OHIOHEALTH CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- OHIOHEALTH CORPORATION (EIN 31-1045101)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201531339349302158
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T10:24:58-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311045101 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Appalachian Community Visiting Nurse | BusinessNameLine1 |
| Business Name Line2 | Association Hospice and Health Services | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APPA | BusinessNameControlTxt |
| Phone | 7405948226 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Herrold Avenue | AddressLine1 |
| City | Athens | City |
| State | OH | State |
| ZIP Code | 457012326 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Craig Bjerke | PersonNm |
| Person Title | System VP and Corp Controller | PersonTitleTxt |
| Phone | 7405948226 | PhoneNum |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mary E Rauschenberg | PreparerPersonNm |
| PTIN | P00172604 | PTIN |
| Phone | 5137847100 | PhoneNum |
| 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) |
|---|---|---|
| Principal Officer | LaMar Wyse | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Herrold Avenue | AddressLine1 |
| City | Athens | City |
| State | OH | State |
| ZIP Code | 457012326 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,543,337 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.acvna.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Southeastern Ohio's premier source for the delivery of quality home care and hospice services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 99 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $85,108 | PYContributionsGrantsAmt |
| CY Contributions Grants | $105,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,515,715 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,441,135 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,721 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,798 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,602,544 | PYTotalRevenueAmt |
| CY Total Revenue | $3,543,337 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,632,504 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,751,443 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,214,931 | PYOtherExpensesAmt |
| CY Other Expenses | $1,189,400 | CYOtherExpensesAmt |
| PY Total Expenses | $3,847,435 | PYTotalExpensesAmt |
| CY Total Expenses | $3,940,843 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$244,891 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$397,506 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $958,141 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,207,303 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $649,648 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,230,193 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $308,493 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$22,890 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | We are dedicated to providing cost effective, high quality home health services to the people in our Appalachian community. We provide services to Medicaid clients through Ohio Home Care Programs as well as for clients with workers' compensation, Veteran's Administration, Medicare and other payor sources. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,348,911 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,441,135 | RevenueAmt |
| Desc | The organization provides care to home-bound, indigent, and terminally ill patients in the community. The organization provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. To accomplish its charitable purpose, the organization provided 8,707 days of hospice care, 12,743 home health visits, and 28,821 hours of health services. | Desc |
| Total Program Service Expenses | $2,348,911 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | 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 | 0 | 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 | 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 |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 99 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| 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 | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Todd Dougherty | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7405929464 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Hospital Drive | AddressLine1 |
| City | Athens | City |
| State | OH | State |
| ZIP Code | 45701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Rasmussen Steven | ||||||||
| Chairman - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| McConnell John P | ||||||||
| Vice Chair - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Hondros Linda | ||||||||
| Secretary - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Anderson Kerrii B | ||||||||
| Treasurer - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Akins Nicholas | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Abbott Lawrence C | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Anderson Thomas DO | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Blosser T Laurence MD | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 15.00 | Yes (X) | $0 | $124,805 | $0 | ||
| Crane Tanny | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Dewire Rev Dr Norman E | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Gabriel Paul MD | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $16,690 | $0 | ||
| James Donna | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Jennings Matthew | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Johnston Tom | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Levin Howard B DO | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Palmer Bishop Gregory | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott Bradley N | ||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Stevens Rev Dr Deborah | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Walter Matt | ||||||||
| Board Member - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Blom David P | ||||||||
| Pres/CEO/Ex-Off-OhioHlth(start 1/14) | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,593,139 | $1,195,088 | |
| Stroh David | ||||||||
| Chair (end 1/14) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Turner Michael | ||||||||
| Vice Chair (end 1/14) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Althaus Ruth Ann | ||||||||
| Secretary (end 1/14) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Stephens Ray | ||||||||
| Treasurer (end 1/14) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Cyran Susan | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Hodson Jan | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ireton Doreen | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Kemmerer Candy | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Shirey Sandra | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Strickmaker Ron | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Tarantelli Kathy | ||||||||
