SALEM COMMUNITY HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SALEM COMMUNITY HOSPITAL (EIN 34-1041385)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-04-06
- IRS object ID
- 201710969349300756
- Schema version
- 2015v3.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-06T08:29:43-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341041385 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SALE | BusinessNameControlTxt |
| Phone | 3303327214 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44460 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Giangardella | PersonNm |
| Person Title | VP Finance/Administration | PersonTitleTxt |
| Phone | 3303327214 | PhoneNum |
| Signature | 2017-04-06 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Anita Hackstedde MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44460 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $113,607,310 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.salemregional.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Salem Regional Medical Center (SRMC) is a 110-bed, not-for-profit rural facility, which provides a continuum of medical services to the residents of Columbiana and southern Mahoning counties, including inpatient and outpatient medical and surgical care, obstetrics, and gynecology, pediatrics, orthopedics, intensive care and a 15-bed skilled nursing facility. The Hospital also operates a full-time 24-hour Emergency Department, and treats all patients requiring medical care, irrespective of their financial means. The Hospital provides its services free of charge or on a sliding scale to uninsured/underinsured patients, regardless of race, creed, origin, handicap, age or ability to pay.; in support of its mission- "To Serve. To Care. To Heal.", adopted by the Board of Directors in March 2013. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1072 | TotalEmployeeCnt |
| Total Volunteers | 134 | TotalVolunteersCnt |
| Total Gross UBI | $2,058,713 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $681,290 | PYContributionsGrantsAmt |
| CY Contributions Grants | $387,986 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,529,517 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,884,775 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,212,906 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,928,236 | CYInvestmentIncomeAmt |
| PY Other Revenue | $999,868 | PYOtherRevenueAmt |
| CY Other Revenue | $1,108,086 | CYOtherRevenueAmt |
| PY Total Revenue | $114,423,581 | PYTotalRevenueAmt |
| CY Total Revenue | $113,309,083 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $95,984 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,011,052 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,441,501 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $55,577,259 | PYOtherExpensesAmt |
| CY Other Expenses | $54,804,567 | CYOtherExpensesAmt |
| PY Total Expenses | $104,684,295 | PYTotalExpensesAmt |
| CY Total Expenses | $106,246,068 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,739,286 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,063,015 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $244,370,098 | TotalAssetsBOYAmt |
| Total Assets EOY | $240,252,649 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $76,539,240 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $86,902,322 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $167,830,858 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $153,350,327 | NetAssetsOrFundBalancesEOYAmt |
| Mission | "To Serve. To Care. To Heal," encompasses the Hospital's mission of providing high quality care on both an inpatient and outpatient basis; and addresses our patients' health care needs at each life stage, within our available resources. SRMC seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community-based hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $77,273,872 | ExpenseAmt |
| Revenue | $103,884,775 | RevenueAmt |
| Desc | SRMC's mission and purpose is achieved by providing quality care to the sick and injured on both and inpatient and outpatient basis, while addressing our patients' healthcare needs at each life stage, within our available resources. The Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital, while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. During fiscal year 2016, SRMC provided comprehensive healthcare services including: 4,702 Admissions; 3,570 Surgeries; and 28,806 Emergency Department visits. In support of this commitment, SRMC operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. The Medical Center also accepts all patients covered by Medicare, Medicaid and General Assistance. Subsidized health services provided by the Hospital that are not self-sustaining include obstetric and behavioral health services, and the Medical Center' costs for supporting these services is $1,592,149. If these programs were closed or not available to the community, the cost to the government or to another tax-exempt organization would increase. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2016, costs incurred by SRMC for unpaid costs of the Medicaid program were $987,410, and unreimbursed costs from other governmental programs were $ 3,884,002. These community benefits, arising from patient care provided by SRMC are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Medical Center's charitable purpose. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $77,273,872 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1072 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Giangardella | PersonNm |
| Phone | 3303327214 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44460 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Matt Bender | |||||||||
| Chair | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Todd Olson | |||||||||
