UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 34-1492733)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349305674
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T12:17:26-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 307 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 480370307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341492733 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPREHENSIVE HEALTH CARE OF OHIO INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMP | NameControl |
| Phone | 4403297605 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES SIMONE | Name |
| Title | CFO | Title |
| Phone | 4403297605 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN MIENCIER | Name |
| PTIN | P00842339 | PTIN |
| Phone | 2483522500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DONALD SHELDON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16679551 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EMH-HEALTHCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF CENTRALIZED HEALTH CARE MANAGEMENT TO SEVERAL NON-PROFIT COMMUNITY HEALTH CARE FACILITIES AND FOR-PROFIT SUBSIDIARIES THAT SERVE THE LORAIN COUNTY AND SURROUNDING COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 112 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 60930 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -26121 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1011050 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 56250 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15065123 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16096913 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -94463 | InvestmentIncomePriorYear |
| Investment Income Current Year | -147943 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 328922 | OtherRevenuePriorYear |
| Other Revenue Current Year | 379802 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16310632 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16385022 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 101993 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 97094 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8630931 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9192643 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6563596 | OtherExpensePriorYear |
| Other Expenses Current Year | 7250993 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15296520 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16540730 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1014112 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -155708 | RevenuesLessExpensesCY |
| Total Assets BOY | 19393042 | TotalAssetsBOY |
| Total Assets EOY | 19974669 | TotalAssetsEOY |
| Total Liabilities BOY | 3375522 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3990144 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 16017520 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15984525 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5052670 | Expense |
| Revenue | 5052670 | Revenue |
| Description | SYSTEM INFORMATION SYSTEMS SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1923549 | Expense |
| Revenue | 1923549 | Revenue |
| Description | SYSTEM ADMINISTRATIVE SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1431650 | Expense |
| Revenue | 1431650 | Revenue |
| Description | SYSTEM MARKETING SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4919474 | Expense |
| Grants | 97094 | Grants |
| Revenue | 7628114 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 4919474 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 97094 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 7628114 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 13327343 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 112 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES M SIMONE VP FINANCECFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4403297605 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| BLOUCH GERALD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| BRAUSCH JEFF | |||||||||
| CHAIRMAN | 2.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| DENGEL FREDRICH MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| HOAGLAND BRIAN | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| JUNEJA JAY | |||||||||
| VICE CHAIR | 2.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| LONG JANET | |||||||||
| SECRETARY | 2.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| MEAD CHRIS | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| RYAN JOHN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| SCHAEFFER JOHN MD | |||||||||
