2015-11-16T16:46:20-06:00 2014-12-31 ERNST & YOUNG US LLP 2100 ONE PPG PLACE PITTSBURGH PA 15222 990 2014-01-01 461382538 Robinson Health System Inc % CARL EBNER ROBI 3302978076 PO BOX 1204 RAVENNA OH 44266 CARL EBNER VP OF FINANCE 2167678702 2015-11-10 true JAMES L ZIECHSE P01264584 4126447800 2015-11-10 2014 2016-02-25 16:41:14Z Robinson Memorial Hospital STEPHEN COLECCHI PO BOX 1204 RAVENNA OH 44266 160569000 false X www.robinsonmemorial.org X 2012 OH Please see Schedule O, Supplemental Information for organization's mission. 15 14 1390 500 1104136 1038141 0 0 0 126379000 0 564000 0 33626000 0 160569000 0 0 0 0 0 69837000 0 0 0 0 68685000 0 138522000 0 22047000 0 111424000 0 83633000 0 27791000 X ROBINSON HEALTH SYTEM, INC. D/B/A ROBINSON MEMORIAL HOSPITAL ("ROBINSON") WAS FOUNDED IN 1917 AND PRESERVES A LEGACY OF BEING THE ONLY HOSPITAL LOCATED IN PORTAGE COUNTY. ROBINSON IS DEDICATED TO SERVING RESIDENTS OF PORTAGE COUNTY AND SURROUNDING COMMUNITIES. ITS SERVICES AND PROGRAMS CONTINUE A LONG-STANDING TRADITION OF PROVIDING PATIENT-FOCUSED, SUPERIOR-QUALITY HEALTH CARE. THE MISSION OF ROBINSON IS TO PROVIDE HIGH QUALITY, CARING AND COST EFFECTIVE SERVICES; TO INSPIRE STAFF TO EXCEED THE EXPECTATIONS OF OUR PATIENTS AND THEIR FAMILIES; AND TO ACHIEVE FINANCIAL RESULTS TO ENSURE ITS CONTINUED SUCCESS. false false 136932000 126379000 COMMITMENT TO THE COMMUNITY IS AT THE CORE OF ROBINSON'S MISSION. IN 2014, ROBINSON DEDICATED MORE THAN $4.4 MILLION TO COMMUNITY BENEFIT PROGRAMS: - CHARITY CARE = $1.2 MILLION - MEDICAID SHORTFALL = $3.2 MILLION - COMMUNITY HEALTH IMPROVEMENT SERVICES, PROGRAMS AND SUPPORT = $0.9 MILLION - HOSPITAL CARE ASSURANCE PROGRAM (HCAP) RECEIPTS = ($1.0 MILLION). COMMUNITY BENEFIT FOR 2014 TOTALED $4.4 MILLION. ROBINSON IS PORTAGE COUNTY'S SECOND LARGEST EMPLOYER AND PROVIDES WORK DIRECTLY FOR MORE THAN 1,000 EMPLOYEES AND PHYSICIANS. ROBINSON IS PROUD TO CONTRIBUTE TO THE HEALTH OF THE CITIZENS WITHIN ITS COMMUNITY AND TO BE AN ECONOMIC CONTRIBUTOR TO THE REGION. 136932000 true false false false false false false false false false true true true true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 137 0 true 1390 true false false false false false false false false false false false false false X 15 14 false false false false false false false true true false false true true true true false true true true false OH X CARL EBNER 3302978076 PO BOX 1204 RAVENNA OH 44266 Beaty Carole Director 2.0 0.0 X 0 0 0 Colecchi Stephen President & CEO 60.0 0.0 X 383702 0 91836 Conner Marjorie Director 2.0 0.0 X 0 0 0 DeLuke Michael Director 2.0 0.0 X 0 0 0 Dix David Director 2.0 0.0 X 0 0 0 Dorsey Marlene Director 2.0 0.0 X 0 0 0 Giulitto Joseph Director 2.0 0.0 X 0 0 0 Herington Leigh Director 2.0 0.0 X 0 0 0 Howard Robert Director 2.0 0.0 X 0 0 0 Ober Gordon L Chair 2.0 0.0 X X 0 0 0 Paul Martin Secretary 2.0 0.0 X X 0 0 0 Petrone Deborah Treasurer 2.0 0.0 X X 0 0 0 Rhodes Rosemary Director 2.0 0.0 X 0 0 0 Toppen Timothy Director 2.0 0.0 X 0 0 0 Tsai A Roger Vice Chair 2.0 0.0 X X 0 0 0 Breedlove Linda VP, Patient Care Services 60.0 0.0 X 226587 0 54125 Francis Stephen VP, Medical Affairs 60.0 0.0 X 251295 0 71588 Ebner Carl VP of Finance 