THE CITY HOSPITAL ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- THE CITY HOSPITAL ASSOCIATION (EIN 34-0714583)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201223209349307752
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T15:38:10-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351178661 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8800 LYRA DRIVE SUITE 450 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43240 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714583 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CITY | NameControl |
| Phone | 3303862000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 WEST FIFTH STREET | AddressLine1 |
| City | EAST LIVERPOOL | City |
| State | OH | State |
| ZIP Code | 43920 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KYLE JOHNSON | Name |
| Title | CFO | Title |
| Phone | 3303862000 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NANCY KIRCHNER | Name |
| PTIN | P00386751 | PTIN |
| Phone | 6148852583 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST LIVERPOOL CITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KYLE JOHNSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 WEST FIFTH STREET | AddressLine1 |
| City | EAST LIVERPOOL | City |
| State | OH | State |
| ZIP Code | 43920 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 60982012 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ELCH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1905 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION IS ORGANIZED AND OPERATED TO PROVIDE THE PEOPLE OF THE TRI-STATE AREA HIGH QUALITY HEALTH CARE SERVICES, REGARDLESS OF THE PERSON'S ABILITY TO PAY. THESE SERVICES INCLUDE THE PREVENTION OF ILLNESS, RELIEF OF SUFFERING, HEALTH RESTORATION, AND HEALTH CARE EDUCATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 638 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 234439 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 29542 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 53516607 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 58319575 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9496087 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1840764 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 530565 | OtherRevenuePriorYear |
| Other Revenue Current Year | 473784 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 63777698 | TotalRevenuePriorYear |
| Total Revenue Current Year | 60663665 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 145756 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1106978 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32555747 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33689807 | 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 | 29936983 | OtherExpensePriorYear |
| Other Expenses Current Year | 34454395 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62638486 | TotalExpensesPriorYear |
| Total Expenses Current Year | 69251180 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1139212 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8587515 | RevenuesLessExpensesCY |
| Total Assets BOY | 109896728 | TotalAssetsBOY |
| Total Assets EOY | 107284932 | TotalAssetsEOY |
| Total Liabilities BOY | 34420734 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40519734 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 75475994 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 66765198 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION IS ORGANIZED AND OPERATED TO PROVIDE THE PEOPLE OF THE TRI-STATE AREA HIGH QUALITY HEALTH CARE SERVICES, REGARDLESS OF THE PERSON'S ABILITY TO PAY. THESE SERVICES INCLUDE THE PREVENTION OF ILLNESS, RELIEF OF SUFFERING, HEALTH RESTORATION, AND HEALTH CARE EDUCATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 59410355 | Expense |
| Revenue | 58610616 | Revenue |
