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UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 34-0714612)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349305589
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-15T12:17:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340714612EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMH REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEMHRNameControl
Phone4403297605Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES SIMONEName
TitleCFOTitle
Phone4403297605Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN MIENCIERName
PTINP00842339PTIN
Phone2483522500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONALD SHELDONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode
FieldValueIRS element (for citing)
Gross Receipts202980669GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.EMH-HEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1907YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionNON-PROFIT COMMUNITY HEALTH PROVIDING IN AND OUTPATIENT CARE, INCLUDING FULL SERVICE EMERGENCY ROOM TO THE COMMUNITY OF ELYRIA, OHIO AND SURRONDING AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees2157TotalNbrEmployees
Total Nbr Volunteers317TotalNbrVolunteers
Total Gross UBI42714TotalGrossUBI
Net Unrelated Business Txbl Income-17354NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year123279ContributionsGrantsPriorYear
Contributions Grants Current Year326373ContributionsGrantsCurrentYear
Program Service Revenue Prior Year196589025ProgramServiceRevenuePriorYear
Program Service Revenue CY193888012ProgramServiceRevenueCY
Investment Income Prior Year4225375InvestmentIncomePriorYear
Investment Income Current Year5486208InvestmentIncomeCurrentYear
Other Revenue Prior Year1381707OtherRevenuePriorYear
Other Revenue Current Year3257730OtherRevenueCurrentYear
Total Revenue Prior Year202319386TotalRevenuePriorYear
Total Revenue Current Year202958323TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year976500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY273554GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year95822007SalariesEtcPriorYear
Salaries Etc Current Year93711626SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year96910656OtherExpensePriorYear
Other Expenses Current Year97647937OtherExpensesCurrentYear
Total Expenses Prior Year193709163TotalExpensesPriorYear
Total Expenses Current Year191633117TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8610223RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11325206RevenuesLessExpensesCY
Total Assets BOY238076263TotalAssetsBOY
Total Assets EOY249208097TotalAssetsEOY
Total Liabilities BOY121860109TotalLiabilitiesBOY
Total Liabilities EOY119086454TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY116216154NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY130121643NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25291954Expense
Revenue29878101Revenue
DescriptionCARDIOLOGY - EMH FEATURES LORAIN COUNTY'S LEADING AND NATIONALLY RECOGNIZED CARDIOVASCULAR HEALTH AND REHABILITATION CENTER, WITH SERVICES FOR CORONARY BYPASS SURGERY, ANGIOPLASTY, CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, CARDIAC REHABILITATION, HEART FAILURE THERAPIES AND OTHER DIAGNOSTIC SERVICES. EMH REGIONAL MEDICAL CENTER RECEIVED FULL CYCLE II ACCREDITATION WITH PCI THROUGH 2010 FROM THE ACCREDITATION REVIEW COMMITTEE OF THE SOCIETY OF CHEST PAIN CENTERS. THE FIRST DESIGNATION WAS GRANTED IN 2004, AND ENSURES THAT EMH MEETS OR EXCEEDS QUALITY OF CARE MEASURES IN ACUTE CARDIAC MEDICINE. EMH IS THE 72ND ACCREDITED CHEST PAIN CENTER IN THE UNITED STATES. ADDITIONALLY, IN 2008, EMH REGIONAL MEDICAL CENTER RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATIONS' NCDR ACTION REGISTRY - GWTG SILVER PERFORMANCE ACHIEVEMENT AWARD - ONE OF ONLY 93 HOSPITALS NATIONWIDE TO DO SO. THE AWARD RECOGNIZES EMH'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense45800348Expense
Revenue48524472Revenue
DescriptionROUTINE INPATIENT CARE - INPATIENT CARE AT EMH INCLUDES A VARIETY OF SERVICES, RANGING FROM INTENSIVE CARE UNITS (MEDICAL/SURGICAL) AND THE FAMILY BIRTH CENTER, TO MENTAL HEALTH AND UNIVERSAL CARE. EACH DEPARTMENT IS STAFFED WITH HIGHLY SKILLED AND SPECIALLY EDUCATED HEALTHCARE PROFESSIONALS WHO ARE EQUIPPED TO ADDRESS EACH PATIENT'S NEEDS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense42561749Expense
Revenue43088599Revenue
DescriptionSURGICAL SERVICES - HIGHLY TRAINED MEDICAL PHYSICIANS AND SURGEONS TREAT A WIDE VARIETY AND COMPLEXITY OF SURGICAL CASES AT EMH REGIONAL MEDICAL CENTER. SERVICES INCLUDE BOTH INPATIENT AND OUTPATIENT SURGERY, WITH THE MAJORITY PERFORMED ON AN OUTPATIENT BASIS. CONSULTATION WITH SPECIALISTS ENSURE THAT PATIENTS RECEIVE THE MOST COMPREHENSIVE CARE, AND TECHNOLOGICAL INNOVATIONS ALLOW FOR LESS INVASIVE PROCEDURES, WHICH IN TURN ENABLES FASTER HEALING.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense54134283Expense
Grants273554Grants
Revenue74515606Revenue
DescriptionOTHER PROGRAM SERVICES - ADDITIONAL MEDICAL SERVICES AT EMH ARE COMPREHENSIVE AND INCLUDE: RADIOLOGY/IMAGING, LABORATORY, WOUND CARE, PEDIATRIC AFTER-HOURS CARE, SPORTS MEDICINE/REHABILITATION, OUTPATIENT INFUSION, ORTHOPEDICS, DIABETES EDUCATION, HEALTHY WOMEN/HEALTHY FAMILIES, MENTAL HEALTH, HOME CARE, OCCUPATIONAL MEDICINE, SLEEP STUDIES, SOCIAL WORK AND EMERGENCY SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp54134283TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt273554TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev74515606TotalOfOtherProgramServiceRev
Total Program Service Expense167788334TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109683NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2157NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAMES M SIMONE VP FINANCECFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4403297605TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BECKETT JONATHAN M
BOARD MEMBER2.000.00X000
CANNADAY LEE