60.0 0.0 X 246116 0 77323 Fuchs Michael Chief Legal Officer 60.0 0.0 X 154084 0 33120 Prestegaard Benjamin Physician 60.0 0.0 X 277648 0 49840 Carroll Jennifer Physician 60.0 0.0 X 256093 0 34792 Homafar Soghra Physician 60.0 0.0 X 242975 0 52428 Rosenwasser Alan Physician 60.0 0.0 X 236032 0 72582 Banerjee Tanya Physician 60.0 0.0 X 233730 0 35616 2508262 0 573250 50 false true false AMERISOURCEBERGEN CORPORATION 1300 MORRIS DRIVE CHESTERBROOK PA 19087 PHARMACEUTICAL SVCS 4633868 OWENS MINOR INC 1160 MARQUETTE ST CLEVELAND OH 44114 MEDICAL SUPPLIES 3752245 ALLSCRIPTS 222 MERCHANDISE MART PLAZA CHICAGO IL 60654 HEALTHCARE TECH. 1304303 SUMMACARE 10 N MAIN STREET AKRON OH 44308 HEALTH INSURANCE 1181819 Portage Physical Therapy Inc 771 N Freedom St RAVENNA OH 44266 Physical Therapy 3095200 90 0 NET PATIENT SERVICE REVENUE LESS BAD DEBTS 900099 125227000 125227000 1104136 ROBINSON RADIATION ONCOLOGY 900099 1152000 1152000 126379000 486000 486000 0 0 0 0 0 78000 78000 78000 78000 0 0 0 CAFETERIA SALES 900099 790000 790000 SUPPLY REBATE INCOME 900099 521000 521000 EMHR MEANINGFUL USE PAYMENTS 900099 1718000 1718000 30597000 30597000 33626000 160569000 160005000 1104136 564000 0 0 0 0 1590000 1590000 1492000 1492000 51524000 51524000 0 15231000 15231000 0 0 712000 712000 0 0 0 0 16810000 16810000 104000 104000 21922000 21922000 2924000 2924000 0 6113000 6113000 245000 245000 0 0 2252000 2252000 0 3773000 3773000 1964000 1964000 SPECIAL CHARGES 6853000 6853000 TAXES 2355000 2355000 SWAP INTEREST VAL. ADJ. 1421000 1421000 BILLING COSTS 656000 656000 581000 581000 138522000 136932000 1590000 0 0 0 0 10319000 0 0 0 17963000 0 0 0 0 0 0 0 0 0 0 86802951 54379951 0 32423000 0 0 0 13727000 0 6274000 0 0 0 30718000 0 111424000 0 15811000 0 0 0 0 0 0 0 0 0 0 0 55595000 0 0 0 12227000 0 83633000 X 0 24473000 0 3318000 0 0 0 27791000 0 111424000 X 22047000 5744000 X false true X true false X 6936000 6936000 35652000 14722000 20930000 157000 144000 13000 40305000 38174000 2131000 3747000 1334000 2413000 32423000 INVEST. DEPOSITED W/ TRUSTEE 491000 F INVESTMENTS 13236000 F 13727000 BENEFICIAL INT. IN FOUNDATION 6274000 F 6274000 ASSETS LIMITED BY BOARD 28348000 ASSETS LIMITED BY TRUST 1889000 TEMPORARILY RESTRICTED ASSETS 481000 30718000 0 OTHER CURRENT LIABILITIES 7928000 INTEREST RATE SWAP AGREEMENT 1421000 MEDICAL MALPRACTICE 2878000 12227000 X FORM 990, SCHEDULE D, PART X, LINE 2 ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILTY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. true true true X true X true true false false 2217000 977000 1240040 0.01000 2263000 2263000 0.01700 4480000 977000 3503040 0.02700 212769 12399 200370 0.00200 659400 659400 0.00500 872169 12399 859770 0.00700 5352169 989399 4362810 0.03400 false 12900000 24249000 30416000 -6167000 X true true 1 1 Robinson Memorial Hospital 6847 N Chestnut Street Ravenna OH 44266 www.robinsonmemorial.org X X X X Robinson Memorial Hospital 1 true true false false true X 100 300. X X X false true X X X true X X X X X X X X X true X false true X false false Part V, Section B, Line 2 In 2012, Robinson Health System Inc. was formed and received its tax exempt status. On January 1, 2014, the operations