| Description | CITY HOSPITAL ASSOCIATION DBA EAST LIVERPOOL CITY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO AFFORD ESSENTIAL MEDICAL SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF OUR COMMUNITY WITH FREE CARE AND OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COSTS, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HAVE BEEN CONSIDERED WHERE THE NEED AND AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE HOSPITAL CONSIDERS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. THE HOSPITAL IS LOCATED IN EAST LIVERPOOL, OHIO AND SERVICES THE SURROUNDING COMMUNITIES; STAFFING 158 BEDS FOR ACUTE CARE, INTENSIVE CARE, NURSERY, AND SKILLED NURSING IN THIS MEDICALLY UNDERSERVED AREA.DURING 2011, THE HOSPITAL PROVIDED NUMEROUS BENEFITS TO THE SURROUNDING COMMUNITY, INCLUDING FINANCIAL SUPPORT THROUGH THE COMMUNITY BENEFIT INITIATIVE PROGRAM.COMMUNITY BENEFIT INITIATIVE - THE HOSPITAL PROVIDED FINANCIAL SUPPORT TOTALING $146,978 TO LOCAL PROGRAMS.COMMUNITY EDUCATION AND WELLNESS PROGRAMS - THE HOSPITAL OFFERED THE FOLLOWING TO THE COMMUNITY FREE OR AT A NOMINAL CHARGE:HEALTH FAIRSCPR CLASSESCHILDBIRTH CLASSESGARFIELD ELEMENTARY WELLNESS PROGRAMCOVER THE UNINSURED PROGRAMHEARTSAVER FIRST AID CLASSESADVANCE CARDIAC LIFE SUPPORTHEALTHCARE PROVIDE RECERTIFICATIONBREAST FEEDING SUPPORTPASTORAL OUTREACH PROGRAMSDIABETES EDUCATIONARTHRITIS AQUATICS CLASSESSMOKING CESSATION CLASSESBASICS IN BABYSITTING CLASSESAUTISM SUPPORT GROUPCONDUCTED HOSPITAL TOURS FOR AREA SCHOOLS AND COMMUNITY GROUPS. SERVED AS AN OBSERVATION SITE FOR THE HIGH SCHOOL FOR HEALTH PROFESSIONS DEVELOPED BY THE PUBLIC SCHOOLS. HOSTED SEVERAL SHADOW STUDENTS FROM AREA SCHOOLS. SERVED AS HOST SITE FOR OHIO HIGHER EDUCATION TELECOMMUNICATION SYSTEM.OPERATED A PHYSICIAN REFERRAL LINE FREE TO THE COMMUNITY.EXPENDED $271,070 TO RECRUIT PHYSICIANS TO THE UNDERSERVED COMMUNITY.PROVIDED SUBSIDIES TO VARIOUS PHYSICIANS TO ENSURE ACCESS TO ALL COMMUNITY BASED SERVICES, AS DEFINED BY THE COMMUNITY IN THE AMOUNT OF $765,000.ENCOURAGED EMPLOYEE PARTICIPATION IN COMMUNITY PROJECTS SUCH AS THE LACROFT SCHOOL READING PROGRAM, DAY OF CARING PROGRAM, STUDENT MENTORING PROGRAM, AND SERVICE ON NONPROFIT BOARDS.HOSTED PROGRAMS FOR STUDENT NURSES AND RADIOLOGY TECHNICIANS IN TRAINING.SALVATION ARMY: PROVIDED FOOD TO NEEDY FAMILIES FOR THANKSGIVING, AND GIFTS TO NEEDY CHILDREN FOR CHRISTMAS.DAY OF CARING, DAY OF GIVING PROGRAM - MONEY AND FOOD DRIVE. | Description |
| Total Program Service Expense | 59410355 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 1 | 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 | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 107 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 638 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 0 | QuidProQuoContributions |
| 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 | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 0 | InvestmentInJointVenture |
| 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 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3303862633 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 W FIFTH STREET | AddressLine1 |
| City | EAST LIVERPOOL | City |
| State | OH | State |
| ZIP Code | 43920 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| KENNETH COCHRAN | ||||||||
| CEO | 40.00 | X | X | 274952 | 0 | 29302 | ||
| CHARLES BEAVER II | ||||||||
| VP, PATIENT CARE | 40.00 | X | X | 154386 | 0 | 32675 | ||
| JAMES FOX | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JD GAURON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| TAMMIE MCINTOSH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARK MANGANO | ||||||||
| CHAIRMAN OF THE BOARD OF T | 1.00 | X | X | 0 | 0 | 0 | ||
| MICHAEL PARKES | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JAY B VOTAW DVM | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL SIGLER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DONNA TODD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOSEPH SHEMASEK | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PETE WICKS | ||||||||
| SECRETARY/TREASURER OF THE | 1.00 | X | X | 0 | 0 | 0 | ||
| RICHARD WOLFE | ||||||||
| TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| WILLIAM MILLER | ||||||||
| VICE CHAIRMAN OF THE BOARD | 1.00 | X | 0 | 0 | 0 | |||
| JOSPEH LUDOVICI | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| HIRA ROHELA | ||||||||
| MEDICAL STAFF VICE PRESIDE | 1.00 | X | 0 | 0 | 0 | |||
| PAMELA SMITH | ||||||||
| ADMINISTRATOR | 40.00 | X | 129339 | 0 | 22058 | |||
| KYLE JOHNSON | ||||||||
| CFO AS OF 7/27/11 | 40.00 | X | 63634 | 0 | 8323 | |||
| FRANK MADER III | ||||||||
| ADMINISTRATOR | 40.00 | 100126 | 0 | 33757 | X | |||
| CHARLES PARRY | ||||||||
| ADMINISTRATOR | 40.00 | 100824 | 0 | 26396 | X | |||
| MICHAEL WINIARSKI | ||||||||
| FORMER VP-CFO | 40.00 | 116319 | 0 | 7932 | X | |||
| ROBERT STEFFEN | ||||||||
| FORMER-VP, ADMINISTRATION | 40.00 | 114563 | 0 | 2089 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1054143 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 162532 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 1 | 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 |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 21377 NETWORK PL | CHICAGO | IL | 60673 | PHARMACY SERVICES | 3407002 |