BOARD MEMBER2.000.00X000
HOAGLAND BRIAN
BOARD CHAIR2.002.00X000X
LAMB WILLIAM
BOARD MEMBER2.000.00X000
MIGGINS LYNN
BOARD MEMBER2.000.00X000
OLESEN ROBERT
BOARD MEMBER2.000.00X000
REIDY JOAN
BOARD MEMBER2.000.00X000
RIGDA PAUL
BOARD MEMBER2.000.00X000
RYAN SPENCER
BOARD MEMBER2.000.00X000
WALDHEGER PRISCILLA MD
BOARD MEMBER2.000.00X000
YOST ROBERT
BOARD MEMBER2.000.00X000
FLANIGAN KEVIN
BOARD SECRETARY2.004.00X000X
SHELDON DONALD
PRESIDENT & CEO55.006.00X045457922688X
FRANK RAY
BOARD MEMBER2.000.00X000
RAMADUGU ASHOK
BOARD MEMBER2.000.00X000
MUSSON JOHN
BOARD MEMBER2.000.00X000
PARIKH SANJAY MD
BOARD MEMBER2.000.00X000
POND FRED
BOARD MEMBER2.000.00X000
YOST JUNE
BOARD MEMBER2.000.00X000
INCE DEBBIE
BOARD MEMBER2.000.00X000
HAYWOOD TIMOTHY
BOARD MEMBER (1ST PART YR)2.000.00X000
SIMONE JAMES M
VP FINANCE/CFO/TREASURER55.007.00030709728839X
GARDNER FRANCIS X
VP GENERAL COUNSEL/BOARD S55.008.00023758810675X
COOKSEY JILL
VP NURSING/ CHIEF NURSING55.008.00017267017625X
MCDONALD DOUGLAS
VP MEDICAL AFFAIRS55.008.00022114623201X
MILLER DANIEL N
VP HUMAN RESOURCES55.008.00022654229889X
WRAY CHARLOTTE
VP CLINICAL OPERATIONS55.008.00016837325674X
GIBBONS TERRI
PHARMACY OPERATIONS COORDI55.000.00140277014974X
GRAUER JOHN
MEDICAL DIRECTOR CASE MGT55.000.0025055201310X
ZEOLLA KATHERINE
PHARMACY OPERATIONS COORDI55.000.0016515707021X
ROE JAMES
SURGICAL ASSISTANT55.000.0013072205578X
HALLIDAY DON
DIRECTOR PHARMACY55.000.00131589015516X
FieldValueIRS element (for citing)
Total Reportable Comp From Org818297TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1787995TotalReportableCompFrmRltdOrgs
Total Other Compensation202990TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OWENS & MINOR
PO BOX 644783PHILADELPHIAPA15264PURCHASED MEDICAL SERVICES4620464
MEDTRONIC USA
4642 COLLECTIONS CENTER DRCHICAGOIL60693PURCHASED MEDICAL SERVICES3350154
ZIMMER USA
14235 COLLECTIONS CENTER DRCHICAGOIL60693PURCHASED MEDICAL SERVICES2504678
SIEMENS MED
PO BOX 120001DALLASTX75312PURCHASED MEDICAL SERVICES1995431
ARAMARK
PO BOX 840336DALLASTX75284PURCHASED MEDICAL SERVICES1829858
FieldValueIRS element (for citing)
Number Of Contractors GT100 K134NumberOfContractorsGT100K
Related Organizations68250RelatedOrganizations
All Other Contributions258123AllOtherContributions
Total Contributions326373TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT CARE622110187704853187704853
HEALTH FITNESS CENTER62211034356813435681
ELEC. MEDICAL RECORDS90009927047642704764
LABORATORY REVENUE6215004271442714
FieldValueIRS element (for citing)
Total Program Service Revenue193888012TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2951579TotalRevenueColumn
Exclusion$2,951,579ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real176017Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real22346Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real153671Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column153671TotalRevenueColumn
Exclusion$153,671ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2534629Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2534629Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2534629TotalRevenueColumn
Exclusion$2,534,629ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CLINICAL SERVICES56100017171411717141
CAFETERIA / VENDING722210855756$855,756
AHA MANAGEMENT FEE561000125004125004

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column406158TotalRevenueColumn
Related Or Exempt Function Income319335RelatedOrExemptFunctionIncome
Exclusion$86,823ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3104059TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column202958323TotalRevenueColumn
Related Or Exempt Function Income196006778RelatedOrExemptFunctionIncome
Unrelated Business Revenue42714UnrelatedBusinessRevenue
Exclusion$6,582,458ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total273554Total
Program Services273554ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total73441153Total
Program Services66097038ProgramServices
Management And General7344115ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14842859Total
Program Services13358573ProgramServices
Management And General1484286ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5427614Total
Program Services4884853ProgramServices
Management And General542761ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total14953947Total
Program Services11215460ProgramServices
Management And General3738487ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total211690Total
Management And General211690ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total77560Total
Management And General77560ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12592135Total
Program Services11561234ProgramServices
Management And General1030901ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34312Total
Program Services34312ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total41162905Total
Program Services36637084ProgramServices
Management And General4525821ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1040989Total
Program Services936890ProgramServices
Management And General104099ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4221039Total
Program Services2349341ProgramServices
Management And General1871698ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total213209Total
Program Services127925ProgramServices
Management And General85284ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1833842Total
Program Services1650458ProgramServices
Management And General183384ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12557610Total
Program Services11301849ProgramServices
Management And General1255761ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total-248997Total
Program Services-248997ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE36501063164798485308
FRANCHISE TAX25153011828439686862
LEASE / RENTAL1083827867061216766
LAUNDRY10329831032983

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total715479Total