of Robinson Memorial Hospital, a political subdivision, were transferred by the Portage County Commissioner to Robinson Health System, Inc. PART V, SECTION B, LINE 20 NO BOXES ARE CHECKED FOR THIS LINE DUE TO THE FACT THAT NO RHS FACILITIES OR OTHER ORGANIZATIONS ENGAGED IN ANY OF THE ACTIONS DESCRIBED IN PART V, LINE 20. Part V, Section B, Line 22(d) The amounts Robinson Memorial Hospital charges for services to an individual range between 0% - 75% of gross hospital charges depending on eligibility for financial assistance. As per policy, any individual will not be billed more than any insurance company and that the 75% cap on gross charges satisfies the requirement, even with Medicare rates considered. 4 Robinson Health Center Streetsboro 9318 St Rt 14 Streetsboro OH 44241 Outpatient Health Center Robinson Imaging Center at Kent 401 Devon Place Kent OH 44240 Outpatient Health Center Robinson Imaging Center at Streetsboro 9318 St Rt 14 Streetsboro OH 44241 Outpatient Health Center Robinson Sleep Disorders at Streetsboro 9318 St Rt 14 Streetsboro OH 44241 Outpatient Health Center Part I, Line 7 AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE AVAILABLE SOURCES. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE FINANCIAL ASSISTANCE COST USING HOSPITAL FINANCIAL STATEMENTS. MEDICAID SHORTFALL FOR GROUP SUBORDINATES WAS CALCULATED; 1) BASED ON TAX YEAR'S MEDICAID COST REPORTADJUSTED TO REFLECT FULL COSTS TO DIRECT OFFSETTING REVENUE FROM THE MEDICAID COST REPORT, OR 2) BASED ON A COST-TO-CHARGE RATIO AND MEDICAID REVENUES DERIVED USING FINANCIAL STATEMENTS. COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT COSTS HAVE BEEN REPORTED BASED ON ACTUAL EMPLOYEE COMPENSATION RATES AND OTHER DIRECT COSTS. THE MEDICARE COST REPORT, ADJUSTED TO REFLECT FULL COSTS, WAS USED TO DETERMINE GROSS COMMUNITY BENEFIT EXPENSEFOR HEALTH PROFESSIONS EDUCATION; DIRECT OFFSETTING REVENUES ARE INCLUDED FROM MEDICARE. PART III, SECTION A, LINE 2 THE COST OF BAD DEBT IS CALCULATED USING A COST TO CHARGE RATIO. ALLOWANCES ARE MADE FOR ESTIMATED DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS. Part III, Section A, Line 4 TEXT TO ADUITED FINANCIAL STATEMENT FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE - ACCOUNTS RECEIVABLE; ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABLITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION OF BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISIOIN OF BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACOCUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNFICANT PROVISION FOR BAD DEBTS 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) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMIEND TO BE UNCOLLECTIBLE. END TEXT TO FOOTNOTE. THE BAD DEBT EXPENSE DISCLOSED IN THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FILING INCLUDES AMOUNTS FOR ENTITEIS THAT ARE NOT INCLUDED IN THIS RETURN. THIS FOOTNOTE CAN BE FOUND ON PAGE 7 OF THE AUDITED FINANCIAL STATEMENTS. PART III, SECTION A, LINE 8 THE HOSPITAL PROVIDES SERVICES TO MANY LOW-INCOME MEDICARE RECIPIENTS. THE MEDICARE LOSSES SUSTAINED ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COST. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOER HOSPITALS, PROVIDES THAT IF A HOSPITAL SERVES PATIENTS COVERED BY GOVERNMENTAL HEALTHBENEFITS,INCLUDING MEDICARE, THEN THIS NDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY, IN TURN, TREATING MEDICARE PATIENTS IS CONSIDERED A COMMUNITY BENEFIT. COSTS ARE DERIVED USING THE MEDICARE COST REPORT. PART III, SECTION C, LINE 9B PATIENT LIABILITIES FOR SERVICES RENDERED BY ROBINSON HEALTH SYSTEM, INC., D/B/A ROBINSON MEMORIAL HOSPITAL ("ROBINSON"), SHALL BE COLLECTED FROM ALL PATIENTS. IF A PATIENT QUALIFIES FOR A 100% FINANCIAL ASSISTANCE DISCOUNT, COLLECTION OF THE ACCOUNT IS NOT PURSUED. IF A PATIENT RECEIVES A PARTIAL DISCOUNT UNDER THE FINANCIAL ASSISTANCE PROGRAM, ANY REMAINING BALANCE NOT DISCOUNTED IS TREATED IN ACCORDANCE WITH THE HOSPITALS COLLECTION POLICY. PART VI, LINE 2 ALTHOUGH A CHNA HAS NOT YET BEEN COMPLETED, ROBINSON WILL IMPLEMENT A CHNA WITH THE ASSISTANCE OF UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (UHHS). UHHS WILL ASSESS THE HEALTH CARE NEEDS OF ROBINSON'S COMMUNITIES THROUGH ASSESSMENTS OF ENVIRONMENTAL, DEMOGRAPHIC, AND ECONOMIC FACTORS. UHHS WILL ALSO USE ROBINSON PATIENT SURVEYS REGARDING HEALTH CARE UTILIZATION AND WILL WORK ACTIVELY WITH VARIOUS PARTNERS THROUGH THE COMMUNITIES ROBINSON SERVES. UHHS WILL COLLABORATIVELY WORK WITH COMMUNITY ORGANIZATIONS IN ROBINSON'S SERVICE AREAS (I.E. NEIGHBORHOOD CONNECTIONS, LOCAL DEPARTMENTS OF PUBLIC HEALTH, LOCAL DISEASE FOUNDATIONS, ETC.). UHHS WILL WORK CLOSELY WITH LOCAL GOVERNMENTS AND ELECTED OFFICIALS TO UNDERSTAND ROBINSON'S COMMUNITIES' NEEDS AND WORK TO IMPLEMENT PROGRAMS AND ACTIVITIES TO ASSIST IN RESPONDING TO THOSE NEEDS. PART VI, LINE 3 Robinson informs and educates patients and persons who may be billed for patient care about options for resolution of their balances, including assistance under government programs and under the Robinson Financial Assistance Program ("Assistance Program") in a variety of ways. At time of admission, Robinson notifies individuals about the Assistance Program. Signage for the Assistance Program and contact information for our financial counselors can be found in various locations such as the emergency department. Information about the Assistance Program can also be found on the Robinson website. emergency department. Information about the Assistance Program can also be found on the Robinson website. Part VI, Line 4 The community served by Robinson is defined based on the geographic origin of the hospital's inpatients. The primary service area ("PSA") is the geographic area from which the majority of Robinson's patients originate. The PSA is comprised of Portage County, Ohio. Portage County is a mixed demographic with both urban and rural populations. Robinson remains the only hospital in Portage County. Part VI, Line 5 Robinson continues to invest in itself and the community through enhanced classes, screenings, support groups and programs that meet the health care needs of communities and patients it services. Examples of these programs include Women Health Month; Diabetes Expo; Support Groups for Grief, Ostomy, and Strokes; Sleep Disorder Programs; Smoking Cessation Programs; and Arthritis Programs. As a