ATRIUM MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ATRIUM MEDICAL CENTER (EIN 31-1079309)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201133149349302258
- Schema version
- 2010v3.4
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T11:27:01-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46026 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311079309 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ATRI | NameControl |
| Phone | 9374999946 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 WEST 4TH STREET | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS J MALONEY JR CFO | Name |
| Title | CFO | Title |
| Date Signed | 2011-10-27 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CAROL TURNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 WEST 4TH STREET STE 2100 | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 243463326 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PREMIERHEALTHPARTNERS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | ATRIUM MEDICAL CENTER WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE THE COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTHCARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2121 | TotalNbrEmployees |
| Total Nbr Volunteers | 343 | TotalNbrVolunteers |
| Total Gross UBI | 2120720 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 380408 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 90225 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 412286 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 225827140 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 238038850 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22854514 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1786706 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2240454 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2040633 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 251012333 | TotalRevenuePriorYear |
| Total Revenue Current Year | 238705063 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 279150 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 88257 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 110224766 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 105982081 | 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 | 131552791 | OtherExpensePriorYear |
| Other Expenses Current Year | 122531959 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 242056707 | TotalExpensesPriorYear |
| Total Expenses Current Year | 228602297 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8955626 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10102766 | RevenuesLessExpensesCY |
| Total Assets BOY | 370321490 | TotalAssetsBOY |
| Total Assets EOY | 370736218 | TotalAssetsEOY |
| Total Liabilities BOY | 260313743 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 252466843 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 110007747 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 118269375 | NetAssetsOrFundBalancesEOY |
| Mission Description | ATRIUM MEDICAL CENTER WILL BUILD HEALTHIER COMMUNITIES WITH OTHERS WHO SHARE THE COMMITMENT TO PROVIDE HIGH-QUALITY, COST-COMPETITIVE HEALTHCARE SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 203254608 | Expense |
| Grants | 88257 | Grants |
| Revenue | 234538173 | Revenue |
| Description | PLEASE SEE SCHEDULE H. | Description |
| Total Program Service Expense | 203254608 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 162 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2121 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | J MICHAEL SIMS | NamePerson |
| Telephone Number | 9374999944 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 WEST 4TH STREET SUITE 2100 | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JEFFREY S ZOLLETT MD | ||||||||
| CHAIRPERSON, AMC | 0.5 | X | 0 | 0 | 0 | |||
| MARJORIE KELLY COWAN PHD | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| FRANK CHAPMAN | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| THOMAS E GROSSMANN | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| JERRY HAMMOND MD | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| LARRY HOLLINGSHEAD | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| STEPHEN M JONES | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| JAMES G KEYS JR | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| DAVID A PEARCE | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| DAVID FLOERING MD | ||||||||
| TRUSTEE | 0.5 | X | 0 | 0 | 0 | |||
| JAMES AKERS | ||||||||
| CHAIRPERSON, AMC | 0.5 | X | 0 | 0 | 0 | |||
| DOUG MCNEILL | ||||||||
| PRESIDENT & CEO | 40.0 | 1383686 | 0 | 1180467 | X | |||
| CAROL TURNER | ||||||||
| VP - COO | 40.0 | 302386 | 0 | 110593 | X | |||
| THOMAS MALONEY | ||||||||
| VP - CFO | 40.0 | 198544 | 0 | 73231 | X | |||
| DALE CREECH JR | ||||||||
| VP & CHIEF LEGAL OFFICER (PHP) | 40.0 | 0 | 379527 | 215755 | X | |||
| THOMAS ARQUILLA | ||||||||
| VP - BUSINESS DEV (PHP) | 40.0 | 0 | 332530 | 107797 | X | |||
| MARY CLANCY | ||||||||
| VP & CIO (PHP) | 40.0 | 0 | 415983 | 169641 | X | |||
| RENEE GEORGE | ||||||||
| VP - REVENUE CYCLE (PHP) | 40.0 | 0 | 234401 | 89759 | X | |||
| J NICHOLAS LAIR | ||||||||
| VP & CHF PURCH OFFICER (PHP) | 40.0 | 0 | 234577 | 120430 | X | |||
| WILLIAM LINESCH | ||||||||
| VP - HR & OE (PHP) | 40.0 | 0 | 371715 | 129467 | X | |||
| MARK SHAW | ||||||||
| VP - MANAGED CARE (PHP) | 40.0 | 0 | 310246 | 114227 | X | |||
| TED RIPPERGER | ||||||||
| DIRECTOR - HUMAN RESOURCES | 40.0 | 160908 | 0 | 42467 | X | |||
| LISA GOSSETT | ||||||||
| VP - CNO | 40.0 | 135872 | 0 | 68215 | X | |||
| LENA FOGLE | ||||||||
| DIR-PACU & PRE/POST PROCEDURE | 40.0 | 192889 | 0 | 34647 | X | |||
| JOANNE R MORGAN | ||||||||
| DIRECTOR - PHARMACY | 40.0 | 150445 | 0 | 37766 | X | |||
| DAVID CAFFERTY | ||||||||
| RADIOLOGY ENGINEER | 40.0 | 153299 | 0 | 24486 | X | |||
| DONNA L BANKS | ||||||||