| Vice -chair | 1 | 2 | Yes (X) | $0 | $0 | $0 | |||
| Greg Bestic | |||||||||
| Secretary | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Jon Vollnogle | |||||||||
| Treasurer | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Derek Hiscox | |||||||||
| Past Chair | 1 | 2 | Yes (X) | $0 | $0 | $0 | |||
| Catherine Hubbs | |||||||||
| Past Chair | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Dr Larry Schmetterer | |||||||||
| Chief of Staff | 1 | 0 | Yes (X) | $9,000 | $0 | $0 | |||
| Jon Rettig Sr | |||||||||
| Director | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| David Mollenkopf | |||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Dave Gano | |||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Dr Jeffrey Cohen DO | |||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| John Biastro | |||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Peter Apicella MD | |||||||||
| Director | 1 | 0 | Yes (X) | $18,300 | $0 | $0 | |||
| Vicki Hall | |||||||||
| Director | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Dr Mike Sevilla MD | |||||||||
| Director | 1 | 0 | Yes (X) | $10,600 | $0 | $0 | |||
| Vito Abruzzino | |||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Chris Meta | |||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ruth Ann Rinto | |||||||||
| Director | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Anita Hackstedde | |||||||||
| President/CEO | 35 | 5 | $315,904 | $0 | $89,894 | Yes (X) | |||
| Mike Giangardella | |||||||||
| VP Finance/Administration | 39 | 1 | $201,229 | $0 | $132,054 | Yes (X) | |||
| Barbara Hirst | |||||||||
| VP Nursing/Human Resources | 40 | 0 | $172,402 | $0 | $120,209 | Yes (X) | |||
| Keith Meredith | |||||||||
| VP Clinical Operations | 40 | 0 | $151,835 | $0 | $55,298 | Yes (X) | |||
| Sue Bryarly | |||||||||
| Director of Pharmacy | 40 | 0 | $136,553 | $0 | $51,648 | Yes (X) | |||
| Mark LItalien | |||||||||
| Director Information Services | 40 | 0 | $131,812 | $0 | $108,301 | Yes (X) | |||
| Stephen Ferenchak | |||||||||
| Pharmacist | 41.00 | 0 | $119,708 | $0 | $63,814 | Yes (X) | |||
| Debby Pietrzak | |||||||||
| VP Marketing/Planning | 40 | 0 | $116,805 | $0 | $109,321 | Yes (X) | |||
| Kimberly Meek | |||||||||
| Pharmacist | 41.00 | 0 | $115,571 | $0 | $56,510 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,499,719 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $787,049 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Inpatient Medical Services Inc | ||||||
| 822 Kumho Drive | Suite 202 | Fairlawn | OH | 44333 | Medical Services | $907,221 |
| Associates in Anesthesiology Inc | ||||||
| PO Box 2190 | Youngstown | OH | 44504 | Medical Services | $650,563 | |
| Northstar Anesthesia | ||||||
| 6225N State Hwy 161 | Suite 200 | Irving | TX | 75038 | Medical Services | $603,446 |
| Laboratory Corporation of America | ||||||
| PO box 12140 | Burlington | NC | 27216 | Laboratory services | $573,693 | |
| Healogics Wound Care | ||||||
| 5220 Belfort Road | Suite 130 | Jacksonville | FL | 32256 | Healthcare Services | $433,538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $387,986 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $387,986 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenue | 622000 | $101,826,062 | $101,826,062 | $0 | $0 |
| Patient Service Revenue | 621500 | $909,007 | $0 | $909,007 | $0 |
| Patient Service Revenue | 621610 | $1,149,706 | $0 | $1,149,706 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,884,775 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,919,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,919,225 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $317,524 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $298,227 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,297 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,297 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,297 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $9,011 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $9,011 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,011 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,011 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Dietary Income | 900099 | $630,040 | $630,040 | $0 | $0 |
| Medical Record fees | 900099 | $18,135 | $18,135 | $0 | $0 |
| Gift Shop Income | 900099 | $171,476 | $171,476 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269,138 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $269,138 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,088,789 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,309,083 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,914,851 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,058,713 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,947,533 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,008,284 | TotalAmt |
| Management And General | $1,008,284 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,713,100 | TotalAmt |
| Program Services | $27,299,281 | ProgramServicesAmt |
| Management And General | $9,413,819 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,669,639 | TotalAmt |
| Program Services | $2,012,404 | ProgramServicesAmt |
| Management And General | $657,235 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,273,943 | TotalAmt |
| Program Services | $5,655,336 | ProgramServicesAmt |
| Management And General | $2,618,607 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,776,535 | TotalAmt |
| Program Services | $2,037,055 | ProgramServicesAmt |
| Management And General | $739,480 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,765 | TotalAmt |
| Management And General | $262,765 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,996 | TotalAmt |
