THE UNION HOSPITAL ASSOCIATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- THE UNION HOSPITAL ASSOCIATION (EIN 34-0714771)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-15
- IRS object ID
- 201142279349303339
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T13:39:36-07:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714771 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIO | NameControl |
| Phone | 3303433311 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 659 Boulevard | AddressLine1 |
| City | Dover | City |
| State | OH | State |
| ZIP Code | 44622 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Eugene A Thorn III | Name |
| Title | Vice President - Finance | Title |
| Phone | 3303640805 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Union Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Eugene A Thorn II | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 659 Boulevard | AddressLine1 |
| City | Dover | City |
| State | OH | State |
| ZIP Code | 44622 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 110136384 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.unionhospital.org | WebSite |
| Type Of Organization Association | X | TypeOfOrganizationAssociation |
| Year Formation | 1906 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | To provide excellent quality health care to the community at a competitive price through highly competent people and an integrated provider network. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1084 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 95677 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 15123 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 413522 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 374856 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 86338965 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 86019026 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5942984 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2478243 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9679636 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10863949 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 102375107 | TotalRevenuePriorYear |
| Total Revenue Current Year | 99736074 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 51444403 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 49673234 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 25375 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 49736465 | OtherExpensePriorYear |
| Other Expenses Current Year | 48221706 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 101180868 | TotalExpensesPriorYear |
| Total Expenses Current Year | 97894940 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1194239 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1841134 | RevenuesLessExpensesCY |
| Total Assets BOY | 146344526 | TotalAssetsBOY |
| Total Assets EOY | 149951538 | TotalAssetsEOY |
| Total Liabilities BOY | 39525950 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40072679 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 106818576 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 109878859 | NetAssetsOrFundBalancesEOY |
| Mission Description | Patient Care: Union Hospital Association provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 77384029 | Expense |
| Grants | 0 | Grants |
| Revenue | 85923349 | Revenue |
| Description | Union Hospital provided quality medical health care regardless of race, creed, age, sex, national origin, handicap, or the ability to pay. Hospital medical services provided 5,949 inpatients a total of 24,014 patient days and 242,970 outpatient visits a total of 346,990 procedures. (248919) | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 463805 | Expense |
| Revenue | 42140 | Revenue |
| Description | Patient and Family support programs, general and other: Union Hospital prepared 35,593 meals during 2010 for community residents who were unable to prepare meals for themselves due to a medical condition. These meals are provided at cost and are delivered by a volunteer group, Mobile Meals. During the year, 113 volunteers served 18,230 hours toward the common purpose of servicing the health care needs of the community. The value of these hours is $145,840 which is returned to the community through lower cost of patient services. The Hospital and the Kiwanis club of New Philadelphia co sponsors an annual program that provides laboratory tests and blood pressures for the residents of the community. These services are provided at or below cost. For 2010, over 48% of the medical services provided were to Medicare and Medicaid patients. The Hospital also provided services through a charity care program to include reductions for patients unable to pay for their services; the amount qualified and deducted for this adjustment was $5,610,625. Included in this number are charges written off for patients who participate in a local program called Rainbow Connection. This is a non profit health charity dedicated to meeting the needs of disadvantaged and disabled residents of Tuscarawas county. WE have agreed to write off 50% of all charges for those patients and the program pays the remaining 50%. We also have a contract with the local Hospice agency to write off specified charges for inviduals under this program; for 2010, we had 131 Hospice patients totaling $139,437. We also continue to sponsor a Helpline porgram which enables elderly and disabled to remain in their homes and feel safe in that setting, we had 738 subscribers for the year. The Hospital provides to Community Professional services, a mental health non for profit organization, space at $1.80 per square foot, well