| BOARD MEMBER | 2.00 | 55.00 | X | 0 | 352859 | 19142 | |||
| SHELDON DONALD MD | |||||||||
| PRESIDENT & CEO | 2.00 | 59.00 | X | 454579 | 0 | 22688 | X | ||
| SMITH STEPHEN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| STEVENS BRUCE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| WHITE ROBERT | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| SIMONE JAMES | |||||||||
| VP - FINANCE/CFO/BOARD TRE | 3.00 | 59.00 | 307097 | 0 | 28839 | X | |||
| COOKSEY JILL | |||||||||
| VP NURSING/CHIEF NURSING O | 3.00 | 60.00 | 172670 | 0 | 17625 | X | |||
| GARDNER FRANCIS | |||||||||
| VP - GENERAL COUNSEL | 3.00 | 60.00 | 237588 | 0 | 10675 | X | |||
| MCDONALD DOUGLAS | |||||||||
| VP - MEDICAL AFFAIRS | 3.00 | 60.00 | 221146 | 0 | 23201 | X | |||
| MILLER DANIEL | |||||||||
| VP - HUMAN RESOURCES | 3.00 | 60.00 | 226542 | 0 | 29889 | X | |||
| WRAY CHARLOTTE | |||||||||
| VP - CLINICAL OPERATIONS | 3.00 | 60.00 | 168373 | 0 | 25674 | X | |||
| AUBREY JOHN | |||||||||
| DIR. FINANCIAL ANALY. | 3.00 | 55.00 | 115676 | 0 | 21310 | X | |||
| BRINCKA STEVE | |||||||||
| DIRECTOR, FINANCIAL MANAGE | 3.00 | 55.00 | 103485 | 0 | 22040 | X | |||
| WILLETS DAVE | |||||||||
| DIRECTOR, MATERIALS MGMT | 3.00 | 55.00 | 114350 | 0 | 15113 | X | |||
| KOETHE LORI | |||||||||
| DIRECTOR, COMPLIANCE | 3.00 | 55.00 | 111568 | 0 | 17921 | X | |||
| TONN KNOPF SHEILA M | |||||||||
| DIRECTOR, CENTER FOR ORTHO | 3.00 | 55.00 | 123146 | 0 | 6979 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2356220 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 352859 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 261096 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MICROSOFT | |||||
| 1950 N STEMMONS FWY STE 3010 | DALLAS | TX | 75207 | INFO. SYSTEMS SUPPORT | 502072 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| 51 VALLEY STREAM PKWY | MALVERN | PA | 19355 | INFO. SYSTEMS SUPPORT | 360877 |
| COMMUNITY HEALTH COLLABORATIVE | |||||
| 18697 BAGLEY RD | MIDDLEBURG HT | OH | 44130 | CONSULTING | 334000 |
| FAHLGREN | |||||
| 4030 EASTON STATION SUITE 300 | COLUMBUS | OH | 43219 | CONSULTING | 260893 |
| VITALIZE CONSULTING SOLUTIONS | |||||
| 248 MAIN ST SUITE 101 | READING | MA | 01867 | IT CONSULTING | 182475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Fundraising Events | 9250 | FundraisingEvents |
| Related Organizations | 25000 | RelatedOrganizations |
| All Other Contributions | 22000 | AllOtherContributions |
| Total Contributions | 56250 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| AFFILIATE FEES | 561000 | 15274801 | 15274801 | |
| JOINT VENTURE REV. | 621990 | 761182 | 761182 | |
| MANAGEMENT CONTRACT | 561000 | 60930 | 60930 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16096913 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 52818 | TotalRevenueColumn |
| Exclusion | $52,818 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47400 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 49465 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -2065 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2065 | TotalRevenueColumn |
| Exclusion | -$2,065 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 200761 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -200761 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -200761 | TotalRevenueColumn |
| Exclusion | -$200,761 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 56378 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 9250 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 44303 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12075 | TotalRevenueColumn |
| Exclusion | $12,075 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| GIFT SHOP | 453220 | 268307 | $268,307 |
| REBATES | 900099 | 101485 | $101,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 369792 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16385022 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16035983 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 60930 | UnrelatedBusinessRevenue |
| Exclusion | $231,859 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97094 | Total |
| Program Services | 97094 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1787994 | Total |
| Program Services | 1609195 | ProgramServices |
| Management And General | 178799 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5043141 | Total |
| Program Services | 4538827 | ProgramServices |