Program Services715479ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total191633117Total
Program Services167788334ProgramServices
Management And General23844783ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11231626BOY
EOY13871038EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18167628BOY
EOY24980169EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2030504BOY
EOY1573211EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1569090BOY
EOY813637EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis236381661LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec154533885LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY85762447BOY
EOY81847776EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY103990603BOY
EOY100595937EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15324365BOY
EOY25526329EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY238076263BOY
EOY249208097EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21201078BOY
EOY23845445EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42793918BOY
EOY39053425EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57865113BOY
EOY56187584EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY121860109BOY
EOY119086454EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY111781901BOY
EOY125373376EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2218834BOY
EOY2366216EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2215419BOY
EOY2382051EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY116216154BOY
EOY130121643EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY238076263BOY
EOY249208097EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11325206ReconcilationRevenueExpenses
Reconciliation Unrealized Invest5411858ReconciliationUnrealizedInvest
Reconcilation Other Changes-2831575ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$14,554OtherActivitiesAmount
Total Lobbying Expenditures IIB14554TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS. A CERTAIN PERCENTAGE OF THOSE DUES ARE USED FOR PURPOSES OF LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4511445OtherCostOrOtherBasis
Book Value4511445BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis62589682OtherCostOrOtherBasis
Depreciation39433811Depreciation
Book Value23155871BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis164042509OtherCostOrOtherBasis
Depreciation111983286Depreciation
Book Value52059223BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5238025OtherCostOrOtherBasis
Depreciation3116788Depreciation
Book Value2121237BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings81847776TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INTERCOMPANY RECEIVABLE25326733
UNAMORTIZED DEFERRED FINANCING COSTS199596
FieldValueIRS element (for citing)
Total Book Value Other Assets25526329TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PENSION LIABILITY$33,743,059
SELF-INSURANCE RESERVE$9,846,176
INTEREST RATE SWAP$5,262,592
ESTIMATED 3RD PARTY PAYABLE$7,335,757
FieldValueIRS element (for citing)
Total Of Amounts56187584TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12315445TotalCommunityBenefitExpense
Direct Offsetting Revenue1448050DirectOffsettingRevenue
Net Community Benefit Expense10867395NetCommunityBenefitExpense
Percent Of Total Expense0.05670PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25620176TotalCommunityBenefitExpense
Direct Offsetting Revenue16485913DirectOffsettingRevenue
Net Community Benefit Expense9134263NetCommunityBenefitExpense
Percent Of Total Expense0.04770PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense37935621TotalCommunityBenefitExpense
Direct Offsetting Revenue17933963DirectOffsettingRevenue
Net Community Benefit Expense20001658NetCommunityBenefitExpense
Percent Of Total Expense0.10440PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1882206TotalCommunityBenefitExpense
Direct Offsetting Revenue1364646DirectOffsettingRevenue
Net Community Benefit Expense517560NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1882206TotalCommunityBenefitExpense
Direct Offsetting Revenue1364646DirectOffsettingRevenue
Net Community Benefit Expense517560NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense39817827TotalCommunityBenefitExpense
Direct Offsetting Revenue19298609DirectOffsettingRevenue
Net Community Benefit Expense20519218NetCommunityBenefitExpense
Percent Of Total Expense0.10710PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense267628TotalCommunityBuildingExpense
Net Community Building Expense267628NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense267628TotalCommunityBuildingExpense
Net Community Building Expense267628NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,864,315BadDebtExpenseAmount
Amount Attributable To323904AmountAttributableTo
Amount Reimbursed By Medicare62833617AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare62070248CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall763369MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1EMH REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EMH REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
EMH AVON CAMPUS
1997 HEALTHWAY RDAVONOH44001IMAGING, LAB REHABILITATION SERVICES & FITNESS CENTER
EMH AMHERST CAMPUS
254 CLEVELANDAMHERSTOH44001IMAGING, LAB, 24 HOUR ER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED FOR CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE OTHER BENEFITS SECTION (LINE 7E - 7I).
PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES PROVIDED INCLUDE NEONATAL INTENSIVE CARE AND INDIVIDUAL PSYCHOLOGY.
PART I, L7 COL(F): NO BAD DEBT EXPENSES ARE INCLUDED ON FORM 990, PART IX, LINE 25.
PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE HEALTH SCREENS AND PATIENT EDUCATION. COMMUNITY HEALTH SCREENINGS ARE CONDUCTED EVALUATING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, BODY MASS INDEX, PSA FOR PROSTATE CANCER, SKIN CANCER SCREENINGS.SCREENINGS ARE CONDUCTED FOR LOCAL BUSINESS AND INDUSTRY AND AT LOCAL PUBLIC EVENTS AT SHOPPING MALLS, SALVATION ARMY, UNITED WAY, EL CENTRO EVENTS ETC.
PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES 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. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CHCO ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CHCO ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), CHCO RECORDS A SIGNIFICANT 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 (OR THE DISCOUNTED RATES IF NEGOTIATED) 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 UNCOLLECTIBLE.AMOUNTS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR ASSISTANCE $323,904 IS BASED ON INSURED ACCOUNTS IN BAD DEBT STATUS THAT LATER HAD A CHARITY ADJUSTMENT.
PART III, LINE 8: THE MEDICARE COST REPORT ALLOWABLE COSTS WERE USED TO ARRIVE AT AMOUNT REPORTED ON PART III, LINE 6. THESE MEDICARE ALLOWABLE COSTS WERE DETERMINED USING THE COST-TO-CHARGE RATIO.
PART III, LINE 9B: EMH WILL PROVIDE MEDICALLY NECESSARY SERVICE(S) FREE OF CHARGE TO ANY NON-MEDICAID OHIO RESIDENT, WHO IS EITHER COVERED BY DISABILITY ASSISTANCE OR HAS A FAMILY INCOME ON THE DATE-OF-SERVICE WHICH IS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES, AND CHARITY DISCOUNTS ARE EXTENDED TO FAMILIES WHOSE INCOME IS BETWEEN 201% AND 300% OF THE FPG BASED ON INCOME AND FAMILY SIZE, DEPENDENT ON THEIR ABILITY TO PAY.IF THE PATIENT'S GUARANTOR(S) IS UNABLE TO MAKE FULL PAYMENT, ASSISTANCE MAY BE PROVIDED UNDER THE EMH CHARITY CARE PROGRAM. FREE CARE WILL BE PROVIDED TO ALL THOSE WHO PROVIDE THE NEEDED DOCUMENTATION ESTABLISHED BY THE OHIO DEPARTMENT OF HUMAN SERVICES, AND WHO HAVE A FAMILY INCOME ON THE DATE OF SERVICE WHICH IS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES, AND CHARITY DISCOUNTS ARE EXTENDED TO FAMILIES WHOSE INCOME IS BETWEEN 201% AND 300% OF THE FPG BASED ON INCOME AND FAMILY SIZE, DEPENDENT ON THEIR ABILITY TO PAY.FREE CARE - OUR CHARITY PROGRAM INCORPORATES OHIO'S FREE CARE REQUIREMENTS. HOSPITAL SERVICES FOR MEDICALLY NECESSARY SERVICES ARE AVAILABLE AT NO CHARGE TO THOSE FAMILIES WHOSE INCOME IS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES, AND CHARITY DISCOUNTS ARE EXTENDED TO FAMILIES WHOSE INCOME IS BETWEEN 201% AND 300 % OF THE FPG BASED ON INCOME AND FAMILY SIZE, DEPENDENT ON THEIR ABILITY TO PAY. THESE GUIDELINES ESTABLISH A THRESHOLD OF INCOME WHICH GROWS AS THE FAMILY SIZE OF THE APPLICANT DOES.APPLYING FOR ASSISTANCE - A RELATIVELY SIMPLE APPLICATION HAS BEEN DESIGNED TO HELP DETERMINE ELIGIBILITY TO BASIC PROGRAMS AND A SPECIAL ABBREVIATED APPLICATION IS USED FOR THE HOMELESS. A PATIENT ACCOUNT REPRESENTATIVE SHALL ASSIST EACH APPLICANT WITH NECESSARY PAPERWORK. THE REPRESENTATIVE WILL ADJUST ACCOUNTS WITH A BALANCE UNDER $2,000. BALANCES $2,000 AND GREATER ARE REFERRED WITH THE APPROPRIATE INFORMATION TO THE PATIENT ACCOUNT ANALYST FOR A FINAL DECISION. ACCOUNTS WITH A BALANCE GREATER THAN $5,000 WILL REQUIRE THE PATIENT ACCOUNT MANAGER APPROVAL. A DECISION ON ELIGIBILITY WILL NORMALLY BE MADE WITHIN FIVE BUSINESS DAYS OF THE APPLICATION.
PART V, SECTION B, LINE 20D: EFFECTIVE 1/1/2011, EMH REGIONAL MEDICAL CENTER BEGAN PROVIDING AN ACROSS THE BOARD (ATB) DISCOUNT TO ALL UNINSURED PATIENTS (33 PERCENT) - A DISCOUNT CONSISTENT WITH ONE A TYPICAL LOCAL HEALTH PLAN WOULD BE GIVEN. IN ADDITION, THE SMALLEST LEVEL OF DISCOUNT UNDER THE FINANCIAL ASSISTANCE POLICY IS 30% OF THE BALANCE, WHICH IS APPLIED AFTER THE ATB DISCOUNT. IN TOTAL, FAP-ELIGIBLE INDIVIDUALS ARE ELIGIBLE FOR A MINIMUM 53.1% DISCOUNT, APPLIED TO GROSS CHARGES.EMH REGIONAL MEDICAL CENTER
PART VI, LINE 2: COMMUNITY HEALTH SCREENINGS ARE CONDUCTED EVALUATING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, BODY MASS INDEX, PSA FOR PROSTATE CANCER, SKIN CANCER SCREENINGS.SCREENINGS ARE CONDUCTED FOR LOCAL BUSINESS AND INDUSTRY AND AT LOCAL PUBLIC EVENTS AT SHOPPING MALLS, SALVATION ARMY, UNITED WAY, EL CENTRO EVENTS ETC.DATA FROM PATIENT ADMISSIONS FROM THE COMMUNITY ARE ALSO EVALUATED. THERE ARE MANY DIABETICS IN OUR COMMUNITY AND WE OFFER FREE DIABETES SEMINARS FOR THE PUBLIC.DATA FROM THE CENTER FOR DISEASE CONTROL INFORMS US OF FLU TRENDS AND THE NEED TO OFFER VACCINATIONS TO OUR PATIENTS.