| MANAGED CARE OF AMERICA | |||||
| 1910 COCHRAN RD | PITTSBURGH | PA | 15220 | HEALTH INSURANCE | 3375371 |
| THE BANK OF NEW YORK TRUST | |||||
| 525 WILLIAM PENN PL | PITTSBURGH | PA | 15219 | BOND SERVICE | 1124700 |
| RIVER VALLEY PHYSICIANS | |||||
| 425 WEST FIFTH STREET | EAST LIVERPOOL | OH | 43290 | PHYSICIAN SERVICES | 960000 |
| MEDLINE INDUSTRIES INC | |||||
| PO BOX 382075 | PITTSBURGH | PA | 15251 | HOSPITAL MED-SURG SUPPLY | 909308 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 29542 | GovernmentGrants |
| Total Contributions | 29542 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 58319575 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58319575 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 58319575 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2054862 | TotalRevenueColumn |
| Exclusion | $2,054,862 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68600 | TotalRevenueColumn |
| Exclusion | $68,600 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11754 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11754 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11754 | TotalRevenueColumn |
| Exclusion | $11,754 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17445 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 300143 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -300143 | Securities |
| Other | 17445 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -282698 | TotalRevenueColumn |
| Exclusion | -$282,698 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 27915 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 18204 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9711 | TotalRevenueColumn |
| Exclusion | $9,711 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| H.C.A.P. REVENUE | 900099 | 182332 | 182332 | |
| CAFETERIA INCOME | 900099 | 161278 | $161,278 | |
| OTHER REVENUE | 900099 | 108709 | 108709 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 452319 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60663665 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58610616 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,023,507 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106978 | Total |
| Program Services | 1106978 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23623260 | Total |
| Program Services | 20079771 | ProgramServices |
| Management And General | 3543489 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1332273 | Total |
| Program Services | 1332273 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6876959 | Total |
| Program Services | 6876959 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1857315 | Total |
| Program Services | 1578718 | ProgramServices |
| Management And General | 278597 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76368 | Total |
| Management And General | 76368 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71154 | Total |
| Management And General | 71154 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55000 | Total |
| Management And General | 55000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5641550 | Total |
| Program Services | 5246641 | ProgramServices |
| Management And General | 394909 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216447 | Total |
| Management And General | 216447 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355783 | Total |
| Program Services | 92504 | ProgramServices |
| Management And General | 263279 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1099217 | Total |
| Program Services | 1099217 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43982 | Total |
| Program Services | 43982 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3060518 | Total |
| Program Services | 3060518 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4290457 | Total |
| Management And General | 4290457 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474681 | Total |
| Program Services | 474681 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 7887663 | 7808786 | 78877 |
| BAD DEBTS | 7366590 | 7366590 | |
| REPAIRS AND MAINTENANCE | 2179337 | 1852436 | 326901 |
| MISCELLANEOUS | 1635648 | 1390301 | 245347 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69251180 | Total |
| Program Services | 59410355 | ProgramServices |
