AULTMAN HEALTH FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- AULTMAN HEALTH FOUNDATION (EIN 34-0714581)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-09-29
- IRS object ID
- 201432749349300628
- Schema version
- 2013v3.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-09-29T08:36:29-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714581 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLI | BusinessNameControlTxt |
| Phone | 3305966000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E State Street | AddressLine1 |
| City | Alliance | City |
| State | OH | State |
| ZIP Code | 44601 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dale Wells | PersonNm |
| Person Title | Chief Financial & Operating Officer | PersonTitleTxt |
| Phone | 3305967066 | PhoneNum |
| Signature | 2014-09-29 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dale W Wells | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E State Street | AddressLine1 |
| City | Alliance | City |
| State | OH | State |
| ZIP Code | 44601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $103,310,161 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.achosp.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1901 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | Alliance Community Hospital is an acute care hospital providing care to all, regardless of ability to pay. The most significant activities include inpatient and outpatient care, surgical procedures, radiology, skilled nursing facility, lab and emergency treatment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1197 | TotalEmployeeCnt |
| Total Volunteers | 325 | TotalVolunteersCnt |
| Total Gross UBI | $43,513 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,695 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $377,208 | PYContributionsGrantsAmt |
| CY Contributions Grants | $173,166 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $94,533,735 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $99,434,554 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$43,384 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,555 | CYInvestmentIncomeAmt |
| PY Other Revenue | $986,941 | PYOtherRevenueAmt |
| CY Other Revenue | $3,677,487 | CYOtherRevenueAmt |
| PY Total Revenue | $95,854,500 | PYTotalRevenueAmt |
| CY Total Revenue | $103,291,762 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $42,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $39,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,094,417 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $55,420,803 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $46,315 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,457,559 | PYOtherExpensesAmt |
| CY Other Expenses | $44,075,125 | CYOtherExpensesAmt |
| PY Total Expenses | $93,593,976 | PYTotalExpensesAmt |
| CY Total Expenses | $99,535,678 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,260,524 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,756,084 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $107,498,046 | TotalAssetsBOYAmt |
| Total Assets EOY | $101,405,339 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $65,050,955 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $60,429,203 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,447,091 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,976,136 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Alliance Community Hospital's (ACH) mission is to provide our patients and guests with a safe, comforting, and healing environment. This mission is accomplished through our Planetree philosophy of caring and provides for all patients to receive the appropriate care - physical, spiritual and social - regardless of their ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,874,338 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,366,494 | RevenueAmt |
| Desc | Inpatient health care programs account for ACH's largest program service, providing medical services to patients from Alliance and surrounding communities. ACH admitted 3,733 patients (which includes 418 births) totaling 18,862 days of care from our staff. Various services include care from our Senior Care/Psychiatric Department, Medical Surgical Departments, Obstetrics, Intensive Care Unit, Dialysis, and Inpatient Rehabilitation Unit. Total expenses for inpatient health care in 2013 was $15.9 million. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,707,872 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,496,953 | RevenueAmt |
| Desc | Surgical procedures account for our second largest program service. In addition to Inpatient surgical procedures, ACH provides Same Day Surgery and Endoscopy services. Our surgical services departments performed 22,700 surgical procedures costing $10.7 million. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,386,155 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,036,332 | RevenueAmt |
| Desc | Radiology is ACH's third largest program service which includes Imaging, Womens Wellness, Ultrasound, MRI, Nuclear Medicine, and CT Scan. ACH provides a full service Radiology Department for Alliance and the surrounding communities that is used not only for the routine daily images, but also to service our Emergency Room 24 hours a day, 7 days per week. ACH is also providing women's wellness services to promote women's health in our service area. In 2013 ACH provided 60,357 tests costing $7.4 million. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $51,087,307 | ExpenseAmt |
| Grant | $39,750 | GrantAmt |
| Revenue | $64,776,588 | RevenueAmt |
