OHIOHEALTH CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- OHIOHEALTH CORPORATION (EIN 31-4446959)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201531339349302253
- 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 B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T10:25:17-05:00 | 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 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 | 314446959 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sheltering Arms Hospital Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHEL | BusinessNameControlTxt |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Craig Bjerke | PersonNm |
| Person Title | System VP and Corp Controller | PersonTitleTxt |
| Phone | 7405935551 | 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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O'Bleness Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LaMar Wyse | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $88,643,217 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.obleness.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | To improve the health of those we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 753 | TotalEmployeeCnt |
| Total Volunteers | 115 | TotalVolunteersCnt |
| Total Gross UBI | $1,099 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $209,045 | PYContributionsGrantsAmt |
| CY Contributions Grants | $789,999 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $88,593,096 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $82,996,401 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,287,890 | PYInvestmentIncomeAmt |
| CY Investment Income | $131,017 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,660,884 | PYOtherRevenueAmt |
| CY Other Revenue | $3,984,509 | CYOtherRevenueAmt |
| PY Total Revenue | $93,750,915 | PYTotalRevenueAmt |
| CY Total Revenue | $87,901,926 | 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 | $40,557,519 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,054,519 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,903,839 | PYOtherExpensesAmt |
| CY Other Expenses | $44,015,796 | CYOtherExpensesAmt |
| PY Total Expenses | $88,461,358 | PYTotalExpensesAmt |
| CY Total Expenses | $89,070,315 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,289,557 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,168,389 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,344,106 | TotalAssetsBOYAmt |
| Total Assets EOY | $82,662,814 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,182,827 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,704,925 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,161,279 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,957,889 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To improve the health of those we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $74,602,524 | ExpenseAmt |
| Revenue | $85,613,965 | RevenueAmt |
| Desc | Medical Services: Patient care provided included 8,043 inpatient days of care to 2,779 acute patients; 25,838 emergency room visits; 3,388 inpatient and outpatient surgeries; and 691 births. Procedures and tests perfomed included 893,368 lab tests; 25,522 X-rays; 3,316 mammographies; 2,638 ultrasounds; 810 nuclear medicine scans; 9,307 CT scans; 208 cardiovascular catheterizations; 15,309 physical therapy modalities; 25,746 cardiopulmonary procedures; 2,807 MRIs; and 10,476 EKGs. The hospital will offer and provide free or discounted care to any patient who meets the eligibility requirements for free or discounted care under the OCAP or HCAP financial assistance policies. Charges foregone for charity amounted to $13,054,064. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,026,336 | ExpenseAmt |
| Revenue | $923,787 | RevenueAmt |
| Desc | Medical Education: The hospital is a teaching hospital that provides medical training to 22 interns and residents in the specialty areas of Family Medicine, Dermatology, and OB/GYN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $75,628,860 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | Yes (1) | 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 | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 105 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 753 | 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 |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| 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 | Yes (1) | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 | ||
| Abbott Lawrence C | |||||||||
| Ex-Officio - OhioHlth (start 1/14) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Akins Nicholas | |||||||||
| Board Member - 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) | $0 | $1,593,139 | $1,195,088 | |||
| Bolon Douglas PhD | |||||||||
| Vice-Chair (end 1/14) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Cooley Don | |||||||||
| Treasurer (end 1/14) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Quinn Susan OD | |||||||||
| Chair (end 1/14) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Legg Jacqueline | |||||||||
| Secretary (end 1/14) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Bernstein Michael S | |||||||||
| Director (end 1/14) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kemmerer Candy | |||||||||
| Director (end 1/14) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mollica Gerald A | |||||||||
| Director (end 1/14) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Noftz Brenda | |||||||||
| Director (end 1/14) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Norris Bob | |||||||||
| Director (end 1/14) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sammons Dawn | |||||||||
| Director (end 1/14) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Long Greg | |||||||||
| CEO/President | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $334,530 | $42,436 | ||
| Dicken Ken | |||||||||
| CFO (end 1/14) | 40.00 | 0.00 | Yes (X) | $0 | $233,453 | $34,125 | |||
| Kless Adam | |||||||||
| VP Nursing | 40.00 | 0.00 | $165,160 | $0 | $0 | Yes (X) | |||