| Management And General | $84,996 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,489,848 | TotalAmt |
| Program Services | $4,494,900 | ProgramServicesAmt |
| Management And General | $2,994,948 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,344 | TotalAmt |
| Management And General | $435,344 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,788,027 | TotalAmt |
| Program Services | $2,642,923 | ProgramServicesAmt |
| Management And General | $2,145,104 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,651,424 | TotalAmt |
| Program Services | $2,100,009 | ProgramServicesAmt |
| Management And General | $1,551,415 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,181,853 | TotalAmt |
| Program Services | $2,816,932 | ProgramServicesAmt |
| Management And General | $1,364,921 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,385 | TotalAmt |
| Program Services | $12,908 | ProgramServicesAmt |
| Management And General | $76,477 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,261 | TotalAmt |
| Management And General | $1,007,261 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,286,556 | TotalAmt |
| Program Services | $7,513,089 | ProgramServicesAmt |
| Management And General | $2,773,467 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,484 | TotalAmt |
| Program Services | $136,124 | ProgramServicesAmt |
| Management And General | $284,360 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBTS | $4,138,407 | $4,138,407 | $0 | $0 |
| STATE ASSESMENT | $1,553,713 | $0 | $1,553,713 | $0 |
| DRUGS AND PHARMACEUTICALS | $7,618,425 | $7,618,425 | $0 | $0 |
| MEDICAL SUPPLIES | $8,796,079 | $8,796,079 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,246,068 | TotalAmt |
| Program Services | $77,273,872 | ProgramServicesAmt |
| Management And General | $28,972,196 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,285,887 | BOYAmt |
| EOY | $8,107,394 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,827,183 | BOYAmt |
| EOY | $8,919,548 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,044 | BOYAmt |
| EOY | $967,018 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,216,794 | BOYAmt |
| EOY | $4,375,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $170,400,583 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $76,540,968 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,244,237 | BOYAmt |
| EOY | $93,859,615 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,628,065 | BOYAmt |
| EOY | $123,723,640 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,888 | BOYAmt |
| EOY | $300,193 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,370,098 | BOYAmt |
| EOY | $240,252,649 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,921,195 | BOYAmt |
| EOY | $11,077,270 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,475,000 | BOYAmt |
| EOY | $48,900,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,040 | BOYAmt |
| EOY | $229,310 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,855,005 | BOYAmt |
| EOY | $26,695,742 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,539,240 | BOYAmt |
| EOY | $86,902,322 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,532,701 | BOYAmt |
| EOY | $153,043,117 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,157 | BOYAmt |
| EOY | $307,210 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,830,858 | BOYAmt |
| EOY | $153,350,327 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,370,098 | BOYAmt |
| EOY | $240,252,649 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,063,015 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,890,602 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$15,652,944 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,330,745 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $2,330,745 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $114,506,072 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,972,220 | DepreciationAmt |
| Book Value | $73,533,852 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $882,436 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $497,359 | DepreciationAmt |
| Book Value | $385,077 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $50,349,538 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,071,389 | DepreciationAmt |
| Book Value | $15,278,149 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,331,792 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $2,331,792 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $93,859,615 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Liability | $197,214 |
| Pension Liability | $26,498,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,695,742 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,784,211 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,940,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$155,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,689,861 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,702,451 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $987,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00967 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,648,251 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,764,249 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,884,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.038 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $18,122,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,406,864 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,715,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04767 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 202 | ActivitiesOrProgramsCnt |
| Persons Served | 131907 | PersonsServedCnt |
