OHIOHEALTH CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- OHIOHEALTH CORPORATION (EIN 31-4391798)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-12
- IRS object ID
- 201423169349304587
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-12T14:41:27-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TUCKER & TUCKER CPAS LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 WHEELING AVE | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 314391798 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 7404393561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1341 CLARK STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIM EVANCHO | PersonNm |
| Person Title | VP FINANCE & CFO | PersonTitleTxt |
| Phone | 7404393561 | PhoneNum |
| Signature | 2014-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY T TUCKER | PreparerPersonNm |
| Phone | 7404395513 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAYMOND M CHOREY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1341 CLARK ST | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $200,262,526 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SEORMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | GENERAL COMMUNITY HOSPITAL WITH A MISSION TO PROVIDE HIGH QUALITY, COMPREHENSIVE, AFFORDABLE, PATIENT-CENTERED HEALTHCARE IN A CARING AND SAFE ENVIRONMENT, WHILE ADDRESSING COMMUNITY NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 935 | TotalEmployeeCnt |
| Total Volunteers | 171 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $253,838 | PYContributionsGrantsAmt |
| CY Contributions Grants | $122,668 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $168,491,549 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $197,484,418 | CYProgramServiceRevenueAmt |
| PY Investment Income | $420,485 | PYInvestmentIncomeAmt |
| CY Investment Income | $601,508 | CYInvestmentIncomeAmt |
| PY Other Revenue | $467,500 | PYOtherRevenueAmt |
| CY Other Revenue | $473,804 | CYOtherRevenueAmt |
| PY Total Revenue | $169,633,372 | PYTotalRevenueAmt |
| CY Total Revenue | $198,682,398 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,249,684 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,426,954 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $129,311,712 | PYOtherExpensesAmt |
| CY Other Expenses | $150,347,043 | CYOtherExpensesAmt |
| PY Total Expenses | $168,561,396 | PYTotalExpensesAmt |
| CY Total Expenses | $194,773,997 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,071,976 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,908,401 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,680,806 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,423,395 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $51,244,738 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,688,372 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,436,068 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,735,023 | NetAssetsOrFundBalancesEOYAmt |
| Mission | GENERAL COMMUNITY HOSPITAL WITH A MISSION TO PROVIDE HIGH QUALITY, COMPREHENSIVE, | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $178,731,022 | ExpenseAmt |
| Revenue | $187,606,232 | RevenueAmt |
| Desc | GENERAL HOSPITAL - MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS - SEE ATTACHED SCHEDULE H FOR ADDITIONAL INFORMATION | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,446,139 | ExpenseAmt |
| Revenue | $9,878,186 | RevenueAmt |
| Desc | OPERATION OF PHYSICIAN OFFICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $191,177,161 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 132 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 935 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIM EVANCHO | PersonNm |
| Phone | 7404393561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1341 CLARK STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARIBETH WRIGHT | |||||||
| CHAIR | 8.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW S DIX | |||||||
| VICE CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL G PADDEN | |||||||
| SECRETARY | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| SHON GRESS | |||||||
| TREASURER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN SHANAHAN | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW P ELLI | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| COLLEEN A HEACOCK | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DONALD J CROCK | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP HEARING | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GREG ADAMS | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL D SARAP MD | |||||||
| TRUSTEE | 2.00 | Yes (X) | $7,056 | $0 | $0 | ||
| DALE H HILEMAN | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA WINNETT | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EYAD MAHAYRI MD FCCP | |||||||
| TRUSTEE | 2.00 | Yes (X) | $534,459 | $0 | $12,507 | ||
| JOCELYNE J DAVIS | |||||||
| TRUSTEE | 2 | Yes (X) | |||||
| ROBERT G LEY | |||||||
| TRUSTEE | 2 | Yes (X) | |||||
| SHAWN RAY | |||||||
| TRUSTEE | 2 | Yes (X) | |||||
| RAYMOND M CHOREY | |||||||
| PRESIDENT & CEO | 40 | Yes (X) | $254,937 | $16,959 | Yes (X) | ||