| Desc | All other program services | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $51,087,307 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $39,750 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $64,776,588 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $85,055,672 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 140 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1197 | 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 |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dale Wells | PersonNm |
| Phone | 3305967066 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E State Street | AddressLine1 |
| City | Alliance | City |
| State | OH | State |
| ZIP Code | 44601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Don McAlister | |||||||||
| President | 1 | 3 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| David Lundgren | |||||||||
| Vice President | 1 | 2 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William McCallum | |||||||||
| Secretary | 1 | 2 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ron Lyons | |||||||||
| Treasurer | 1 | 3 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dan Davia | |||||||||
| Trustee | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Dr Paul Garfinkle | |||||||||
| Trustee | 1 | 0 | Yes (X) | $7,500 | $0 | $0 | |||
| Teresa Golden-McClelland | |||||||||
| Trustee | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| John Gross | |||||||||
| Trustee | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Mike Hoover | |||||||||
| Trustee | 1 | 3 | Yes (X) | $0 | $0 | $0 | |||
| Scott Ingledue | |||||||||
| Trustee | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Stan Jonas | |||||||||
| Trustee, Chief Executive Officer | 41 | 6 | Yes (X) | Yes (X) | $402,416 | $0 | $23,634 | ||
| Dr Duane Kuentz | |||||||||
| Trustee, Physician | 41 | 1 | Yes (X) | $221,579 | $0 | $17,145 | |||
| Dr Debra Lehrer | |||||||||
| Trustee | 1 | 1 | Yes (X) | $106,941 | $15,000 | $0 | |||
| Gary Wagner | |||||||||
| Trustee | 1 | 1 | Yes (X) | $0 | $0 | $0 | |||
| Dale Wells | |||||||||
| Chief Financial & Operating Officer | 40 | 6 | Yes (X) | $215,831 | $0 | $26,982 | |||
| Amy Antonacci | |||||||||
| VP, Patient Care Services | 40 | 0 | $159,448 | $0 | $17,904 | Yes (X) | |||
| Dr David Mungo | |||||||||
| Physician | 40 | 0 | $651,659 | $0 | $29,495 | Yes (X) | |||
| Dr Steven Deutch | |||||||||
| Physician | 40 | 0 | $528,287 | $0 | $29,495 | Yes (X) | |||
| Dr Michael Necci | |||||||||
| Physician | 40 | 0 | $499,760 | $0 | $29,403 | Yes (X) | |||
| Dr David Kanagy | |||||||||
| Physician | 40 | 0 | $447,856 | $0 | $27,445 | Yes (X) | |||
| Dr Karamjit Bhullar | |||||||||
| Physician | 40 | 0 | $492,139 | $0 | $30,443 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,733,416 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,000 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $231,946 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2 |
|---|---|---|---|---|---|---|
| Anesthesia Associates of Alliance LLC | ||||||
| 200 E State Street | Alliance | OH | 44601 | Anesthesiologists | $685,100 | |
| Salem Surgical Services LLC | ||||||
| 944 Greenbriar Parkway | Kent | OH | 44240 | Lithotripsy Services | $592,720 | Suite B |
| S S & G Healthcare Services | ||||||
| PO Box 39453 | Cleveland | OH | 44139 | Phys. practice billing & consulting | $523,236 | |
| ARUP Laboratories | ||||||
| PO Box 27964 | Salt Lake City | UT | 84127 | Lab Services | $422,179 | |
| Transtech Medical Solutions | ||||||
| 730 N Post Oak Rd | Houston | TX | 77024 | Transcription Services | $223,280 | Suite 120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $29,480 | FundraisingAmt |
| Related Organizations | $121,527 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $22,159 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $173,166 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Revenue | 622110 | $98,467,632 | $98,467,632 | $0 | $0 |
| Cafeteria | 722212 | $712,399 | $0 | $0 | $712,399 |
| Other Hospital Services | 900099 | $152,398 | $0 | $0 | $152,398 |
| Program Related Investment Income | 900099 | $61,835 | $61,835 | $0 | $0 |
| Patient Education | 900099 | $40,290 | $40,290 | $0 | $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 | $99,434,554 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,942 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,942 | 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 | $510,194 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $510,194 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $510,194 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $510,194 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $387 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$387 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$387 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$387 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $28,282 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $29,480 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,012 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,270 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,270 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Change in Fair Value of Interest Rate | 900099 | $2,618,059 | $2,618,059 | $0 | $0 |
| Deferred Revenue Earned | 900099 | $360,000 | $360,000 | $0 | $0 |
| EHR Incentive Payments | 900099 | $128,551 | $128,551 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,413 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $43,513 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,900 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,157,023 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,291,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,676,367 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $43,513 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,398,716 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,750 | TotalAmt |
| Program Services | $39,750 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,539 | TotalAmt |