| Total Community Benefit Expns | $151,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,394 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $145,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00002 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 188 | ActivitiesOrProgramsCnt |
| Persons Served | 448 | PersonsServedCnt |
| Total Community Benefit Expns | $673,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $673,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00006 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,637,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,045,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,592,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00016 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 61 | ActivitiesOrProgramsCnt |
| Persons Served | 1235 | PersonsServedCnt |
| Total Community Benefit Expns | $22,004 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 451 | ActivitiesOrProgramsCnt |
| Persons Served | 133590 | PersonsServedCnt |
| Total Community Benefit Expns | $4,484,612 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,052,162 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,432,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00024 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 451 | ActivitiesOrProgramsCnt |
| Persons Served | 133590 | PersonsServedCnt |
| Total Community Benefit Expns | $22,606,935 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,459,026 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,147,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04791 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $1,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,995 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 2870 | PersonsServedCnt |
| Total Community Benefit Expns | $33,130 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,130 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 128 | ActivitiesOrProgramsCnt |
| Persons Served | 5413 | PersonsServedCnt |
| Total Community Benefit Expns | $29,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 236 | PersonsServedCnt |
| Total Community Benefit Expns | $103,682 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,745 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,937 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00001 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 18 | PersonsServedCnt |
| Total Community Benefit Expns | $2,777 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 5945 | PersonsServedCnt |
| Total Community Benefit Expns | $17,836 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 183 | ActivitiesOrProgramsCnt |
| Persons Served | 3040 | PersonsServedCnt |
| Total Community Benefit Expns | $15,681 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,681 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 53 | ActivitiesOrProgramsCnt |
| Persons Served | 265 | PersonsServedCnt |
| Total Community Benefit Expns | $175,457 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $175,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00002 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 421 | ActivitiesOrProgramsCnt |
| Persons Served | 17807 | PersonsServedCnt |
| Total Community Benefit Expns | $379,642 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,745 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $363,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00003 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,744,197 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $166,626 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,260,700 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $28,970,028 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,709,328 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1Txt |
| Business Name Line2 | dba Salem Regional Medical Center | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44460 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | Salemregional.com | WebsiteAddressTxt |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Other | 15 bed skilled nursing facility | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1Txt |
| Business Name Line2 | dba Salem Regional Medical Center | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | salemregional.com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | salemregional.com | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | salemregional.com | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | slemregional.com | FAPSummaryOnWebsiteURLTxt |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Salem Community Hospital | To take into account input from persons representing the community served, the CHNA primary data collection process included 4 focus groups conducted with a total of 49 adult participants, including physicians, school nurses, mayors/county commissioners and members of the largest county drug and alcohol coalition. In addition, 17 individual interviews were conducted with key stakeholders from diverse community groups and underrepresented population providers, including school Boards, area social service/community health providers, county government officials and providers of services to underserved and minority health populations. An internet and paper-based Community Needs Survey was conducted with 417 completed surveys obtained. |
| Schedule H, Part V, Section B, Line 6a-Salem Community Hospital | Along with Salem Regional Medical Center, East Liverpool City Hospital also provided financial support for the CHNA process. |
| Schedule H, Part V, Section B, Line 6b-Salem Community Hospital | A collaborative workgroup conducted the CHNA, composed of the Columbiana County Educational Service Center, Columbiana County General Health District, Columbiana County Mental Health and Recovery Services Board, Community Action Agency of Columbiana County, East Liverpool City Health Department, East Liverpool City Hospital, RiverValley Physicians (Affiliated with East Liverpool City Hospital), Salem City Health Department and Salem Regional Medical Center. In addition, this workgroup developed a county health improvement plan to address the CHNA's priorities |