| Management And General | 504314 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1879206 | Total |
| Program Services | 1691285 | ProgramServices |
| Management And General | 187921 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 482302 | Total |
| Program Services | 434072 | ProgramServices |
| Management And General | 48230 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87312 | Total |
| Management And General | 87312 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79975 | Total |
| Management And General | 79975 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 967836 | Total |
| Management And General | 967836 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1083176 | Total |
| Program Services | 1083176 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357311 | Total |
| Program Services | 282765 | ProgramServices |
| Management And General | 74546 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1652797 | Total |
| Program Services | 1487517 | ProgramServices |
| Management And General | 165280 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72727 | Total |
| Management And General | 72727 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90045 | Total |
| Program Services | 54027 | ProgramServices |
| Management And General | 36018 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180459 | Total |
| Program Services | 162414 | ProgramServices |
| Management And General | 18045 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62038 | Total |
| Program Services | 62038 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DUES AND LICENSURE | 868772 | 868772 | |
| ADMINISTRATIVE AND RENT | 854724 | 452928 | 401796 |
| REPAIRS AND MAINTENANCE | 401580 | 357944 | 43636 |
| BANK FEES | 290577 | 145289 | 145288 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201664 | Total |
| Management And General | 201664 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16540730 | Total |
| Program Services | 13327343 | ProgramServices |
| Management And General | 3213387 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 414536 | BOY |
| EOY | 436883 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667169 | BOY |
| EOY | 1179941 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139602 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 850697 | BOY |
| EOY | 908335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9566009 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1433693 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7745995 | BOY |
| EOY | 8132316 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5096749 | BOY |
| EOY | 5011930 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4478294 | BOY |
| EOY | 4305264 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19393042 | BOY |
| EOY | 19974669 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2513108 | BOY |
| EOY | 2953548 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 862414 | BOY |
| EOY | 1036596 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3375522 | BOY |
| EOY | 3990144 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16017520 | BOY |
| EOY | 15984525 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16017520 | BOY |
| EOY | 15984525 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19393042 | BOY |
| EOY | 19974669 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -155708 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 122713 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| EMH REGIONAL MEDICAL CENTER | |||||
| 340714612 | 03 | 1 | 1 | 1 | $0 |
| AMHERST HOSPITAL ASSOCIATION INC | |||||
| 340067060 | 03 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6808888 | OtherCostOrOtherBasis |
| Book Value | 6808888 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 216413 | OtherCostOrOtherBasis |
| Depreciation | 125048 | Depreciation |
| Book Value | 91365 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1771993 | OtherCostOrOtherBasis |
| Depreciation | 1069099 | Depreciation |
| Book Value | 702894 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 768715 | OtherCostOrOtherBasis |
| Depreciation | 239546 | Depreciation |
| Book Value | 529169 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8132316 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN COMPREHENSIVE VENTURES | 4050000 | C |
| INVESTMENT IN PREMIER, INC. | 75000 | C |
| INVESTMENT IN PREMIER PURCHASING PTRS, INC. | 312103 | C |
| INVESTMENT IN RENAL CARE GROUP | 337919 | C |
| INVESTMENT IN CHC | -114289 | C |