| DONALD P HUELSKAMP | |||||||
| V.P. FINANCE & CFO | 40 | $151,050 | $18,055 | Yes (X) | |||
| ANGELA SUE LONG | |||||||
| V.P. NURSING SERVICES | 40 | $140,156 | $12,898 | Yes (X) | |||
| ANN M ROLLMAN | |||||||
| V.P. HUMAN RESOURCES | 40 | $78,714 | $3,245 | Yes (X) | |||
| SHARRON LYNN BUXTON | |||||||
| ASSISTANT SECRETARY | 40 | $42,775 | $14,355 | Yes (X) | |||
| EARL EDWIN CONAWAY | |||||||
| VP MEDICAL AFFAIRS | 20 | $10,128 | $119,227 | $14,355 | Yes (X) | ||
| COREY A JACKSON DO | |||||||
| PHYSICIAN | 40 | $927,728 | $12,988 | Yes (X) | |||
| NABIEL ALKHOURI MD | |||||||
| PHYSICIAN | 40 | $300,019 | $14,013 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,933,560 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $744,084 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $157,000 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMCARE INC | |||||
| 7032 COLLECTION CENTER DR | CHICAGO | IL | 60693 | EMERGENCY ROOM PHYSICIANS | $953,534 |
| NORTHSTAR ANESTHESIA OF OHIO | |||||
| 200 E LAMAR BLVD STE 400 | ARLINGTON | TX | 76006 | ANESTHESIA SERVICES | $813,577 |
| HILSCHER CLARKE ELECTRIC CO INC | |||||
| 519 4TH ST NW | CANTON | OH | 44703 | ELECTRICAL CONTRACTOR | $486,700 |
| ECONOMY LINEN & TOWEL SERVICE | |||||
| 503 HOWARD ST | ZANESVILLE | OH | 43701 | LAUNDRY & LINEN SERVICE | $345,405 |
| THE ADVISORY BOARD CO | |||||
| 2445 M STREET NW | WASHINGTON | DC | 20037 | CONSULTING | $334,975 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $122,668 | AllOtherContributionsAmt |
| Total Contributions | $122,668 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| DIAGNOSTIC IMAGING | 622110 | $39,089,954 |
| LABORATORY SERVICES | 622110 | $22,541,049 |
| SURGERY | 622110 | $21,705,157 |
| EMERGENCY SERVICES | 622110 | $16,876,549 |
| PHARMACY | 622110 | $16,151,007 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,120,702 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $197,484,418 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $436,118 | TotalRevenueColumnAmt |
| Exclusion | $436,118 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,745,518 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,580,128 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $165,390 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,390 | TotalRevenueColumnAmt |
| Exclusion | $165,390 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA SALES | Desc |
| Business | 722300 | BusinessCd |
| Total Revenue Column | $473,804 | TotalRevenueColumnAmt |
| Exclusion | $473,804 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $473,804 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $198,682,398 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $197,484,418 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,075,312 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,418 | TotalAmt |
| Program Services | $551,643 | ProgramServicesAmt |
| Management And General | $42,775 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,598 | TotalAmt |
| Program Services | $167,598 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,600,832 | TotalAmt |
| Program Services | $33,399,124 | ProgramServicesAmt |
| Management And General | $201,708 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,175,286 | TotalAmt |
| Program Services | $1,165,373 | ProgramServicesAmt |
| Management And General | $9,913 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,969,327 | TotalAmt |
| Program Services | $5,938,283 | ProgramServicesAmt |
| Management And General | $31,044 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,919,493 | TotalAmt |
| Program Services | $2,901,009 | ProgramServicesAmt |
| Management And General | $18,484 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,500,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,282 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $69,282 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,287 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $45,287 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,532,547 | TotalAmt |
| Program Services | $10,236,122 | ProgramServicesAmt |
| Management And General | $1,296,425 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,549 | TotalAmt |
| Program Services | $303,549 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,222,450 | TotalAmt |
| Program Services | $1,149,009 | ProgramServicesAmt |
| Management And General | $73,441 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,503 | TotalAmt |
| Program Services | $1,446,503 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,717 | TotalAmt |
| Program Services | $2,177,701 | ProgramServicesAmt |
| Management And General | $46,016 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,202 | TotalAmt |
| Program Services | $54,353 | ProgramServicesAmt |
| Management And General | $14,849 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,955 | TotalAmt |
| Program Services | $105,778 | ProgramServicesAmt |
| Management And General | $4,177 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,385 | TotalAmt |
| Program Services | $528,385 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,632,737 | TotalAmt |