below the fair market value. The Hospital doesn't provide mental health care services as part of its normal operations therefore leases this space to help the community. Assuming a market rate of $10/sq ft the value of this is $70,400. Thus the rental rate and relating in kind support provided by the Hosptial are justified as a continuance of the hospital's mission. We also provide funding for eligible students in the radiology technician field increase the health care workforce, we provide a 35ft mobile medical vehicle that provides screenings to areas that would have been underserved. An Outreach sports medicine program that provides training to various schools to promote healthy athletes and physcials at a fraction of the cost and treatment of sports injuries. The hospital hosts and supports various medical related groups to the area such as Down syndrome, RSD, arthritis, pain management, cancer supports groups,etc. We provide babysitting, CPR, and AARP driving courses to the community. We also sent out 54,000 biannual healthy living newsletters to the community and surrounding areas. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 77847834 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 109 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1084 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Eugene A Thorn III | NamePerson |
| Telephone Number | 3303640805 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 659 Boulevard | AddressLine1 |
| City | Dover | City |
| State | OH | State |
| ZIP Code | 44622 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| John R Herzig | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| James E Knisely | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| James J Pringle | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Gary A Petricola | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Michael B Hovan | |||||||
| Chairman | 8 | X | 0 | 0 | 0 | ||
| Agnes K Swigart | |||||||
| Treasurer | 8 | X | 0 | 0 | 0 | ||
| Mark N Kubina MD | |||||||
| Medical Staff Vice President | 8 | X | 0 | 0 | 0 | ||
| Michael McCombs DO | |||||||
| Medical Staff Board Member | 8 | X | 0 | 0 | 0 | ||
| Robert A Horn | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Connie L Karlowicz | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Lois E Andreas | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Robert E Moore Jr | |||||||
| Board member | 8 | X | 0 | 0 | 0 | ||
| C Jason Deeds | |||||||
| Vice Chairman of the Board | 8 | X | 0 | 0 | 0 | ||
| John E Dooling | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Perry L Hershberger | |||||||
| Board Member | 8 | X | 0 | 0 | 0 | ||
| Dr Andrew J Wherley MD | |||||||
| Medical Staff President | 8 | X | 0 | 0 | 0 | ||
| R Bruce James | |||||||
| President and CEO | 40 | X | 250978 | 0 | 30081 | X | |
| Darwin K Smith | |||||||
| Vice President | 40 | 111061 | 0 | 13050 | X | ||
| Thomas J Kelly Jr DO MPH | |||||||
| Vice President | 40 | 224088 | 0 | 28647 | X | ||
| Eugene A Thorn III | |||||||
| Vice President | 40 | 159131 | 0 | 16641 | X | ||
| Diana L Boyd | |||||||
| Vice President | 40 | 131802 | 0 | 14600 | X | ||
| Robert J Craig | |||||||
| Vice President | 40 | 142000 | 0 | 22514 | X | ||
| Sarah Barber | |||||||
| Physician | 40 | 258399 | 0 | 0 | X | ||
| Dr Terri Shilling | |||||||
| Physician | 40 | 165017 | 0 | 0 | X | ||
| Dr Ramon Daoud | |||||||
| Physician | 40 | 176230 | 0 | 0 | X | ||
| Jabr Hadid | |||||||
| Physician | 40 | 225127 | 0 | 0 | X | ||
| Mary Nipper | |||||||
| Physician | 40 | 154294 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1998127 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 125533 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| Emergimed Inc | ||||||
| 659 Boulevard | Dover | OH | 44622 | Emergency services | 4494783 | |
| Seneca Medical | ||||||
| PO BOX 712361 | Cincinnati | OH | 45271 | Seller of medical equipment | 2462948 | |
| Cardinal Health | ||||||
| 5490 Collections Center Drive | Chicago | IL | 60693 | Seller of medical drugs | 5056383 | |
| Schauer Insurance Services | ||||||
| 200 Market Avenue N | Canton | OH | 44702 | Insurance agents | 880754 | Suite 100 |
| Laboratory Corp of AM Holdings | ||||||
| PO Box 12140 | Burlington | NC | 27216 | Laboratory services provider | 815170 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 139 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 980 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 0 | GovernmentGrants |
| All Other Contributions | 373876 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 374856 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net Patient Revenue | 622000 | 85923349 | 85923349 | 0 | $0 |
| Laboratory Services | 621500 | 95677 | 0 | 95677 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 86019026 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2474063 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2474063 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 870828 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 597097 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 273731 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 273731 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $273,731 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 4180 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 4180 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4180 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4180 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
| Gross Sales Of Inventory | 19774260 | GrossSalesOfInventory |