| Rothstein Mark | |||||||||
| Executive Director (end 7/13) | 40.00 | 0.00 | $387,752 | $0 | $44,649 | Yes (X) | |||
| Adams Stenneth | |||||||||
| Physician | 40.00 | 0.00 | $388,892 | $0 | $30,477 | Yes (X) | |||
| Bertuna Kathleen | |||||||||
| Physician | 40.00 | 0.00 | $417,692 | $0 | $7,731 | Yes (X) | |||
| Nesbitt Neal | |||||||||
| Physician | 40.00 | 0.00 | $429,723 | $0 | $15,507 | Yes (X) | |||
| Reedus Derrick | |||||||||
| Physician | 40.00 | 0.00 | $552,929 | $0 | $32,284 | Yes (X) | |||
| Reed Jason | |||||||||
| Physician | 40.00 | 0.00 | $1,343,742 | $0 | $30,772 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,685,890 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,302,617 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,433,069 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OhioHealth Corporation | |||||
| 180 East Broad Street | Columbus | OH | 43215 | Management Services | $1,276,836 |
| Bricker & Eckler LLP | |||||
| 100 South Third Street | Columbus | OH | 432154291 | Legal Services | $328,413 |
| Access Health Athens LLC | |||||
| 7450 Huntington Park Drive | Columbus | OH | 432355617 | Healthcare Services | $261,500 |
| Dawson Healthcare | |||||
| 3650 Olentangy River Road | Columbus | OH | 43214 | Healthcare Staffing Services | $185,713 |
| Reliable Construction Services | |||||
| 1256 Stanley Avenue | Dayton | OH | 45404 | Construction and Design Services | $155,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $6,355 | FundraisingAmt |
| Related Organizations | $500,000 | RelatedOrganizationsAmt |
| All Other Contributions | $283,644 | AllOtherContributionsAmt |
| Total Contributions | $789,999 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 622110 | $82,240,126 | $82,240,126 |
| Rent from Affiliate | 631110 | $482,457 | $482,457 |
| Joint Venture Income | 621990 | $273,818 | $273,818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $82,996,401 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,336 | TotalRevenueColumnAmt |
| Exclusion | $141,336 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $167,517 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $251,311 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$83,794 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$83,794 | TotalRevenueColumnAmt |
| Exclusion | -$83,794 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $460,328 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $451,989 | SecuritiesAmt |
| Other | $18,658 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,339 | SecuritiesAmt |
| Other | -$18,658 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,319 | TotalRevenueColumnAmt |
| Exclusion | -$10,319 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $30,053 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $6,355 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $19,333 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,720 | TotalRevenueColumnAmt |
| Exclusion | $10,720 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Meaningful Use | 900099 | $1,771,927 | $1,771,927 | |
| Cafeteria & Catering | 722210 | $515,133 | $515,133 | |
| Vendor Rebates | 900099 | $193,938 | $193,938 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,576,585 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,575,486 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,099 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,057,583 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,901,926 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $86,537,752 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,099 | UnrelatedBusinessRevenueAmt |
| Exclusion | $573,076 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,529 | TotalAmt |
| Program Services | $165,160 | ProgramServicesAmt |
| Management And General | $419,369 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,073,085 | TotalAmt |
| Program Services | $27,853,181 | ProgramServicesAmt |
| Management And General | $5,219,904 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,328 | TotalAmt |
| Program Services | $1,016,697 | ProgramServicesAmt |
| Management And General | $204,631 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,039,752 | TotalAmt |
| Program Services | $6,692,706 | ProgramServicesAmt |
| Management And General | $1,347,046 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,135,825 | TotalAmt |
| Program Services | $1,777,971 | ProgramServicesAmt |
| Management And General | $357,854 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,995 | TotalAmt |
| Management And General | $546,995 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,195 | TotalAmt |
| Management And General | $46,195 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,270 | TotalAmt |
| Management And General | $1,270 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,962,192 | TotalAmt |
| Program Services | $13,287,755 | ProgramServicesAmt |
| Management And General | $2,674,437 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,474 | TotalAmt |
| Program Services | $548,148 | ProgramServicesAmt |
| Management And General | $110,326 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,457,487 | TotalAmt |
| Program Services | $2,878,191 | ProgramServicesAmt |
| Management And General | $579,296 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,830,319 | TotalAmt |
| Program Services | $3,188,556 | ProgramServicesAmt |
| Management And General | $641,763 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,474,837 | TotalAmt |
| Program Services | $1,227,731 | ProgramServicesAmt |
| Management And General | $247,106 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,814 | TotalAmt |
| Program Services | $194,639 | ProgramServicesAmt |
| Management And General | $39,175 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,105 | TotalAmt |
| Program Services | $83,333 | ProgramServicesAmt |
| Management And General | $16,772 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,378,026 | TotalAmt |
| Program Services | $1,147,140 | ProgramServicesAmt |