| Management And General | 9840825 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 800 | BOY |
| EOY | 800 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2371093 | BOY |
| EOY | 1755915 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7812332 | BOY |
| EOY | 9656040 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 621174 | BOY |
| EOY | 544386 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70171 | BOY |
| EOY | 63230 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 805370 | BOY |
| EOY | 841039 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 82655711 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 55459826 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26946934 | BOY |
| EOY | 27195885 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70338344 | BOY |
| EOY | 61098385 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 930510 | BOY |
| EOY | 6129252 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109896728 | BOY |
| EOY | 107284932 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5680281 | BOY |
| EOY | 7212269 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26941367 | BOY |
| EOY | 26251471 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1799086 | BOY |
| EOY | 7055994 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34420734 | BOY |
| EOY | 40519734 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75356588 | BOY |
| EOY | 66654495 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60968 | BOY |
| EOY | 52265 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58438 | BOY |
| EOY | 58438 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75475994 | BOY |
| EOY | 66765198 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109896728 | BOY |
| EOY | 107284932 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -8587515 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -123281 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,364 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3364 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PERCENTAGE OF OHA DUES IS USED FOR LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1420191 | OtherCostOrOtherBasis |
| Book Value | 1420191 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39173897 | OtherCostOrOtherBasis |
| Depreciation | 21376332 | Depreciation |
| Book Value | 17797565 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41471261 | OtherCostOrOtherBasis |
| Depreciation | 33675660 | Depreciation |
| Book Value | 7795601 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 590362 | OtherCostOrOtherBasis |
| Depreciation | 407834 | Depreciation |
| Book Value | 182528 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27195885 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED BOND FINANCING COSTS | 453878 |
| DUE FROM AFFILIATES | 402606 |
| PHYSICIAN GUARANTEES | 5272768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6129252 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTEREST RATE SWAP | $3,397,046 |
| GUARANTEES | $3,658,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7055994 | TotalOfAmounts |
| Total Revenue | 60663665 | TotalRevenue |
| Total Expenses | 69251180 | TotalExpenses |
| Excess Or Deficit For Year | -8587515 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -114578 | NetUnrealizedGLOnInvestments |
| Other | -$8,703 | OtherAmount |
| Total Adjustments | -123281 | TotalAdjustments |
| Excess Or Deficit Per FS | -8710796 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 60663665 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 60663665 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 60663665 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 69374461 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 123281 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 123281 | ExpensesNotRptdF990 |
| Expenses Subtotal | 69251180 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 69251180 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -8,703. |
| ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITION TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ELCH CARDIAC CLASSIC | NameOfEvent1 |
| Gross Receipts Event1 | 27915 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 27915 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 18204 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 27915 | GrossReceiptsTotal |
| Gross Revenue Total Events | 27915 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 18204 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 18204 | DirectExpenseSummaryEvents |
