FURP.ORG / PUBLIC DATA EXPLORER

UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 34-1492733)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201433219349307728
Schema version
2013v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T15:17:56-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12100 ONE PPG PLACEAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341492733EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMPREHENSIVE HEALTH CARE OF OHIO INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% DAVE COOK COOInCareOfNm
Business Name ControlCOMPBusinessNameControlTxt
Phone4403297605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
Address Line2SuiteAddressLine2
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANCIS X GARDNERPersonNm
Person TitleVP, GENERAL COUNSELPersonTitleTxt
Signature2014-11-17SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES L ZIESCHEPreparerPersonNm
PTINP01264584PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD SHELDON MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$18,341,154GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EMH-HEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionWE ARE COMMITTED TO IMPROVING THE HEALTH care OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee112TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$248,272TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$195,917NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$56,520PYContributionsGrantsAmt
CY Contributions Grants$64,450CYContributionsGrantsAmt
PY Program Service Revenue$16,096,913PYProgramServiceRevenueAmt
CY Program Service Revenue$18,392,052CYProgramServiceRevenueAmt
PY Investment Income-$147,943PYInvestmentIncomeAmt
CY Investment Income$66,003CYInvestmentIncomeAmt
PY Other Revenue$379,802PYOtherRevenueAmt
CY Other Revenue-$261,798CYOtherRevenueAmt
PY Total Revenue$16,385,292PYTotalRevenueAmt
CY Total Revenue$18,260,707CYTotalRevenueAmt
PY Grants And Similar Paid$97,094PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$63,736CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,192,643PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,968,097CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,250,993PYOtherExpensesAmt
CY Other Expenses$8,340,825CYOtherExpensesAmt
PY Total Expenses$16,540,730PYTotalExpensesAmt
CY Total Expenses$18,372,658CYTotalExpensesAmt
PY Revenues Less Expenses-$155,438PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$111,951CYRevenuesLessExpensesAmt
Total Assets BOY$19,974,669TotalAssetsBOYAmt
Total Assets EOY$20,327,553TotalAssetsEOYAmt
Total Liabilities BOY$3,990,144TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,337,166TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,984,525NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,990,387NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVISION OF CENTRALIZED HEALTH CARE MANAGEMENT TO SEVERAl NON-PROFIT COMMUNITY HEALTHCARE FACILITIES AND FOR-PROFIT SUBSIDIARIES THAT SERVE THE LORAIN COUNTY AND SURROUNDING COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,632,642ExpenseAmt
Grant$0GrantAmt
Revenue$5,632,642RevenueAmt
DescSYSTEM INFORMATION SYSTEMS SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDing areas.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,281,565ExpenseAmt
Grant$0GrantAmt
Revenue$2,281,565RevenueAmt
DescSYSTEM ADMINISTRATIVE SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC. BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDing areas.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,468,675ExpenseAmt
Grant$0GrantAmt
Revenue$1,468,675RevenueAmt
DescSYSTEM MARKETING SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC. BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDing areas.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$5,089,083TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$63,736TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$8,760,898TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$14,471,965TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee112EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVE COOK COOPersonNm