| Management And General | $230,886 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,823,214 | TotalAmt |
| Program Services | $2,350,190 | ProgramServicesAmt |
| Management And General | $473,024 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,064,991 | TotalAmt |
| Program Services | $886,554 | ProgramServicesAmt |
| Management And General | $178,437 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $10,856,360 | $10,856,360 | $0 | $0 |
| Medicaid Tax | $1,070,666 | $1,070,666 | $0 | |
| Membership Dues | $139,150 | $139,150 | $0 | $0 |
| Sponsorships | $106,969 | $106,969 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,732 | TotalAmt |
| Program Services | $264,732 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,070,315 | TotalAmt |
| Program Services | $75,628,860 | ProgramServicesAmt |
| Management And General | $13,441,455 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,030,307 | BOYAmt |
| EOY | $5,055,113 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,087,641 | BOYAmt |
| EOY | $11,839,164 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,069,965 | BOYAmt |
| EOY | $10,289,235 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,819 | BOYAmt |
| EOY | $26,611 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,700,248 | BOYAmt |
| EOY | $2,673,753 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,892,944 | BOYAmt |
| EOY | $970,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,768,610 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,776,990 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,542,229 | BOYAmt |
| EOY | $42,991,620 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$185,650 | BOYAmt |
| EOY | -$53,472 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,103,603 | BOYAmt |
| EOY | $8,870,322 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,344,106 | BOYAmt |
| EOY | $82,662,814 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,300,976 | BOYAmt |
| EOY | $3,295,152 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,847,083 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985,317 | BOYAmt |
| EOY | $905,802 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,049,451 | BOYAmt |
| EOY | $34,503,971 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,182,827 | BOYAmt |
| EOY | $38,704,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,525,620 | BOYAmt |
| EOY | $43,323,234 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,791 | BOYAmt |
| EOY | $24,787 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $609,868 | BOYAmt |
| EOY | $609,868 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,161,279 | BOYAmt |
| EOY | $43,957,889 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,344,106 | BOYAmt |
| EOY | $82,662,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,168,389 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,727,682 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,237,317 | 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 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,270 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,270 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses relate to the portion of dues paid to the Ohio Hospital Association which is used for lobbying. Sheltering Arms Hospital Foundation does not participate in or intervene in (including the publishing or distributing of statements) any politial campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $635,659 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,005 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $634,654 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $662,294 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$26,635 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $635,659 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $770,777 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$108,483 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $662,294 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $786,504 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$15,727 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $770,777 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $801,779 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$15,275 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $786,504 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.03910 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.96090 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,151,585 | OtherCostOrOtherBasisAmt |
| Book Value | $3,151,585 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,978,346 | OtherCostOrOtherBasisAmt |
| Depreciation | $319,069 | DepreciationAmt |
| Book Value | $17,659,277 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,157,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,356,638 | DepreciationAmt |
| Book Value | $20,800,693 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,481,348 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,283 | DepreciationAmt |
| Book Value | $1,380,065 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,991,620 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Long Term Assets Limited As to Use | $5,145,357 |
| Other Receivables | $3,724,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,870,322 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Wages | $4,293,856 |
| Other Liabilities | $1,945,902 |
| Leased Property Deposits | $3,647,399 |
| Note Payable to OhioHealth | $24,313,000 |
| Intercompany Payable to OhioHealth | $303,814 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $34,503,971 | 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: | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1Amt |