| Program Services | $178,273 | ProgramServicesAmt |
| Management And General | $672,266 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,070,329 | TotalAmt |
| Program Services | $37,876,746 | ProgramServicesAmt |
| Management And General | $6,156,544 | ManagementAndGeneralAmt |
| Fundraising | $37,039 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $938,910 | TotalAmt |
| Program Services | $806,957 | ProgramServicesAmt |
| Management And General | $131,164 | ManagementAndGeneralAmt |
| Fundraising | $789 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,447,437 | TotalAmt |
| Program Services | $5,541,323 | ProgramServicesAmt |
| Management And General | $900,695 | ManagementAndGeneralAmt |
| Fundraising | $5,419 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,113,588 | TotalAmt |
| Program Services | $2,641,827 | ProgramServicesAmt |
| Management And General | $469,140 | ManagementAndGeneralAmt |
| Fundraising | $2,621 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,056 | TotalAmt |
| Program Services | $186,803 | ProgramServicesAmt |
| Management And General | $258,253 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,027 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $396,027 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,900 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $70,900 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,101,490 | TotalAmt |
| Program Services | $859,495 | ProgramServicesAmt |
| Management And General | $241,995 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,828 | TotalAmt |
| Program Services | $287,587 | ProgramServicesAmt |
| Management And General | $7,241 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,912,394 | TotalAmt |
| Program Services | $19,844,224 | ProgramServicesAmt |
| Management And General | $1,067,949 | ManagementAndGeneralAmt |
| Fundraising | $221 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,008,519 | TotalAmt |
| Program Services | $1,807,016 | ProgramServicesAmt |
| Management And General | $201,503 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,685,640 | TotalAmt |
| Program Services | $1,530,611 | ProgramServicesAmt |
| Management And General | $155,029 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,596 | TotalAmt |
| Program Services | $316,958 | ProgramServicesAmt |
| Management And General | $64,638 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,146,843 | TotalAmt |
| Program Services | $1,829,089 | ProgramServicesAmt |
| Management And General | $317,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,623,097 | TotalAmt |
| Program Services | $4,790,822 | ProgramServicesAmt |
| Management And General | $832,275 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $945,671 | TotalAmt |
| Program Services | $869,562 | ProgramServicesAmt |
| Management And General | $76,109 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Purchased Services | $7,734,493 | $5,416,955 | $2,317,312 | $226 |
| Dues & Subscriptions | $161,667 | $91,659 | $70,008 | $0 |
| Minor Equipment | $166,904 | $140,015 | $26,889 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,535,678 | TotalAmt |
| Program Services | $85,055,672 | ProgramServicesAmt |
| Management And General | $14,433,691 | ManagementAndGeneralAmt |
| Fundraising | $46,315 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,662,611 | BOYAmt |
| EOY | $4,740,298 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,526,678 | BOYAmt |
| EOY | $11,791,428 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,721,822 | BOYAmt |
| EOY | $1,177,634 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $877,021 | BOYAmt |
| EOY | $955,802 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,825,103 | BOYAmt |
| EOY | $1,676,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $118,208,319 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $42,286,266 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,240,864 | BOYAmt |
| EOY | $75,922,053 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,100 | BOYAmt |
| EOY | $134,100 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,534 | BOYAmt |
| EOY | $250,052 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,234,313 | BOYAmt |
| EOY | $4,757,913 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,498,046 | BOYAmt |
| EOY | $101,405,339 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,958,409 | BOYAmt |
| EOY | $12,328,371 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,160,000 | BOYAmt |
| EOY | $1,800,000 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,932,546 | BOYAmt |
| EOY | $46,300,832 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,050,955 | BOYAmt |
| EOY | $60,429,203 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,213,847 | BOYAmt |
| EOY | $40,743,341 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,244 | BOYAmt |
| EOY | $232,795 | 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 | $42,447,091 | BOYAmt |
| EOY | $40,976,136 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,498,046 | BOYAmt |
| EOY | $101,405,339 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,756,084 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$5,227,039 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $15,607,377 | OtherCostOrOtherBasisAmt |
| Book Value | $15,607,377 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $64,979,709 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,683,429 | DepreciationAmt |
| Book Value | $51,296,280 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $36,691 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,900 | DepreciationAmt |
| Book Value | $20,791 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $33,011,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,470,480 | DepreciationAmt |
