based dashboard system developed by Healthy Communities Institute, which allows data to be easily accessed by its users. In addition, Strategy Solutions, Inc. was retained to facilitate the remainder of the process and provide primary data analysis and prioritization support. The geographic area of the needs assessment encompassed Ohio's Columbiana County, most of which is within Salem Regional Medical Center's Service Area; and prioritized the public, primary and specialty health care needs of community members from birth through end-of-life care. The CHNA action plan and report development were presented to and approved by the SRMC Board in May 2013, and distributed to all participating coalition organizations. The SRMC Implementation Plan was then approved by the Board in June 2013, and both documents are posted on the Medical Center's website at http://www.salemregional.com/getpage.php?name=Community_Dashboard&sub=About+Us. The Medical Center has carried forward its implementation strategies by including them in its annual Organizational Goals In addition, SRMC is a collaborative partner in other types of needs assessments, such as the school health asset study, through the Search Institute, conducted on an annual basis with area school districts. Approximately two years ago, SRMC also participated in a tri-county health needs assessment and development of an implementation plan for Mahoning, Columbiana and Trumbull Counties; the hospital partners of which included Humility of Mary Health Partners, Akron Children's Hospital and Salem Regional Medical Center, along with the Mahoning County, Columbiana County, East Liverpool City and Salem City Health Departments. Because the scope of the tri-county needs assessment was so broad, Salem Regional Medical Center then used the preliminary findings from this needs assessment to launch its county-wide needs assessment process, targeted toward the specific needs of Columbiana County residents. |
| Schedule H, Part VI, Line 3 | The Medical Center includes on all billing statements information regarding the availablility of free care programs and the required income guidelines. This information is also posted on the Medical Center's website along with the charity care guidelines. |
| Schedule H, Part VI, Line 4 | Salem Regional Medical Center's rural service area is officially designated as part of the Appalachian region and includes Columbiana County, excluding Yellow Creek and East Liverpool Townships; and the five lower townships of Mahoning County. Portions of Columbiana County are also designated as Medically Underserved (MUP), and as a dental and mental health care Health Professional Shortage Areas (HPSA). Columbiana County residents are older than their state and national counterparts, and the Service Area is characterized by a declining social and economic base, which impacts the area's health status problems and health service utilization. The age distribution of Columbiana County is more elderly, with 16.7% of Columbiana County residents 65 years and over compared to 14.3% of Ohio residents and 13.3% of U.S residents... In addition, according to the 2010 Census, Columbiana County has a significant older adult population (36.5%), aged 40-65 years, nearing retirement age. Columbiana County has a large percentage of adults who are unable to afford to see a doctor compared to other US counties, and the county is not meeting the Healthy People 2020 goals for health insurance coverage for children and adults. Poverty is also a factor with almost one-half of the county's population at or below 200% of the federal poverty level. Area residents experience higher death rates for chronic diseases, such as heart disease, cerebrovascular disease, diabetes and chronic obstructive pulmonary disease. The overall cancer mortality rate in Columbiana County is significantly higher than surrounding counties and the state of Ohio, especially related to colorectal, kidney, leukemia, liver and lung cancers, and lymphoma; and county rates of death attributable to chronic diseases like diabetes mellitus are higher than the state's average. The county has a high percentage of obesity and sedentary behavior compared to other Ohio counties, and only small percentages of residents engage in health habits related to physical activity and nutrition. The area also has a low educational attainment rate, with 15.5% of adults over age 25 having no high school diploma, and less than 12% of adults having a Bachelor's or Master's degree. |
| Schedule H, Part VI, Line 5 | Salem Regional Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital; while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. Medical staff privileges are extended to qualified physicians in the SRMC Service Area, based on documented community need for the medical service and the Hospital's resources to provide the service. During fiscal year 2014, the Hospital provided comprehensive healthcare services including: 5,226 Admissions; 3,611 Surgeries; and 27,584 Emergency Department visits. In support of this commitment, the Medical Center operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. Subsidized health services provided by SRMC, that are not self-sustaining include obstetricand behavioral health services, and the Medical Center's costs for supporting these services is 1,170,188. If these programs were closed or not available to the community, the cost to the government or to another tax-exempt organization would increase. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2014, costs incurred by the Hospital for net charity care provided were $1,610,187, with unpaid costs of Medicaid and other public programs representing $1,266,751, and unreimbursed costs from other governmental programs representing $3,482,415. These community benefits, arising from patient care provided by the Medical Center are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Hospital's charitable purpose. In order to provide services efficiently and cost-effectively, SRMC also utilizes an active volunteer base, with 187 community members donating over 16,918 hours of volunteer service annually. In addition, the SRMC Board of Directors is comprised of 17 community volunteers from the SRMC Service Area, who perform fiduciary responsibilities through monthly committee and Board activities. The Medical Center actively seeks opportunities to further its tax exempt purpose through community health improvement and community benefit operations that provide treatment and/or promote health in response to identified community needs. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|---|---|
| Village of New Waterford | |||||||||