| Net Income Summary | 9711 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 787295 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 182333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 604962 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3091127 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3091127 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04990 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3878422 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 182333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3696089 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05970 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3878422 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 182333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3696089 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05970 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,929,987 | BadDebtExpenseAmount |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | OtherOther | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical |
|---|---|---|---|---|---|---|---|
| ELCH REHAB | |||||||
| 1 | 15655 ST RTE 170 | EAST LIVERPOOL | OH | 43920 | PT, OT, SPEECH SERVICES | ||
| ELCH | |||||||
| 2 | 5TH STREET | EAST LIVERPOOL | OH | 43920 | DSH | X | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST LIVERPOOL CITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 100.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7366590. | |
| PART II: ONGOING EFFORTS AND EVALUATION OF MANAGEMENT, STAFF, PHYSICIANS WITH FEEDBACK FROM PATIENTS AND COMMUNITY. DEMOGRAPHIC RESEARCH AND STUDIES ALSO UTILIZED TO DETERMINE TYPE AND QUANTITY OF SERVICES NEEDED BY SPECIALTY TO BEST SERVE OUR COMMUNITY. | |
| PART III, LINE 4: ALTHOUGH NOT DESCRIBED IN THE FOOTNOTES TO THE HOSPITAL'S FINANCIAL STATEMENTS, THE PRACTICE OF THE HOSPITAL IS TO RECORD BAD DEBT EXPENSE AT THE UNPAID BALANCES AFTER CONTRACTUAL DISCOUNTS FOR PATIENT'S WITH INSURANCE AND AT THE FULL OR DISCOUNTED CHARGE LEVEL FOR THOSE WHO DO NOT HAVE INSURANCE. THE HOSPITAL NEGOTIATES WITH PAYERS TO COME UP WITH A FAIR DISCOUNTED RATE TO BE PAID FOR SERVICES RENDERED. THESE DISCOUNTS ARE NOT RECORDED AS BAD DEBT EXPENSES. SIMILARLY FOR PATIENTS WITHOUT ANY INSURANCE, THE HOSPITAL OFFERS SEVERAL DIFFERENT DISCOUNT PROGRAMS, BASED UPON FINANCIAL NEED, TO THESE PATIENTS AND ONCE AGAIN THESE DISCOUNTS ARE NOT RECORDED AS BAD DEBTS. FOR PATIENTS WHO DO NOT MEET OR DO NOT FOLLOW-THROUGH TO DEMONSTRATE FINANCIAL HARDSHIP, THE HOSPITAL DOES EXPECT TO BE REIMBURSED AT OUR FULL CHARGE LEVEL. ALL OF THE REMAINING BALANCES THAT ARE NOT PAID ARE RECORDED AS BAD DEBTS.THE HOSPITAL HAS COSTED THE BAD DEBT EXPENSE IN LINE 2 OF THIS SECTION AT THE FULL UNPAID CONTRACTED RATE FOR PATIENTS WITH INSURANCE AS THIS REPRESENTS THE "CONTRACTED COST" FOR THE SERVICE AND THUS NOT APPLICABLE TO AN OVERALL COST-TO-CHARGE RATION. FOR PATIENTS WITH NO INSURANCE, THE COSTS ON LINE 2 REPRESENT THE FULL CHARGE LEVELS MULTIPLIED BY THE OVERALL COST-TO-CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS.THE CRITERIA THE HOSPITAL USES FOR DISTINGUISHING BETWEEN CHARITY CARE AND BAD DEBT IS THAT IN ORDER FOR A PATIENT TO QUALIFY AS CHARITY CARE, THEY MUST SHARE THEIR FINANCIAL INFORMATION AND SHOW THAT THEY FALL WITHIN THE FEDERAL POVERTY GUIDELINES. THUS THE HOSPITAL BELIEVES THAT 23% OF THE FIGURE RECORDED AS BAD DEBT EXPENSE ON LINE 2 WOULD QUALIFY FOR CHARITY CARE IF THE PATIENTS HAD SHARED THEIR FINANCIAL INFORMATION. THIS PERCENTAGE WAS DERIVED FROM DEMOGRAPHIC STUDIES OF THE COMMUNITY FOR FAMILIES FALLING BELOW THE FEDERAL POVERTY GUIDELINES IN OUR MARKET AREA. THUS THIS AMOUNT SHOULD BE INCLUDED IN THE TOTAL COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL. | |
| PART III, LINE 8: THE HOSPITAL CONTENDS THAT THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD ALSO BE CONSIDERED AS A COMMUNITY BENEFIT. THE REASON FOR THIS IS THAT THE MEDICARE RATES ARE SET UNILATERALLY BY THE FEDERAL GOVERNMENT AND THE HOSPITAL AGREES TO SERVICE THESE PATIENTS AT THESE RATES AS PART OF OUR MISSION AND SERVICE TO THE COMMUNITY.THE COST INCLUDED ON LINE 6 COMES FROM THE MEDICARE COST REPORT WHICH THE FEDERAL GOVERNMENT HAS SET UP AS THEIR WAY TO CAPTURE AND SEGREGATE THE COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS. | |