| Trustee (end 1/14) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Long Greg | ||||||||
| President/CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $334,530 | $42,436 | |
| McKinley Terri | ||||||||
| Interim Director (end 11/13) | 40.00 | 0.00 | Yes (X) | Yes (X) | $66,042 | $0 | $16,034 | |
| Sharp Cheryl | ||||||||
| Director (start 11/13) | 40.00 | 0.00 | Yes (X) | $89,534 | $0 | $16,312 | ||
| Campbell Thomas | ||||||||
| Physical Therapist | 40.00 | 0.00 | $162,250 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $317,826 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,069,164 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,269,870 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $105,000 | AllOtherContributionsAmt |
| Total Contributions | $105,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Services | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $3,441,135 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,441,135 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,441,135 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,798 | TotalRevenueColumnAmt |
| Exclusion | -$2,798 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,543,337 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,441,135 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,798 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,576 | TotalAmt |
| Program Services | $138,074 | ProgramServicesAmt |
| Management And General | $17,502 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,083,265 | TotalAmt |
| Program Services | $1,439,250 | ProgramServicesAmt |
| Management And General | $644,015 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,017 | TotalAmt |
| Management And General | $45,017 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,000 | TotalAmt |
| Program Services | $22,211 | ProgramServicesAmt |
| Management And General | $288,789 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,585 | TotalAmt |
| Management And General | $156,585 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35 | TotalAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,600 | TotalAmt |
| Management And General | $15,600 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,236 | TotalAmt |
| Program Services | $71,938 | ProgramServicesAmt |
| Management And General | $93,298 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,630 | TotalAmt |
| Management And General | $6,630 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,201 | TotalAmt |
| Program Services | $239,407 | ProgramServicesAmt |
| Management And General | $71,794 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,512 | TotalAmt |
| Management And General | $49,512 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,822 | TotalAmt |
| Management And General | $91,822 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,250 | TotalAmt |
| Program Services | $194,306 | ProgramServicesAmt |
| Management And General | $6,944 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,093 | TotalAmt |
| Management And General | $13,093 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,814 | TotalAmt |
| Management And General | $24,814 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Hospice Room and Board | $240,685 | $240,685 | $0 | $0 |
| Minor Equipment | $49,943 | $0 | $49,943 | $0 |
| Development Expenses | $7,613 | $0 | $7,613 | $0 |
| Membership Dues | $4,169 | $0 | $4,169 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,797 | TotalAmt |
| Program Services | $3,040 | ProgramServicesAmt |
| Management And General | $4,757 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,940,843 | TotalAmt |
| Program Services | $2,348,911 | ProgramServicesAmt |
| Management And General | $1,591,932 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,587 | BOYAmt |
| EOY | $96,649 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,379 | BOYAmt |
| EOY | $695,485 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,919 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,406 | BOYAmt |
| EOY | $10,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $154,996 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,820 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,557 | BOYAmt |
| EOY | $146,176 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,830 | BOYAmt |
| EOY | $246,181 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,141 | BOYAmt |
| EOY | $1,207,303 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,648 | BOYAmt |
| EOY | $443,878 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $48,959 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,000 | BOYAmt |
| EOY | $737,356 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,648 | BOYAmt |
| EOY | $1,230,193 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,372 | BOYAmt |
| EOY | -$325,486 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,121 | BOYAmt |
| EOY | $302,596 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,493 | BOYAmt |
| EOY | -$22,890 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $958,141 | BOYAmt |
| EOY | $1,207,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$397,506 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,595 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $59,528 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $230,286 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $133,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $99,056 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,108 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $105,000 | CurrentTaxYearAmt |
| Total | $652,562 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,901,744 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,758,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,747,453 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,515,715 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,497,550 | CurrentTaxYearAmt |
| Total | $18,420,886 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,132,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,891,536 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,846,509 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,600,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,602,550 | CurrentTaxYearAmt |
| Total | $19,073,448 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $231,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,813 | CurrentTaxYearAmt |
| Total | $260,855 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $231,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,813 | CurrentTaxYearAmt |