| Program Services | $3,632,737 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,055,766 | TotalAmt |
| Program Services | $1,055,766 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| ALLOWANCE MEDICARE MEDICAID ETC | $105,129,829 | $105,129,829 | $0 | $0 |
| MEDICAL SUPPLIES | $12,089,236 | $12,089,236 | $0 | $0 |
| PROVISION FOR DOUBTFUL ACCOUNTS | $5,207,309 | $5,207,309 | $0 | $0 |
| REPAIRS & MAINTENANCE | $2,011,396 | $1,988,371 | $23,025 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,169,893 | TotalAmt |
| Program Services | $1,949,483 | ProgramServicesAmt |
| Management And General | $220,410 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,773,997 | TotalAmt |
| Program Services | $191,177,161 | ProgramServicesAmt |
| Management And General | $3,596,836 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,366,236 | BOYAmt |
| EOY | $5,109,219 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,335,886 | BOYAmt |
| EOY | $12,182,207 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,039 | BOYAmt |
| EOY | $5,502 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,380 | BOYAmt |
| EOY | $202,037 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,344,927 | BOYAmt |
| EOY | $2,273,523 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,863,696 | BOYAmt |
| EOY | $4,241,764 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $89,056,914 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $68,290,429 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,283,612 | BOYAmt |
| EOY | $20,766,485 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,095,879 | BOYAmt |
| EOY | $14,348,470 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,137,877 | BOYAmt |
| EOY | $957,070 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,274 | BOYAmt |
| EOY | $1,337,118 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,680,806 | BOYAmt |
| EOY | $61,423,395 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,093,904 | BOYAmt |
| EOY | $27,329,364 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,785,000 | BOYAmt |
| EOY | $11,550,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,365,834 | BOYAmt |
| EOY | $4,809,008 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,244,738 | BOYAmt |
| EOY | $43,688,372 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,436,068 | BOYAmt |
| EOY | $17,735,023 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,436,068 | BOYAmt |
| EOY | $17,735,023 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,680,806 | BOYAmt |
| EOY | $61,423,395 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,908,401 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,040,362 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,350,192 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $935,800 | OtherCostOrOtherBasisAmt |
| Book Value | $935,800 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,013,169 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,405,081 | DepreciationAmt |
| Book Value | $7,608,088 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,340,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,885,348 | DepreciationAmt |
| Book Value | $10,454,724 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,767,873 | OtherCostOrOtherBasisAmt |
| Book Value | $1,767,873 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,766,485 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $93,373,775 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $93,373,775 | RevenueSubtotalAmt |
| Other Revenues Not Included | $105,308,623 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $105,308,623 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $198,682,398 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $89,465,374 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $89,465,374 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $105,308,623 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $105,308,623 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $194,773,997 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt V Line 4 | ENDOWMENT HELD BY PARENT COMPANY GUERNSEY HEALTH SYSTEMS USED FOR SUPPORT OF CHARITABLE HEALTH CARE PURPOSES |
| Pt X Line 2 | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013 AND 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED |
| Pt X Line 2 | TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. |
| Pt XI Line 4b | ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. MEDICARE MEDICAID & INSURANCE CONTRACTUAL ALLOWANCES 105,129,829 SALE OF SCRAP & WASTE 130,224 PHYSICIAN LOAN LOSSES 48,570 |
| Pt XII Line 4b | ITEMS NETTED AGAINST REVENUE IN AUDIT REPORT. MEDICARE MEDICAID & INSURANCE CONTRACTUAL ALLOWANCES 105,129,829 SALE OF SCRAP & WASTE 130,224 PHYSICIAN LOAN LOSSES 48,570 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8309 | PersonsServedCnt |
| Total Community Benefit Expns | $3,610,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,521,373 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,088,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 29372 | PersonsServedCnt |