Phone4403297605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1630 EAST RIVER STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SMITH STEPHEN
BOARD MEMBER2.00.0Yes (X)$0$0$0
WHITEROBERT
BOARD MEMBER2.00.0Yes (X)$0$0$0
POND FRED
BOARD MEMBER2.00.0Yes (X)$0$0$0
FLANIGAN KEVIN
BOARD MEMBER2.00.0Yes (X)$0$0$0
SCHAEFFERJOHN MD
BOARD MEMBER2.055.0Yes (X)$0$400,853$19,351
SHELDON DONALD MD
PRESIDENT & CEO2.059.0Yes (X)$882,159$0$27,117Yes (X)
BLOUCH GERALD
BOARD MEMBER2.00.0Yes (X)$0$0$0
BRAUSCH JEFF
CHAIRMAN2.00.0Yes (X)$0$0$0Yes (X)
DENGELFRERICH MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
JUNEJA JAY
VICE CHAIR2.00.0Yes (X)$0$0$0Yes (X)
HOAGLAND BRIAN
BOARD MEMBER2.00.0Yes (X)$0$0$0
LONG JANET
SECRETARY2.00.0Yes (X)$0$0$0Yes (X)
MEADCHRIS
BOARD MEMBER2.00.0Yes (X)$0$0$0
RYANJOHN
BOARD MEMBER2.00.0Yes (X)$0$0$0
stevens bruce
board member(until march 2013)2.00.0Yes (X)
SIMONE JAMES
VP FINANCE/CFO/BOARD TREASUREr3.059.0$474,278$0$27,872Yes (X)
COOKSEY JILL
VP NURSING/CHIEF NURSING3.060.0$191,036$0$18,751Yes (X)
GARDNER FRANCIS
VP-GENERAL COUNSEL3.060.0$413,099$0$12,605Yes (X)
MCDONALD DOUGLAS
VP-MEDICAL AFFAIRS3.060.0$234,194$0$24,834Yes (X)
MILLERDANIEL
VP-HUMAN RESOURCES3.060.0$456,887$0$33,321Yes (X)
WRAY CHARLOTTE
VP-CLINICAL OPERATIONS3.060.0$179,530$0$27,277Yes (X)
AUBREYJOHN
DIR FINANCIAL ANALYSIS3.055.0$129,795$0$17,791Yes (X)
WILLETS DAVE
DIRECTOR, MATERIALS MANAGEMENT3.055.0$116,924$0$16,878Yes (X)
KOETHE LORI
DIRECTOR, COMPLIANCE3.055.0$116,294$0$21,517Yes (X)
TONN KNOPF SHEILA
DIRECTOR, CENTER ORTHOPEDIcs3.055.0$126,041$0$6,981Yes (X)
BRINCKA STEVE
DIRECTOR, FINANCIAL SERVICES3.055.0$112,645$0$23,924Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,432,882TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$400,853TotReportableCompRltdOrgAmt
Total Other Compensation$278,219TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ALLSCRIPTS
24630 NETWORK PLACECHICAGOIL606731246electronic records$562,635
FOLEY AND LARDNER LLP
321 NORTH CLARK STCHICAGOIL606545313legal services$571,745
MCKESSON TECHNOLOGIES
PO BOX 98347CHICAGOIL606938347SOFTWARE SERVICES$362,599
MICROSOFT SERVICES
ATTN LOCKBOX 842467DALLASTX75207INFO SYSTEMS SUPPORT$556,747
STOLTENBERG CONSULTING
5815 LIBRARY RDBETHEL PARKPA15102IT CONSULTING$382,667
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Fundraising$9,450FundraisingAmt
Related Organizations$25,000RelatedOrganizationsAmt
All Other Contributions$30,000AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$64,450TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
AFFILIATE FEES561000$17,081,646$17,081,646$0$0
JOINT VENTURES REV621990$1,062,134$1,062,134$0$0
MGT CONTRACT561000$248,272$0$248,272$0
FieldValueIRS element (for citing)
Total Program Service Revenue$18,392,052TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,003TotalRevenueColumnAmt
Exclusion$66,003ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$47,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$45,608RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,792RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,792TotalRevenueColumnAmt
Exclusion$1,792ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$61,318FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$9,450ContriRptFundraisingEventAmt
Fundraising Direct Expenses$34,839FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,479TotalRevenueColumnAmt
Exclusion$26,479ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
GIFT SHOP453220$257,166$0$257,166
REBATES900099$92,310$0$92,310
ALL OTHER REVENUE900099-$639,545$0-$639,545
FieldValueIRS element (for citing)
Other Revenue Total-$290,069OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,260,707TotalRevenueColumnAmt
Related Or Exempt Func Income$18,143,780RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$248,272UnrelatedBusinessRevenueAmt
Exclusion-$195,795ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$63,736TotalAmt
Program Services$63,736ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,831,182TotalAmt
Program Services$2,548,064ProgramServicesAmt
Management And General$283,118ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,685,385TotalAmt
Program Services$4,216,847ProgramServicesAmt
Management And General$468,538ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,955,938TotalAmt