| PART III, LINE 9B: THE HOSPITAL PRACTICE IS THAT UPON VERIFICATION THAT A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, THE HOSPITAL DISCONTINUES COLLECTION EFFORTS AND MAKES THE APPROPRIATE ADJUSTMENT TO THE PATIENT'S ACCOUNT BASED UPON THE PATIENT'S INDIVIDUAL CIRCUMSTANCES. | |
| PART V, SECTION B, LINE 21: ALL PATIENTS ARE BILLED THE SAME GROSS CHARGE. DISCOUNTS ARE APPLIED AT THE TIME OF PAYMENT. | EAST LIVERPOOL CITY HOSPITAL |
| PART VI, LINE 2: ONGOING EFFORTS AND EVALUATION OF MANAGEMENT, STAFF, PHYSICIANS WITH FEEDBACK FROM PATIENTS AND COMMUNITY. DEMOGRAPHIC RESEARCH AND STUDIES ALSO UTILIZED TO DETERMINE TYPE AND QUANTITY OF SERVICES NEEDED BY SPECIALTY TO BEST SERVE OUR COMMUNITY. | |
| PART VI, LINE 3: INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY CARE IS MADE AVAILABLE AT TIME OF REGISTRATION, ON THE HOSPITAL'S WEBSITE, AND ON PATIENT STATEMENTS. APPLICATIONS ARE ALSO MADE AVAILABLE TO PATIENTS AT TIME OF REGISTRATION IF APPROPRIATE. | |
| PART VI, LINE 4: EAST LIVERPOOL CITY HOSPITAL IS THE ONLY HOSPITAL WITHIN 20 MILES OF THE CITY. THE HOSPITAL SERVES PATIENTS WITHIN A 10-15 MILE RADIUS INCLUDING PATIENTS FROM NEIGHBORING PENNSYLVANIA AND WEST VIRGINIA. MOST RESIDENTS HAVE LIVED HERE ALL THEIR LIVES AND THE COMMUNITY SERVED IS COMPRISED OF A SIGNIFICANT BIAS OF SENIOR CITIZENS. | |
| PART VI, LINE 5: EAST LIVERPOOL CITY HOSPITAL HAS AN OPEN MEDICAL STAFF, A COMMUNITY BOARD OF TRUSTEES AND IS EXTREMELY GENEROUS WITH FUNDING COMMUNITY CHARITIES AND DONATING EMPLOYEE TIME TO SERVE THE GENERAL POPULATION OF THE AREA SERVED. | |
| PART VI, LINE 6: NOT APPLICABLE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | EIN Of RecipientEINOfRecipient |
|---|---|---|---|---|---|---|---|
| COMMUNITY RESOURCE CENTER | |||||||
| 940 PENNSYLVANIA AVENUE | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 10000 | TO PROVIDE NUTRITIOUS MEALS FOR CHILDREN PARTICIPATING IN AFTER SCHOOL PROGRAMS. | |
| CERAMIC CITY SENIOR CITIZENS CENTER | |||||||
| 2401 BELMONT AVENUE | YOUNGSTOWN | OH | 44505 | 501(C)(3) | 11000 | TO PROVIDE COMPUTER EDUCATION CLASSES TO AREA SENIOR CITIZENS | |
| AMERICAN RED CROSS - POTTERY AREA CHAPTER | |||||||
| 401 COLLEGE STREET | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 10000 | TO PROVIDE EMERGENCY AND DISASTER FUNDS TO RESIDNETS OF HANCOCK COUNTY WV | |
| RETIRED SENIOR VOLUNTEER PROGRAM | |||||||
| 966 1/2 NORTH MARKET STREET | LISBON | OH | 44432 | 501(C)(3) | 12500 | TO PROVIDE FUNDS TO SUPPORT A COUNTY WIDE COORDINATOR OF A RETURED SENIOR VOLUNTEER PROGRAM. | |
| CHRISTINA HOUSE | |||||||
| PO BOX 262 | LISBON | OH | 44432 | 501(C)(3) | 10000 | TO COVER OPERATIONAL EXPENSES FOR A WOMEN'S VICTIM'S RELIEF SHELTER. | |
| WAYSTATION | |||||||
| 614 ST CLAIR AVENUE | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 7000 | TO SUPPORT AN AREA AGENCY IN PROVIDING BASIC NEEDS TO UNDERSERVED RESIDENTS OF THE TRI STATE AREA. | |
| FAMILY CENTER | |||||||
| 940 PENNSYLVANIA AVENUE | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 9000 | TO PROVIDE SUPPORT TO A LOCAL CHARITY | |
| ELHS JOBS TRAINING PROGRAM | |||||||
| 500 MARYLAND AVE | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 12500 | TO PROVIDE SUPPORT TO A LOCAL CHARITY | |
| YOUTH WITH A PURPOSE | |||||||
| 36128 HAZELRUN ROAD | SALINEVILLE | OH | 43945 | 501(C)(3) | 6000 | TO PROVIDE SUPPORT TO A LOCAL CHARITY | |
| THE FISH INC | |||||||
| PO BOX 2646 | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 12000 | TO PROVIDE FUNDS TO SUPPORT THE DELIVERY OF FOOD TO AN ESTIMATED 5,000 HOUSEHOLDS IN THE TRI STATE AREA. | |
| MEALS ON WHEELS | |||||||
| 110 MAIN BLVD | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 8500 | TO PROVIDE SUPPORT TO A LOCAL CHARITY | |
| RIVER VALLEY HEALTH PARTNERS | |||||||
| 425 W 5TH STREET | EAST LIVERPOOL | OH | 43920 | 501(C)(3) | 960000 | TO HELP FINANCE BOTH CAPITAL AND OPERATING NEEDS | 341552205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 11 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | PART I, LINE 2: | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE, AND THE SELECTION CRITERIA USED TO AWARD THE GRANTS OR ASSISTANCE. |