PART VI, LINE 3: NOTICE OF AVAILABILITY OF FREE CARE IS GIVEN TO PATIENTS ON THE ITEMIZED STATEMENT OF ACCOUNT, THEIR FIRST STATEMENT ADVISING THEM OF THE CHARGES AND MONTHLY GUARANTOR STATEMENTS.TO ADVISE OUR CUSTOMERS OF OUR CHARITY PROGRAMS, INCLUDING FREE CARE, SIGNS SHALL BE POSTED IN THE FOLLOWING PLACES:-CENTRAL REGISTRATION-CASHIER'S STATION-PATIENT ACCOUNT REPRESENTATIVE OFFICES-EMERGENCY ROOM LOBBY-ACC LOBBY-GATES LABORATORYTO ENSURE THAT THE MESSAGE IS DELIVERED EVEN IF THE SIGNS ARE MISSED, THIS INFORMATION WILL BE PRINTED ON THE BACK OF EACH "STATEMENT OF ACCOUNT" AND "MONTHLY STATEMENT" FORMS.
PART VI, LINE 4: EMH REGIONAL MEDICAL CENTER IN ELYRIA AND AMHERST HOSPITAL IN AMHERST ARE BOTH LOCATED IN LORAIN COUNTY, OHIO. LORAIN COUNTY AMASSES A LAND AREA OF NEARLY 493 SQUARE MILES, WITH APPROXIMATELY 577 PERSONS PER SQUARE MILE. IN 2009, THE POPULATION OF LORAIN COUNTY WAS ESTIMATED AT APPROXIMATELY 305,700, WITH NEARLY 24% OF THOSE PERSONS BEING UNDER 18 YEARS OLD, AND NEARLY 14% AGED 65 YEARS OR OLDER. THE MEDIAN HOUSEHOLD INCOME IN 2008 WAS $52,878 WITH 12.3% OF THE COUNTY'S POPULATION LIVING BELOW THE POVERTY LEVEL. APPROXIMATELY 88% OF THE COUNTY'S POPULATION IS WHITE, WITH THE REMAINING 12% BEING COMPRISED OF BLACK, AMERICAN INDIAN, ASIAN AND HISPANIC ETHNICITY. FEMALES MAKE UP NEARLY 51% PERCENT OF THE COUNTY'S POPULATION.LORAIN COUNTY IS CONSIDERED A RURAL, RUSTBELT COMMUNITY COMPRISED OF MANY CITIES, VILLAGES AND TOWNSHIPS. WHILE SOME CITIES, SUCH AS AVON, AVON LAKE AND NORTH RIDGEVILLE ARE EXPERIENCING BUSTLING GROWTH, OTHERS SUCH AS ELYRIA AND LORAIN HAVE SEEN BUSINESSES CLOSE IN THE PAST SEVERAL YEARS, RESULTING IN JOB LOSS AND PEOPLE LEAVING THE COUNTY.
PART VI, LINE 5: EMH HEALTHCARE BELIEVES THAT EDUCATIONAL AND PREVENTATIVE SERVICES ARE IMPERATIVE TO IMPROVING THE HEALTH OF OUR COMMUNITY. AS SUCH, NO-COST HEALTH SCREENINGS ARE HELD THROUGHOUT THE YEAR ON OUR ELYRIA, AMHERST AND AVON CAMPUSES, INCLUDING SKIN CANCER AND PROSTATE CANCER SCREENINGS, ALONG WITH BLOOD PRESSURE, DIABETES, CHOLESTEROL AND BONE DENSITY SCREENINGS. IN JUNE OF 2012, THE CENTER FOR ORTHOPEDICS, A DEPARTMENT OF EMH HEALTHCARE, PROVIDED MORE THAN 700 FREE SPORTS PHYSICALS TO LOCAL STUDENTS REPRESENTING EVERY HIGH SCHOOL IN LORAIN COUNTY AS PART OF THEIR ANNUAL HIGH SCHOOL SPORTS PHYSICAL EVENT. EMH ALSO TRAVELS TO UNDERSERVED NEIGHBORHOODS TO BRING THEIR EDUCATION TO THE COMMUNITY. ONE OF THE LARGEST EVENTS SERVES A COMMUNITY THAT IS MAINLY LATINO, AND THAT IS THE UNITED WAY WEEK OF CARING EVENT AT EL CENTRO IN LORAIN, OHIO. IN PARTNERSHIP WITH EL CENTRO, EMH AND OTHER PROVIDERS OFFER