2011-11-15T12:22:55-06:00 2010-12-31 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2010-01-01 341492733 COMPREHENSIVE HEALTH CARE OF OHIO INC COMP 4403297605 630 EAST RIVER STREET ELYRIA OH 44035 JAMES SIMONE 4403297605 2011-11-14 1 2483522500 2010 2016-03-07 17:11:31Z DONALD SHELDON 630 EAST RIVER STREET ELYRIA OH 44035 20639924 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 11 101 11 85129 -367 15200 7028311 12663183 13251121 36883 39511 223070 240615 12938336 20559558 107543 5606648 0 0 7446768 7956985 0 0 0 5434157 5494663 12988468 19058296 -50132 1501262 18652490 19113003 2776449 3114226 15876041 15998777 WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE. 0 0 3438406 3438406 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. 2066272 2066272 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. 1132427 1132427 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. 9869587 5606648 6528887 9869587 5606648 6528887 16506692 1 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 439 0 1 101 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 11 0 0 0 0 0 0 0 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 X 0 0 0 BRAUSCH JEFF 2.00 X 0 0 0 DENGEL FREDRICH MD 2.00 X 0 0 0 FLANIGAN KEVIN 2.00 X X 0 0 0 JUNEJA JAY 2.00 X X 0 0 0 LONG JANET 2.00 X X 0 0 0 MEAD CHRIS 2.00 X 0 0 0 RYAN JOHN 2.00 X 0 0 0 SCHAEFFER JOHN MD 2.00 X 102728 0 3951 SHELDON DONALD MD 2.00 X X 416370 0 21214 SMITH STEPHEN 2.00 X 0 0 0 STEVENS BRUCE 2.00 X 0 0 0 WHITE ROBERT 3.00 X 0 0 0 SIMONE JAMES 3.00 X 290717 0 23975 COOKSEY JILL 3.00 X 159562 0 67622 GARDNER FRANCIS 3.00 X 219777 0 19386 MCDONALD DOUGLAS 3.00 X 220492 0 25102 MILLER DANIEL 3.00 X 237762 0 24468 WRAY CHARLOTTE 3.00 X 154545 0 19747 AUBREY JOHN 3.00 X 114481 0 17797 BRINCKA STEVE 3.00 X 103848 0 18493 KEY ANGELA 3.00 X 103684 0 4687 STEAD PEGGY 3.00 X 106857 0 13990 TONN KNOPF SHEILA M 3.00 X 122005 0 10628 2352828 0 271060 14 0 1 0 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PKWY MALVERN PA 19355 INFO. SYSTEMS SUPPORT 624074 INTRANEXUS INC PO BOX 2777 VIRGINIA BEACH VA 23450 INFO. SYSTEMS SUPPORT 345672 KURT SALMON ASSOCIATES INC PO BOX 930916 ATLANTA GA 31193 CONSULTING 199928 JOSEPH CONSULTING 3665 FANGBONER ROAD FREMONT OH 43420 INFO. SYSTEMS SUPPORT 149679 LEAN LEGACY LLC 111N HIGGINS SUTIE 506 MISSOULA MT 59802 CONSULTING 124743 7 8875 7015430 4006 7028311 AFFILIATE FEES 561000 12715222 12715222 JOINT VENTURE INC. 621990 471844 450770 21074 MANAGEMENT CONTRACT 561000 64055 64055 13251121 39511 39511 47400 39110 8290 8290 8290 50348 8875 41256 9092 9092 GIFT SHOP 900099 215286 215286 CHN DISTRIBUTION 900099 7947 7947 223233 20559558 13165992 85129 280126 5606648 5606648 1821929 1639736 182193 4308018 3877216 430802 1410648 1269583 141065 416390 374751 41639 89145 89145 25459 25459 868230 868230 904369 904369 313527 254133 59394 1427495 1284745 142750 71472 71472 64835 38901 25934 2693 2424 269 56610 50949 5661 70652 