| SCHEDULE I | COMMUNITY BENEFIT APPLICATION | DEAR COMMUNITY BENEFIT FUND APPLICANT: THE COMMUNITY BENEFIT INITIATIVE PROGRAM (CBI), WHICH IS ADMINISTERED BY EAST LIVERPOOL CITY HOSPITAL, INVITES YOUR APPLICATION TO RECEIVE FUNDING FOR YOUR PROGRAM, PROJECT, OR ACTIVITY. EACH YEAR, CBI SUPPORTS PROJECTS AND ACTIVITIES THAT IMPROVE LOCAL HEALTH STATUS, IMPROVE THE QUALITY OF LIFE, AND PROVIDE A BENEFIT TO OUR COMMUNITY AND RESIDENTS. WE ARE CONTINUALLY LOOKING FOR NEW AND INNOVATIVE PROJECTS THAT TARGET AN UNMET NEED OR UNDERSERVED SEGMENT OF OUR POPULATION. ELCH MAKES INVESTMENTS IN COMMUNITY ASSETS AND THOSE GRANTED FUNDING ARE NOT MERELY RECIPIENTS, BUT HAVE SHARED ACCOUNTABILITY FOR IMPROVING HEALTH AND QUALITY OF LIFE IN OUR COMMUNITY. OVER THE PAST SEVERAL YEARS, THE NUMBER OF REQUESTS FOR PROJECT FUNDING HAS INCREASED DRAMATICALLY. IN AN EFFORT TO REDUCE DUPLICATION OF SERVICES, EFFICIENTLY USE EXISTING RESOURCES, AND INSURE THE INTEGRITY OF THE PROGRAMS OFFERED, WE ARE REQUESTING THAT YOUR AGENCY OR ORGANIZATION PROVIDE THE FOLLOWING INFORMATION: A. GENERAL INFORMATION 1. LOCAL ORGANIZATION APPLYING _______________________________________________________________ (NAME OF ORGANIZATION OR AGENCY) _______________________________________________________________ (LOCAL STREET ADDRESS) _______________________________________________________________ (CITY) (STATE) (ZIP) (COUNTY) 2. LOCAL DIRECTOR / LOCAL CONTACT PERSON OF ORGANIZATION OR AGENCY APPLYING _______________________________________________________________ (NAME/TITLE) (PHONE) _______________________________________________________________ (FAX) (EMAIL) 3. IF PROJECT IS APPROVED, LIST CONTACT NAME, TITLE, AND ADDRESS WHERE FUNDING SHOULD BE SENT: ____________________________________________________________ ____________________________________________________________ B. PROJECT INFORMATION FOR CALENDAR YEAR 2009 1. WHAT IS THE TOTAL BUDGET FOR THE PROJECT OR ACTIVITY?$___________ 2. AMOUNT OF FUNDING BEING REQUESTED FROM ELCH? $_________________ 3. WILL THERE BE ADDITIONAL FUNDING SOURCES? _____YES _____NO PLEASE LIST SOURCES: SOURCE __________________________AMOUNT $ __________________ SOURCE __________________________AMOUNT $ __________________ SOURCE __________________________AMOUNT $ __________________ 4. WHAT IS THE PROJECT / ACTIVITY TIME PERIOD? FROM: _______________________ TO: _______________________ 5. WHAT IS THE OVERALL MISSION OF YOUR AGENCY OR PROGRAM? 6. A. LIST TWO SPECIFIC COMMUNITY NEEDS, QUALITY OF LIFE, OR HEALTH CONCERNS AFFECTING OUR RESIDENTS: 1. ________________________________________________________ 2. ________________________________________________________ B. BRIEFLY SUMMARIZE YOUR PROJECT / ACTIVITY, 2009 GOALS, AND THE PURPOSE FOR THE REQUESTED FUNDING: C. EXPLAIN HOW THIS PROGRAM SPECIFICALLY ADDRESSES THE NEEDS LISTED IN QUESTION 6A: D. WHAT ARE THE GEOGRAPHIC LIMITS OF THIS PROGRAM OR AGENCY (EX: INDIVIDUALS RESIDE IN EAST LIVERPOOL, CHESTER, MIDLAND, ETC) AND DESCRIBE THE POPULATION SERVED: 7. HOW DO YOU TRACK THE EFFECTIVENESS OF YOUR PROJECT OR PROGRAM? (EX: DO YOU HAVE A DESIGNATED PERSON OR COMMITTEE THAT COMPILES DATA QUARTERLY, ANNUALLY, ETC? WHAT SYSTEM IS IN PLACE TO AVOID DUPLICATION OF EFFORTS?) 8. LIST COLLABORATING AGENCIES: (PRIORITY CONSIDERATION WILL BE GIVEN TO THOSE WHO SHOW COLLABORATIVE EFFORT WITH OTHER AGENCIES TO BUILD PARTNERSHIPS AND DECREASE DUPLICATION OF SERVICES) B. CERTIFICATION AS A CONDITION OF RECEIVING A GRANT, THE APPLICANT AGREES TO PROVIDE TO EAST LIVERPOOL CITY HOSPITAL: TWO EVALUATION REPORTS, ONE TO BE SUBMITTED BY APRIL 30, 2009 AND THE SECOND TO BE SUBMITTED BY AUGUST 31, 2009, DESCRIBING HOW FUNDS HAVE BEEN USED, MEASURABLE RESULTS (WHO WAS SERVED BY THE PROGRAM ACTIVITIES AND ACCOMPLISHMENTS), AND PLANS FOR CONTINUING THE PROGRAM AFTER THIS YEAR. THE APPLICANT ALSO AGREES TO CONTACT THE PLANNING DEPARTMENT AND OBTAIN PERMISSION TO CREDIT EAST LIVERPOOL CITY HOSPITAL IN PUBLIC RELEASES AND REFERENCES TO PROJECTS, EQUIPMENT/MATERIALS PURCHASED, AND ACTIVITIES MADE POSSIBLE THROUGH THIS GRANT. I CERTIFY THAT THE FOREGOING INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND THE TERMS OF THE GRANT HAVE BEEN MET. NAME _______________________________________________________ TITLE _________________________________DATE ________________ ALL APPLICATIONS AND SUBSEQUENT REPORTS SHOULD BE SENT TO: ROBERT STEFFEN PLANNING DEPARTMENT - EAST LIVERPOOL CITY HOSPITAL 425 WEST FIFTH STREET EAST LIVERPOOL, OH 43920 IF YOU HAVE ANY QUESTIONS PERTAINING TO THIS APPLICATION, I CAN BE REACHED AT (330) 386-2086. APPLICATIONS MUST BE RETURNED BY AUGUST 31, 2009. NOTE: THE RECEIPT OF THESE MONIES CARRIES NO OBLIGATION TO REFER OR OTHERWISE DIRECT PATIENTS TO SERVICES PROVIDED BY EAST LIVERPOOL CITY HOSPITAL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 (5 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH COCHRAN | |||||||||||||
| 274952 | 0 | 0 | 0 | 0 | 0 | 9458 | 0 | 19844 | 0 | 304254 | 0 | 0 | 0 |
