2013-11-15T12:17:26-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2012-01-01 341492733 COMPREHENSIVE HEALTH CARE OF OHIO INC COMP 4403297605 630 EAST RIVER STREET ELYRIA OH 44035 JAMES SIMONE 4403297605 2013-11-15 1 SUSAN MIENCIER P00842339 2483522500 2012 2016-02-25 16:41:14Z DONALD SHELDON 630 EAST RIVER STREET ELYRIA OH 44035 16679551 0 X WWW.EMH-HEALTHCARE.ORG X 1985 OH 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. 13 11 112 10 60930 -26121 1011050 56250 15065123 16096913 -94463 -147943 328922 379802 16310632 16385022 101993 97094 0 0 8630931 9192643 0 0 0 6563596 7250993 15296520 16540730 1014112 -155708 19393042 19974669 3375522 3990144 16017520 15984525 WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE. 0 0 5052670 5052670 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. 1923549 1923549 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. 1431650 1431650 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. 4919474 97094 7628114 4919474 97094 7628114 13327343 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 32 0 1 112 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 OH X JAMES M SIMONE VP FINANCECFO 4403297605 630 EAST RIVER STREET ELYRIA OH 44035 BLOUCH GERALD 2.00 0.00 X 0 0 0 BRAUSCH JEFF 2.00 0.00 X X 0 0 0 DENGEL FREDRICH MD 2.00 0.00 X 0 0 0 HOAGLAND BRIAN 2.00 2.00 X 0 0 0 JUNEJA JAY 2.00 0.00 X X 0 0 0 LONG JANET 2.00 0.00 X X 0 0 0 MEAD CHRIS 2.00 2.00 X 0 0 0 RYAN JOHN 2.00 0.00 X 0 0 0 SCHAEFFER JOHN MD 2.00 55.00 X 0 352859 19142 SHELDON DONALD MD 2.00 59.00 X X 454579 0 22688 SMITH STEPHEN 2.00 0.00 X 0 0 0 STEVENS BRUCE 2.00 0.00 X 0 0 0 WHITE ROBERT 2.00 0.00 X 0 0 0 SIMONE JAMES 3.00 59.00 X 307097 0 28839 COOKSEY JILL 3.00 60.00 X 172670 0 17625 GARDNER FRANCIS 3.00 60.00 X 237588 0 10675 MCDONALD DOUGLAS 3.00 60.00 X 221146 0 23201 MILLER DANIEL 3.00 60.00 X 226542 0 29889 WRAY CHARLOTTE 3.00 60.00 X 168373 0 25674 AUBREY JOHN 3.00 55.00 X 115676 0 21310 BRINCKA STEVE 3.00 55.00 X 103485 0 22040 WILLETS DAVE 3.00 55.00 X 114350 0 15113 KOETHE LORI 3.00 55.00 X 111568 0 17921 TONN KNOPF SHEILA M 3.00 55.00 X 123146 0 6979 2356220 352859 261096 15 0 1 0 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 15 9250 25000 22000 56250 AFFILIATE FEES 561000 15274801 15274801 JOINT VENTURE REV. 621990 761182 761182 MANAGEMENT CONTRACT 561000 60930 60930 16096913 52818 52818 47400 49465 -2065 -2065 -2065 200761 -200761 -200761 -200761 56378 9250 44303 12075 12075 GIFT SHOP 453220 268307 268307 REBATES 900099 101485 101485 369792 16385022 16035983 60930 231859 97094 97094 1787994 1609195 178799 5043141 4538827 504314 1879206 1691285 187921 482302 434072 48230 87312 87312 79975 79975 967836 967836 1083176 1083176 357311 282765 74546 1652797 1487517 165280 72727 72727 90045 54027 36018 180459 162414 18045 62038 62038 DUES AND LICENSURE 868772 868772 ADMINISTRATIVE AND RENT 854724 452928 401796 REPAIRS AND MAINTENANCE 401580 357944 43636 BANK FEES 290577 145289 145288 201664 201664 16540730 13327343 3213387 0 414536 436883 667169 1179941 139602 0 850697 908335 9566009 1433693 7745995 8132316 5096749 5011930 4478294 4305264 19393042 19974669 2513108 2953548 862414 1036596 3375522 3990144 X 16017520 15984525 16017520 15984525 19393042 19974669 -155708 122713 0 X X 0 1 X 1 0 X X X 0 0 0 EMH REGIONAL MEDICAL CENTER 340714612 03 1 1 1 0 AMHERST HOSPITAL ASSOCIATION INC 340067060 03 1 1 1 0 2 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6808888 6808888 216413 125048 91365 1771993 1069099 702894 768715 239546 529169 8132316 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 5011930 DUE FROM AFFILIATES 4305264 4305264 PENSION LIABILITY 1036596 1036596 AUXILIARY BALL 18709 9250 9459 11077 2600 258 HOLIDAY SHOPPING EXTRAVAGANZA 16100 16100 4004 10 30819 30819 26364 65628 9250 56378 11077 2600 30626 44303 12075 1 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 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 SCHAEFFER JOHN MD 0 301396 0 36434 0 15029 0 17500 0 1642 0 372001 0 0 SHELDON DONALD MD 361951 0 0 0 92628 0 14999 0 7689 0 477267 0 0 0 SIMONE JAMES 258165 0 0 0 48932 0 12500 0 16339 0 335936 0 0 0 COOKSEY JILL 129329 0 0 0 43341 0 1580 0 16045 0 190295 0 0 0 GARDNER FRANCIS 205228 0 0 0 32360 0 9235 0 1440 0 248263 0 0 0 MCDONALD DOUGLAS 220045 0 0 0 1101 0 12342 0 10859 0 244347 0 0 0 MILLER DANIEL 193131 0 0 0 33411 0 13595 0 16294 0 256431 0 0 0 WRAY CHARLOTTE 167833 0 0 0 540 0 9625 0 16049 0 194047 0 0 0 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 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. 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 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 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 COMPREHENSIVE VENTURES UNLIMITED INC C -116112 317694 1.00000 0 EMH PROFESSIONAL SERVICES INC 630 EAST RIVER ST ELYRIA OH 44035 341778419 VARIOUS HEALTH CARE ACTIVITIES OH COMPREHENSIVE VENTURES UNLIMITED INC C -2572747 867089 1.00000 0 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 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 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