| VP - OPERATIONS | 40.0 | 138014 | 0 | 79161 | X | |||
| MARK E WILLIAMS | ||||||||
| VP MEDICAL AFFAIRS | 40.0 | 177953 | 0 | 55031 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2993996 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2278979 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2653140 | TotalOtherCompensation |
| Number Individuals GT100 K | 42 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DAWSON RESOURCES | |||||
| 3650 OLENTANGY RIVER RD STE 450 | COLUMBUS | OH | 43214 | AGENCY STAFF | 834465 |
| MIDDLETOWN ANESTHESIA CONSULTANTS | |||||
| 3180 KETTERING BLVD | DAYTON | OH | 45439 | PHYSICIANS | 2124790 |
| HILLTOP OBGYN | |||||
| 200 MEDICAL CENTER DR STE 160 | FRANKLIN | OH | 45005 | PHYSICIANS | 900000 |
| HMP OF BUTLER COUNTY LTD | |||||
| 4535 DRESSLER ROAD NORTHWEST | CANTON | OH | 44718 | PHYSICIANS | 1208500 |
| PREMIER HEALTH CARE SERVICES INC | |||||
| 322 CONGRESS PARK DRIVE | DAYTON | OH | 45459 | PHYSICIANS | 490694 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| Related Organizations | 412286 | RelatedOrganizations |
| Total Contributions | 412286 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | 110504547 | 108474331 | 2030216 |
| MEDICARE/MEDICAID PAYMENTS | 622110 | 108316338 | 108316338 | |
| JOINT OPERATING AGREEMENT | 900099 | 18967000 | 18967000 | |
| MEDICAL RECORDS | 622110 | 78925 | 78925 | |
| SPORTS MEDICINE | 622110 | 19936 | 19936 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 152104 | TotalRevenueColumn |
| Related Or Exempt Function Income | 152104 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 238038850 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 336893 | TotalRevenueColumn |
| Exclusion | $336,893 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 719324 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 758725 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -39401 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -39401 | TotalRevenueColumn |
| Related Or Exempt Function Income | -39401 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 374011 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2204827 | Securities |
| Other | 292783 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1830816 | Securities |
| Other | -292783 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2123599 | TotalRevenueColumn |
| Related Or Exempt Function Income | -2123599 | RelatedOrExemptFunctionIncome |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 1896758 | GrossSalesOfInventory |
| Cost Of Goods Sold | 1501928 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 394830 | TotalRevenueColumn |
| Related Or Exempt Function Income | 394830 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|---|
| CAFETERIA SALES | 722210 | 1278019 | 5561 | $1,272,458 | |
| PHYSICIAN ANSWERING SERVICE | 561000 | 109476 | 84943 | $24,533 | |
| ALL OTHER REVENUE | 900099 | 297709 | 297709 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1685204 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 238705063 | TotalRevenueColumn |
| Related Or Exempt Function Income | 234538173 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2120720 | UnrelatedBusinessRevenue |
| Exclusion | $1,633,884 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88257 | Total |
| Program Services | 88257 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6882423 | Total |
| Program Services | 1720605 | ProgramServices |
| Management And General | 5161818 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76954344 | Total |
| Program Services | 67281183 | ProgramServices |
| Management And General | 9673161 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3780000 | Total |
| Program Services | 3304854 | ProgramServices |
| Management And General | 475146 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12874291 | Total |
| Program Services | 11255993 | ProgramServices |
| Management And General | 1618298 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5491023 | Total |
| Program Services | 4800801 | ProgramServices |
| Management And General | 690222 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12163 | Total |
| Program Services | 10634 | ProgramServices |
| Management And General | 1529 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 434938 | Total |
| Program Services | 380266 | ProgramServices |
| Management And General | 54672 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58379 | Total |
| Management And General | 58379 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10467 | Total |
| Program Services | 9151 | ProgramServices |
| Management And General | 1316 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69162 | Total |
| Management And General | 69162 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10530556 | Total |
| Program Services | 10530556 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588417 | Total |
| Program Services | 588417 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2046847 | Total |
| Program Services | 1789558 | ProgramServices |
| Management And General | 257289 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4868791 | Total |
| Program Services | 4256784 | ProgramServices |
| Management And General | 612007 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5323770 | Total |
| Program Services | 4654572 | ProgramServices |
| Management And General | 669198 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104947 | Total |
| Program Services | 91755 | ProgramServices |
| Management And General | 13192 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77621 | Total |
| Program Services | 67864 | ProgramServices |
| Management And General | 9757 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9888897 | Total |
| Program Services | 8645863 | ProgramServices |
| Management And General | 1243034 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22419779 | Total |