| CHARLES BEAVER II | |||||||||||||
| 154386 | 0 | 0 | 0 | 0 | 0 | 16926 | 0 | 15749 | 0 | 187061 | 0 | 0 | 0 |
| PAMELA SMITH | |||||||||||||
| 129339 | 0 | 0 | 0 | 0 | 0 | 16910 | 0 | 5148 | 0 | 151397 | 0 | 0 | 0 |
| MICHAEL WINIARSKI | |||||||||||||
| 116319 | 0 | 0 | 0 | 0 | 0 | 6620 | 0 | 1312 | 0 | 124251 | 0 | 0 | 0 |
| ROBERT STEFFEN | |||||||||||||
| 114563 | 0 | 0 | 0 | 0 | 0 | 777 | 0 | 1312 | 0 | 116652 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | CITY HOSPITAL ASSOCIATION ALLOWS COMPANION TRAVEL BY EXECUTIVES ONLY WHEN IT SERVES A JUSTIFIED BUSINESS PURPOSE. IF IT IS LATER DETERMINED THAT THERE WAS NOT A JUSTIFIED BUSINESS PURPOSE, THIS WILL RESULT IN TAXABLE COMPENSATION TO THE EXECUTIVE IN QUESTION. CITY HOSPITAL PROVIDES A MEMBERSHIP TO AN AREA SOCIAL CLUB IN ORDER FOR EXECUTIVES TO CONDUCT HOSPTIAL BUSINESS. ANY PERSONAL USE BY THE EXECUTIVES IN INCLUDED IN THAT EXECUTIVE'S TAXABLE WAGES. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF EAST LIVERPOOL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 346000900 | IssuerEIN |
| CUSIP Number | 2734505DU | CUSIPNumber |
| Date Issued | 2006-04-20 | DateIssued |
| Issue Price | 17165000 | IssuePrice |
| Description Of Purpose | FINANCE THE ACQUISITION, CONSTRUCTION, INSTALLATION, & EQUIPPING FACILITIES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 17165000 | TotalProceeds |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JD GAURON FOR MEGA INSURANCE COMPANY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD TRUSTEE | Relationship |
| Description Of Transaction | INSURANCE AGENT OF THE HOSPITAL | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | TRI-COUNTY CARE SYSTEMS, INC. IS THE SOLE MEMBER | |
| FORM 990, PART VI, SECTION B, LINE 11 | INFORMATION WAS COMPILED BY THE FINANCE DEPARTMENT AND REVIEWED BY A THIRD PARTY CPA FIRM. A FORMAL BOARD REVIEW DID NOT OCCUR THIS YEAR DUE TO TIME CONSTRAINTS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST, ON THE PART OF ANY MEMBERS OF THE BOARD OF TRUSTEES, ON ANY ISSUE, SHOULD BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD OF TRUSTEES AND MADE A MATTER OF RECORD. ANY MEMBER OF THE BOARD OF TRUSTEES HAVING A DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST, ON ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE AND THE ABSTENTION FROM VOTING. | |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR THE CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT: ESTABLISHED BY BOARD PERSONNEL COMPENSATION COMMITTEE AND REVIEWED AND APPROVED BY THE ENTIRE BOARD IN EXECUTIVE SESSION. FOR OTHER OFFICERS OR KEY EMPLOYEES: SUBMITTED AND REVIEWED BY BOARD CHAIRMAN AND THEN PRESENTED BY BOARD EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE DOCUMENTS ARE AVAILABLE UPON REQUEST | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -114,578. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -8,703. TOTAL TO FORM 990, PART XI, LINE 5: -123,281. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST LIVERPOOL PROFESSIONALS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 W 5TH STREET | AddressLine1 |
| City | EAST LIVERPOOL | City |
| State | OH | State |
| ZIP Code | 43290 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PROFESSIONAL MEDICAL SERVICES | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-COUNTY CARE | BusinessNameLine1 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| TRI-COUNTY CARE SYSTEMS | ||||||||||
| 425 W FIFTH | EAST LIVERPOOL | OH | 43920 | 341552205 | PARENT HOLDING COMPANY | OH | 501(C)(3) | LINE 3 | NONE | 0 |
| OHIO VALLEY HOME HEALTH SERVICES | ||||||||||
| 15679 ST RTE 170 | EAST LIVERPOOL | OH | 43920 | 341014198 | HOME HEALTH SERVICES | OH | 501(C)(3) | LINE 9 | TRI-COUNTY CARE SYSTEMS | 0 |
| OHIO VALLEY HOME CARE | ||||||||||
| 108 E FIFTH | EAST LIVERPOOL | OH | 43290 | 341847153 | HOME CARE SERVICES | OH | 501(C)(3) | LINE 9 | OHIO VALLEY HOME HEALTH SERVICES | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| AMERICAN COMMUNITY SERVICES | ||||||||
| 422 W 6TH ST | EAST LIVERPOOL | OH | 43290 | 341522019 | MANAGEMENT SERVICES | OH | OHIO VALLEY HOME HEALTH SERVICES | C |
| MONROE HEALTH | ||||||||
| 422 W 6TH ST | EAST LIVERPOOL | OH | 43290 | 341562035 | PHYSICIAN SERVICES | OH | AMERICAN COMMUNITY SERVICES | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVER VALLEY PHYSICIANS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 960000 | AmountInvolved |
| Method Of Amt Determination | PHYSICAL CHECKS | MethodOfAmtDetermination |