Program Services$1,760,344ProgramServicesAmt
Management And General$195,594ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$495,592TotalAmt
Program Services$446,033ProgramServicesAmt
Management And General$49,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$108,642TotalAmt
Management And General$108,642ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,838TotalAmt
Program Services$0ProgramServicesAmt
Management And General$77,838ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,486,583TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,486,583ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,178,242TotalAmt
Program Services$1,178,242ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$326,638TotalAmt
Program Services$280,541ProgramServicesAmt
Management And General$46,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,890,532TotalAmt
Program Services$1,701,479ProgramServicesAmt
Management And General$189,053ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$87,981TotalAmt
Program Services$0ProgramServicesAmt
Management And General$87,981ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$90,074TotalAmt
Program Services$54,044ProgramServicesAmt
Management And General$36,030ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$318,989TotalAmt
Program Services$287,090ProgramServicesAmt
Management And General$31,899ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$162,826TotalAmt
Program Services$162,826ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES & LICENSURE$837,332$837,332$0$0
ADMINISTRATIVE & RENT$974,145$794,100$180,045$0
REPAIRS & MAINTENANCE$282,574$141,287$141,287$0
BANK FEES$148,844$0$148,844$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$369,585TotalAmt
Management And General$369,585ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,372,658TotalAmt
Program Services$14,471,965ProgramServicesAmt
Management And General$3,900,693ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$436,883BOYAmt
EOY$729,576EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,179,941BOYAmt
EOY$961,631EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$908,335BOYAmt
EOY$1,208,203EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,596,994LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,752,682LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,132,316BOYAmt
EOY$7,844,312EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,011,930BOYAmt
EOY$4,620,159EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,305,264BOYAmt
EOY$4,963,672EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,974,669BOYAmt
EOY$20,327,553EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,953,548BOYAmt
EOY$3,091,511EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,036,596BOYAmt
EOY$1,245,655EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,990,144BOYAmt
EOY$4,337,166EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,984,525BOYAmt
EOY$15,990,387EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,984,525BOYAmt
EOY$15,990,387EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,974,669BOYAmt
EOY$20,327,553EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$111,951ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$117,813NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
EMH REGIONAL MEDICAL CENTER
3407146120Yes (true)Yes (true)Yes (true)$0
AMHERST HOSPITAL ASSOCIATION
3400670600Yes (true)Yes (true)Yes (true)$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,808,888OtherCostOrOtherBasisAmt
Book Value$6,808,888BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$221,671OtherCostOrOtherBasisAmt
Depreciation$134,546DepreciationAmt
Book Value$87,125BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,917,462OtherCostOrOtherBasisAmt
Depreciation$1,337,052DepreciationAmt
Book Value$580,410BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$648,973OtherCostOrOtherBasisAmt
Depreciation$281,084DepreciationAmt
Book Value$367,889BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,844,312TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN COMP. VENTURES$4,050,000C
INVESTMENT IN PREMIER PRCH PTN$184,947C
INVESTMENT IN RENAL CARE GROUP$258,515C
INVESTMENT IN CHC-$304,834C