| Schedule H, Part V, Section B, Line 7d-Salem Community Hospital | The CHNA was posted on Salem Regional Medical Center's website, along with being posted on many of the collaborative partners' websites. In addition, a newsrelease was sent to the media regarding the findings of the CHNA, with information about how the general public could access the CHNA via the internet. A summary of the CHNA's findings was also presented to several community groups including social service providers and school health professionals. |
| Schedule H, Part V, Section B, Line 11-Salem Community Hospital | : The Columbiana County Needs Assessment identified that more than half of county households have incomes at or below 200% of poverty. In addition, over one-fourth of Columbiana County's population depends on government assistance and/or retirement income. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower mammogram screening compliance, lower high school graduation and post-secondary rates, higher teen birth rates, greater number of deaths due to injury, higher rates of alcohol-impaired driving and a higher index of air pollution. Data related to barriers in accessing clinical care indicated higher ratios of the population to primary care physicians, mental health providers and dental health providers, reflecting health professional shortages in these categories. In addition, focus group participants and stakeholders identified multi-faceted socio-economic issues related to the poor economy, increased drug abuse and mental health issues, lack of education, and unemployment as key environmental drivers of the health status of the community. Each of these needs is important and should be addressed by various county-wide organizations and/or community partners of the Medical Center. However, due to their societal magnitude and SRMC's limited resources and capacity to meaningfully impact the economic foundation of the county, SRMC has chosen to allocate significant resources to the priority health needs which yield the greatest opportunities to affect a positive change. As outlined in the 2016-2019 Implementation Plan, SRMC will focus on the CHNA's top 25 health priorities related to obesity/chronic disease; mental health/substance abuse and tobacco use/cancer prevention. Note that these priorities align with 9 of Ohio's top 10 health priorities as identified by the Health Policy Institute of Ohio in 2016. SRMC's Implementation Plan was approved by the Medical Center's Board in June 2016. |
| Schedule H, Part V, Section B, Line 16i-Salem Community Hospital | The availability of free or discounted care is provided on billing statements to patients . This information is also posted on a sign at the billing office. |
| Schedule H, Part V, Section B, Line 22d-Salem Community Hospital | The Medical Center's Financial Assistance Policy provides discounts to patients based on the patient's income( up to 350% of the Federal Poverty Level) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1995 East State Street | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44460 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 bed skilled nursing facility | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a | Salem Regional Medical Center prepares an Annual Report that is distributed to the community in paper format as well as being posted on the SRMC website at www.salemregional.com. The Annual Report includes a summary of the Medical Center's statement of expenses and uncompensated care, along with highlighting SRMC's major community benefit initiatives. This community benefit information is provided in an effort to document its tax exempt purpose and demonstrate the benefits provided for the broader community as determined by community need. |
| Schedule H, Part I, Line 7 | Costs are determined by applying the ratio of cost to charges to gross charges and utilizing the format as outlined in the Schedule H instructions. Beyond charity care, "Other Benefits" reported includes community health improvement services and community benefit operations, with community building activities listed in Part II. The Medical Center seeks opportunities to further its tax exempt purpose by providing a wide variety of benefits for the broader community, including the development of a county-wide health needs assessment to identify regional health needs; and the development and adoption of a related implementation plan to address community need. Examples of other community benefit activities include, but are not limited to: grant-writing activities for improved community health; health professionals education for nurses, therapists (physical, occupational, speech, and respiratory), medical imaging and laboratory technologists and dietitians; financial and in-kind contributions for community-based feeding programs and food pantries, blood drives, social services for vulnerable populations (including assistance with medications, transportation, limited English proficiency and referrals to support systems); community health education regarding cancer, diabetes and other chronic disease treatment and prevention, obesity prevention and women's health; and community health fairs and free and reduced-cost clinical screenings for high blood pressure, cholesterol, blood sugar, and lung cancer. Many of these educational programs, screenings, health fairs and outreach activities are provided in outlying school districts and communities within SRMC's defined geographic service area, in an effort to increase regional access to health services and health resources for people of all ages. It is estimated that approximately 133,590 area residents participated in community benefit programs and/or events provided and/or sponsored by Salem Regional Medical Center. SRMC also provides a free, telephone emergency response service for over 10 area residents, enabling elderly and physically disadvantaged individuals to live independently in their homes. |