| Gross Receipts Event1 | $36,408 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $6,355 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $30,053 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,200 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,332 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,133 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $7,668 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $36,408 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $6,355 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $30,053 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,200 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,332 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $5,133 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,668 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $19,333 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $10,720 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,580,664 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $913,731 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,666,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,798,332 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,520,263 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,278,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11540 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,378,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,433,994 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,945,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,026,336 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $923,787 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $99 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,033,509 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $924,447 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $109,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,412,505 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,358,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,054,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14660 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,996,249 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $209,887 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,843,512 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,750,850 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,907,338 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 Athens Surgery Center Ltd | |||
| Outpatient Surgery | 0.59790 | 0.04120 | 0.36090 |
| 2 O'Bleness Memorial Pain Management LLC | |||
| Pain Management | 0.51000 | 0.00000 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | O'Bleness Memorial Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Hospital Drive | AddressLine1 |
| City | Athens | City |
| State | OH | State |
| ZIP Code | 457010000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.ohiohealth.com/obleness/ | WebsiteAddressTxt |
| State License | ODH1109 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O'Bleness Memorial 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | Included in Section C, Line 5d | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | Yes (1) | 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 | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| O'Bleness Memorial Hospital | Part V, Section B, Line 3: The hospital sought input from several strategic members of the community when conducting the CHNA. After input was obtained, these individuals, along with key members from the hospital, came together to develop the report and strategy. The community members included: Dr. Gaskell, Medical Director of the Health Department/Health Commissioner; Dr. Shubrook, Diabetes Research, Treatment, and Education; Kathy Trace, Director of Area Health Education Center and Community Health Services at the Ohio University Heritage College of Osteopathic Medicine; Dr. Clark, Vice President of Medical Affairs at O'Bleness Memorial Hospital; Adam Kless, Chief Nursing Officer at O'Bleness Memorial Hospital; and Dr. Basta, Associate Professor/Director of Social and Public Health College of Health Sciences and Professions. |
| O'Bleness Memorial Hospital | Part V, Section B, Line 5d: https://www.ohiohealth.com/aboutobleness/ |
| O'Bleness Memorial Hospital | Part V, Section B, Line 14g: Signs are posted at multiple O'Bleness Memorial Hospital entry points, patient registration locations, and the emergency room and waiting rooms stating Sheltering Arms Hospital Foundation's intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's charity care program. |
| O'Bleness Memorial Hospital | Part V, Section B, Line 18e: Signs are posted at multiple entry points and registration locations stating the intent to comply with the State of Ohio's Hospital Care Assurance Program (HCAP). Additionally, the signage contains reference to the organization's Charity Care Program. Information materials are available at registration locations and interpretive services can be arranged if the patient/guarantor does not speak English. OhioHealth facility billing statements also include information regarding HCAP and can be used to apply for financial assistance. Financial Counselors are located at each of the main hospital campuses to provide information about the financial assistance programs to the patients as well as assist with completing the financial assistance application. All self pay registrations are referred to the financial counselors or on-site vendors and an attempt is made for direct contact to discuss and complete the financial assistance application. There may be times, such as very late in the evening or very early morning, when all self pay patients are not seen face-to-face before they are discharged. However, there are phone attempts and letters mailed to these patients to explain financial assistance and attempt completion of the financial assistance application. The front of every patient billing statement references assistance for amounts not covered by insurance to those individuals whose income is below the established poverty level. There are telephone numbers for customer service, with service hours, and an email address provided on the front of every patient billing statement. On the back of every patient billing statement is the financial assistance application with the federal poverty guidelines. Included are directions to complete the application, sign, and where to send the application. The Customer Call Center will discuss financial assistance with any patient that expresses need or concern in paying the balance on their account. The representative will forward the caller to the verbal financial assistance queue or have a financial assistance application mailed to the patient. The financial assistance application is available in five different languages based on the needs of the communities.The internet (ohiohealth.com) has information pertaining to the charity programs as well as the financial assistance application, in five different languages, as well as directions on how to complete the financial assistance application. |