| Total Community Benefit Expns | $15,151,138 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,919,422 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,231,716 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37681 | PersonsServedCnt |
| Total Community Benefit Expns | $18,761,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,440,795 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,320,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 27 | ActivitiesOrProgramsCnt |
| Persons Served | 4450 | PersonsServedCnt |
| Total Community Benefit Expns | $87,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $73,611 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 69 | PersonsServedCnt |
| Total Community Benefit Expns | $182,090 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $182,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 1764 | PersonsServedCnt |
| Total Community Benefit Expns | $133,841 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $133,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 35 | ActivitiesOrProgramsCnt |
| Persons Served | 6283 | PersonsServedCnt |
| Total Community Benefit Expns | $403,308 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,766 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $389,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 35 | ActivitiesOrProgramsCnt |
| Persons Served | 43964 | PersonsServedCnt |
| Total Community Benefit Expns | $19,164,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,454,561 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,709,927 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03960 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $407 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 15 | PersonsServedCnt |
| Total Community Benefit Expns | $35 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 17 | PersonsServedCnt |
| Total Community Benefit Expns | $96 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $96 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 227 | PersonsServedCnt |
| Total Community Benefit Expns | $1,209 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 259 | PersonsServedCnt |
| Total Community Benefit Expns | $1,747 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,406,960 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,589,150 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $32,703,808 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $36,014,692 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,310,884 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1341 CLARK STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | 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 |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.SEORMC.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 250 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | Yes (true) | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 3 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 7 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 16e | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 21 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER Pt V Line 22 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER | ||||
| 10095 BRICK CHURCH ROAD | CAMBRIDGE | OH | 43725 | OUTPATIENT FACILITY |
| EYAD MAHAYRI MD | ||||
| 1335 CLARK STREET | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| CLIFFORD MAXIMO MD | ||||
| 1200 CLARK STREET | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| MELISSA NAU MD | ||||
| 205 SENECA AVENUE | BYESVILLE | OH | 43723 | PHYSICIAN OFFICE |
| SANDRA SCHUBERT MD | ||||
| 9259 CADIZ ROAD | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| SOUTHEASTERN OHIO ENT | ||||
| 1210 NEAL DRIVE | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| SIVARAM KOLLENGODE MD | ||||
| 1432 CLARK STREET SUITE B | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| TONY STARR DO | ||||
| 18125 WOODSFIELD ROAD | CALDWELL | OH | 43724 | PHYSICIAN OFFICE |
| SOUTHEASTERN OHIO PEDIATRICS | ||||
| 1420 CLARK STREET | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| SOUTHEASTERN OHIO ORTHOPEDICS | ||||
| 316 CLARK STREET | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| COURTNEY BONNER DO | ||||
| 1230 A CLARK STREET | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
| KEVIN W ALTEN MD | ||||
| 65007 OLD TWENTY ONE ROAD | CAMBRIDGE | OH | 43725 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 7 col(f) | BAD DEBTS EXCLUDED FROM COSTS 5,195,693 |
| Pt I Line 7g | NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC HAVE BEEN INCLUDED AS UNSUBSIDIZED HEALTH SERVICES |
| Pt II | COSTS ASSOCIATED WITH COMMUNITY HEALTH NEEDS PERFORMED WITH OTHER COMMUNITY BASED ORGANIZATIONS |
| Pt I Line 7 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt III Line 2 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt III Line 3 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt III Line 4 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt III Line 8 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt III Line 9b | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt VI Line 2 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt VI Line 3 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt VI Line 4 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt VI Line 5 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt VI Line 6 | SEE ATTACHED SUPPLEMENTAL INFORMATION |