INVESTMENT IN SPECIALTY HSPTL$431,531C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$4,620,159TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$4,963,672BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,963,672TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPENSION LIABILITYDesc
Amt$1,245,655Amt
FieldValueIRS element (for citing)
Total Liability$1,245,655TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1AUXILLARY BALLNameOfEvent1Amt
Gross Receipts Event1$15,439GrossReceiptsEvent1Amt
Charitable Contri Event1$9,450CharitableContriEvent1Amt
Gross Revenue Event1$5,989GrossRevenueEvent1Amt
Food And Beverage Event1$8,494FoodAndBeverageEvent1Amt
Entertainment Event1$2,580EntertainmentEvent1Amt
Other Direct Expenses Event1$193OtherDirectExpensesEvent1Amt
Name Of Event2HOLIDAY SHOPNameOfEvent2Amt
Gross Receipts Event2$10,952GrossReceiptsEvent2Amt
Gross Revenue Event2$10,952GrossRevenueEvent2Amt
Other Direct Expenses Event2$2,809OtherDirectExpensesEvent2Amt
Other Events Total11OtherEventsTotalCnt
Gross Receipts Other Events$44,377GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$44,377GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$20,763OthDirectExpnssOtherEventsAmt
Gross Receipts Total$70,768GrossReceiptsTotalAmt
Charitable Contributions Tot$9,450CharitableContributionsTotAmt
Gross Revenue Total Events$61,318GrossRevenueTotalEventsAmt
Food And Beverage Total Events$8,494FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,580EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$23,765OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$34,839DirectExpenseSummaryEventsAmt
Net Income Summary$26,479NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Recipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCode
TEAM LORAIN COUNTY
311504633501(c)(3)$15,000$0SUPPORT TEAM LORAIN COUNTY
AMERICAN HEART ASSOCIATION
135613797501(c)(3)$28,000$0SUPPORT LORAIN COUNTY HEART WALKPO BOX 4002097DES MOINESIA503402907
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO. THEY ARE SUBSTANTIALLY CONSISTENT ON A YEAR-TO-YEAR BASIS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCHAEFFERJOHN MD
BOARD MEMBER$0$293,173$0$97,605$0$10,075$0$17,650$0$1,701$0$420,204$0$0
SHELDON DONALD MD
PRESIDENT & CEO$396,404$0$362,638$0$123,117$0$15,100$0$12,017$0$909,276$0$0$0
SIMONE JAMES
VP FINANCE/CFO/BOARD TREASUREr$271,272$0$141,568$0$61,438$0$12,550$0$15,322$0$502,150$0$0$0
COOKSEY JILL
VP NURSING/CHIEF NURSING$162,607$0$0$0$28,429$0$1,704$0$17,047$0$209,787$0$0$0
GARDNER FRANCIS
VP-GENERAL COUNSEL$216,592$0$155,432$0$41,075$0$11,566$0$1,039$0$425,704$0$0$0
MCDONALD DOUGLAS
VP-MEDICAL AFFAIRS$233,083$0$0$0$1,111$0$13,113$0$11,721$0$259,028$0$0$0
MILLERDANIEL
VP-HUMAN RESOURCES$209,360$0$201,141$0$46,386$0$16,108$0$17,213$0$490,208$0$0$0
WRAY CHARLOTTE
VP-CLINICAL OPERATIONS$178,985$0$0$0$545$0$10,260$0$17,017$0$206,807$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule J, Part I, Line 1aDONALD SHELDON HAS HIS DUES PAID FOR AT A LOCAL COUNTRY CLUB. THE COUNTRY CLUb IS A WAY FOR HIM TO NETWORK WITH IMPORTANT STAKEHOLDERS. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION AS IT SOLEY WAS A BUSINESS EXPENSE.
Form 990, Schedule J, Part I-13, Line 4bCOMPREHENSIVE HEALTHCARE OF OHIO(CHCO) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF CHCO AND ITS AFFILIATED ENTITIES. THE SERP IS A FUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENTED TO COMPLY WITH IRS SEC. 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THE SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. JILL COOKSEY - 457 F PARTICIPANT FRANCIS GARDNER - 457 F PARTICIPANT DANIEL MILLER - 457 F PARTICIPANT DONALD SHELDON - 457 F PARTICIPANT JAMES SIMONE - 467 F PARTICIPANT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4DTHESE EXPENSES ARE RELATED TO SALARIES, BENEFITS, OFFICE EXPENDITURES, DUES & LICENSURE, TRAVEL, AND ADVERTISING FORM 990, PART VI, LINE 6 MEMBERSHIP IN THE CORPORATION SHALL APPLY TO ANY PERSON TWENTY-ONE(21) YEARS OF AGE OR OLDER WHO HAS BEEN DULY ELECTED BY A MAJORITY VOTE OF THE MEMBERS PRESENT AT ANY ANNUAL MEETING, OR WHO HAS BEEN ELECTED AND/OR SELECTED TO SERVE AS DIRECTOR OF THE CORPORATION. MEMBERSHIP SHALL BE LIMITED TO ONE HUNDRED FIFTY (150) PERSONS.