| 3760 Viallge Park Dr | New Waterford | OH | 44445 | 341090934 | $27,964 | actual purchase price of items | Emergency preparedness equipment | Provided a generator and supplies related to the development of a county wide alternate care site. | |
| Salineville Kiwanis | |||||||||
| 100 N Alley | Salineville | OH | 43945 | 341842454 | $21,900 | actual cost of purchased items | Emergency preparedness equipment | Provided a generator and supplies related to the development of a county wide alternate care site. | 501(c)(4) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | The allocation and utilization of grant funds ae monitored through the required tracking and reporting of specific outcomes by each grantee,along with site visits to the respective grantee organization. Grantee organizations are also required to submit either itemized invoices for subcontracted servcies and/or a detailed outcome report listing the number and types of services provided and the number of clients served. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anita Hackstedde | ||||||||||||||
| VP Medical Affairs | $256,553 | $0 | $0 | $0 | $0 | $0 | $42,539 | $0 | $10,642 | $0 | $309,734 | $0 | $0 | $0 |
| Mike Giangardella | ||||||||||||||
| VP Finance/Administration | $193,941 | $0 | $0 | $0 | $0 | $0 | $77,249 | $0 | $10,642 | $0 | $281,832 | $0 | $0 | $0 |
| Barbara Hirst | ||||||||||||||
| VP Nursing/Human Resources | $167,175 | $0 | $0 | $0 | $0 | $0 | $78,797 | $0 | $5,912 | $0 | $251,884 | $0 | $0 | $0 |
| Keith Meredith | ||||||||||||||
| VP Clinical Operations | $140,847 | $0 | $0 | $0 | $0 | $0 | $27,928 | $0 | $6,919 | $0 | $175,694 | $0 | $0 | $0 |
| Mark LItalien | ||||||||||||||
| Director Information Services | $124,878 | $0 | $0 | $0 | $0 | $0 | $64,638 | $0 | $20,758 | $0 | $210,274 | $0 | $0 | $0 |
| Kimberly Meek | ||||||||||||||
| Pharmacist | $117,143 | $0 | $0 | $0 | $0 | $0 | $28,192 | $0 | $6,919 | $0 | $152,254 | $0 | $0 | $0 |
| Doreen Sheck | ||||||||||||||
| Pharmacist | $116,568 | $0 | $0 | $0 | $0 | $0 | $12,338 | $0 | $17,737 | $0 | $146,643 | $0 | $0 | $0 |
| Stephen Ferenchak | ||||||||||||||
| Pharmacist | $115,693 | $0 | $0 | $0 | $0 | $0 | $33,394 | $0 | $13,839 | $0 | $162,926 | $0 | $0 | $0 |
| Steven Ruwoldt--Former | ||||||||||||||
| President/CEO | $224,192 | $0 | $0 | $0 | $37,251 | $0 | $59,416 | $0 | $17,737 | $0 | $338,596 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4 | FormAndLineReferenceDesc |
| Explanation | The former President received a severance package upon his departure in September 2013. Severance paid in calendar year 2013 was $37,251. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Of Salem Ohio | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 346002560 | BondIssuerEIN |
| Bond Issued | 2013-04-04 | BondIssuedDt |
| Issue Price | $52,000,000 | IssuePriceAmt |
| Purpose | Hospital Facility Construction | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $29,600,292 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $52,000,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $193,598 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $168,913 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $160,493 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $21,883,897 | CapitalExpendituresAmt |
| Other Spent Proceeds | $6,893 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.0112 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.0112 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Biastro | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Director | RelationshipDescriptionTxt |
| Transaction | $45,080 | TransactionAmt |
| Transaction | Child of interested Person is employed by Organization | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Header, Line B | The original filed 990 inadvertently included an amount of $3,234,541 in Part IX column D,line 14. This amount should have been included in Column C and has been corrected on the amended return. |
| Form 990, Part VI, Section B, Line 11b | The final 990 was made available for review by the governing body,prior to filing. |
| Form 990, Part VI, Section B, Line 12c | On an annual basis Directors and Key employees disclose potential business or professional relationships they may have with the Organization and /or other Directors /Key employees. In situations when a Director has a conflict,they may participate in the discussion,but must leave the room prior to final discussion and vote. |
| Form 990, Part VI, Section B, Line 15 | The President's compensation is determined by the Board of Directors of Salem Regional Medical Center, based upon the recommendation of the Board's Executive Committee, both of which are composed entirely of independent Board members. The Committee evaluates market data through formal statewide salary surveys, as well as targeted regional survey data. Their decision process was last completed in November 2013. |
| Form 990, Part VI, Section C, Line 19 | As a private not-for-profit organization,Salem Community Hospital does not make its governing documents or financial statements generally available to the public,although the Federal Form 990 is available for review upon request. |
| Form 990, Part XI, Line 9 | Change in defined benefit plan net loss of $967,338 and fund balance transfer to related organizations of $2,117,811. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SCH Professional Corporation | ||||||||||
| 1995 East State Street | Salem | OH | 44460 | 341764515 | Physician Offices | OH | 501(c)(3) | 11 | Salem Community Hospital | 0 |
| The Charitable Foundation of Salem Community Hospital | ||||||||||
| 1995 East State Street | Salem | OH | 44460 | 462902698 | Support Salem Community Hospital | OH | 501(c)3 | 11 | Salem Communiy Hospital | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Medical Arts & Development Corporation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2020 East State Street | AddressLine1 |
| City | Salem | City |
| State | OH | State |
| ZIP Code | 44460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341049534 | EIN |
| Primary Activities | Office Rent | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $100 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $100 | ShareOfEOYAssetsAmt |
| Ownership | 1 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SCH Professional Corporation | ||
| o | $94,141 | Percent of time spent |
| SCH Professional Corporation | ||
| b | $1,929,615 | Actual capital contribution |
| SCH Professional Corporation | ||
| j | $107,850 | Cost per square ft. of rented space |
| The Charitable Foundation of Salem Community Hospital | ||
| b | $188,196 | Actual capital contribution |