| Cost Of Goods Sold | 9803213 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9971047 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9971047 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Health Promotion | 900099 | 59019 | 59019 | 0 | $0 |
| Helpline Income | 900099 | 130399 | 130399 | 0 | $0 |
| Athletic training | 900099 | 73240 | 73240 | 0 | $0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 356513 | TotalRevenueColumn |
| Related Or Exempt Function Income | 356513 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 619171 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 99736074 | TotalRevenueColumn |
| Related Or Exempt Function Income | 98991810 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 95677 | UnrelatedBusinessRevenue |
| Exclusion | $273,731 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1019060 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1019060 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37937955 | Total |
| Program Services | 32715882 | ProgramServices |
| Management And General | 5216476 | ManagementAndGeneral |
| Fundraising | 5597 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1997503 | Total |
| Program Services | 1737827 | ProgramServices |
| Management And General | 259676 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5723571 | Total |
| Program Services | 4979507 | ProgramServices |
| Management And General | 744064 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2995145 | Total |
| Program Services | 2552354 | ProgramServices |
| Management And General | 442383 | ManagementAndGeneral |
| Fundraising | 408 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175770 | Total |
| Management And General | 175770 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113610 | Total |
| Management And General | 113610 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17026461 | Total |
| Program Services | 13184108 | ProgramServices |
| Management And General | 3842215 | ManagementAndGeneral |
| Fundraising | 138 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335212 | Total |
| Program Services | 54361 | ProgramServices |
| Management And General | 267333 | ManagementAndGeneral |
| Fundraising | 13518 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10027330 | Total |
| Program Services | 8973772 | ProgramServices |
| Management And General | 1052764 | ManagementAndGeneral |
| Fundraising | 794 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1063935 | Total |
| Management And General | 1063935 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1696726 | Total |
| Program Services | 1446593 | ProgramServices |
| Management And General | 250133 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152232 | Total |
| Program Services | 81324 | ProgramServices |
| Management And General | 70908 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25159 | Total |
| Program Services | 6117 | ProgramServices |
| Management And General | 18971 | ManagementAndGeneral |
| Fundraising | 71 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1595872 | Total |
| Program Services | 1055113 | ProgramServices |
| Management And General | 540759 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6019882 | Total |
| Program Services | 3879760 | ProgramServices |
| Management And General | 2140062 | ManagementAndGeneral |
| Fundraising | 60 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 983712 | Total |
| Program Services | 6621 | ProgramServices |
| Management And General | 977091 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad debt expense | 6960191 | 6960191 | 0 | 0 |
| Dues | 120932 | 10652 | 110259 | 21 |
| Meals | 53337 | 5423 | 47914 | 0 |
| Education expense | 89359 | 7103 | 82256 | 0 |
| Miscellanous | 1781986 | 191126 | 1586092 | 4768 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97894940 | Total |
| Program Services | 77847834 | ProgramServices |
| Management And General | 20021731 | ManagementAndGeneral |
| Fundraising | 25375 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4196796 | BOY |
| EOY | 981906 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3106310 | BOY |
| EOY | 3635732 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11145197 | BOY |
| EOY | 12913506 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1898389 | BOY |
| EOY | 2233630 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1090922 | BOY |
| EOY | 1119068 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 122983424 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 68758163 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56776771 | BOY |
| EOY | 54225261 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47755154 | BOY |
| EOY | 50263544 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2060723 | BOY |
| EOY | 2394880 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2009690 | BOY |
| EOY | 2009690 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16304574 | BOY |
| EOY | 20174321 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146344526 | BOY |
| EOY | 149951538 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6359181 | BOY |
| EOY | 6551536 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27515000 | BOY |
| EOY | 27100000 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4021092 | BOY |
| EOY | 3679814 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1630677 | BOY |
| EOY | 2741329 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39525950 | BOY |
| EOY | 40072679 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97161980 | BOY |
| EOY | 99298397 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205912 | BOY |
| EOY | 304769 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9450684 | BOY |
| EOY | 10275693 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106818576 | BOY |