| Program Services | 19601613 | ProgramServices |
| Management And General | 2818166 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47218 | Total |
| Program Services | 41283 | ProgramServices |
| Management And General | 5935 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OPERATING SUPPLIES | 42329896 | 42329896 | |
| PURCHASED SERVICES | 10605835 | 9272682 | 1333153 |
| BAD DEBT | 6908630 | 6908630 | |
| MINOR EQUIPMENT | 524455 | 458531 | 65924 |
| HOSPITAL FRANCHISE TAX | 1573546 | 1573546 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4107645 | Total |
| Program Services | 3591314 | ProgramServices |
| Management And General | 516331 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228602297 | Total |
| Program Services | 203254608 | ProgramServices |
| Management And General | 25347689 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8300 | BOY |
| EOY | 9000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31593260 | BOY |
| EOY | 17814129 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33424016 | BOY |
| EOY | 28550459 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3221743 | BOY |
| EOY | 2252831 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1369465 | BOY |
| EOY | 1239609 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2649238 | BOY |
| EOY | 2841704 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 335769239 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 80933512 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 272492428 | BOY |
| EOY | 254835727 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17575934 | BOY |
| EOY | 21369190 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2202784 | BOY |
| EOY | 5186310 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350000 | BOY |
| EOY | 1055424 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5434322 | BOY |
| EOY | 35581835 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370321490 | BOY |
| EOY | 370736218 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12435632 | BOY |
| EOY | 21878142 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192750000 | BOY |
| EOY | 189400000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91600 | BOY |
| EOY | 63319 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55036511 | BOY |
| EOY | 41125382 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260313743 | BOY |
| EOY | 252466843 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108290049 | BOY |
| EOY | 118132873 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1717698 | BOY |
| EOY | 136502 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110007747 | BOY |
| EOY | 118269375 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370321490 | BOY |
| EOY | 370736218 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 10102766 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1841138 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,500,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 3472 | CurrentYearMinus3 |
| Total | 3472 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Total | 250000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $375,000 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 0 | CurrentYearMinus3 |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $10,927 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 10927 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C, SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PART II-B, LINE F PAYING DUES TO GREATER DAYTON AREA HOSPITAL ASSOCIATION AND OHIO HOSPITAL ASSOCIATION. IN ADDITION, WE CONTRACT WITH A LOBBYIST FOR HEALTHCARE RELATED ISSUES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1717698 | BeginningOfYearBalance |
| Other Expenditures | 1581196 | OtherExpenditures |
| End Of Year Balance | 136502 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1648947 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 68751 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1717698 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2085415 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | -436468 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1648947 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26379650 | OtherCostOrOtherBasis |
| Book Value | 26379650 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 196982909 | OtherCostOrOtherBasis |
| Depreciation | 29972923 | Depreciation |
| Book Value | 167009986 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2817694 | OtherCostOrOtherBasis |
| Depreciation | 2152058 | Depreciation |
| Book Value | 665636 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108403556 | OtherCostOrOtherBasis |
| Depreciation | 48808531 | Depreciation |
| Book Value | 59595025 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1185430 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 1185430 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 254835727 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| JOA ALLOCATION | 18967000 |
| SELF INSURANCE TRUST ASSETS | 8637072 |
| AFFILIATE RECEIVABLES | 4555926 |
| REAL ESTATE TAXES | 1543167 |
| DEFERRED COMPENSATION | 1109472 |
| REBATES RECEIVABLE | 266534 |
| CAPITAL LEASES | 119165 |
| OTHER | 383499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 35581835 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| BUILDING/CAP LEASE LIABILITIES | $17,284,347 |
| PENSION & DEFERRED COMP | $7,104,963 |
| SWAP LIABILITY | $5,712,062 |
| SELF INSURANCE RESERVE | $5,613,979 |
| INTERCOMPANY PAYABLES | $2,131,157 |
| LOAN GUARANTEES | $1,316,458 |
| TAXES | $1,200,203 |
| BOND INTEREST | $556,894 |
| OTHER | $205,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 41125382 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part V - Line 4 | Identifier |