| Schedule H, Part I, Line 7g | Costs for subsidized health services include those attributable to providing women's obstetrical services and outpatient behavioral health services. There are no health services attributable to a physician clinic. |
| Schedule H, Part II | During the taxable year, SRMC participated in 421 different community building activities in an effort to provide programs and activities that respond to demonstrated, unmet community needs and fulfill community benefit objectives by improving access to health services and/or enhancing population health and knowledge. SRMC participated in several area activities for the local and regional Chambers of Commerce; provided community support related to youth asset development through the Coordinated Action for School Health (CASH) Coalition and was a leading collaborative partner in disaster readiness; assisted in environmental improvements related to community medications' disposal; represented SRMC on diverse community coalitions related to improving community health; advocated for community health improvements on the local and state levels on behalf of improving access to health care; assisted with workforce development related to recruiting and retaining physicians in medically underserved areas; participated in community workforce boards, partnerships with area universities to address the health care work force shortage and provided many school-based programs on health care careers, including offering teen and college student mentoring opportunities. SRMC continues to serve as a community resource and partner for regional non-profit organizations by providing collaborative programming with agencies such as the American Cancer Society, American Diabetes Association, American Heart Association, American Red Cross, Columbiana County Community Action Agency, Columbiana County and Salem City Departments of Health, Coordinated Action for School Health, Hospice of the Valley, Kent State University- Salem Campus, Northeast Ohio Workforce Development, Northeast Ohio Medical University, Salem Area Visiting Nurses Association and the Salem Community Center. In addition, SRMC makes financial and in-kind contributions to many of these not-for-profit organizations through event sponsorships and staffing support, and meeting space. |
| Schedule H, Part II, Line 2 | The cost for bad debt expense is determined by applying the ratio of cost to gross charges of accounts written off to bad debt and utilizing the format as outlined in the Schedule H worksheets. |
| Schedule H, Part III, Section A, Line 4 | Excerpt from footnote"For receivables associated with services provided to patients who have third-party coverage, the Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided under the Center's Financial Assistance Policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts." The cost of bad debt was determined by applying the Hospital's cost to charge ratio to the charges that were written off to bad debt.The hospital believes that this cost is a community benefit because the patients ,who may likely qualify for assistance under the Hospital's Financial Assistance Policy,do not or are unwilling to provide documentation of their eligibility for charity care and are classified as bad debt. The Hospital is very willing to work out payment arrangements and discounted fees;however those patients who do not respond to repeated offers of assistance are categorized as bad debt expense. Had information been made available to make a determination of their eligibility ,the Hospital believes that many patients classified as bad debt would qualify for charity care. This judgement is based on the economic conditions and specific knowledge of the patients involved. |
| Schedule H, Part III, Section B, Line 8 | The costs were obtained from the Medicare cost report. The Medical Center incurred costs in excess of $28.9 million to care for and treat beneficiaries ,while receiving reimbursement of approximately $21.26 million,leaving a shortfall of $7.7 million. this was a direct benefit provided by the medical Center to local Medicare beneficiaries who live in the surrounding communities. |
| Schedule H, Part III, Section C, Line 9b | Per the Medical Center's collection policy,the Medical Center will not pursue collection for non-payment of bills against individuals who demonstrate that they have neither sufficient income nor assets to meet their financial obligations. |
| Schedule H, Part VI, Line 2 | SRMC formally assesses the healthcare needs of the communities that it serves on a minimum of a triennial basis, and does so in collaboration with other community health providers. The most recent comprehensive, county-wide needs assessment was published in June 2016, and was developed by a collaborative of Columbiana County's major health providers, public health entities, and health-focused coalitions including Salem Regional Medical Center; East Liverpool City Hospital; the Columbiana County, East Liverpool and Salem City Health Departments; Columbiana County Educational Service Center; Community Action Agency of Columbiana County; the Coordination Action for School Health (CASH) Coalition; and the Columbiana County Mental Health Services and Recovery Board. The CHNA process began in August 2015, with the development of the project plan and timeline. The above mentioned collaborative convened in October 2015 and