FORM 990, PART VI, LINE 7ATHE DIRECTORS ARE ELECTED BY THE DIRECTORS. THE MEMBERS THEN APPROVE THE RESULTS OF THE ELECTION.
FORM 990, PART VI, LINE 7BEACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE UPON ANY CHANGE IN CONTROL OF THE CORPORATION THROUGH SALE, MERGER, OR ANY SIMILAR TRANSACTION, OR THE DISSOLUTION OF THE CORPORATION, AND TO HOLD ANY OFFICE POSITION IN THE CORPORATION TO WHICH HE OR SHE MAY BE ELECTED OR APPOINTED. EACH MEMBER PRESENT SHALL BE ENTITLED TO ONE VOTE UPON ANY MATTER PROPERLY SUBMITTED TO THE MEMBERS FOR THEIR VOTE.
FORM 990, PART VI, LINE 11BTHE 990 IS REVIEWED BY THE CEO, CFO AND IN HOUSE GENERL COUNSEL PRIOR TO FILING.
FORM 990, PART VI, LINE 12CEACH YEAR, ALL DIRECTORS ARE PRESENTED WITH AN ATTESTATION DOCUMENT WHICH STATE THE ESSENCE OF THE CONFLICT OF INTEREST POLICY. EACH DIRECTOR IS REQUIRED TO COMPLETE THE DOCUMENT AND SIGN IT, VERIFYING THAT HE OR SHE IS AWARE OF THE POLICY AND DECLARING ANY POTENTIAL CONFLICTS OF INTEREST WHICH SUCH DIRECTOR MAY HAVE, OR WHICH MAY HAVE DEVELOPED SINCE THE PRIOR YEAR'S ATTESTATION. THE CHAIR OF THE BOARD, OR DESIGNEE, MEETS WITH ANY DIRECTOR WHO HAS INDICATED A POTENTIAL CONFLICT OF INTEREST IN ORDER TO FULLY EXPLORE THE NATURE OF THE POTENTIAL OR EXISTING CONFLICT, WITH THE POTENTIAL THAT SUCH CONCFLICT MIGHT PRECLUDE FURTHER SERVICE OF THAT DIRECTOR. ALL ANNUAL ATTESTATIONS ARE MAINTAINTED BYT THE CEO OF THE ORGANIZATION. THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, LINES 15A & 15BTHE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS INCLUDES AN EXTERNAL ANALYSIS COMPLETED BY TOWERS PERRIN, A NATIONALLY KNOWN BENEFITS AND COMPENSATION CONSULTANT. TOWERS PERRIN GATHERS MARKET RESEARCH DATA FROM THREE PUBLISHED AND RELIABLE HEALTHCARE COMPENSATION SURVEYS. THIS ANALYSIS UTILIZES NATIONAL PAY DATA AND TAKES INTO CONSIDERATION THE SIZE OF THE HEALTHCARE ORGANIZATION, THE RESPECTIVE JOB TITLE, AND TIME IN JOB. THE ANALYSIS IS COMPLETED ANNUALLY. IT INCLUDES RECOMMENDATIONS ON POSITIONING THE CEO AND OTHER TOP MANAGEMENT STAFF WITHIN THE APPROPRIATE PAY RANGE AS WELL AS POSSIBLE PAY RANGE ADJUSTMENTS AND BASE SALARY INCREASE PERCENTAGES FOR THE CURRENT YEAR. RECOMMENDATIONS ARE APPROVED BY A SUBCOMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IMPLEMENTATION. THIS PROCESS WAS LAST CONDUCTED IN 2012.