| EOY | 109878859 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146344526 | BOY |
| EOY | 149951538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1841134 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1219149 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1105252 | OtherCostOrOtherBasis |
| Book Value | 1105252 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 55384435 | OtherCostOrOtherBasis |
| Depreciation | 20896330 | Depreciation |
| Book Value | 34488105 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2589504 | OtherCostOrOtherBasis |
| Depreciation | 2006189 | Depreciation |
| Book Value | 583315 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 63666337 | OtherCostOrOtherBasis |
| Depreciation | 45855644 | Depreciation |
| Book Value | 17810693 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 237896 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 237896 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 54225261 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Assets whose use is limited donor specification | 908574 |
| Assets whose use is limited indenture agreement | 271824 |
| Trust agreements | 10275693 |
| Other receivables | 6359191 |
| Deferred financing costs | 464007 |
| Notes receivable | 107406 |
| Interest in TVRCC | 1787626 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20174321 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Interest payable | $52,485 |
| Workers compensation payable | $355,486 |
| Interest rate swap agreement | $1,216,023 |
| Accrued payroll withholdings | $765,286 |
| Other payables | $352,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2741329 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchD_P10_S00_L02 | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | The hospital is a not for profit corporation exempt from federal income taxes under Section 501c3 of the Internal Revenue Code. Therefore no provision has been made for federal income taxes in the accompanying financial statements. In addition the IRS has determined that the Hospital is not a "private foundation" within the meaning of section 509(a) of the code. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2859590 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2859590 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0314 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12566656 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5862119 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6704537 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0737 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 15426246 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5862119 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9564127 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1051 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 400978 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42140 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 358838 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0039 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 62827 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62827 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.001 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 463805 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42140 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 421665 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0049 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 15890051 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5904259 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9985792 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.1100 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 59627 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 59627 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3200 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3200 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 62827 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 62827 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $6,960,191 | BadDebtExpenseAmount |
| Amount Attributable To | 428584 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 29495027 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22856679 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 6638348 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tuscarawas Ambulatory Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Amulatory surgery center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.7 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.3 | 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 | Union Hospital Association | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 659 Boulevard | AddressLine1 |
| City | Dover | City |
| State | OH | State |
| ZIP Code | 44622 | 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 | Union Hospital Association | 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 | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| Tuscarawas Ambulatory Surgery Center | |||||
| 320 Oxford St | Dover | OH | 44622 | Ambulatory Surgery Center | |
| Tuscarawas Valley Regional Cancer Center | |||||
| 659 Boulevard | Dover | OH | 44622 | Physician oncology center | |
| Union Physician Services | |||||
| 300 Medical Park Drive | Dover | OH | 44622 | Physician practices | Suite 101C |
| Union Hospital Medical Services | |||||
| 659 Boulevard | Dover | OH | 44622 | Physician offices | |
| DASCO UH Home Medical Equipment LLC | |||||