| Book Value | $7,541,034 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,573,028 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,116,457 | DepreciationAmt |
| Book Value | $1,456,571 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $75,922,053 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 | FormAndLineReferenceDesc |
| Explanation | The endowment funds are held by Alliance Community Hospital Foundation, a related 501(c)(3) organization. The intended use of the organization's endowment funds is to hold the principal in perpetuity and use the interest for the general operations of the organization. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Charity Golf Classic | NameOfEvent1Amt |
| Gross Receipts Event1 | $57,762 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $29,480 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,282 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $2,685 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $66 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $6,830 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $6,681 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,750 | OtherDirectExpensesEvent1Amt |
| Food And Beverage Other Events | $0 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Gross Receipts Total | $57,762 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $29,480 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $28,282 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,685 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $66 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,830 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $6,681 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $0 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,750 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,012 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $10,270 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule G, Part II, Line 1 | FormAndLineReferenceDesc |
| Explanation | Proceeds from the Charity Golf Classic were donated to: the Alliance Family YMCA, Alliance for Children and Families, the Stark County Regional Planning Commission and the Alliance Area Development Foundation. See Schedule I. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $3,562,290 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,727,698 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,834,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0184 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,488,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,601,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,887,010 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0391 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00 | 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 | $15,050,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,329,098 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,721,602 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0575 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $284,397 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $284,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $649,294 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $393,861 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $255,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0026 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,133,960 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,789,574 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,344,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1441 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $136,518 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $101,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $44,204,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,284,787 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,919,382 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $59,254,869 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,613,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,640,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.2075 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00059 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00001 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00021 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $80,708 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $80,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00081 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,493,801 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $977,507 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,084,377 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,562,214 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$477,837 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| 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 | Alliance Community Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E State Street | AddressLine1 |
| City | Alliance | City |
| State | OH | State |
| ZIP Code | 44601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.achosp.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Visiting Nurse Assn, Skilled Nursing Facility, Hospice, Senior Care/Psych Unit, Rehab Unit | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alliance Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.achosp.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Lawsuit | Yes (X) | PermitLawsuitInd |
| Permit Lien On Residence | Yes (X) | PermitLienOnResidenceInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Lawsuit | Yes (X) | LawsuitInd |
| Liens On Residences | Yes (X) | LiensOnResidencesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule H, Part V, Section B, Line 3-Alliance Community Hospital | FormAndLineReferenceDesc |