| Explanation | Investments to be held in perpetuity, the income from which is expendable to support health care services and capital needs. Part 990, Part IV, Line 11f Atrium Medical Center (AMC) is a part of Premier Health Partners which is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. As such, there is no income tax liability recorded at December 31, 2010 and 2009. In addition, Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the combined financial statements. AMC and its respective subsidiaries are a group of corporations that are tax-exempt corporations under Section 501(c)(3) of the Internal Revenue Code except for the following subsidiaries: Middletown Surgery Center, LLC (a joint-venture partnership of which AHS is an 80.5% owner), (subsidiaries of AHS) | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (10 entries)
| RegionRegion | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|
| Central America and the Caribbean | Program Services | Insurance | 104969 |
| Central America and the Caribbean | Investments | ||
| North America | Investments | ||
| Europe (Including Iceland and Greenland) | Investments | ||
| East Asia and the Pacific | Investments | ||
| Russia and the Newly Independent States | Investments | ||
| South Asia | Investments | ||
| Sub-Saharan Africa | Investments | ||
| South America | Investments | ||
| Middle East and North Africa | Investments |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 104969 | SubtotalAmountSpent |
| Total Amount Spent | 104969 | TotalAmountSpent |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15526000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2679000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12847000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34773000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26157000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8616000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03890 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 612000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 498000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 114000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50911000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29334000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21577000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09730 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 164000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 164000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3503000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 620000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2883000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01300 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 18000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3685000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 620000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3065000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54596000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 29954000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24642000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11110 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 305000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 305000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 305000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 305000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,638,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 58483000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 67650000 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -9167000 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLETOWN SURG CTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT SURGERY CENTER | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.80000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.10000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MEDICAL CENTER DRIVE | AddressLine1 |
| City | MIDDLETOWN | City |
| State | OH | State |
| ZIP Code | 45044 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATRIUM MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLETOWN SURGERY CENTER LLC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5950 INNOVATION DRIVE | AddressLine1 |
| City | FRANKLIN | City |
| State | OH | State |
| ZIP Code | 45005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | GENERAL MEDICAL & SURGICAL | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Explanation | Part I, Line 6a The community benefit report for Atrium Medical Center is part of the Premier Health Partners report. Part I, Line 7, column (f) $6,908,630 of bad debt was excluded from the denominator. Part I, Line 7g Atrium Medical Center provides the following subsidized services: Maternal Child Health Center offers comprehensive care for women and children including services for pediatric care, immunizations, prenatal care, gynecological services and routine health exams. The Center accepts medical cards, Medicaid HMOS and offers income-based discounts to patients without insurance. The Center has an on-site nutritionist that designs dietary plans specific to each patient. In addition, the Center has an on-site Social Worker that assists with discharge planning, applying for medical cards and government resources and obtaining additional family support. For 2010, the amount of support provided was $417,000. Emergency Services: Atrium Medical Center operates a 24-hour emergency room 365 days per year. This emergency room is open to all individuals regardless of their ability to pay. The hospital incurs expenses related to call time and physician subsidies due to the large number of indigent patients coming through the emergency room. For 2010, the amount paid for call and subsidies was $2,466,000. Part I, Line 7: Charity Care at Cost A cost to charge ratio was used to calculate this figure. This calculation takes total operating expenses less other operating revenues