| Total | $260,855 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,812,593 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,100 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,694 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,721 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$2,798 | CurrentTaxYearAmt |
| Total | $6,003 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,100 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,694 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,721 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$2,798 | CurrentTaxYearAmt |
| Total | $6,003 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,134,130 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,893,822 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,849,203 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,602,544 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,599,752 | CurrentTaxYearAmt |
| Total | $19,079,451 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98600 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98740 | PublicSupportPY509Pct |
| Investment Income CY | 0.00030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $189,245 | BeginningYearBalanceAmt |
| Contributions | $56,936 | ContributionsAmt |
| End Year Balance | $246,181 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $159,228 | BeginningYearBalanceAmt |
| Contributions | $30,017 | ContributionsAmt |
| End Year Balance | $189,245 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,261 | BeginningYearBalanceAmt |
| Contributions | $156,967 | ContributionsAmt |
| End Year Balance | $159,228 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,259 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,261 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,257 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,259 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $154,996 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,820 | DepreciationAmt |
| Book Value | $146,176 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $146,176 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Interest in Endowment Funds Held by Other Organizations | Desc |
| Book Value | $246,181 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $246,181 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Payable to OhioHealth Corporation | $14,032 |
| Intercompany Payable to Sheltering Arms Hospital Foundation | $723,324 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $737,356 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The endowments are intended for the support of the organization's healthcare activities. |
| Part X, Line 2: | OhioHealth and substantially all of its subsidiaries are tax-exempt organizations as defined under various sections of the Internal Revenue Code. With respect to the taxable corporations, income taxes are insignificant in fiscal years 2014 and 2013. The corporation files all applicable federal, state, and local income tax returns. Fiscal years 2011 through 2014 are subject to audit by appropriate government authorities or their agents. Management has analyzed the tax positions taken by the Corporation and its subsidiaries and has concluded that as of June 30, 2014, there are no uncertain positions taken or expected to be taken that would require recognition of any benefits or liabilities, or disclosure in the financial statements. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Blom David P | ||||||||||||||
| Pres/CEO/Ex-Off-OhioHlth(start 1/14) | $0 | $1,023,172 | $0 | $539,500 | $0 | $30,467 | $0 | $1,176,190 | $0 | $18,898 | $0 | $2,788,227 | $0 | $0 |
| Long Greg | ||||||||||||||
| President/CEO | $0 | $238,668 | $0 | $74,261 | $0 | $21,601 | $0 | $20,285 | $0 | $22,151 | $0 | $376,966 | $0 | $0 |
| Campbell Thomas | ||||||||||||||
| Physical Therapist | $162,250 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $162,250 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | For the period 07/01/2013 - 01/07/2014, the CEO was compensated through an unrelated management company, OhioHealth Hospital Management Services, LLC. The contract with the management company is reviewed and approved by the board. The compensation for the CEO is reviewed and approved by the management company. |
| Part I, Line 4b | Eligible executives listed in the Form 990, Part VII participate in a supplemental non-qualified plan. These arrangements are an industry standard and are unfunded. Due to the substantial risk of forfeiture provision, there is no guarantee that these officers will ever receive these benefits. Amounts for these arrangements are included in the deferred compensation amount. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Persons listed in Part VII may have a "business relationship" with each other by virtue of sitting on related OhioHealth entity boards or by virtue of their employment with related OhioHealth entities. OhioHealth Corporation has an ownership interest in limited liability companies (LLCs) that provide healthcare or related services. As a member of such LLCs, OhioHealth Corporation has the right to appoint two individuals to the managing board of such LLCs. As a result, these individuals may be deemed to have a "business relationship" with each other for purposes of Part VI, Section A, Line 2. Kerrii B. Anderson, Treasurer of OhioHealth Corporation, and John P. McConnell, Vice Chair of OhioHealth Corporation, have a business relationship. |
| Form 990, Part VI, Section A, line 3 | The organization entered into a management agreement with HomeReach, an Ohio not-for-profit corporation, effective from November 6, 2012. This agreement was in effect until Appalachian Community Visiting Nurse Association ("ACVNA") became part of OhioHealth in January of 2014. HomeReach is a wholly-owned subsidiary of OhioHealth Corporation, an Ohio nonprofit corporation that is exempt from federal income tax under Section 501(c)(3). The management agreement required the management company to perform management services and oversight of daily operations, IT and support services, billing and collection services, and compliance with laws and regulations. |
| Form 990, Part VI, Section A, line 6 | Sheltering Arms Hospital Foundation, Inc. d/b/a O'Bleness Memorial Hospital is the sole member of the organization. |
| Form 990, Part VI, Section A, line 7a | The sole member has the right to elect or appoint members of the governing body. |
| Form 990, Part VI, Section A, line 7b | Governance decisions of the organization, such as approval of the election or removal of members of the governing body and decisions to dissolve, are reserved for the sole member. |