FREE HEALTH SCREENINGS AND HAVE A TEAM OF LABORATORY TECHNICIANS ON-SITE SO THAT RESULTS AND HEALTH EDUCATION CAN BE GIVEN IMMEDIATELY. ANOTHER COMMUNITY OUTREACH PROGRAM IN WHICH EMH PARTICIPATED IN 2012 WAS CALLED "DR. LEARNER." THROUGH A GRANT FROM OUR LOCAL NEWSPAPER, EMH CLINICIANS TRAVELED ON FIVE OCCASIONS TO A LARGE, SOCIO-ECONOMICALLY DEPRIVED ELEMENTARY SCHOOL IN ELYRIA, TO PROVIDE HEALTH AND EXERCISE EDUCATION TO THE STUDENTS. THE STUDENTS WERE ASKED TO SUBMIT QUESTIONS AND THOSE QUESTIONS DICTATED THE HEALTH PRESENTATIONS GIVEN THROUGHOUT THE YEAR. THEY WERE ALSO ENCOURAGED TO TRY HEALTHY FOODS THAT THEY MAY NOT HAVE HAD EXPOSURE TO BEFORE (E.G. MANGOS, ASPARAGUS, ETC.). IN ALL, NEARLY 1,150 MEMBERS OF THE COMMUNITY RECEIVED FREE HEALTH SCREENS OR HEALTH EDUCATION FROM EMH DOCTORS, NURSES OR TECHNICIANS IN 2012.ALSO IN 2012, EMH HEALTHCARE PROFESSIONALS DONATED HUNDREDS OF HOURS OF THEIR TIME TO THE LORAIN COUNTY FREE CLINIC, INCLUDING OUR PRESIDENT AND CHIEF EXECUTIVE OFFICER DONALD SHELDON, M.D. THERE WERE 643 NO-COST ENCOUNTERS WITH PATIENTS OF THE FREE CLINIC IN 2012 THAT WOULD TOTAL $532,529 HAD THOSE ENCOUNTERS BEEN BILLED. VARIOUS HEALTH EDUCATION EVENTS WERE PRESENTED BY EMH HEALTHCARE IN 2012 THAT SUPPORT ITS EXEMPT PURPOSE. THOSE INCLUDE:-COFFEE, TEA & ME -FOUR TIMES EACH YEAR, AN EMH CLINICIAN GIVES AN HOUR-LONG PRESENTATION ON TOPICS RELEVANT TO WOMEN. A HEART-HEALTHY BREAKFAST IS ALSO PROVIDED FREE OF CHARGE.-MALL WALKERS -FROM SEPTEMBER THROUGH MAY, EMH HEALTHCARE SPONSORS A ONCE-MONTHLY FREE HEALTH EDUCATIONAL PROGRAM AT THE MIDWAY MALL IN ELYRIA. AN EMH CLINICIAN PRESENTS HEALTH INFORMATION IN A CASUAL, INFORMAL WAY WHILE ATTENDEES DINE ON FRESH FRUIT, CEREAL BARS, JUICE AND COFFEE.-TO FURTHER ENCOURAGE THE HEALTH AND OVERALL WELLBEING OF ITS MEMBERS, THE EMH CENTER FOR HEALTH AND FITNESS CONTINUED THEIR FREE HEALTH SCREENING PROGRAM IN 2012. A TOTAL OF 110 MEMBERS RECEIVED A FREE CHOLESTEROL AND HDL SCREENING, ALONG WITH EDUCATION PROVIDED BY OUR HEALTHCARE PROFESSIONALS ABOUT HOW TO IMPROVE THEIR NUMBERS IF NECESSARY.LASTLY, EMH UTILIZES SOCIAL MEDIA TO HELP MEMBERS OF THE COMMUNITY MAKE HEALTHY CHOICES AND TO CREATE AWARENESS OF EVENTS, PROGRAMS OR SERVICES TO IMPROVE THEIR OVERALL WELLNESS. THROUGH BOTH FACEBOOK AND TWITTER, EMH PROVIDES HEALTH TIPS AND INFORMATION DIRECTLY FROM OUR PHYSICIANS, NURSES, DIETICIANS AND OTHER HEALTHCARE PROFESSIONALS. WE BELIEVE THAT SOCIAL MEDIA CHANNELS ARE EXCELLENT MEDIUMS TO PROMOTE A MESSAGE OF HEALTH TO THE COMMUNITY AND GENERATE AWARENESS OF UPCOMING EVENTS WHERE PEOPLE CAN TAKE ADVANTAGE OF OUR OUTREACH PROGRAMS.