continued meeting through April 2016 to evaluate the previous CHNA, collect and analyze primary and secondary data, conduct community asset mapping and identify issues and select priorities to address through the development of the 2016 CHNA. Strategy Solutions, Inc. was retained to facilitate the process and provide data analysis and prioritization support. The geographic area of the needs assessment encompassed Ohio's Columbiana County, most of which is within Salem Regional Medical Center's Service Area; and prioritized the public, primary and specialty health care needs of community members from birth through end-of-life care. The CHNA action plan and report development were presented to and approved by the SRMC Board in June 2016, and distributed to all participating coalition organizations. The SRMC Implementation Plan was approved by the Board in November 2016, and both documents are posted on the SRMC website at: http://www.salemhosp.com/getpage.php?name=Needs_Assessment_2016&sub=About+Us. The Medical Center will carry forward its implementation strategies by addressing them in its Strategic Plan and annual Organizational Goals. In addition, SRMC is a collaborative partner in other types of needs assessments, such as the school health asset study, through the Search Institute, conducted on an annual basis with area school districts. |
| Schedule H, Part VI, Line 3 | The Medical Center includes on all billing statements,information regarding the availability of free care programs and the required income guidelines. This information is also posted on the Medical Center's website along with the charity care quidelines. |
| Schedule H, Part VI, Line 4 | Salem Regional Medical Center's rural service area is officially designated as within one of Ohio's 32 Appalachian counties and includes Columbiana County, excluding Yellow Creek and East Liverpool Townships; and the five lower townships of Mahoning County. Portions of Columbiana County are also designated as Medically Underserved, and as a dental and mental health care Health Professional Shortage Areas. The Robert Wood Johnson County Health Rankings data also showed that Columbiana County faces a significant barrier to access as indicated by the county's ratio of the population to primary care providers (1,858:1) being higher than Ohio (1,296:1); and the county's ratio of dentists (4,404:1) being considerably higher than Ohio (1,713:1). Columbiana County residents are older than their state and national counterparts, and the Service Area is characterized by a declining social, economic and population base, which impacts the area's health status problems and health service utilization. Lack of insurance is also a barrier to access, with the rate of uninsured Columbiana County adults higher than Ohio. Poverty is also a factor with more than half of the county's population at or below 200% of the federal poverty level. Regional health outcomes and social/economic/environmental rates that were worse than Ohio benchmarks included: higher rates of premature death/years of potential life lost before age 75, higher adult obesity rates combined with lower physical activity rates, higher percentage of people who report their physical health as fair or poor, lower mammogram screening compliance, lower high school graduation and post-secondary rates, higher teen birth rates, greater number of deaths due to injury, higher rates of alcohol-impaired driving and a higher index of air pollution. Health disparities are also more common among those with lower incomes as well as in Appalachian communities. The county has a high percentage of obesity and sedentary behavior compared to other Ohio counties, and only small percentages of residents engage in health habits related to physical activity and nutrition. The area also has a low educational attainment rate with 20% of adults having no high school diploma. |
| Schedule H, Part VI, Line 5 | Salem Regional Medical Center seeks to provide a broad range of diagnostic, inpatient, outpatient and emergency services appropriate for a community hospital; while ensuring that sufficient, high-quality primary and specialty physician services are available and accessible to residents of our service area. Medical staff privileges are extended to qualified physicians in the SRMC Service Area, based on documented community need for the medical service and the Hospital's resources to provide the service. During fiscal year 2016, the Hospital provided comprehensive healthcare services including: 4,702 Admissions; 3,570 Surgeries; and 28,806 Emergency Department visits. In support of this commitment, the Medical Center operates a full-time, 24-hour Emergency Department, and treats all patients requiring emergency medical care, irrespective of their financial means. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. Subsidized health services provided by SRMC, that are not self-sustaining include obstetric and behavioral health services, and the Medical Center's costs for supporting these services is $1,152,149. If these programs were closed or not available to the community, the cost to the government or to another tax-exempt organization would increase. SRMC also accepts all patients covered by Medicare, Medicaid and General Assistance. For fiscal year 2016, costs unpaid costs of Medicaid and other public programs representing $987,410 , and unreimbursed costs from other governmental programs representing $3,884,002. These community benefits, arising from patient care provided by the Medical Center are documented to help to relieve a governmental financial and programmatic burden as evidenced through the Hospital's charitable purpose. In order to provide services efficiently and cost-effectively, SRMC also utilizes an active volunteer base, with 134 community members donating over 13,288 hours of volunteer service annually. In addition, the SRMC Board of Directors is comprised of 18 community volunteers from the SRMC Service Area, who perform fiduciary responsibilities through monthly committee and Board activities. The Medical Center actively seeks opportunities to further its tax exempt purpose through community health improvement and community benefit operations that provide treatment and/or promote health in response to identified community needs. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anita Hackstedde | ||||||||||||||