| 375 North West Street | Westerville | OH | 43082 | Home medical equipment sales. | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | Used the ratio of patient cost to charges from worksheet 2 to calculate charity care reported. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | $6,960,191 |
| SchH_P02_S00_L00 | Schedule H, Part II | The Hospital has numerous community building activities. Project Search welcomes mentally handicapped youth into the workforce, the Hospital provides space and internships postions for these young adults to help them learn workforce traits and skills and to be more socially interactive. Many of our interns have secured positions from this program. We provide clinical rotations for numerous nursing and technical programs related to healthcare. These programs secure the youth to the area. We also host and offer numerous support groups. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debt based on individual credit evaluation adn specific circumstances of the account. Line 2 represents 3.6% of gross patient revenue as seen as being uncollectible by self pay patients which is based upon historical valuations. A bad debt expense footnote is not presented in the notes to the financial statements. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | Amounts are generated by the Medicare cost report which utilizes a department cost to charge methodology. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | The Hospital will refund any monies paid on an account deemed charity care or that qualifies for financial assistance once that assessment has been deteremined. The account is then written off to such classification and any or all collections will cease after the determination has been made. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | Our Community Wellness department is committed to addressing the health assessments of our community. The department compiled data gathered by utilizing secondary resoucers such as CDC and Ohio Obesity prevention. We have indentified six areas that are of high concern in our community, they are, cancer, diabetes, heart disease and strokes, physical activity and fitness, tobacco use, and the overall education of the community on health issues. In response to the areas of concern, the Hospital offers blood pressure screening, cholesterol screenings, fasting blood sugar tests, and vascular screening at reduced costs or free to members of the community on a monthly basis. We also have a cancer prevention day which includes pap smears, mammograms and skin cancer exams at a free or reduced cost. In response to the obesity and physical activity risks the hospital initiated a walking program and trail ,the fit youth initiative and Run for Home marathon training sessions. For the general health of the community we also teach classes on bicycle helmet safety, AARP driver safety course, babysitting basic classes, CPR for families and friends and smoking cessation. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | Inpatients are given an informational booklet upon admission to the hospital, this booklet contains information regarding contact with patient accounts, insurances accepted by the hospital, and other options of payment for the uninsured or under insured. The Hospital also employees a patient financial specialist who meets with patients/family to discuss family size, income and other information to see what if they would qualify for any programs. Financial assistance information is not provided at discharge but provided with the initial statement. The Hospital also discusses with the patients and family the availability of state and federal programs for medical care. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | Tuscarawas county is one of the 88 counties of the Sate of Ohio. The county has a population of about 91,000 residents with 25% under the age of 25 and 25% between the ages of 45 and 62. It is predominantly a caucasion county in a rural setting with 7.2% below the poverty level. 30% of adults smoke and 31% are obese or overweight. Heart disease and strokes are the prevalant health issues of the county. To help counteract these issues, the Hospital provides numerous blood pressure, cholesterol and blood sugar screenings throughout the year; the Hospital also offers a smoking cessation program. To help slow the obesity epidemic, the Hospital sponsors a fit youth initiative, a marathon and offers bicycle safety for our youth. The Hospital also supports a clinic for the uninsured. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | The Hospital provides many low cost clinics for blood pressure, cholesterol screenings, cancer screenings, and diabetes clinics to the area to help the community stay healthy and prevent diseases. The board is made up of individuals representing the community, there is an open medical staff and all surplus funds are used to make the Hospital a better organization for the community. We also offer health fairs and promote health speakers on various health and safety issues to the community at no charge. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | Community benefit report is not filed with any state. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Darwin K Smith | |||||||||||||
| 111061 | 0 | 0 | 0 | 0 | 0 | 6664 | 0 | 6386 | 0 | 124111 | 0 | 0 | |
| Thomas J Kelly Jr DO MPH | |||||||||||||
| 224088 | 0 | 0 | 0 | 0 | 0 | 13445 | 0 | 15202 | 0 | 252735 | 0 | 0 | 0 |
| Eugene A Thorn III | |||||||||||||
| 159131 | 0 | 0 | 0 | 0 | 0 | 9547 | 0 | 7094 | 0 | 175772 | 0 | 0 | 0 |
| Robert J Craig | |||||||||||||
| 142000 | 0 | 0 | 0 | 0 | 0 | 8520 | 0 | 13994 | 0 | 164514 | 0 | 0 | 0 |
| Diana L Boyd | |||||||||||||
| 131802 | 0 | 0 | 0 | 0 | 0 | 7908 | 0 | 6692 | 0 | 146402 | 0 | 0 | 0 |
| R Bruce James | |||||||||||||