PART VI, LINE 6: EMH REGIONAL MEDICAL CENTER (EMH) OPERATES A FULL-SERVICE ACUTE CARE HOSPITAL AT ITS MAIN CAMPUS IN ELYRIA, OHIO AND PROVIDES FREESTANDING EMERGENCY DEPARTMENT SERVICES AND OTHER ANCILLARY SERVICES ON SEVERAL OTHER CAMPUSES IN LORAIN COUNTY, PRIMARILY AT ITS AVON OHIO CAMPUS AND ITS AMHERST OHIO CAMPUS. APPROXIMATELY 94% OF ADMISSIONS ARE DERIVED FROM THE THREE EMERGENCY DEPARTMENTS OPERATED BY EMH AND FROM DIRECT ADMISSIONS BY PHYSICIANS PRACTICING WITHIN LORAIN COUNTY AND WHO HOLD ADMITTING PRIVILEGES FOR EMH. EMH PROVIDES PATIENT EDUCATION ACTIVITIES AND NUMEROUS HEALTH SCREENINGS THROUGHOUT LORAIN COUNTY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
COMPREHENSIVE HEALTHCARE OF OHIO
630 EAST RIVER STREETELYRIAOH44035341492733501(C)(3)250000N/AN/ATO PROMOTE HEALTH WITHIN THE COMMUNITY
LORAIN COUNTY HEALTH AND DENTISTRY
1205 BROADWAYLORAINOH44052341957404501(C)(3)2485540N/AN/ATO PROMOTE HEALTH WITHIN THE COMMUNITY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SHELDON DONALD
PRESIDENT & CEO03619510009262801499907689047726700
SIMONE JAMES M
VP FINANCE/CFO/TREASURER025816500048932012500016339033593600
GARDNER FRANCIS X
VP GENERAL COUNSEL/BOARD S0205228000323600923501440024826300
COOKSEY JILL
VP NURSING/ CHIEF NURSING01293290004334101580016045019029500
MCDONALD DOUGLAS
VP MEDICAL AFFAIRS02200450001101012342010859024434700
MILLER DANIEL N
VP HUMAN RESOURCES019313100033411013595016294025643100
WRAY CHARLOTTE
VP CLINICAL OPERATIONS016783300054009625016049019404700
GIBBONS TERRI
PHARMACY OPERATIONS COORDI139978000299000149740155251000
GRAUER JOHN
MEDICAL DIRECTOR CASE MGT25000000055200013100251862000
ZEOLLA KATHERINE
PHARMACY OPERATIONS COORDI16497200018500070210172178000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BCOMPREHENSIVE HEALTHCARE OF OHIO (CHCO), THE PARENT ORGANIZATION, MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF CHCO AND ITS AFFILIATED ENTITIES. THE SERP IS A FUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH IRC SEC. 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THE SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. JILL COOKSEY - 457(F) PARTICIPANT FRANCIS GARDNER - 457(F) PARTICIPANT DANIEL MILLER - 457(F) PARTICIPANT DONALD SHELDON - 457(F) PARTICIPANT JAMES SIMONE - 457(F) PARTICIPANT
PART IIIPART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEESUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF LORAIN OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN340714612IssuerEIN
CUSIP Number543583LF3CUSIPNumber
Date Issued2008-07-31DateIssued
Issue Price36730000IssuePrice
Description Of PurposeREFUNDING SERIES 2005 BOND ISSUEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer1OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds36627156TotalProceeds
Issuance Costs From Proceeds36625IssuanceCostsFromProceeds
Capital Expenditures36578616CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHE BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge1.400000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE MEMBER WITH RIGHTS TO GOVERN EMH REGIONAL MEDICAL CENTER IS COMPREHENSIVE HEALTH CARE OF OHIO, INC. IT IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ACOMPREHENSIVE HEALTH CARE OF OHIO, INC. IS THE SOLE MEMBER WHICH HAS AUTHORITY TO ELECT THE GOVERNING BODY OF EMH REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN DECISIONS, BUT NOT ALL DECISIONS, OF THE GOVERNING BODY OF EMH REGIONAL MEDICAL CENTER ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER, COMPREHENSIVE HEALTH CARE OF OHIO, INC. EXAMPLES OF DECISIONS OF THE GOVERNING BODY OF THE EMH REGIONAL MEDICAL CENTER WHICH ARE SUBJECT TO THE APPROVAL OF THE MEMBER ARE ANNUAL OPERATING BUDGETS, CAPITAL EXPENDITURE BUDGETS, LONG RANGE PLANNING DOCUMENTS, CAPITAL EXPENDITURES INCRURRING DEBT WHICH WOULD REQUIRE MORTGAGE OF ANY PARTS OF THE ASSETS OF EMH REGIONAL MEDICAL CENTER AND AMENDMENT TO THE GOVERNING DOCUMENTS OF EMH REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY THE CEO, CFO AND IN-HOUSE GENERAL COUNSEL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR, ALL DIRECTORS ARE PRESENTED WITH AN ATTESTATION DOCUMENT WHICH STATES THE ESSENCE OF THE CONFLICT OF INTEREST POLICY. EACH DIRECTOR IS REQUIRED TO COMPLETE THE DOCUMENT AND SIGN IT, VERIFYING THAT HE OR SHE IS AWARE OF THE POLICY AND DECLARING ANY POTENTIAL CONFLICTS OF INTEREST WHICH SUCH DIRECTOR MAY HAVE, OR WHICH MAY HAVE DEVELOPED SINCE THE PRIOR YEAR'S ATTESTATION. THE CHAIR OF THE BOARD, OR DESIGNEE, MEETS WITH ANY DIRECTOR WHO HAS INDICATED A POTENTIAL CONFLICT OF INTEREST IN ORDER TO FULLY EXPLORE THE NATURE OF THE POTENTIAL OR EXISTING CONFLICT, WITH THE POTENTIAL THAT SUCH CONFLICT MIGHT PRECLUDE FURTHER SERVICE OF THAT DIRECTOR. ALL ANNUAL ATTESTATIONS ARE MAINTAINED BY THE CEO OF THE ORGANIZATION. THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS INCLUDES AN EXTERNAL ANALYSIS COMPLETED BY TOWERS PERRIN, A NATIONALLY KNOWN BENEFITS AND COMPENSATION CONSULTANT. TOWERS PERRIN GATHERS MARKET RESEARCH DATA FROM THREE PUBLISHED AND RELIABLE HEALTHCARE COMPENSATION SURVEYS. THIS ANALYSIS UTILIZES NATIONAL PAY DATA AND TAKES INTO CONSIDERATION THE SIZE OF THE HEALTHCARE ORGANIZATION, THE RESPECTIVE JOB TITLE, AND TIME IN JOB. THE ANALYSIS IS COMPLETED ANNUALLY. IT INCLUDES RECOMMENDATIONS ON POSITIONING THE CEO AND OTHER TOP MANAGEMENT WITH STAFF WITHIN THE APPROPRIATE PAY RANGE AS WELL AS POSSIBLE PAY RANGE ADJUSTMENTS AND BASE SALARY INCREASE PERCENTAGES FOR THE CURRENT YEAR. RECOMMENDATIONS ARE APPROVED BY A SUBCOMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IMPLEMENTATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2012 BY COMPREHENSIVE HEALTHCARE OF OHIO, THE PARENT ENTITY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS NOT, TO THIS POINT, MADE ITS GOVERNING DOCUMENTS, OTHER THAN THE ORIGINAL ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL EMPLOYEES AND DIRECTORS ON THE ORGANIZATION'S INTRANET SITE, AND HAS BEEN A PART OF THE ORGANIZATION'S WRITTEN POLICY HANDBOOK LONG IN ADVANCE OF THE DEVELOPMENT OF THE INTRANET SITE. FINANCIAL STATEMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC OTHER THAN FINANCIAL INFORMATION WHICH APPEARS ON THE FORM 990 AND OTHER PUBLIC FILINGS REQUIRED BY LAW.