| Explanation | As part of the ACH CHNA, The Center for Marketing and Opinion Research conducted a focus group of 12 area community leaders and physicians to explore community health needs and opportunities to better meet those needs in the future. The agencies represented in the group included local government, Alliance Community Hospital, Alliance City Schools, Alliance YMCA, Alliance Health Department, Alliance for Children and Families, Louisville Food Pantry and Dr. Eichners General Practitioner Office. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | 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 | Alliance Community Medical Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E State Street | AddressLine1 |
| City | Alliance | City |
| State | OH | State |
| ZIP Code | 44601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Physician Practices | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a | Alliance Community Hospital's (ACH) community benefit report is contained in a report prepared by Alliance Community Hospital Foundation (EIN 34-1531817), a related organization. |
| Schedule H, Part I, Line 7 | ACH's cost accounting system was used to calculate the amounts reported in the table for line 7. The cost accounting system addresses all patient segments specific to ACH. Where applicable, a cost to charge ratio was used and the ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. |
| Schedule H, Part I, Line 7g | Subsidized health services data on line 7g does not include any costs attributable to a physician clinic; thus there are no costs to report in Part VI. |
| Schedule H, Part II | ACH's Inhouse Hospitalilty Program is a 16 week program offered annually during the spring school semester. It is geared to teach handicapped high school students job, life, and personal skills. Students are mentored by an ACH colleague. ACH colleagues also reach out to the community to protect and improve community health and safety. ACH offers reading programs to special-needs children and therapeutic programs to local nursing home residents. ACH colleagues provide leadership development and training through programs such as Safe Kids of Stark County. Numerous colleagues participate in collaborative events including blood drives, local YMCA health challenges, and local health-related boards such as the Prescription Assistance Network of Stark County, The Stark County Health Needs Advisory Committee, The Alzheimer Association, Domestic Violence, Alliance for Children and Families, and the Stark County Minority Health Coaltion. |
| Schedule H, Part III, Section A, Line 2 | Bad debt expense at cost was calculated by multiplying bad debt expense per the audited financial statements times the cost to charge ratio derived from Worksheet 2. |
| Schedule H, Part III, Section A, Line 3 | Estimated bad debt expense attributable to patients eligible under ACH's charity care policy, was calculated based on the estimated percentage determined by reviewing patient demographics, historical collection rates, current economic conditions, and employee experience in our patient accounts and credit department. |
| Schedule H, Part III, Section A, Line 4 | See page 8 of the AFS for footnote text re: bad debt exp included under Patient Accounts Receivable. |
| Schedule H, Part III, Section B, Line 8 | Part III lines 5 & 6 data was derived based on Worksheet B from Medicare Cost Reports excluding subsidized programs included on Part I line 7g. Reimbursement was less than allowable cost creating a shortfall in 2013. The shortfall calculated on Part III should be considered community benefit since ACH provided benefit greater than the reimbursement received for services. |
| Schedule H, Part III, Section C, Line 9b | ACH's collection practices for patients identified as qualifying for financial assistance is based on the account balance net of the charity write-off. As long as the patient makes a minimal monthly payment, the account is considered current. If payment is not received monthly, a call from our credit department is made along with receiving a monthly statement. If payment is then received, the account returns to "current". If there are six consecutive months without payment, the account is turned over to our collection agency to attempt to collect the balance due. ACH does not charge interest on outstanding balances. |
| Schedule H, Part VI, Line 2 | ACH has also played an active role in a county-wide health needs assessment group that is evaluating the health care needs of the community from a local perspective. Members of the group include other health care and health-related nonprofit organizations. In 2013, ACH contracted with CMOR (Center for Marketing and Opinion Research) to update the data collected in the original CHNA work as well as to integrate additional data from ACH's primary and secondary markets. A second community survey of residents in ACH's service area was conducted to ensure that there were enough residents from the service area for a statistically valid sample. A focus group of community health leaders was also conducted in July 2013. As an additional step to gain an understanding of the hospitals primary and secondary markets, secondary data with health statistics and demographics were gathered and analyzed. From ACH's own community health needs assessment, the top five community health needs are identified as 1)need for patient education and resources, 2)access to health care, 3)obesity and lack of healthy lifestyles, 4)chronic disease management and 5)childhood injuries. ACH is analyzing the data collected and has created an action plan based on the results. Implementation of the action plan is underway in 2014. |