| INVESTMENT IN SPECIALTY HOSPITAL | 351197 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 5011930 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM AFFILIATES | Description |
| Book Value | 4305264 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4305264 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PENSION LIABILITY | Description |
| Amount | $1,036,596 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1036596 | TotalOfAmounts |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | AUXILIARY BALL | NameOfEvent1 |
| Gross Receipts Event1 | 18709 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 9250 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 9459 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 11077 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 2600 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 258 | OtherDirectExpensesEvent1 |
| Name Of Event2 | HOLIDAY SHOPPING EXTRAVAGANZA | NameOfEvent2 |
| Gross Receipts Event2 | 16100 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 16100 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 4004 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 10 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 30819 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 30819 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 26364 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 65628 | GrossReceiptsTotal |
| Charitable Contributions Total | 9250 | CharitableContributionsTotal |
| Gross Revenue Total Events | 56378 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 11077 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2600 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 30626 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 44303 | DirectExpenseSummaryEvents |
| Net Income Summary | 12075 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| TEAM LORAIN COUNTY | |||||||||
| 226 MIDDLE AVE | ELYRIA | OH | 44035 | 311504633 | 501(C)(3) | 15000 | N/A | N/A | SUPPORT OF TEAM LORAIN COUNTY |
| ELYRIA CITIZENS COMMITTEE | |||||||||
| 118 WESLEYAN COURT | ELYRIA | OH | 44035 | 341628156 | 501(C)(3) | 5000 | N/A | N/A | SPONSOR |
| ELYRIA CATHOLIC HIGH SCHOOL | |||||||||
| 725 GULF ROAD | ELYRIA | OH | 44035 | 340898044 | 501(C)(3) | 10000 | N/A | N/A | SPONSORSHIP FUND |
| AMERICAN CANCER SOCIETY | |||||||||
| 173 WINDBROOK COURT | ELYRIA | OH | 44035 | 131788491 | 501(C)(3) | 10000 | N/A | N/A | SPONSOR FUNDRAISING EVENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO. THEY ARE SUBSTANTIALLY CONSISTENT ON A YEAR-TO-YEAR BASIS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCHAEFFER JOHN MD | ||||||||||||||
| BOARD MEMBER | 0 | 301396 | 0 | 36434 | 0 | 15029 | 0 | 17500 | 0 | 1642 | 0 | 372001 | 0 | 0 |
| SHELDON DONALD MD | ||||||||||||||
| PRESIDENT & CEO | 361951 | 0 | 0 | 0 | 92628 | 0 | 14999 | 0 | 7689 | 0 | 477267 | 0 | 0 | 0 |
| SIMONE JAMES | ||||||||||||||
| VP - FINANCE/CFO/BOARD TRE | 258165 | 0 | 0 | 0 | 48932 | 0 | 12500 | 0 | 16339 | 0 | 335936 | 0 | 0 | 0 |
| COOKSEY JILL | ||||||||||||||
| VP NURSING/CHIEF NURSING O | 129329 | 0 | 0 | 0 | 43341 | 0 | 1580 | 0 | 16045 | 0 | 190295 | 0 | 0 | 0 |
| GARDNER FRANCIS | ||||||||||||||
| VP - GENERAL COUNSEL | 205228 | 0 | 0 | 0 | 32360 | 0 | 9235 | 0 | 1440 | 0 | 248263 | 0 | 0 | 0 |
| MCDONALD DOUGLAS | ||||||||||||||
| VP - MEDICAL AFFAIRS | 220045 | 0 | 0 | 0 | 1101 | 0 | 12342 | 0 | 10859 | 0 | 244347 | 0 | 0 | 0 |
| MILLER DANIEL | ||||||||||||||
| VP - HUMAN RESOURCES | 193131 | 0 | 0 | 0 | 33411 | 0 | 13595 | 0 | 16294 | 0 | 256431 | 0 | 0 | 0 |
| WRAY CHARLOTTE | ||||||||||||||
| VP - CLINICAL OPERATIONS | 167833 | 0 | 0 | 0 | 540 | 0 | 9625 | 0 | 16049 | 0 | 194047 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | DONALD SHELDON HAS HIS DUES PAID FOR AT A LOCAL COUNTRY CLUB. THE COUNTRY CLUB IS A WAY FOR HIM TO NETWORK WITH IMPORTANT STAKEHOLDERS. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION AS IT SOLELY WAS A BUSINESS EXPENSE. |
| PART I, LINE 4B | COMPREHENSIVE HEALTHCARE OF OHIO (CHCO) 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 - 457F PARTICIPANT FRANCIS GARDNER - 457F PARTICIPANT DANIEL MILLER - 457F PARTICIPANT DONALD SHELDON - 457F PARTICIPANT JAMES SIMONE - 457F PARTICIPANT |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP IN THE CORPORATION SHALL APPLY TO ANY PERSON TWENTY-ONE (21) YEARS OF AGE OR OLDER WHO HAS BEEN DULY ELECTED BY A MAJORITY VOTE OF THE MEMBERS PRESENT AT ANY ANNUAL MEETING, OR WHO HAS BEEN ELECTED AND/OR SELECTED TO SERVE AS A DIRECTOR OF THE CORPORATION. MEMBERSHIP SHALL BE LIMITED TO ONE HUNDERED FIFTY (150) PERSONS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS ARE ELECTED BY THE DIRECTORS. THE MEMBERS THEN APPROVE THE RESULTS OF THE ELECTION. |