| O'Bleness Memorial Hospital | Part V, Section B, Line 20d: The maximum amounts charged to financial assistance policy eligible individuals for emergency or other medically necessary is $0 for patients who fall within 150% of the FPG and 50% of chargemaster rates for patients who fall within 200% of the FPG. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | 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 | Athens Medical Associates LLC | BusinessNameLine1 |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Physician Services | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The hospital has more than one policy concerning free or discounted care. O'Bleness Memorial Hospital will offer and provide free care to any patient who meets the eligibility requirement for free care under the OCAP or HCAP financial assistance policies. The following steps will be used to determine eligibility for free care under OCAP (O'Bleness Care Assurance Program):1. A recipient of the Ohio Medicaid Program is not eligible. (OAC Rule 5 10 1:3-2-07.17)2. If the patient is covered under a third-party insurer or a governmental program, the third party will be billed and any payment received will be applied to the account first. Any balance on the account will be considered for the OCAP write-off.3. OCAP assistance will be approved only when services are provided by O'Bleness Memorial Hospital. These services also include physician interpretation fees for cardiopulmonary services and service provided in the O'Bleness Family Practice Clinic.4. Family income is between 100 to 150% of the federal poverty guidelines. Family: Family shall be defined as the patient, the patient's spouse, and all of the patient's children, natural and adoptive under the age of eighteen who live at home. If the patient is under the age of eighteen the family shall include the patient, the patient's natural or adoptive parent(s) and the parent(s) children, natural or adoptive under the age of eighteen who live in the home. If the patient is a child of a minor parent who still resides in the home of the patient's grandparents, the family shall include only the parent(s) of any of the parent(s) natural or adoptive children who reside in the home. Income: Income shall be defined as the total salaries, wages and cash receipts before taxes: Receipts that reflect reasonable deduction for business expenses shall be counted for both farm and non-farm self-employment.The following steps will be used to determine eligibility for free care under HCAP (Hospital Care Assurance Program):1. A completed application will be obtained from all patients seeking free care under HCAP.2. A patient must be a resident of the state of Ohio to be eligible for HCAP.3. O'Bleness Memorial Hospital will define income requirements using the federal poverty guidelines as indicated yearly.4. O'Bleness Memorial Hospital will define a family as indicated in Baldwin's Ohio Administrative Code Chapter 5101:3-2-0717.5. The income provided by the applicant will be verified via sworn signature.6. A recipient of the Ohio Medicaid Program is not eligible (OAC Rule: 5101:3-2-0717) if a patient has insurance coverage, O'Bleness Memorial Hospital will first bill the insurance and receive a payment of a denial before the HCAP application is processed. |
| Part I, Line 7: | The cost of charity care, unreimbursed Medicaid and other means-tested government programs was estimated using a cost to charge ratio derived from Worksheet 2 of the Schedule H instructions.Costing methodology used to determine the cost of community health improvement services and community benefit operations: The hospital uses the computer software CBISA to track our programs that happen in the community or at the hospital for the community. The computer tracks direct expenses associated with the programs as well as any offsetting revenue that will decrease the community benefit. The system accounts for utilities used if the activity occurs at the facility (hospital). The system also accounts for any supplies used and wages of any employee that is present at the activity. A hospital wide wage average is used in determining the amount of salary to use in the direct expenses. |
| Part III, Line 3: | The bad debt was determined based on Form 990, Part IX. The estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy is estimated at 3% of bad debt. |
| Part III, Line 4: | Accounts receivable for patients, insurance companies, and governmental agencies are based on gross charges. An allowance for contractual adjustments is based on expected payment rates from payors based on current reimbursement methodologies. This amount also includes amounts received as interim payments against unpaid claims by certain payors. An allowance for uncollectible accounts is established on an aggregate basis by using historical write-off rate factors applied to unpaid accounts based on aging. Loss rate factors are based on historical loss experience and adjusted for economic conditions and other trends affecting the Corporation's ability to collect outstanding amounts. Uncollectible amounts are written off against the allowance for doubtful accounts in the period they are determined to be uncollectible.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 Corporation records a provision for bad debts 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 (including uninsured discount) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts in the period they are determined to be uncollectable. |