and bad debt expenses divided by total gross revenues. Unreimbursed medicaid and other means-tested governmental programs are calculated using a cost accounting system. This system addresses all patient segments and includes fully loaded costs. For the remaining items the organization used specific numbers for expense paid directly for these services. Part II Atrium Medical Center participates in the following community benefit activities: Board Charitable Credit Fund: As part of Atrium Medical Center's community partnership activity, board members of the Hospital are granted charitable credits to be donated in the name of the board member to not-for-profit, tax-exempt 501(c)(3) health and human services organizations in the area. In addition, the recipient organization must use the funds to improve the general health status of the community and the funds must be used for purposes consistent with the spirit of the Hospital's mission. The amount of support provided in 2010 was $77,000. Franklin City Schools: Atrium Medical Center donated $30,000 to the school system in 2010 Lakota Schools: Atrium Medical Center donated $48,000 to the school system in 2010. In addition, Atrium Medical Center offers a wide variety of free health clinics to the general public. Part III, Line 4 The organization used the same cost to charge ratio defined in Part I, Line 7 to determine bad debt expense at cost. The organization does not have a footnote in the audited financial statements which discusses this calculation. Bad debt expense is incurred when an account is taken out of Accounts Receivable and turned over to a collection agency. This is done immediately if a patient refuses payment arrangements, refuses to apply for charitable assistance and there is not an insurance balance being contended. An account is written off to bad debt after 120 days if an attempt to collect from the patient is made within our collection policy and the patient has not returned phone calls, set up a payment plan, applied for charitable assistance and there is not an insurance balance being contended. The collection agency attempts to collect the account in accordance with established guidelines. Collection attempts are immediately ceased and the account returned back to the organization if the patient applies for charitable assistance. Any amounts collected from these accounts are credited back against bad debt expense. The organization recognizes that there are accounts written off to bad debt that may have qualified for charity care if the patient provided the necessary financial information. In order to resolve this, the organization has engaged a third party vendor to analyze data based on credit scores to reallocate some of this expense to charity care. The policy is as follows: After 9 months (or earlier), if the collection agency has not been able to resolve the account, the account is returned to the organization for final closeback. These accounts are then sent to our third party vendor who gathers external credit data that presents the account as less than 100% Federal Poverty Level or not enough information (typically indicative of indigent). These accounts are reclassed from bad debt expense to charity expense on our income statement. Any credit score that presents the accounts as greater than 100% Federal Poverty Level remains in bad debt expense. Due to this process, the organization does not feel it has reported bad debt expense for patients eligible under the organization's charity care policy. Part III, Line 8 The organization's shortfall should be considered charity care because it is providing high-quality care in excess of the cost to our community residents that need care. The Medicare population at the organization is in excess of 40% of net patient revenue. The organization used a cost accounting system to calculate the Medicare allowable costs. Part III, Line 9b The organization's collection policy states that no collection is to occur for patients that have applied for charitable assistance. If a patient has not applied and the account is turned over to collection and during this process they apply for assistance, then all collection efforts are immediately ceased. Part VI, line 2 The organization's community benefit plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups and surveys conducted with our community partners. We rely on data provided by The Health Foundation of Greater Cincinnati to assist with the needs of the community. The Health Foundation of Greater Cincinnati conducts a survey every five years that includes telephone interviews with approximately 2,500 randomly selected adults residing within a 22 county area including Warren and Butler Counties. This survey found that 38% of area adults are below the national average for physical health status and that the percentage of area adults who report high blood pressure/hypertension and high cholesterol/triglycerides are higher than found among U.S. adults. Also, there is a higher rate of cigarette smoking and binge drinking in comparison to adults nationwide. Approximately 13% of area residents are uninsured, 14% are covered under Medicare and 7% are covered under Medicaid. The survey also indicated that around 25% of area adults do not get the care required because of cost of healthcare or no health insurance. The adults in the region are satisfied with the quality of availability of care but unsatisfied with the cost of healthcare. In order to address some of the concerns found in this survey, Atrium Medical Center offers a wide variety of health care screenings at nominal or no cost to the participant. These screenings include blood pressure, weight, total cholesterol, skin cancer, diabetes and prostate among others. The majority of theses screenings are offered in conjunction with Community Health Fairs. The Hospital also offers various seminars on how to take charge of one's health