| Schedule H, Part VI, Line 3 | During the registration process, the patient's initial financial responsibility is determined based on insurance coverage, deductibles, etc. supplied by the patient. If it is determined that the patient will be partially or fully responsible for their medical charges, then the patient will receive personal credit counseling from ACH credit personnel. ACH follows EMTALA standards for emergency room and labor visits. A Patient Billing brochure is available in the admissions and emergency room areas to all patients. The brochure provides information on financial assistance along with phone numbers so that an individual can speak to a member of the patient billing team and/or set up a personal appointment for financial assistance. In addition, monthly billing statements include a financial assistance application on the back plus phone numbers for assistance. We refer patients who we believe are eligible for Medicaid to RevCare which is an agency specializing in Medicaid eligibility and application so the patient receives the financial expertise needed for financial assistance. |
| Schedule H, Part VI, Line 4 | Alliance Community Hospital is located in Alliance, Ohio and serves Stark, Mahoning, Columbiana and other surrounding counties. The geographic service area is made up of urban, suburban, and rural areas. In 2013, our patient charges consisted of the following financial classes: 18% from individuals on Means-tested government programs or uninsured; 30% from commercial insurance, health maintenance and preferred provider organizations; and 52% from Medicare programs. Persons below the poverty level was 15.8% per the latest census data available at www.census.gov. For the surrounding area, the average household size was 2.43 and the average household income was $42,950. Persons under the age of 18 accounted for 21.4% of the population, and 18.2% of the population was 65 years and older. |
| Schedule H, Part VI, Line 5 | ACH in conjunction with its Foundation promote the health of the community by giving back both time and dollars to charitable organizations such as the local YMCA, Alliance for Children and Families, the Stark County Homeless Council, the Alliance Area Development Foundation and others. Carnation Days in the Park allowed volunteers to offer free blood pressure screenings, and health information/handouts. The Hospitals Health Caring Resources Library offers free blood pressure screenings to the community each week as well as a reference library for medical questions. A mock disaster drill gave our community emergency and police departments a chance to test and enhance its response efforts. Several community health fairs were offered by renting booth space at the local mall where shoppers could pick up information about services and free seminars offered by ACH. Some of the presentations offered to the community in 2013 included childrens safety, community CPR classes, monthly luncheon presentations on various health topics, memory screening, and general health and nutrition. ACH's Cardiopulmonary Rehab department sponsors the Heart and Sole walking program which encourages senior citizens to walk the mall for good heart health. In conjunction with the Alliance Family YMCAs city wide health challenge, ACH provided baseline for screenings such as weight, BMI. body measurements, cholesterol and glucose testing and also healthy eating, smoking cessation, women's health and stress management classes. Sports symposiums provided education to local healthcare professionals such as athletic directors, trainers and coaches. Other Health Fairs are offered free to the community at local grocery stores, farmers markets, libraries, YMCAs, and assisted living locations. Services include free osteoporosis screenings, blood pressure screens, and BMI checks. ACH sponsored a Rehab car show again in 2013. Blood Pressure Screenings were offered during the event and canned goods were collected and distributed to a local food pantry. Our Foundation staff served on the Stark County Minority Health coalition committee which was established to improve and protect the health of racial and ethnic minority populations through the development of health programs and activities that will reduce and eliminate health disparities. ACH promoted colleague support teams for The American Cancer Society, Relay for Life, and The American Heart Association. Our volunteer department coordinates ACHs participation in a local high school health sciences technology program, a Hospitality program which offers mentoring to handicapped high school students, Federal Work study programs with the local university, volunteer training to local high school students, therapeutic services to local nursing homes, and community reading programs for students and senior citizens. . As ACH supports its mission to provide a safe, comforting, healing environment, it also is committed to promoting community health. Throughout the year, managers, directors and executives are encouraged to support the community through participation in various civic groups and organizations. Each colleague is encouraged by the organization to share their unique gifts with the community in a way that furthers the purpose of the charitable organization. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Alliance Family YMCA | ||||||||
| 205 S Union St | Alliance | OH | 44601 | 340714792 | 501(c)(3) | $13,250 | $0 | General support payment as a result of the Charity Golf Classic held on behalf of these entities. |
| Alliance Area Development Fdn | ||||||||
| 2490 W State St | Alliance | OH | 44601 | 341652174 | 501(c)(3) | $13,250 | $0 | General support payment as a result of the Charity Golf Classic held on behalf of these entities. |
| Alliance for Children and Families | ||||||||
| 624 Scranton Ave | Alliance | OH | 44601 | 341590276 | 501(c)(3) | $6,625 | $0 | General support payment as a result of the Charity Golf Classic held on behalf of these entities. |
| Stark County Regional Planning Commission | ||||||||