| 250978 | 0 | 0 | 0 | 0 | 0 | 14700 | 0 | 15381 | 0 | 281059 | 0 | 0 | 0 |
| Sarah Barber | |||||||||||||
| 258399 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8185 | 0 | 266584 | 0 | 0 | 0 |
| Dr Terri Shilling | |||||||||||||
| 165017 | 0 | 0 | 0 | 0 | 0 | 9901 | 0 | 6914 | 0 | 181832 | 0 | 0 | 0 |
| Dr Ramon Daoud | |||||||||||||
| 176230 | 0 | 0 | 0 | 0 | 0 | 10574 | 0 | 7151 | 0 | 193955 | 0 | 0 | 0 |
| Jabr Hadid | |||||||||||||
| 225127 | 0 | 0 | 0 | 0 | 0 | 908 | 0 | 3064 | 0 | 229099 | 0 | 0 | 0 |
| Mary Nipper | |||||||||||||
| 154294 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9044 | 0 | 163338 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tuscarawas County Ohio | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 346002853 | IssuerEIN |
| CUSIP Number | 90069baa2 | CUSIPNumber |
| Date Issued | 2009-10-15 | DateIssued |
| Issue Price | 27515000 | IssuePrice |
| Description Of Purpose | Re issue of 1993 and 2001 bonds | DescriptionOfPurpose |
| Defeased | 1 | Defeased |
| On Behalf Of Issuer | 1 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 0 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 484184 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 2090519 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 878551 | AmountUnspent |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RBS Citizens NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 20.5 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | The Hospital has a 17 member board of trustees who oversee the manangement of the Hospital. All monthly financial reporting is presented to the board of trustees. The trustees also oversee the hiring of any upper manangement and the approval of all capital and operatign budgets. |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | The board of trustees elects the finance committee. |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | The 990 is prepared internally by the Hospital's staff accountant. The general ledger is reconciled to the appropriate schedules on the form and to the audited financial statements. After this review it is then forwarded to the Vice President of Finance who reviews it for completeness and accuracy. After his review it is then submitted to the Finance Committee made up of Board of Trustee members. After the Finance Committee reviews the form it is then submitted to the Board of Trustees for review. The return is also reviewed by an independent accounting firm. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Officers and board members are required to annually review the conflict of interest policy and make known any conflicts that may or have arose or any other discloseable event. If any notable event is disclosed it is reported to the Hospital CEO and Chairman of the Board of Trustees. Additionally, all financial transactions are reviewed through the Hospital's accounting systems. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Compensation amounts are established based upon the appropriate healthcare industry standards and related surveys. Compensation amounts for key management is reviewed by the Executive Committee of the Board of Trustees. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The public at anytime may inquire at the administrative office in the main hospital building and ask for a copy of the Form 990. The general public may also go to the Hospital's website to view the annual report and our Community Benefit Report. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | change in market value of temporarily and permanently restricted net assets $923,866 change in donor intent ($63,796) Net Assets assumed in total buy out of related party (TOM) 359079 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|
| Union Hospital Medical Services | ||||||||
| 659 Boulevard | Dover | OH | 44622 | Physcian offices | OH | 1151892 | 828479 | N/A |
| Union Physcian Services | ||||||||
| 659 Boulevard | Dover | OH | 44622 | Physcian office | OH | 3634975 | 680095 | N/A |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Tuscarawas Valley Regional Cancer Center | ||||||||||
| 659 Boulevard | Dover | OH | 44622 | 340000100 | Physician and Hospital Organization | OH | 501c3 | 3 | N/A | 0 |
| Union Hospital Auxillary | ||||||||||
| 659 Boulevard | Dover | OH | 44622 | 341204928 | supports hospital through fundraising public relations | OH | 501c3 | 11-III-FI | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tuscarawas Ambulatory Surgery Center | |||||||||||||
| 320 Oxford St | Dover | OH | 44622 | 311525875 | ambulatory surgery center | OH | N/A | Related | 1043556 | 1850266 | 0 | 0 | 0.7 |
| Dasco Union Hospital Home Medical Equipment LLC | |||||||||||||
| 375 N West St | Westerville | OH | 43082 | 270495743 | Durable medical equipment sales | OH | N/A | Unrelated | 16031 | 39150 | 0 | 0 | 0.5 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Valley Healthcare Inc | |||||||||||
| 659 Boulevard | Dover | OH | 44622 | 341654921 | Not operational | OH | N/A | C | 0 | 0 | 1 |
| Union Care Corporation | |||||||||||
| 659 Boulevard | Dover | OH | 44622 | 341556177 | Not operational | OH | N/A | C | 0 | 0 | 1 |
| Union Pharmaceutical Care | |||||||||||
| 659 Boulevard | Dover | OH | 44622 | 043588229 | retail pharmacy sales | OH | N/A | C | -570 | 2378 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Tuscarawas Ambulatory Surgery Center | ||
| a-iv | 400505 | Fair market of space as determined by lease agreement. |
| Dasco Union Hospital Home Medical Equipment LLC | ||
| a-iv | 13600 | fair market value of space as determined by lease agreement |
| Tuscarawas Ambulatory Surgery Center | ||
| i | 400505 | lease of building as determined by lease agreement. |