through effective goal-setting and behavior change methods. Some examples of these seminars include Stress Management, Freedom from Smoking, Wellness Lecture and Eat Well and be Well. Atrium Health Center also offers free care to indigent patients and discounted care to those below various poverty levels. The Hospital also offers payment plan arrangements to assist patients with medical bills. Part VI, Line 3 At our organization, patients are educated and informed about potential payor assistance, charity programs and other financial assistance options through a variety of contacts and media sources. Patients within our Emergency Room and Inpatients are visited by Financial Counselors who discuss various programs and assistance with the patient. There are signs informing patients of charity programs at all registration locations and every patient billing statement lists how they can apply for free care or financial assistance. Patients may also visit our cashier's office or call our customer service department to discuss payor assistance or charity eligibility. Part VI, Line 4 Atrium Medical Center is located in Middletown, Ohio. Our target population includes citizens in the City of Middletown as well as surrounding communities. A large population of our patients are indigent. As companies continue to move out of the market, we continue to see higher unemployment rates and therefore, more uninsured citizens. Unemployment rates are over 9% for Warren and Butler Cou | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ATRIUM MEDICAL CENTER FOUNDATION | |||||||
| 40 WEST 4TH STREET SUITE 2100 | DAYTON | OH | 45402 | 311079213 | 501(C)(3) | 47250 | COMMUNITY PROGRAMS |
| PREMIER COMMUNITY HEALTH | |||||||
| 23 JASPER ST | DAYTON | OH | 45409 | 311122883 | 501(C)(3) | 10575 | COMMUNITY PROGRAMS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE I, SUPPLEMENTAL INFORMATION | 1) COMMUNITY BENEFITS BUDGETED ALLOCATIONS ARE APPROVED BY ATRIUM HEALTH SYSTEM BOARD ANNUALLY. 2) INVOICES ARE RECEIVED IN ACCOUNTS PAYABLE UPON APPROVAL BY THE VICE PRESIDENT OF MISSIONS. 3) DISBURSEMENTS OCCUR ACCORDING TO STANDARD ACCOUNTS PAYABLE GUIDELINES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Schedule I Part IV | Form990ScheduleIPartIV | |
| Form990 Schedule I Part IV | Form990ScheduleIPartIV | |
| Form990 Schedule I Part IV | Form990ScheduleIPartIV | |
| Form990 Schedule I Part IV | Form990ScheduleIPartIV | |
| Form990 Schedule I Part IV | Form990ScheduleIPartIV |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUG MCNEILL | |||||||||||||
| 388464 | 0 | 95879 | 0 | 899343 | 0 | 1171916 | 0 | 8551 | 0 | 2564153 | 0 | 95879 | 0 |
| CAROL TURNER | |||||||||||||
| 230700 | 0 | 43122 | 0 | 28564 | 0 | 89381 | 0 | 21212 | 0 | 412979 | 0 | 43122 | 0 |
| THOMAS MALONEY | |||||||||||||
| 170164 | 0 | 27098 | 0 | 1282 | 0 | 49049 | 0 | 24182 | 0 | 271775 | 0 | 27098 | 0 |
| DALE CREECH JR | |||||||||||||
| 0 | 290064 | 0 | 83578 | 0 | 5885 | 0 | 191883 | 0 | 23872 | 0 | 595282 | 0 | 83578 |
| THOMAS ARQUILLA | |||||||||||||
| 0 | 264036 | 0 | 51072 | 0 | 17422 | 0 | 81169 | 0 | 26628 | 0 | 440327 | 0 | 51072 |
| MARY CLANCY | |||||||||||||
| 0 | 292302 | 0 | 88969 | 0 | 34712 | 0 | 155900 | 0 | 13741 | 0 | 585624 | 0 | 88969 |
| RENEE GEORGE | |||||||||||||
| 0 | 191717 | 0 | 42107 | 0 | 577 | 0 | 68282 | 0 | 21477 | 0 | 324160 | 0 | 42107 |
| J NICHOLAS LAIR | |||||||||||||
| 0 | 191363 | 0 | 42563 | 0 | 651 | 0 | 100673 | 0 | 19757 | 0 | 355007 | 0 | 42563 |
| WILLIAM LINESCH | |||||||||||||
| 0 | 287966 | 0 | 60181 | 0 | 23568 | 0 | 122429 | 0 | 7038 | 0 | 501182 | 0 | 60181 |
| MARK SHAW | |||||||||||||
| 0 | 246858 | 0 | 58629 | 0 | 4759 | 0 | 93606 | 0 | 20621 | 0 | 424473 | 0 | 58629 |
| TED RIPPERGER | |||||||||||||
| 138564 | 0 | 21997 | 0 | 347 | 0 | 34576 | 0 | 7891 | 0 | 203375 | 0 | 21997 | 0 |
| LISA GOSSETT | |||||||||||||
| 115102 | 0 | 20213 | 0 | 557 | 0 | 56774 | 0 | 11441 | 0 | 204087 | 0 | 0 | 0 |
| LENA FOGLE | |||||||||||||
| 159320 | 0 | 32374 | 0 | 1195 | 0 | 19932 | 0 | 14715 | 0 | 227536 | 0 | 17374 | 0 |
| JOANNE R MORGAN | |||||||||||||
| 133017 | 0 | 15877 | 0 | 1551 | 0 | 32400 | 0 | 5366 | 0 | 188211 | 0 | 15877 | 0 |
| DAVID CAFFERTY | |||||||||||||
| 152143 | 0 | 0 | 0 | 1156 | 0 | 15430 | 0 | 9056 | 0 | 177785 | 0 | 0 | 0 |
| DONNA L BANKS | |||||||||||||
| 117810 | 0 | 19402 | 0 | 802 | 0 | 57896 | 0 | 21265 | 0 | 217175 | 0 | 19402 | 0 |
| MARK E WILLIAMS | |||||||||||||
| 132683 | 0 | 45000 | 0 | 270 | 0 | 43180 | 0 | 11851 | 0 | 232984 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PART I, QUESTION 4A DOUGLAS MCNEILL - $892,214 Part I, Line 4b Due to restrictions imposed by the Internal Revenue Code, certain persons are limited in the amount of benefit that can be earned under a qualified retirement plan. Like many employers, Atrium Medical Center (AMC), compensates for this limitation and supplements the affected executives' qualified pension through certain nonqualified plans. AMC supplements through a Pension Restoration Plan and a Supplemental Employee Retirement Plan (SERP). The benefits under these supplemental nonqualified plans are subject to multi-year vesting and a participant can forfeit benefits earned if vesting requirements are not satisfied. Under the terms of the supplemental plans, and because of tax rules pertaining to taxation of the earned benefits upon vesting, certain individuals received a payout of the cumulative vested benefits under their supplemental plan during 2010. The individuals listed below have met the multi-year vesting requirement under the Pension Restoration Plan and received the associated payment in 2010; William Linesch $18,269; Thomas Arquilla $13,194; Mary Clancy $31,838; All or parts of these payments were also properly reported on prior years' filed IRS Form 990 returns disclosing compensation earned by these individuals under the plans for each such year. PART I, QUESTIONS 6A