| FORM 990, PART VI, SECTION A, LINE 7B | EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE UPON ANY CHANGE IN CONTROL OF THE CORPORATION THROUGH SALE, MERGER OR ANY SIMILAR TRANSACTION, OR THE DISSOLUTION OF THE CORPORATION, AND TO HOLD ANY OFFICE POSITION IN THE CORPORATION TO WHICH HE OR SHE MAY BE ELECTED OR APPOINTED. EACH MEMBER PRESENT SHALL BE ENTITLED TO ONE VOTE UPON ANY MATTER PROPERLY SUBMITTED TO THE MEMBERS FOR THEIR VOTE. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED BY THE CEO, CFO AND IN-HOUSE GENERAL COUNSEL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH 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 TO EXPLORE IF THE CONFLICT MIGHT PRECLUDE FURTHER SERVICE OF THAT DIRECTOR. ALL ANNUAL CONFLICT STATEMENTS ARE REVIEWED BY THE CEO OF THE ORGANIZATION. THE CONFLICT OF INTEREST POLICY COVERS THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE 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 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 SUBCOMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IMPLEMENTATION. THIS PROCESS WAS LAST CONDUCTED IN 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 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, 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 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| EMH REGIONAL MEDICAL CENTER | ||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 340714612 | COMMUNITY HOSPITAL | OH | 501(C)(3) | LINE 3 | COMPREHENSIVE HEALTH CARE OF OHIO INC | 1 |
| AMHERST HOSPITAL ASSOCIATION INC | ||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 340067060 | COMMUNITY HOSPITAL | OH | 501(C)(3) | LINE 3 | COMPREHENSIVE HEALTH CARE OF OHIO INC | 1 |
| ELYRIA MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341492735 | FUNDRAISING | OH | 501(C)(3) | LINE 7 | COMPREHENSIVE HEALTH CARE OF OHIO INC | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH COLLABORATIVE LLC | ||||||||||||||
| 18697 BAGLEY ROAD | MIDDLEBURG HEIGHTS | OH | 44130 | 452450431 | HEALTH COLLABORATION | OH | NONE | RELATED | -252156 | -101907 | 0 | 1 | 0.32610 | |
| COMMUNITY HEALTH CONTRACTING ORGANIZATION LLC | ||||||||||||||
| 18697 BAGLEY ROAD | MIDDLEBURG HEIGHTS | OH | 44130 | 453023728 | HEALTH CARE CONTRACTING | OH | N/A | |||||||
| COMMUNITY HEALTH PURCHASING ORGANIZATION LLC | ||||||||||||||
| 18697 BAGLEY ROAD | MIDDLEBURG HEIGHTS | OH | 44130 | 452450431 | HEALTH CARE PURCHASING | OH | N/A | |||||||
| COMMUNITY MEDICAL GROUP LLC | ||||||||||||||
| 18697 BAGLEY ROAD | MIDDLEBURG HEIGHTS | OH | 44130 | 453023969 | HEALTH CARE SERVICES | OH | N/A | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMPREHENSIVE VENTURES UNLIMITED INC | |||||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341596060 | VARIOUS HEALTH CARE ACTIVITIES | OH | N/A | C | -415524 | 28227874 | 1.00000 | 0 | |
| EMH MEDICAL OFFICE BUILDING IN AVON | |||||||||||||
| 1997 HEALTHWAY DR | AVON | OH | 44011 | 341935407 | MEDICAL OFFICE BUILDING | OH | N/A | C | 86203 | 1.00000 | 0 | ||
| EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOC | |||||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 260636602 | CONDOMINIUM COMPLEX | OH | N/A | C | 65125 | 1.00000 | 0 | ||
| CENTER FOR ORTHOPEDICS INC | |||||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341665082 | PHYSICIAN PRACTICE | OH | C | -116112 | 317694 | 1.00000 | 0 | COMPREHENSIVE VENTURES UNLIMITED INC | |
| EMH PROFESSIONAL SERVICES INC | |||||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341778419 | VARIOUS HEALTH CARE ACTIVITIES | OH | C | -2572747 | 867089 | 1.00000 | 0 | COMPREHENSIVE VENTURES UNLIMITED INC | |
| NORTH OHIO HEART INC | |||||||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 272574020 | VARIOUS HEALTH CARE ACTIVITIES | OH | N/A | C | -7669235 | 3157840 | 1.00000 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| EMH REGIONAL MEDICAL CENTER | ||
| Q | 7856408 | ACTUAL COST PER FINANCIAL STMTS |
| EMH REGIONAL MEDICAL CENTER | ||
| L | 14873676 | ACTUAL COST PER FINANCIAL STMTS |
| COMPREHENSIVE VENTURES UNLIMITEDINC | ||
| L | 232576 | ACTUAL COST PER FINANCIAL STMTS |
| EMH PROFESSIONAL SERVICES INC | ||
| L | 152782 | ACTUAL COST PER FINANCIAL STMTS |
| CENTER FOR ORTHOPEDICS INC | ||
| L | 327550 | ACTUAL COST PER FINANCIAL STMTS |