FORM 990, PART XI, LINE 9:PENSION RELATED CHANGES LIABILITY ADJUSTMENT -2,998,207. INVESTMENT IN PERPETUAL TRUST 166,632.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMPREHENSIVE HEALTH CARE OF OHIO INC
630 EAST RIVER STELYRIAOH44035341492733CENTRALIZED MANAGEMENTOH501(C)(3)LINE 11C, III-FIN/A0
AMHERST HOSPITAL ASSOCIATION INC
630 EAST RIVER STELYRIAOH44035340067060COMMUNITY HOSPITALOH501(C)(3)LINE 31COMPREHESIVE HEALTH CARE OF OHIO INC
ELYRIA MEMORIAL HOSPITAL FOUNDATION
630 EAST RIVER STELYRIAOH44035341492735FUNDRAISINGOH501(C)(3)LINE 71COMPREHENSIVE HEALTH CARE OF OHIO INC

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
COMMUNITY HEALTH COLLABORATIVE LLC
18697 BAGLEY ROADMIDDLEBURG HEIGHTSOH44130452450431HEALTH COLLABORATIONOHN/A
COMMUNITY HEALTH CONTRACTING ORGANIZATION LLC
18697 BAGLEY ROADMIDDLEBURG HEIGHTSOH44130453023728HEALTH CARE CONTRACTINGOHN/A
COMMUNITY HEALTH PURCHASING ORGANIZATION LLC
18697 BAGLEY ROADMIDDLEBURG HEIGHTSOH44130452450431HEALTH CARE PURCHASINGOHN/A
COMMUNITY MEDICAL GROUP LLC
18697 BAGLEY ROADMIDDLEBURG HEIGHTSOH44130453023969HEALTH CARE SERVICESOHN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
COMPREHENSIVE VENTURES UNLIMITED INC
630 EAST RIVER STELYRIAOH44035341596060VARIOUS HEALTHCARE ACTIVITIESOHN/AC0
EMH MEDICAL OFFICE BUILDING IN AVON
1997 HEALTHWAY DRAVONOH44011341935407MEDICAL OFFICE BUILDINGOHN/AC0
EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOC
630 EAST RIVER STELYRIAOH44035260636602CONDOMINIUM COMPLEXOHN/AC0
CENTER FOR ORTHOPEDICS INC
630 EAST RIVER STELYRIAOH44035341665082PHYSICIAN PRACTICEOHN/AC0
EMH PROFESSIONAL SERVICES INC
630 EAST RIVER STELYRIAOH44035341778419VARIOUS HEALTHCARE ACTIVITIESOHN/AC0
NORTH OHIO HEART INC
630 EAST RIVER STELYRIAOH44035272574020VARIOUS HEALTHCARE ACTIVITIESOHN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMPREHENSIVE HEALTH CARE OF OHIO INC
P7856408ACTUAL COST PER FINANCIAL STMTS
COMPREHENSIVE HEALTH CARE OF OHIO INC
M14873676ACTUAL COST PER FINANCIAL STMTS
AMHERST HOSPITAL ASSOCIATION INC
P955733ACTUAL COST PER FINANCIAL STMTS
AMHERST HOSPITAL ASSOCIATION INC
K451332ACTUAL COST PER FINANCIAL STMTS
COMPREHENSIVE VENTURES UNLIMITED INC
P1418276ACTUAL COST PER FINANCIAL STMTS
COMPREHENSIVE VENTURES UNLIMITED INC
A105172ACTUAL COST PER FINANCIAL STMTS
COMPREHENSIVE VENTURES UNLIMITED INC
M215193ACTUAL COST PER FINANCIAL STMTS
EMH PROFESSIONAL SERVICES INC
P2189320ACTUAL COST PER FINANCIAL STMTS
EMH PROFESSIONAL SERVICES INC
M389442ACTUAL COST PER FINANCIAL STMTS
CENTER FOR ORTHOPEDICS INC
P2095075ACTUAL COST PER FINANCIAL STMTS
NORTH OHIO HEART INC
P4734588ACTUAL COST PER FINANCIAL STMTS
ELYRIA MEMORIAL HOSPITAL FOUNDATION
P65549ACTUAL COST PER FINANCIAL STMTS