| Form 990, Part VI, Section B, line 11 | Corporate Finance, using a public accounting tax firm, prepares the Form 990. Multiple levels of internal review occur, as well as a presentation to the Board Finance and Audit Committee, prior to copies being provided to the Board before filing. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy has been reviewed by independent tax counsel to assure its compliance with the requirements of the Internal Revenue Service. The policy requires all officers, directors and key employees to complete an annual questionnaire pertaining to conflicts of interest. The questionnaire is administered by the General Counsel of OhioHealth. The responses are recorded and reported to the Board in the format approved by the Chair of the Board (a community member). In the interim between questionnaires, conflicts are to be reported to the General Counsel, who will advise the conflicted officer, director or key employee on the steps required to manage or clear the conflict. Failure to report a conflict, or failure to follow the steps advised to clear the conflict, constitutes grounds for disciplinary action. Members of the governing board with a transactional conflict are required to recuse themselves from any discussion and/or vote pertaining to the conflicted transaction, and this is reflected in the minutes of the organization. Legal counsel attends Board meetings and Board committee meetings with the instruction to assure the conflict of interest policy is followed. |
| Form 990, Part VI, Section B, line 15 | For the period 07/01/2013 - 01/07/2014, the CEO was compensated through an unrelated management company, OhioHealth Hospital Management Services, LLC. The contract with the management company is reviewed and approved by the board. The compensation for the CEO is reviewed and approved by the management company. |
| Form 990, Part VI, Section C, line 19 | Information is made available as required. |
| Form 990, Part XI, line 9: | Net Assets Released from Restriction -103,617. Inherent Contributions from Acquisition of Hospitals 113,766. Temp Restriction Reclass from Operating Cash -7,036. Restricted Contributions 56,415. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OhioHealth Corporation | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 314394942 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | N/A | 0 | |
| Marion General Hospital | |||||||||||
| 1000 McKinley Park Drive | Marion | OH | 43302 | 311070877 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| Grady Memorial Hospital | |||||||||||
| 561 West Central Avenue | Delaware | OH | 43015 | 314379436 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| Hardin Memorial Hospital | |||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 344440479 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| Hardin Physician Foundation Inc | |||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 311414276 | Foundation | OH | 501(c)(3) | Schedule A, Line 3 | 0 | Hardin Memorial Hospital | |
| Hardin Memorial Hospital Foundation | |||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 341521537 | Foundation | OH | 501(c)(3) | Schedule A, Line 3 | 0 | Hardin Memorial Hospital | |
| Doctors Health Corporation of Nelsonville | |||||||||||
| 1950 Mount St Mary Drive | Nelsonville | OH | 45764 | 311620551 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| GrantRiverside Medical Care Foundation (dba OHPMS & dba OHMSF) | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311351965 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| OhioHealth Foundation | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 237446919 | Foundation | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| HomeReach | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311372702 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| HomeReach HomeCare | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311417595 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | HomeReach | |
| OhioHealth Research Institute | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 316059784 | Research | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| Hospital Properties Inc | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311206071 | Property Management | OH | 501(c)(2) | N/A | 0 | OhioHealth Corporation | |
| Sheltering Arms Hospital Foundation | |||||||||||
| 55 Hospital Drive | Athens | OH | 45701 | 314446959 | Patient Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
| MedCentral Health System | |||||||||||
| 335 Glessner Avenue | Mansfield | OH | 44906 | 340714456 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | 0 | OhioHealth Corporation | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| OhioHealth Sleep Services LLC | |||||||
| 6186 Huntley Road STE B | Columbus | OH | 43229 | 201547399 | Physician Practice | OH | N/A |
| Polaris Surgery Center LLC | |||||||
| 6200 Cleveland Avenue | Columbus | OH | 43231 | 208074623 | Medical Services | OH | N/A |
| Upper Arlington Medical Limited Partnership | |||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 43215 | 311472667 | Medical Services | OH | N/A |
| ESWL Real Estate & Equipment Limited Partnership | |||||||
| 100 West Third Avenue Suite 350 | Columbus | OH | 43201 | 311138732 | Equipment Rental | OH | N/A |
| Grant Scope Center LLC | |||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 43215 | 260765486 | Endoscopy Services | OH | N/A |
| O'Bleness Memorial Pain Management LLC | |||||||
| 55 Hospital Drive | Athens | OH | 45701 | 454587317 | Medical Services | OH | N/A |
| Athens Surgery Center | |||||||
| 75 Hospital Drive | Athens | OH | 45701 | 550840856 | Medical Services | OH | N/A |
| OHRH LLC | |||||||
| 4714 Gettysburg Road | Mechanicsburg | OH | 17055 | 462458436 | Medical Services | OH | N/A |
| Westerville Endoscopy Center LLC | |||||||
| 262 Neil Avenue | Columbus | OH | 43215 | 462755661 | Endoscopy Services | OH | N/A |
| Knightsbridge Surgery Center LLC | |||||||
| 4845 Knightsbridge | Columbus | OH | 43214 | 870650797 | Medical Services | OH | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OhioHealth Star Corporation | |||||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311119936 | Administrative Services | OH | N/A | C | 0 | ||||
| HardinCare Inc | |||||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 341492617 | Property Management | OH | N/A | C | 0 | ||||
| Intel Health Services | |||||||||||||
| 314394942 | Insurance/Reinsurance | N/A | C | 0 | PO Box 1051 Governors Square Bu | Grand Cayman KY1-1102, Cayman Islan | CJ | CJ | |||||
| Athens Medical Laboratory Associates Inc | |||||||||||||
| 265 W Union Street Suite B | Athens | OH | 45701 | 311381808 | Medical Lab Services | OH | N/A | S | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Sheltering Arms Hospital Foundation | ||
| J | $73,333 | Lease Agreement |
| Sheltering Arms Hospital Foundation | ||
| E | $315,000 | Loan Agreement |