70652 DUES AND LICENSURE 662089 662089 ADMINISTRATIVE AND RENT 295981 195720 100261 BANK FEES 249474 124737 124737 RECRUITMENT 224818 224818 REPAIRS AND MAINTENANCE 167814 150039 17775 19058296 16506692 2551604 0 1231913 308282 1215593 800392 258804 264604 326531 520544 8595379 1197874 7454115 7397505 4843150 4859797 3322384 4961879 18652490 19113003 2028065 2361791 66923 681461 752435 2776449 3114226 X 15876041 15998777 15876041 15998777 18652490 19113003 X 1501262 -1378526 X X 0 1 1 X 0 X X X 0 0 0 EMH REGIONAL MEDICAL CENTER 340714612 03 1 1 1 17620 AMHERST HOSPITAL ASSOCIATION INC 340067060 03 1 1 1 5500000 2 5517620 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6808888 6808888 184686 107678 77008 954257 934451 19806 647548 155745 491803 7397505 INVESTMENT IN SUB - COMPREHENSIVE VENTURES 4050000 C INVESTMENT IN PREMIER, INC. 75000 C INVESTMENT IN PREMIER PURCHASING PTRS, INC. 312103 C INVESTMENT IN RENAL CARE GROUP 402694 C INVESTMENT IN OHIO PURCHASING ALLIANCE 20000 C 4859797 DUE FROM AFFILIATES 4961879 4961879 PENSION LIABILITY 752435 752435 AUXILIARY BALL 23060 8875 14185 11026 2750 306 AUXILIARY BOOK SALE 12023 12023 10861 5 24140 24140 16313 59223 8875 50348 11026 2750 27480 41256 9092 1 TEAM LORAIN COUNTY 226 MIDDLE AVE ELYRIA OH 44035 311504633 501(C)(3) 15000 0 FMV N/A SUPPORT OF TEAM LORAIN COUNTY AMERICAN HEART ASSOCATION 1689 EAST 155TH ST CLEVELAND OH 44106 133561379 501(C)(3) 14219 0 FMV N/A SUPPORT OF KIDS AT HEART GALA ELYRIA CATHOLIC HIGH SCHOOL 725 GULF ROAD ELYRIA OH 44035 340898044 501(C)(3) 5000 0 FMV N/A SUPPORT OF ACADEMIC PLACEMENT AWARD LORAIN COUNTY URBAN LEAGUE 401 BROAD ST ELYRIA OH 44035 341263379 501(C)(3) 5000 0 FMV N/A SUPPORT OF URBAN LEAGUE ELYRIANS FIRST ELYRIA CITY HALL 131 COURT ST ELYRIA OH 44035 341748998 501(C)(3) 6000 0 FMV N/A SUPPORT OF SAFETY EMH REGIONAL MEDICAL CENTER 630 RIVER STREET ELYRIA OH 44035 340714612 501(C)(3) 17620 0 FMV N/A MEDICAL EQUIPMENT AMHERST HOSPITAL ASSOCIATION INC 630 RIVER STREET ELYRIA OH 44035 340067060 501(C)(3) 5500000 0 FMV N/A TO HELP FUND NEW JOINT VENTURE 7 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 SHELDON DONALD MD 362269 0 0 0 54101 0 14491 0 6723 0 437584 0 0 0 SIMONE JAMES 259639 0 0 0 31078 0 10579 0 13396 0 314692 0 0 0 COOKSEY JILL 146846 0 0 0 12716 0 55020 0 12602 0 227184 0 0 0 GARDNER FRANCIS 202561 0 0 0 17216 0 9235 0 10151 0 239163 0 0 0 MCDONALD DOUGLAS 219879 0 0 0 613 0 12342 0 12760 0 245594 0 0 0 MILLER DANIEL 195290 0 0 0 42472 0 11915 0 12553 0 262230 0 0 0 WRAY CHARLOTTE 154063 0 0 0 482 0 7212 0 12535 0 174292 0 0 0 AUBREY JOHN 114130 0 0 0 351 0 5885 0 11912 0 132278 0 0 0 BRINCKA STEVE 103600 0 140 0 108 0 6550 0 11943 0 122341 0 0 0 KEY ANGELA 103587 0 0 0 97 0 4143 0 544 0 108371 0 0 0 STEAD PEGGY 101568 0 5000 0 289 0 2212 0 11778 0 120847 0 0 0 TONN KNOPF SHEILA M 118874 0 3047 0 84 0 5791 0 4837 0 132633 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 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. 