| 201 3rd St NE | Canton | OH | 44702 | 341878856 | 501(c)(3) | $6,625 | $0 | General support payment as a result of the Charity Golf Classic held on behalf of these entities. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Alliance Community Hospital (ACH) has not provided grants to organizations outside its control. It worked in conjunction with other community, non-profit organizations to raise funds on their behalf. As such, these organizations such as the local YMCA, Stark County Regional Planning Commission, Alliance for Children and Families and Alliance Area Development Foundation are fully engaged and a participant in the fund raising process. As such, ACH relies on their participation and funding reports to verify use of the funds. Should ACH provide grants outside those listed above, then ACH will rely on the policy of lump sum funding preceeded by a grant application, approval from the Board, and then followed by a 6-month and annual evaluation of the project if needed and/or grant application funding based on reimbursement of actual expenses along with Board approval. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stan Jonas | ||||||||||||||
| Trustee, Chief Executive Officer | $384,416 | $0 | $500 | $0 | $17,500 | $0 | $6,375 | $0 | $19,421 | $0 | $428,212 | $0 | $0 | $0 |
| Dale Wells | ||||||||||||||
| Chief Financial & Operating Officer | $195,131 | $0 | $20,700 | $0 | $0 | $0 | $5,568 | $0 | $22,655 | $0 | $244,054 | $0 | $0 | $0 |
| Dr Duane Kuentz | ||||||||||||||
| Trustee, Physician | $221,579 | $0 | $0 | $0 | $0 | $0 | $8,877 | $0 | $13,515 | $0 | $243,971 | $0 | $0 | $0 |
| Amy Antonacci | ||||||||||||||
| VP, Patient Care Services | $148,948 | $0 | $10,500 | $0 | $0 | $0 | $4,008 | $0 | $14,817 | $0 | $178,273 | $0 | $0 | $0 |
| Dr David Mungo | ||||||||||||||
| Physician | $634,159 | $0 | $0 | $0 | $17,500 | $0 | $10,200 | $0 | $24,838 | $0 | $686,697 | $0 | $0 | $0 |
| Dr Steven Deutch | ||||||||||||||
| Physician | $528,287 | $0 | $0 | $0 | $0 | $0 | $10,200 | $0 | $25,194 | $0 | $563,681 | $0 | $0 | $0 |
| Dr Michael Necci | ||||||||||||||
| Physician | $473,947 | $0 | $0 | $0 | $25,813 | $0 | $10,200 | $0 | $23,499 | $0 | $533,459 | $0 | $0 | $0 |
| Dr David Kanagy | ||||||||||||||
| Physician | $430,356 | $0 | $0 | $0 | $17,500 | $0 | $10,200 | $0 | $21,216 | $0 | $479,272 | $0 | $0 | $0 |
| Dr Karamjit Bhullar | ||||||||||||||
| Physician | $474,639 | $0 | $0 | $0 | $17,500 | $0 | $10,200 | $0 | $26,243 | $0 | $528,582 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| City of Alliance Ohio | ||||||||
| A | 346000043 | 018744AA0 | 2008-01-25 | $51,150,000 | Refund the 2003 bond issue | 0 | 0 | 0 |
| City of Alliance Ohio | ||||||||
| B | 346000043 | 2010-12-28 | $16,350,000 | Refund a portion of the refunded 2003 bond issue | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $17,120,000 | $0 | $51,150,000 | $2,259,788 | $0 | $0 | $0 | $0 | $0 | $0 | $48,890,212 | $0 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $0 | $0 | $16,350,000 | $0 | $0 | $0 | $200,000 | $0 | $0 | $0 | $16,150,000 | $0 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0.001 | 0.001 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0.001 | 0.001 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JP Morgan Chase | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 24.8 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part IV, Line 2c-01/25/2008 51,150,000 City of Alliance Ohio | FormAndLineReferenceDesc |
| Explanation | Arbitrage Rebate Computation performed 2/21/2013. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 1a | The governing body of Alliance Community Hospital has delegated authority to the Executive Committee, as follows: (excerpts from the Code of Regulations) Composition of the Executive Committee: The Executive Committee shall meet at least four (4) times each year and shall be authorized to exercise all the powers of the Board of Trustees and perform all of its duties, except as otherwise provided by the Member (Alliance Citizens' Health Association), the Code of Regulations, Articles of Incorporation, or by law. The Executive Committee shall be composed of the President, the Vice President, the Secretary, Treasurer, Chief Executive Officer, President of the Medical Staff, and up to four (4) other members of the Board of Trustees. The governing body of Alliance Community Hospital (per its Code of Regulations) has delegated authority to the Board of Alliance Citizens' Health Association (the Member), a related organization, as follows: 1.) Power to elect and remove members of the Board of Trustees and/or Officers of the corporation; 2.) Approve the annual operating budgets; capital expenditures budgets; capital expenditures or dispositions of capital assets with a value in excess of such limits as shall be set from time to time by the Member; any action which requires Certificate of Need approval from the State Health Planning Development Agency; and any purchase, sale, lease, disposition, or hypothecation of real property; 3.) The incurrence of any obligation(s), liability(ies), and/or debt(s) requiring a mortgage on or security interest in any part of the assets of the corporation; 4.) Power to determine, upon dissolution of the corporation, the organization or organizations to which its remaining assets will be distributed. |
| Form 990, Part VI, Section A, Line 4 | ACH added the following duty to its Code of Regulations under, Powers Reserved to Member: "The Member (ACHA), through a committee appointed by its President, shall periodically review and update the strategic plan of the corporation." |
| Form 990, Part VI, Section A, Line 6 | See Schedule O comment for Part VI question 1a above. |
| Form 990, Part VI, Section A, Line 7a | See Schedule O comment for Part VI question 1a above. |