| President/CEO | $315,904 | $0 | $0 | $0 | $0 | $0 | $76,209 | $0 | $13,685 | $0 | $405,798 | $0 | $0 | $0 |
| Mike Giangardella | ||||||||||||||
| VP Finance/Administration | $201,229 | $0 | $0 | $0 | $0 | $0 | $118,369 | $0 | $13,685 | $0 | $333,283 | $0 | $0 | $0 |
| Barbara Hirst | ||||||||||||||
| VP Nursing/Human Resources | $151,835 | $0 | $0 | $0 | $0 | $0 | $47,689 | $0 | $7,609 | $0 | $207,133 | $0 | $0 | $0 |
| Keith Meredith | ||||||||||||||
| VP Clinical Operations | $151,835 | $0 | $0 | $0 | $0 | $0 | $47,389 | $0 | $7,609 | $0 | $206,833 | $0 | $0 | $0 |
| Mark LItalien | ||||||||||||||
| Director Information Services | $131,812 | $0 | $0 | $0 | $0 | $0 | $93,076 | $0 | $15,225 | $0 | $240,113 | $0 | $0 | $0 |
| Debby Pietrzak | ||||||||||||||
| VP Marketing/Planning | $116,805 | $0 | $0 | $0 | $86,489 | $0 | $22,832 | $0 | $0 | $0 | $226,126 | $0 | $0 | $0 |
| Sue Bryarly | ||||||||||||||
| Director of Pharmacy | $136,553 | $0 | $0 | $0 | $0 | $0 | $44,039 | $0 | $7,609 | $0 | $188,201 | $0 | $0 | $0 |
| Stephen Ferenchak | ||||||||||||||
| Pharmacist | $119,708 | $0 | $0 | $0 | $0 | $0 | $48,589 | $0 | $15,225 | $0 | $183,522 | $0 | $0 | $0 |
| Kimberly Meek | ||||||||||||||
| Pharmacist | $115,571 | $0 | $0 | $0 | $0 | $0 | $48,901 | $0 | $7,609 | $0 | $172,081 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City Of Salem Ohio | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 346002560 | BondIssuerEIN |
| Bond Issued | 2013-04-04 | BondIssuedDt |
| Issue Price | $52,000,000 | IssuePriceAmt |
| Purpose | Hospital Facility Construction | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $29,600,292 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $52,000,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $193,598 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $168,913 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $160,493 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $21,883,897 | CapitalExpendituresAmt |
| Other Spent Proceeds | $6,893 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.0112 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.0112 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (1) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| John Biastro | |||
| Director | $57,170 | Child of interested person is employed by Medical Center | 0 |
| Derek Hiscox | |||
| Director | $237,500 | Hospital purchased land from an entity owned by interested person | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The 990 was made available for review by the governing body,prior to filing |
| Form 990, Part VI, Section B, Line 12c | On an annual basis,Directors and Key employees disclose potential business or professional relationships they may have with the Organization and /or other Directors /Key employees. in situations when a Director may have a conflict,they may participate in the discussion,but must leave the room prior to final discussion and vote. |
| Form 990, Part VI, Section B, Line 15 | The President's compensation is determined by the Board of Directors of Salem Regional Medical Center,based upon the recommendation of the Board's Executive Committee,both of which are comprised primarily of independent board members. The committee evaluates market data through formal statewide salary surveys ,as well as targeted regional survey data. Their decision was last completed in June 2016. |
| Form 990, Part VI, Section C, Line 19 | As a private not-for-profit organization,Salem Regional Medical Center does not make its governing documents or financial statements generally available to the public ,although the federal form 990 is available for review upon request. |
| Form 990, Part XI, Line 9 | Change in defined benefit pension plan loses,prior service costs or credits and transition asset or obligations(-$12,441,918),transfers to related organizations($-3,211,026). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SCH Professional Corporation | ||||||||||
| 1995 East State Street | Salem | OH | 44460 | 341764515 | Physician Offices | OH | 501(c)(3) | 11 | Salem Community Hospital | 0 |
| The Charitable Foundation of Salem Community Hospital | ||||||||||
| 1995 East State Street | Salem | OH | 44460 | 462902698 | Support Salem Community Hospital | OH | 501(c)3 | 11 | Salem Communiy Hospital | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Salem Medical Arts & Development Corporation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2020 East State Street | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44460 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341049534 | EIN |
| Primary Activities | Office Rent | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Ownership | 1 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SCH Professional Corporation | ||
| j | $144,945 | cost per sq.ft. of leased space |
| SCH Professional Corporation | ||
| b | $3,211,026 | Actual capital contribution |
| SCH Professional Corporation | ||
| o | $102,817 | Time allocation |
| The Charitable Foundation of Salem Community Hospital | ||
| o | $54,484 | Time allocation |
| The Charitable Foundation of Salem Community Hospital | ||
| c | $50,207 | Amount donated |
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