| Part III, Line 8: | In accordance with the Catholic Health Association guidelines per "A Guide for Planning and Reporting Community Benefits," Sheltering Arms Hospital Foundation does not report Medicare shortfall as community benefit. |
| Part III, Line 9b: | Patients known to qualify for charity care or financial assistance are asked to fill out the paperwork associated with the programs we have available to patients with low income. We do not have a collections process for charity care patients and the full amount is written off to the associated program. This does not apply to patients that do not qualify for either of the programs. If it is determined that the patient is capable of paying for their medical care, then at that point they are billed at a discounted rate for the services provided. If they fail to pay at the discounted rate then collections practices ensue. |
| Part VI, Line 2: | The hospital conducted a community health needs assessment to best serve the needs of the patients and be in compliance with future healthcare legislation. |
| Part VI, Line 3: | The hospital informs patients of their eligibility for assistance in different ways. There is a sign in the admitting area that directs their attention to the fact that there is available care at a reduced fee or free of charge. On each data mailer that is sent out to patients, there is a section that informs them of the availability of this care. Any patient that comes in without insurance or proof of insurance is supplied a self-pay packet. In this packet is an outline on how to obtain free or discounted care; the packet also details the parameters of each program. If any of our employees are asked in admissions or during their care if there are any options available for payment of their care, the employees will describe to the patients the programs available or provide them with materials on how to apply and be accepted into the free or discounted care programs. |
| Part VI, Line 4: | O'Bleness Memorial Hospital is a community hospital in a rural area of Appalachia. Our primary service area includes the communities within Athens County, Ohio, which has been identified by the Appalachian Regional Commission as an ARC-designated distressed county. According to the United States Census Bureau, the population of Athens County in 2013 was 64,681. The median income of $33,836 is not truly representative of the population, as the community includes a major university. Athens County has the highest poverty level of any county in Ohio, as 32.2% of the community residents have incomes at or below the federal poverty guideline. Uninsured individuals in Athens County represent 21% of the population. The hospital's patient population includes 8.8% who are uninsured and 23.18% who are Medicaid recipients. Located within O'Bleness's primary service area of Athens County is one additional hospital, Doctors Hospital of Nelsonville affiliated with OhioHealth based in Columbus, Ohio Portions of the patient population are also served by eight other hospitals in Washington, Gallia, Jackson, Hocking, Fairfield and Ross Counties in Ohio and Wood County in West Virginia, as well as three major health systems with multiple facilities in Franklin County, Ohio. Two townships in Athens County have been designated as medically underserved areas/populations by the U.S. Department of Health and Human Services: Lodi and Trimble. |
| Part VI, Line 5: | At O'Bleness Memorial Hospital it is our goal to give access to any person in our community to modern day healthcare at a cost effective price. As the only hospital in Athens, we strive to give help where help is needed. To further our commitment to the community and our exempt purpose we engage in many activities. Our board is compiled of people who reside in our community without a conflict of interest with the hospital. We believe the more diverse the board the better they will be able to identify the needs of the community. The majority of the board has no connection to the organization nor is contracted with the hospital. They provide their consult and guidance out of the pure desire to see their community be afforded the same quality of care as bigger markets. We extend medical privileges to qualified physicians that have a desire to practice within our facilities. We continue to search for programs and activities that will be new to the community in order to give the population variety and health oriented alternatives. Funds are used to purchase capital equipment that is vital in keeping up with an ever evolving medical world. It is also used to fund activities inside and outside of the hospital that involves the community on various levels whether it be a health fair or an interactive exercise program. We have many volunteers from the community that are instrumental in carrying out various activities. |
| Part VI, Line 6: | The O'Bleness Health System is designed to offer the most comprehensive medical attention to a mainly centralized location to the community in which we live. The affiliates of the system work together in a collaborative effort to increase the efficiency and cost of healthcare to the patient. The O'Bleness Memorial Hospital is the main component of the health system. At the hospital we offer a variety of inpatient and outpatient services. The emergency department is operational 24 hours a day 7 days a week. We offer care to anyone regardless of ability to pay. We are the only fully functional hospital in the community. It is our goal not to exclude anyone from our community that is in need of care. The Athens Medical Lab (AML) is an affiliate of the system that is a medical reference lab that offers convenience and cost efficiency for the patient. This allows us to keep patients close to home and speed up result time. The Athens Medical Associates (AMA) is a multi-physician practice that offers a variety of services to patients. AMA is comprised of a multifaceted OB/GYN practice, an orthopedic surgeon, and a Family Practice Clinic that service numerous members of the community. There is also Appalachian Community Visiting Nurses Association, Hospice and Health Services (ACVNAHHS). This affiliate provides hospice services to not only Athens County but surrounding counties. They are also providers of visiting nurses that serve our clients out of the comfort of their own home.OhioHealth Corporation became the owner of Sheltering Arms Hospital Foundation through member substitution in January, 2014. |