AND 6B PREMIER HEALTH PARTNERS, OF WHICH ATRIUM MEDICAL CENTER IS A MEMBER, HAS AN INCENTIVE COMPONENT FOR ALL EXECUTIVE AND DIRECTOR LEVEL EMPLOYEES THAT TIES A PORTION OF THEIR TOTAL COMPENSATION TO ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES AND OUTCOMES. THE INCENTIVE PAYOUT IS COMPUTED BASED ON A PERCENTAGE OF THE EMPLOYEE'S SALARY. THE ORGANIZATIONAL CRITERION IS WEIGHTED ACCORDING TO BALANCED SCORECARD CATEGORIES: POSITIVE WORK ENVIRONMENT (15%), QUALITY (30%), CUSTOMER SATISFACTION (25%), FINANCIAL (20%) AND MAJOR INITIATIVES (10%). THE FINANCIAL CATEGORY OF THE SCORECARD IS BASED ON NET EARNINGS OF THE INDIVIDUAL HOSPITAL AND THE NET EARNINGS OF THE SYSTEM AS A WHOLE. THIS FINANCIAL TARGET IS SET BASED ON THE MARGIN REQUIRED TO MAINTAIN THE SYSTEM AA CREDIT RATING. VICE PRESIDENTS AND ABOVE INCENTIVE OBJECTIVES ARE WEIGHTED 50% ON ORGANIZATIONAL CRITERIA AND 50% ON INDIVIDUAL CRITERIA. DIRECTORS ARE WEIGHTED 25% ON ORGANIZATIONAL CRITERIA AND 75% ON INDIVIDUAL CRITERIA. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF MIDDLETOWN OH | |||||||
| 316000139 | 597146AH2 | 2008-11-21 | 111000000 | REFUND SERIES 2007A & B | false | false | false |
| CITY OF MIDDLETOWN OH | |||||||
| 316000139 | 597146AJ8 | 2010-11-15 | 86000000 | REFUND SERIES 2006A | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7600000 | 0 | 111000000 | 0 | 0 | 0 | 560000 | 0 | 0 | 0 | 0 | 0 | 2007 | true | false | true | true |
| 0 | 0 | 86000000 | 0 | 0 | 0 | 560000 | 0 | 0 | 0 | 0 | 0 | 2007 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | true | true | true | true | 0.00050 | 0.00150 | 0.00200 | true |
| false | true | true | true | true | 0.00050 | 0.00150 | 0.00200 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| MERRILL LYNCH | ||||||||
| false | true | true | 29.9 | true | false | false | false | true |
| (no name) | ||||||||
| false | true | false | false | false | ||||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | Form 990, Part I, Question 10 Atrium Medical Center has designated its Investments as Trading. In accordance with the AICPA, Guide for Healthcare, all unrealized gains and losses are recognized through the Profit and Loss Statement. For 990 reporting, this activity is excluded per the instructions by the Internal Revenue Service. In 2010, Atrium Medical Center recognized unrealized gains of $509,505. Form 990, Part VI, Section A, Question 6 Atrium Medical Center has two members. One member is Atrium Health System, the parent company of the hospital. The second member is Premier Health Partners, an Ohio non-profit corporation formed pursuant to the joint operating agreement. Atrium Health System has the sole authority to elect the Board of Trustees of the corporation. Premier Health Partners has the general authority to operate and manage the operations of Premier Health Partners' activities of the corporation. Form 990, Part VI, Section A, Question 7a Atrium Health System (AHS) has the sole authority to elect the Board of Trustees for Atrium Medical Center (AMC). AHS has the authority to remove trustees at any regular or special meeting or by written consent. In addition to removal by AHS, a trustee may be removed from office with approval by AHS, by the affirmative vote of not less than two-thirds of the entire Board of Trustees. Premier Health Partners (PHP) has the right to request that AHS remove a trustee of the corporation if PHP has determined that such trustee is frustrating the goals and purposes of Premier Health Partner's network. Such removal shall not be unreasonably refused by AHS. Form 990, Part VI, Section A, Question 7b Premier Health Partners (PHP) develops and oversees the implementation of the strategic plan for Atrium Medical Center (AMC) which addresses such matters as location of clinical and administrative expenses and the consolidation of such services. AMC shall comply with and implement this plan and shall not take any action that materially departs from this plan without PHP approval. AMC develops and submits an annual capital and operating budget to PHP for approval. AMC shall adopt and implement the capital and operating budget so approved and/or revised for it by PHP. AMC periodically develops and submits a business plan to PHP for approval. AMC shall implement the business plan approved by PHP. PHP is the sole agent to negotiate all relationships with payors on behalf of AMC with all third party payors and alternative delivery systems including, but not limited to insurers. AMC must have approval from PHP to borrow in any fiscal year, guarantee in any year, or incur any lien or other encumbrance on any property in an amount equal to or greater than $500,000. AMC must seek PHP approval for any acquisitions, sale or transfer of any material asset used in PHP activities. Form 990, Part VI, Section B, Question 11B This 990 tax return and attached schedules (the return) are prepared by a staff member in the Financial Accounting department of Premier Health Partners (PHP), of which Atrium Medical Center is a member. It is reviewed by the Supervisor, Manager and Director of the Financial Accounting department of PHP and subsequently sent to Ernst & Young U.S. LLP for their review. After all changes from the above group are made, the return is reviewed by the Vice President/Controller of PHP. A final version of the return is sent to Ernst & Young U.S. LLP for a final review and taken to the Audit Committee of PHP. At the Audit Committee meeting, the Vice President/Controller of PHP shares detailed information on compensation and community benefits, as well as addresses any other questions from the committee. The 990 tax return is also shared with the Board of Atrium Medical Center. Form 990, Part VI, Section B, Question 12c Premier Health Partners (PHP), of which Atrium Medical Center is a member, requires all board members, officers, executives and management personnel to annually review