| Form 990, Part VI, Section A, Line 7b | See Schedule O comment for Part VI question 1a above. |
| Form 990, Part VI, Section B, Line 11b | The Form 990 is reviewed by the CFO of Alliance Community Hospital and the Hospital hires an independent accouting firm to review the Form 990 and schedules. Prior to filing, the 990 is also distributed to the Board of Trustees for their review and comments. It is then discussed as part of the financial report at the next Board meeting where any questions/concerns can be addressed. |
| Form 990, Part VI, Section B, Line 12c | Members of the Board of Trustees are required to annually review and sign a conflict of interest policy. Under that policy, the Board member (i) has a duty to disclose any conflict, and (ii) must recuse themselves from a vote and or decision when such conflict arises. If this policy is violated, then the Board shall take appropriate action which may include an investigation and disciplinary action. |
| Form 990, Part VI, Section B, Line 15 | Compensation of officers is determined by an independent (noncompensated) committee from the Board of Trustees. This committee annually reviews compensation by obtaining market surveys of the positions. |
| Form 990, Part VI, Section C, Line 17 | Ohio does not require the Form 990 to be filed with the Ohio Attorney General's Office. Instead, a "Verification of Filing with the Internal Revenue Service" form is completed stating that we did file Form 990 by the required due date. |
| Form 990, Part VI, Section C, Line 19 | The organization makes its governing documents available to the public via the Ohio Secretary of State's website. Financial statements are available in the NRMSIR filing database at www.emma.msrb.org. The conflict of interest policy is available upon request. |
| Form 990, Part XI, Line 9 | The total reduction in Net Assets at 12-31-2013 of $5,227,039 consists of net transfers to/from Section 501(c)(3) related organizations of $5,220,000 plus amortization of interest rate swap agreement of $6,590 and decrease in temporarily Restricted Net Assets of $449. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alliance Community Medical Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E State Street | AddressLine1 |
| City | Alliance | City |
| State | OH | State |
| ZIP Code | 44601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263646817 | EIN |
| Primary Activities | Physician Offices | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Total Income | $6,976,919 | TotalIncomeAmt |
| End Of Year Assets | $1,642,473 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alliance Comm Hosp | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alliance Citizens' Health Association | |||||||||||
| 200 E State St | Alliance | OH | 44601 | 341531815 | Manage Health Facil | OH | 501(C)(3) | Sch A, 11b, II | N/A | 0 | |
| Alliance Community Hospital Foundation | |||||||||||
| 200 E State St | Alliance | OH | 44601 | 341531817 | Fundraising | OH | 501(C)(3) | Sch A, 11a, I | 0 | Alliance Citizens' Health Assn | |
| Alliance Comm Hospital Auxiliary | |||||||||||
| 200 E State St | Alliance | OH | 44601 | 340777659 | Volunteer Services | OH | 501(C)(3) | Sch A, 11c, III-FI | N/A | 0 | |
| Alliance Health Institute | |||||||||||
| 200 E State St | Alliance | OH | 44601 | 341932972 | Support ACH | OH | 501(C)(3) | Sch A, 11a, I | 0 | Alliance Citizens' Health Assn | |
| Caring Hands | |||||||||||
| 885 Sawburg Rd | Alliance | OH | 44601 | 341505340 | Private Duty Nursing | OH | 501(C)(3) | Sch A, 11c, III-FI | 0 | Alliance Citizens' Health Assn | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alliance Health Partners | |||||||||||||
| 200 E State St | Alliance | OH | 44601 | 341884059 | PHO | OH | N/A | C | $0 | $0 | 0 | 0 | |
| Alliance Hospitalist Group | |||||||||||||
| 200 E State St | Alliance | OH | 44601 | 203188585 | Dr Offices | OH | C | $0 | $0 | 1 | Yes (1) | Alliance Comm Hospital | |
| Alliance Community Radiologists Inc | |||||||||||||
| 200 E State St | Alliance | OH | 44601 | 205698786 | Dr Offices | OH | C | $0 | $0 | 1 | Yes (1) | Alliance Comm Hospital | |
| Alliance Medical Associates Inc | |||||||||||||
| 200 E State St | Alliance | OH | 44601 | 911889215 | Dr Offices | OH | C | $0 | $0 | 1 | Yes (1) | Alliance Comm Hospital | |
| Alliance Pulmonary Associates Inc | |||||||||||||
| 200 E State St | Alliance | OH | 44601 | 204083441 | Dr Offices | OH | C | $0 | $0 | 1 | Yes (1) | Alliance Comm Hospital | |
| Health Alliance Inc | |||||||||||||
| 200 E State St | Alliance | OH | 44601 | 341531993 | Dr Offices | OH | C | $0 | $0 | 0 | 0 | All Citizens' Hlth Assn | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Alliance Community Radiologists Inc | ||
| a-i | $32,611 | Interest is calculated monthly and equals prime interest rate at the beginning of the year plus 1 percent times the loan balance. |
| Alliance Pulmonary Associates Inc | ||
| a-i | $26,064 | Interest is calculated monthly and equals prime interest rate at the beginning of the year plus 1 percent times the loan balance. |
| Alliance Pulmonary Associates Inc | ||
| a-iv | $8,844 | Fair vaule based on area rentals of similar square footage and type of facility. |
| Alliance Community Radiologists Inc | ||
| d | $522,000 | Current year loan advances. |
| Alliance Pulmonary Associates Inc | ||
| d | $132,000 | Current year loan advances. |
| Alliance Hospitalist Group | ||
| p | $313,623 | Current year subsidy to cover entity's expenses. |
| Alliance Medical Associates Inc | ||
| p | $526,000 | Current year subsidy to cover entity's expenses. |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part IV | FormAndLineReferenceDesc |
| Explanation | The 100% ownership in column (h) of Part IV is based on voting power, not total value of all outstanding shares; thus, colums (f) and (g) are 0. | ExplanationTxt |
Comments