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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 | ||||||||||||||
| CEO/President | $0 | $238,668 | $0 | $74,261 | $0 | $21,601 | $0 | $20,285 | $0 | $22,151 | $0 | $376,966 | $0 | $0 |
| Dicken Ken | ||||||||||||||
| CFO (end 1/14) | $0 | $176,132 | $0 | $54,557 | $0 | $2,764 | $0 | $11,983 | $0 | $22,142 | $0 | $267,578 | $0 | $0 |
| Kless Adam | ||||||||||||||
| VP Nursing | $159,799 | $0 | $0 | $0 | $5,361 | $0 | $0 | $0 | $0 | $0 | $165,160 | $0 | $0 | $0 |
| Rothstein Mark | ||||||||||||||
| Executive Director (end 7/13) | $334,810 | $0 | $0 | $0 | $52,942 | $0 | $11,494 | $0 | $33,155 | $0 | $432,401 | $0 | $0 | $0 |
| Adams Stenneth | ||||||||||||||
| Physician | $332,293 | $0 | $0 | $0 | $56,599 | $0 | $7,650 | $0 | $22,827 | $0 | $419,369 | $0 | $0 | $0 |
| Bertuna Kathleen | ||||||||||||||
| Physician | $280,500 | $0 | $136,292 | $0 | $900 | $0 | $7,650 | $0 | $81 | $0 | $425,423 | $0 | $0 | $0 |
| Nesbitt Neal | ||||||||||||||
| Physician | $389,273 | $0 | $0 | $0 | $40,450 | $0 | $7,650 | $0 | $7,857 | $0 | $445,230 | $0 | $0 | $0 |
| Reedus Derrick | ||||||||||||||
| Physician | $422,542 | $0 | $0 | $0 | $130,387 | $0 | $7,650 | $0 | $24,634 | $0 | $585,213 | $0 | $0 | $0 |
| Reed Jason | ||||||||||||||
| Physician | $646,322 | $0 | $684,414 | $0 | $13,006 | $0 | $7,650 | $0 | $23,122 | $0 | $1,374,514 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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. |
| Part I, Line 7 | Incentive bonuses are calculated using an objective formula that includes clinical quality, patient, physician and employee satisfaction, and financial items. Minor modifications to increase or decrease incentive payments, within the maximum amount established for each position, may be made based on individual performance and accountabilities. In addition, one time bonuses may be awarded to recognize exemplary performance. All payments are examined for reasonableness and are reviewed and approved by either the Executive Compensation Committee (for disqualified persons) or through management and the company's human resources function (for non-disqualified persons). |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| Dawn Sammons | |||||||
| Director/Physician | Physician Education Loan | Yes (X) | $250,000 | $6,000 | 0 | Yes (1) | Yes (1) |
| Derrick Reedus | |||||||
| Physician | Physician Education Loan | Yes (X) | $178,624 | $20,611 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $26,611 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Stephen Noftz | |||
| Director of Org - Husband of Director (Brenda Noftz) | $62,728 | Comp/Ben - Husband is employed at Sheltering Arms Hospital Foundation and receives compensation. | 0 |
| Pam Born | |||
| Director - Sister-in-Law of Director (Brenda Noftz) | $58,796 | Comp/Ben - Sister-in-law is employed at Sheltering Arms Hospital Foundation and receives compensation. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 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 OhioHealth Hospital Management Services, LLC, an Ohio nonprofit limited liability company, effective August 1, 2010 for a five-year term. OhioHealth Hospital Management Services, LLC is a wholly-owned subsidiary of OhioHealth Corporation, an Ohio nonprofit corporation that is exempt from federal income tax under IRS Code Section 501(c)(3). This contract terminated as of the acquistion date, 1/7/2014, when OhioHealth Corporation became the owner through member substitution. |
| Form 990, Part VI, Section A, line 4 | Effective January 7, 2014, Sheltering Arms Hospital Foundation was acquired by Member Substitution. OhioHealth Corporation (headquartered in Columbus, Ohio) is now the sole member. |
| Form 990, Part VI, Section A, line 6 | OhioHealth Corporation is the sole member of Sheltering Arms Hospital Foundation, and this membership is permissible under Ohio Revised Code Section 1702.13. |
| Form 990, Part VI, Section A, line 7a | The West Ohio Conference of The United Methodist Church is the sole voting member of OhioHealth Corporation which in turn is the sole voting member of all subsidiary organizations which includes Sheltering Arms Hospital Foundation. This membership is permissible under Ohio Revised Code Section 1702.13. |
| Form 990, Part VI, Section A, line 7b | Revisions of the Code of Regulations that affect the rights of the Member must be approved by the Member, OhioHealth Corporation. |
| 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 parent company of the organization. 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 | Compensation of the Executive Director is determined based on comparability data, contemporaneous substantiation of the deliberation and decision and by a compensation committee. The executive's compensation is reviewed and approved by OhioHealth Hospital Management Services, LLC. The executive is paid through this management company. The management agreement with them is reviewed and approved by the board. The last compensation review was completed in 2013. |
| Form 990, Part VI, Section C, line 19 | Information is made available as required. |