result of these community outreach programs, Robinson has helped over 3,000 individuals in 2014. Part VI, Line 6 Robinson Health System, Inc. is a Section 501(C)(3) entity that controls Robinson Health Affiliates, Inc. (34-1499719). Robinson Health Affiliates, Inc. is a Section 501(C)(3) entity that provides staffing to the Robinson Health System, Inc.'s physician practices and urgent care. Robinson Memorial Hospital Foundation (34-1510544) is a Section 501(C)(3) entity that operates independently of Robinson Health System, Inc. Robinson Memorial Hospital Foundation supports Robinson Health System. Part VI, Line 7 The state filing of community benefit report is not applicable to Robinson and has not been completed. X X X X X false false false false false false false false false Colecchi Stephen President & CEO 373622 0 0 0 10080 0 73619 0 18217 0 475538 0 0 0 Breedlove Linda VP, Patient Care Services 226587 0 0 0 0 0 38569 0 15556 0 280712 0 0 0 Francis Stephen VP, Medical Affairs 233795 0 0 0 17500 0 58280 0 13308 0 322883 0 0 0 Prestegaard Benjamin Physician 273898 0 3750 0 0 0 30925 0 18915 0 327488 0 0 0 Carroll Jennifer Physician 217673 0 38420 0 0 0 28419 0 6373 0 290885 0 0 0 Homafar Soghra Physician 217407 0 25568 0 0 0 32650 0 19778 0 295403 0 0 0 Rosenwasser Alan Physician 220094 0 15938 0 0 0 54282 0 18300 0 308614 0 0 0 Banerjee Tanya Physician 215404 0 18326 0 0 0 22307 0 13309 0 269346 0 0 0 Ebner Carl VP of Finance 228616 0 0 0 17500 0 58000 0 19323 0 323439 0 0 0 Fuchs Michael Chief Legal Officer 154084 0 0 0 0 0 14964 0 18156 0 187204 0 0 0 A Board of County Hospital Trustees Portage Count OH 346002242 2012-09-17 41050000 SEE PART VI FOR DESCRIPTION false false false B Board of County Hospital Trustees Portage Count OH 346002242 2011-02-24 9400000 SEE PART VI FOR DESCRIPTION false false false C Board of County Hospital Trustees Portage Count OH 346002242 2010-12-30 7710000 SEE PART VI FOR DESCRIPTION false false false A 2565000 0 41050000 0 0 0 600000 0 0 0 40450000 0 2012 true false true true B 0 0 9400000 0 0 0 25000 0 0 0 9375000 0 2011 true false true true C 0 0 7710000 0 0 0 75000 0 0 0 7635000 0 2010 true false true true A false false true true false false 0 false false false false B false false true true false false 0 false false false false C false false true true false false 0 false false false false A false true false false true false 0 false 0 false false B false true false false true false 0 false 0 false false C false true false false true false 0 false 0 false false A false B false C false SEE PART VI FOR DESCRIPTION LINE A, COLUMN (F), THE SERIES 2012 BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2008 BONDS, ISSUED 10/08/2008. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. LINE B, COLUMN (F), THE SERIES 2011 BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2005 BONDS, ISSUED 08/18/2005. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. LINE C, COLUMN (F), THE SERIES 2010 BONDS REFUNDED A PORTION OF THE OUTSTANDING SERIES 2005 BONDS, ISSUED 08/18/2005. THE BONDS ARE PRIVATELY PLACED WITH A BANK COMMITMENT. PARTS III AND IV: ROBINSON HEALTH SYSTEM, INC. WAS ACQUIRED BY UNIVERSITY HOSPITALS HEALTH SYTEM, INC. (UHHS) ON JUNE 1, 2015. AS A RESULT OF THIS ACQUISITION, ROBINSON HEALTH SYSTEM, INC. HAS adopted all of UHHS' bond policies and procedures, including those described in Part III, line 9, Part IV, line 7, and Part V. ENTITY DBA NAMES/ACRONYMS FOR PURPOSES OF DISCLOSURES WITHIN THIS RETURN, ROBINSON HEALTH SYTEM, INC. D/B/A ROBINSON MEMORIAL HOSPITAL IS AT TIMES REFERRED TO AS "ROBINSON" AND/OR THE "SYSTEM". Form 990, Part I, Line 1 The mission of Robinson Memorial Hospital is to provide high quality, caring and cost effective services; to inspire staff to exceed the expectations of our patients and their families; and to achieve financial results to ensure its continued success. FORM 990, PART VI, SECTION B, LINE 11 ON JUNE 1, 2015, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. BECAME THE SOLE MEMBER OF ROBINSON HEALTH SYSTEM, INC. ("UH"). AS THE SOLE MEMBER AND PARENT ORGANIZATION OF ROBINSON DURING THE EXTENDED FILING PERIOD OF THIS FORM, UH'S GOVERNING BODY APPROVED THIS FORM FOR FILING. THE UH AUDIT AND COMPLIANCE COMMITTEE HAS BEEN DELEGATED AUTHORITY TO REVIEW AND APPROVE THE FORM 990 BY THE UH BOARD. THE Audit and Compliance Committee RECEIVES A COMPLETE COPY OF THE RETURN TO bEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION C, LINE 12C ROBINSON HAS ADOPTED A CONFLICT OF INTEREST POLICY (THE "POLICY") THAT APPLIES TO ALL MEMBERS OF MANAGEMENT, PHYISICIANS, DIRECTORS, OFFICERS, OTHER DISQUALIFIED PERSONS, PURSUANT TO INTERMEDIATE SANCTIONS REGULATIONS. ROBINSON REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. INDIVIDUALS TO WHICH THE POLICY APPLIES ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE POLICY. ALL DISCLOSURES ARE REVIEWED BY MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE AND PHYSICIAN COMPENSATION IS APPROVED BY THE BOARD OF ROBINSON. COMPENSATION AND BENEFITS INFORMATION IS REVIEWED TO ENSURE IT IS BASED ON AN APPROPRIATE MARKET LEVEL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY, MAY BE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9, CHANGE IN NET ASSETS NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS: $3,318,000 NET CHANGE IN PERMANENTLY RESTRICTED NET ASSETS: $1,772,000 CHANGE IN BENEFICIAL INTEREST IN FOUNDAITON: $ 654,000 Total: $5,744,000 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1141000 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEE TOTAL FEES:1013000 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL/CLINICAL SERVICES TOTAL FEES:408000 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:14248000 Robinson Health Affiliates Inc 6847 N Chestnut St PO Box 1204 Ravanna OH 44266 341499719 Phys. Offices OH 501(c)(3) 11a Rob H Systm true Robinson Memorial Hospital Foundation 6847 N Chestnut St - PO Box 1204 Ravenna OH 44266 341510544 Foundation OH 501(C)(3) III NA true AUXILIARY OF ROBINSON MEMORIAL HOSPITAL 6847 N CHESTNUT ST RAVENNA OH 44266 340771932 AUXILIARY OH 501(C)(3) III NA false Robinson PPO Inc 6847 N Chestnut St Ravenna OH 44266 341474835 Prefer. Provider OH NA C Corp true false false false false false false false false false false false false false false false true false false false ROBINSON HEALTH AFFILIATES Inc P 4604212 COST