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 ORGINIZATION, 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 2010. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 61,904. TRANSFER TO FUND NORTH OHIO HEART, INC. -1,440,430. TOTAL TO FORM 990, PART XI, LINE 5: -1,378,526. 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 IRC SEC. 501(C)(3) 3 N/A 1 AMHERST HOSPITAL ASSOCIATION INC 630 EAST RIVER ST ELYRIA OH 44035 340067060 COMMUNITY HOSPITAL OH IRC SEC. 501(C)(3) 3 N/A 1 ELYRIA MEMORIAL HOSPITAL FOUNDATION 630 EAST RIVER ST ELYRIA OH 44035 341492735 FUNDRAISING OH IRC SEC. 501(C)(3) 7 N/A 1 ELYRIA CARDIAC CATH LAB LLC 630 E RIVER ST ELYRIA OH 44035 202217238 CARDIAC CATHETERIZATION OH N/A AVON HOSPITAL JOINT VENTURE LLC 254 CLEVELAND AVE AMHERST OH 44001 272199824 HOSPITAL OH N/A COMPREHENSIVE VENTURES UNLIMITED INC 630 EAST RIVER ST ELYRIA OH 44035 341596060 VARIOUS HEALTH CARE ACTIVITIES OH N/A C -123087 30161190 1.00000 EMH MEDICAL OFFICE BUILDING IN AVON 1997 HEALTHWAY DR AVON OH 44011 341935407 MEDICAL OFFICE BUILDING OH N/A C 101390 1.00000 EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOC 630 EAST RIVER ST ELYRIA OH 44035 260636602 CONDOMINIUM COMPLEX OH N/A C 40018 1.00000 CENTER FOR ORTHOPEDICS INC 630 EAST RIVER ST ELYRIA OH 44035 341665082 PHYSICIAN PRACTICE OH COMPREHENSIVE VENTURES UNLIMITED INC C -164801 815692 1.00000 EMH MSO INC 630 EAST RIVER ST ELYRIA OH 44035 341783546 PHYSICIAN PRACTICE OH COMPREHENSIVE VENTURES UNLIMITED INC C -2041 135410 1.00000 EMH PROFESSIONAL SERVICES INC 630 EAST RIVER ST ELYRIA OH 44035 341778419 VARIOUS HEALTH CARE ACTIVITIES OH COMPREHENSIVE VENTURES UNLIMITED INC C -991514 881300 1.00000 NORTH OHIO HEART INC 630 EAST RIVER ST ELYRIA OH 44035 272574020 VARIOUS HEALTH CARE ACTIVITIES OH N/A C -1377655 6714300 1.00000 1 1 1 1 1 1 1 0 0 1 1 0 1 0 1 1 1 1 EMH REGIONAL MEDICAL CENTER O 14397825 ACTUAL COST PER FINANCIAL STATE. EMH REGIONAL MEDICAL CENTER C 7015430 CASH TRANSACTION EMH REGIONAL MEDICAL CENTER K 10899000 ACTUAL COST PER FINANCIAL STATE. EMH REGIONAL MEDICAL CENTER P 2004209 ACTUAL COST PER FINANCIAL STATE. AMHERST HOSPITAL ASSOCIATION INC B 5500000 CASH TRANSACTION EMH REGIONAL MEDICAL CENTER Q 202687 ACTUAL COST PER FINANCIAL STATE. AMHERST HOSPITAL ASSOCIATION INC K 265509 ACTUAL COST PER FINANCIAL STATE. COMPREHENSIVE VENTURES UNLIMITEDINC L 28314 ACTUAL COST PER FINANCIAL STATE. COMPREHENSIVE VENTURES UNLIMITEDINC K 210180 ACTUAL COST PER FINANCIAL STATE. EMH PROFESSIONAL SERVICES INC K 52782 ACTUAL COST PER FINANCIAL STATE. CENTER FOR ORTHOPEDICS INC K 243446 ACTUAL COST PER FINANCIAL STATE. AVON HOSPITAL JOINT VENTURE K 1632886 ACTUAL COST PER FINANCIAL STATE. AVON HOSPITAL JOINT VENTURE M 996841 ACTUAL COST PER FINANCIAL STATE. NORTH OHIO HEART INC B 1440430 ACTUAL COST PER FINANCIAL STATE. COMPREHENSIVE VENTURES UNLIMITEDINC K 4314045 ACTUAL COST PER FINANCIAL STATE.