| Form 990, Part IX, line 11g | Physician Contracted Services: Program service expenses 3,184,799. Management and general expenses 641,007. Fundraising expenses 0. Total expenses 3,825,806. Diagnotic/Testing Outsourced Services: Program service expenses 2,267,247. Management and general expenses 456,331. Fundraising expenses 0. Total expenses 2,723,578. Anesthesia/Pharmacy Outsourced Services: Program service expenses 1,931,211. Management and general expenses 388,696. Fundraising expenses 0. Total expenses 2,319,907. Repairs and Maintenance Contracts: Program service expenses 1,360,427. Management and general expenses 273,814. Fundraising expenses 0. Total expenses 1,634,241. Physical Therapy Outsourced Services: Program service expenses 952,593. Management and general expenses 191,729. Fundraising expenses 0. Total expenses 1,144,322. Other Outsourced Services: Program service expenses 3,591,478. Management and general expenses 722,860. Fundraising expenses 0. Total expenses 4,314,338. |
| Form 990, Part XI, line 9: | Other -397. Inherent Contributions from Acquisition of Hospitals 6,237,714. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Athens Medical Associates LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 Hospital Drive | AddressLine1 |
| City | Athens | City |
| State | OH | State |
| ZIP Code | 457010000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020734615 | EIN |
| Primary Activities | Physician Services | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $11,135,488 | TotalIncomeAmt |
| End Of Year Assets | $2,113,732 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sheltering Arms Hospital Foundation | BusinessNameLine1 |
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 | |
| Appalachian Community Visiting Nurse Association | |||||||||||
| 30 Herrold Avenue | Athens | OH | 45701 | 311045101 | Hospice and Health Services | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | Sheltering Arms Hospital Foundation | |
| Marion General Hospital | |||||||||||
| 1000 McKinley Park Drive | Marion | OH | 43302 | 311070877 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| Grady Memorial Hospital | |||||||||||
| 561 West Central Avenue | Delaware | OH | 43015 | 314379436 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| Hardin Memorial Hospital | |||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 344440479 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| Hardin Physician Foundation Inc | |||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 311414276 | Foundation | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | Hardin Memorial Hospital | |
| Hardin Memorial Hospital Foundation | |||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 341521537 | Foundation | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | 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 | Yes (1) | OhioHealth Corporation | |
| GrantRiverside Medical Care Foundation (dba OPG) | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311351965 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| OhioHealth Foundation | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 237446919 | Foundation | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| HomeReach | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311372702 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| HomeReach HomeCare | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311417595 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | HomeReach | |
| OhioHealth Research Institute | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 316059784 | Research | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | OhioHealth Corporation | |
| Hospital Properties Inc | |||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311206071 | Property Management | OH | 501(c)(2) | N/A | Yes (1) | OhioHealth Corporation | |
| MedCentral Health System | |||||||||||
| 335 Glessner Avenue | Mansfield | OH | 44906 | 340714456 | Health Care | OH | 501(c)(3) | Schedule A, Line 3 | Yes (1) | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||
| OHRH LLC | ||||||||||||||
| 4714 Gettysburg Road | Mechanicsburg | PA | 17055 | 462458436 | Medical Services | PA | N/A | |||||||
| Westerville Endoscopy Center LLC | ||||||||||||||
| 700 E Broad Street 1st Floor | Columbus | OH | 43214 | 462755661 | Endoscopy Services | OH | N/A | |||||||
| Knightsbridge Surgery Center LTD | ||||||||||||||
| 4845 Knightsbridge Blvd Suite 110 | Columbus | OH | 43214 | 870650797 | Medical Services | OH | N/A | |||||||
| O'Bleness Memorial Pain Management LLC | ||||||||||||||
| 55 Hospital Drive | Athens | OH | 45701 | 454587317 | Medical Services | OH | Sheltering Arms Hospital Foundation | Related | $33,815 | $212,643 | 0 | Yes (1) | 0.51000 | |
| Athens Surgery Center | ||||||||||||||
| 75 Hospital Drive | Athens | OH | 45701 | 550840856 | Medical Services | OH | Sheltering Arms Hospital Foundation | Related | $246,412 | $478,936 | 0 | Yes (1) | 0.59790 | |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Athens Medical Laboratory Associates Inc | |||||||||||||||||
| 265 West Union Street | Athens | OH | 45701 | 311381808 | Medical Laboratory | OH | Sheltering Arms Hospital Foundation | S | $1,099 | $645,713 | 1.00000 | Yes (1) | |||||
| OhioHealth Star Corporation | |||||||||||||||||
| 180 East Broad Street 33rd Floor | Columbus | OH | 432153707 | 311119936 | Administrative Services | OH | C | 0 | N/A | ||||||||
| HardinCare Inc | |||||||||||||||||
| 921 East Franklin Street | Kenton | OH | 43326 | 341492617 | Property Management | OH | C | 0 | N/A | ||||||||
| Intel Health Services | |||||||||||||||||
| 314394942 | Insurance/Reinsurance | C | 0 | N/A | PO Box 1051 Governors Square Bu | Grand Cayman KY1-1102, Cayman Islan | CJ | CJ | |||||||||
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Appalachian Community Visiting Nurse Association | ||
| K | $73,333 | Lease Agreement |
| Appalachian Community Visiting Nurse Association | ||
| D | $315,000 | Loan Agreement Increase |
| Doctor's Hospital at Nelsonville | ||
| O | $1,550,114 | Actual Amount Paid |
| OhioHealth Corporation | ||
| P | $3,113,142 | Actual Amount Paid |
| OhioHealth Corporation | ||
| E | $24,313,000 | Loan Balance |
| OhioHealth Corporation | ||
| C | $500,000 | Actual Amount Transferred |