| Pt VI Line 7 | OHIO |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|
| EYAD MAHAYRI MD FCCP | ||||||||
| $435,474 | $88,985 | $10,000 | $12,507 | $546,966 | ||||
| RAYMOND M CHOREY | ||||||||
| $226,593 | $28,344 | $16,959 | $271,896 | |||||
| DONALD P HUELSKAMP | ||||||||
| $140,837 | $10,213 | $18,055 | $169,105 | |||||
| ANGELA SUE LONG | ||||||||
| $130,628 | $9,528 | $12,898 | $153,054 | |||||
| COREY A JACKSON DO | ||||||||
| $640,434 | $256,151 | $31,143 | $12,988 | $940,716 | ||||
| NABIEL ALKHOURI MD | ||||||||
| $300,019 | $14,013 | $314,032 | ||||||
| CLIFFORD B MAXIMO MD | ||||||||
| $467,332 | $18,760 | $9,599 | $495,691 | |||||
| JOEL LINK MD | ||||||||
| $316,522 | $3,168 | $14,013 | $333,703 | |||||
| TONY STARR DO | ||||||||
| $180,237 | $125,376 | $14,013 | $319,626 | |||||
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COREY JACKSON DO | PersonNm |
| Relationship With Org | HIGHLY COMP EMP | RelationshipWithOrgTxt |
| Loan Purpose | PHYSICIAN RECRUIT | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $129,600 | OriginalPrincipalAmt |
| Balance Due | $5,502 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $5,502 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SOUTHEASTERN OHIO PHYSICIANS INC | |||
| PARTIAL OWNERSHIP BY TRUSTEE | $118,698 | MEDICAL SERVICES | false |
| SOUTHEASTERN OHIO PHYSICIANS INC | |||
| PARTIAL OWNERSHIP BY TRUSTEE | $109,613 | PHYSICIAN RECRUITMENT LOAN | false |
| STEPHANIE R BUXTON | |||
| FAMILY MEMBER OF OFFICER | $41,647 | EMPLOYMENT | false |
| JORDI B HARDING | |||
| FAMILY MEMBER OF OFFICER | $42,426 | EMPLOYMENT | false |
| BRENDA L GRESS | |||
| FAMILY MEMBER OF TRUSTEE | $38,802 | EMPLOYMENT | false |
| AMBER E GARBER | |||
| FAMILY MEMBER OF OFFICER | $44,723 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | FORM 990 REVIEWED BY AUDIT COMMITTEE OF BOARD BEFORE FILING. PROVIDED COPY OF FORM 990 TO ALL BOARD MEMBERS BEFORE FILING |
| Pt VI, Line 12c | TRUSTEES COMPLETE ANNUAL DISCLOSURE STATEMENT DISCLOSING ALL CONFLICTS |
| Pt VI, Line 15b | EXECUTIVE COMMITTEE OF BOARD OF TRUSTEES PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS |
| Pt XI | CHANGE IN PENSION LIABILITY 7,350,192 |
| Pt VI, Line 15a | EXECUTIVE COMMITTEE OF BOARD OF TRUSTEES PERFORMS COMPENSATION STUDY OF MANAGEMENT POSITIONS |
| Pt VI, Line 19 | ALL SUCH ITEMS AVAILABLE UPON REQUEST |
| Form 990, Part IX, Line 24f | LICENSES & FEES 1098612. 1098587. 25. 0. FOOD PURCHASES 543096. 519166. 23930. 0. SUNDRY 398089. 234904. 163185. 0. BOOKS & SUBSCRIPTIONS 53168. 49303. 3865. 0. DUES & MEMBERSHIPS 76928. 47523. 29405. 0. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPERIOR MED LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1341 CLARK STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311311881 | EIN |
| Primary Activities | PHYSICIAN OFFICES | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $10,628,979 | TotalIncomeAmt |
| End Of Year Assets | $2,067,548 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUERNSEY HEALTH SYSTEMS | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1341 CLARK STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | OH | State |
| ZIP Code | 43725 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311148352 | EIN |
| Primary Activities | MANAGEMENT & FUND RAISING | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Exempt Code Section | 501(C)3 | ExemptCodeSectionTxt |
| Public Charity Status | 11 TYPE II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEASTERN HOME CARE LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 EDISON DRIVE | AddressLine1 |
| City | MILFORD | City |
| State | OH | State |
| ZIP Code | 45150 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271219638 | EIN |
| Primary Activities | HOME HEALTH SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $61,827 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $413,278 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.33000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GUERNSEY HEALTH ENTERPRISES INC | ||||||||||
| 1341 CLARK STREET | CAMBRIDGE | OH | 43725 | 311191428 | AMBULANCE SERVICE | OH | GUERNSEY HEALTH SYSTEMS | C | 0.00000 | false |
| UNITED AMBULANCE SERVICE OF CAMBRIDGE INC | ||||||||||
| 1341 CLARK STREET | CAMBRIDGE | OH | 43725 | 311086097 | AMBULANCE SERVICE | OH | GUERNSEY HEALTH SYSTEMS | C | 0.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GUERNSEY HEALTH SYSTEMS | ||
| d | $10,475 | CASH OWED |
| GUERNSEY HEALTH ENTERPRISES INC | ||
| d | $276 | CASH OWED |
| GUERNSEY HEALTH SYSTEMS | ||
| e | $11,550,000 | LOANS GUARANTEED |
| GUERNSEY HEALTH SYSTEMS | ||
| e | $742 | CASH PAID |
| GUERNSEY HEALTH SYSTEMS | ||
| k | $507,793 | CASH PAID |
| GUERNSEY HEALTH ENTERPRISES INC | ||
| l | $46,200 | |
| GUERNSEY HEALTH SYSTEMS | ||
| m | $1,500,000 | |
| GUERNSEY HEALTH SYSTEMS | ||
| n | $100,000 | |
| GUERNSEY HEALTH SYSTEMS | ||
| o | $908,434 | |