the PHP Comprehensive Conflict of Interest Statement, an explanatory memorandum, the Antitrust Compliance Policy and complete an individual questionnaire disclosing any potential conflicts as defined in the Conflicts of Interest Policy. This is accomplished with a memo sent out annually from the Chairman of the Board and Chief Executive Officer of PHP to all board members, executive directors, vice presidents, directors, purchasing department staff and authorized purchasers. It includes an explanatory memorandum of specific activities that might give cause to a conflict and an individual questionnaire to disclose all such activities. This questionnaire must be completed and signed by the individual. Last, this memo includes a copy of the Antitrust Compliance Policy that must be signed by the individual. All of these documents are sent to the Corporate Compliance Officer. The Corporate Compliance Department ensures all forms are returned and retains the documents for five years. In addition, at each meeting of the Board or any Board Committee, following approval of the minutes, the Board Committee Chair shall request any board member who perceives a potential conflict of interest on any of the meeting's agenda items to disclose the potential conflict. Additionally, any Board or Board Committee meeting where the subject of conflicts of interest is discussed, the normally taken minutes shall contain the name of the party discussing a potential conflict of interest, the nature of the potential conflict of interest and whether a conflict of interest was found to exist. If a conflict of interest does exist, the member will be excused from participating in any discussion or voting on the particular agenda item. The Corporate Compliance Officer reports the results of the PHP Conflicts of Interest questionnaires no less than annually to the Board of Trustees by way of the Compliance and Audit Committee. This review is documented in the minutes of the meeting. Periodically, the Internal Audit department will review a sample of completed Conflict of Interest questionnaires and report the results to the Compliance and Audit Committee. The annual conflicts of interest questionnaires are summarized by person in a word document and sent electronically to the Finance department for any necessary disclosures required on the 990 tax return. Form 990, Part VI, Section B, Question 15A and 15B Premier Health Partners, of which Atrium Medical Center, is a member, follows a market- based compensation philosophy designed to attract and retain the executive talent required to meet the high performance standards of our board and our community. PHP annually reviews executive compensation survey data for a regional peer group of systems and hospitals that are similar in size and complexity to PHP and its subsidiaries. The data for the survey is provided by a third party consultant group that is independent of PHP. This report includes comparability for key executives, vice presidents and director level positions. The independent comparability data is reviewed by the executive compensation committee on an annual basis. This committee is comprised of three members, all of which are independent. This committee reviews in detail the compensation for the PHP CEO, PHP CFO and the hospital CEOs. Other positions are reviewed at a high level for reasonableness. All the meeting minutes are documented and kept on file along with any comparability data and the consultant report. After the compensation committee reviews and approves the compensation actions, the process is audited by the internal audit department. The executive compensation committee presents the compensation actions to the PHP board annually. Form 990, Part VI, Section C, Question 19 The governing documents, conflicts of interest policy and financial statements are made available to the public when required by law or for accreditation purposes. Form 990, Part VII, Column B Officers work an average of 40 hours over the entities listed in Schedule R. Form 990, Part XI, Question 5 Unrealized Gain 509,505 Foundation Contribution (290,000) Equity Transfers (626,004) Pension Adjustment 3,248,717 Captive Insurance 562,424 HSD/Primary Care (3,712,005) Capital Donation (7,896) Restricted Gift (1,595,300) Other 69,421 TOTAL (1,841,138) Part IV, Line 20b Attaching a copy of the audited financial statements is only required under the tax law for tax years beginning after March 23, 2010. Atrium Medical Center's tax year began January 1, 2010 and it therefore has not attached the audited financial statements to its 2010 Form 990. | Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| PREMIER HEALTH PARTNERS | |||||||||
| 40 WEST 4TH STREET | DAYTON | OH | 45402 | 311446699 | SUPPORT. ORG. | OH | 501(c)(3) | 11-I | NA |
| ATRIUM HEALTH SYSTEM | |||||||||
| 40 WEST 4TH STREET | DAYTON | OH | 45402 | 310537492 | PARENT | OH | 501(c)(3) | 11-I | NA |
| ATRIUM MEDICAL CENTER FOUNDATION | |||||||||
| 1 MEDICAL CENTER DR | MIDDLETOWN | OH | 45044 | 311079213 | SUPPORT. ORG. | OH | 501(c)(3) | 11-II | ATRIUM HLTH |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLETOWN SURGERY CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5950 INNOVATION DR | AddressLine1 |
| City | FRANKLIN | City |
| State | OH | State |
| ZIP Code | 45005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205160579 | EIN |
| Primary Activity | SURGERY CENTE | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | -200103 | ShareOfTotalIncome |
| Share Of EOY Assets | 6311873 | ShareOfEOYAssets |
| Disproportionate Allocations | true | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.80000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| ATRIUM MEDICAL CENTER FOUNDATION | |
| C | 412286 |
| ATRIUM MEDICAL CENTER FOUNDATION | |
| O | 572253 |
| ATRIUM MEDICAL CENTER FOUNDATION | |
| P | 386553 |
| ATRIUM MEDICAL CENTER FOUNDATION | |
| Q | 2392758 |