FORM 990, PART VI, LINE 19THE ORGANIZATION HAS NOT, TO THIS POINT, MADE ITS GOVERNING DOCUMENTS, OTHER THAN THE ORIGINAL ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S CONFLICT OF INTEREST POLCIY IS AVAILABLE TO ALL EMPLOYEES AND DIRECTORS ON THE ORGANIZATION'S INTRANET SITE, AND HAS BEEN A PART OF THE ORGANIZATION'S WRITTEN POLICY HANDBOOK LONG IN ADVANCE OF THE DEVELOPMENT OF THE INTRANET SITE. FINANCIAL STATEMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC OTHER THAN FINANCIAL INFORMATION WHICH APPEARS ON THE FORM 990 AND OTHER PUBLIC FILINGS REQUIRED BY LAW.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
EMH REGIONAL MEDICAL CENTER
630 EAST RIVER STREETELYRIAOH44035340714612COMM. HSPTLOH501(c)(3)3CHCOYes (true)
AMHERST HOSPITAL ASSOCIATION INC
630 EAST RIVER STREETELYRIAOH44035340067060COMM. HSPTLOH501(c)(3)3CHCOYes (true)
ELYRIA MEMORIAL HOSPITAL FOUNDATION
630 EAST RIVER STREETELYRIAOH44035341492735FUNDRAISINGOH501(c)(3)7CHCOYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
COMMUNITY HEALTH COLLABORATIVE LLC
18697 BAGLEYMID hgtOH44130452450431Hlth COLLABOR.OHRelated-$130,973-$102,535false$0Yes (true)0.32610
COMMUNITY HEALTH CONTRACTING
18697 BAGLEYMID HGTOH44130453023728CONTRACTINGOH
COMMUNITY HEALTH PURCHASING ORGANIZATION
18697 BAGLEYMID HGTOH44130452450431PURCHASINGOH
COMMUNITY MEDICAL GROUP LLC
18697 BAGLEYMID HGTOH44130453023969HEALTH CARE SVCSOH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
COMPREHENSIVE VENTURES UNLIMITED INC
630 EAST RIVER STREETELYRIAOH44035341596060VARIOUSOHNAC Corp-$598,192$29,277,6131.00000false
EMH MEDICAL OFFICE BUILDING IN AVON
1997 HEALTHWAY DRAVONOH44011341935407MEDICAL OFFICESOHNAC Corp$0$172,3821.00000false
EMH SHEFFIELD MEDICAL BUILDING CONDOMINI
630 EAST RIVER STREETELYRIAOH44035260636602CONDO COMPLEXOHCOMP VENTURESC Corp$0$121,0531.00000false
CENTER FOR ORTHOPEDICS INC
630 EAST RIVER STREETELYRIAOH44035341665082PHYSICIAN PRACT.OHCOMP VENTURESC Corp-$679,951$1,468,6361.00000false
EMH PROFESSIONAL SERVICES INC
630 EAST RIVER STREETELYRIAOH44035341778419VARIOUSOHCOMP VENTURESC Corp-$2,727,784$996,2111.00000false
GATES MEDICAL BUILDING
630 EAST RIVER STREETELYRIAOH44035341596059OFFICE BUILDINGOHNAC Corp$0-$12,6871.00000false
NORTH OHIO HEART
630 EAST RIVER ROADELYRIAOH44035272574020VARIOUSOHNAC Corp-$7,619,604$3,903,2971.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EMH REGIONAL MEDICAL CENTER
q$9,224,259COST
EMH REGIONAL MEDICAL CENTER
l$16,615,575COST
COMPREHENSIVE VENTURES UNLIMITED INC
l$253,681COST
EMH PROFESSIONAL SERVICES INC
l$173,296COST
CENTER FOR ORTHOPEDICS INC
l$332,932COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Referencesupplemental informationFormAndLineReferenceDesc
ExplanationPART III, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP: NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: COMMUNITY HEALTH COLLABORATIVE, LLC 18697 BAGLEY ROAD MIDDLEBURG HEIGHTS, OH 44130 EIN: 45-2450431 COMMUNITY HEALTH CONTRACTING ORGANIZATION, LLC 18697 BAGLEY ROAD MIDDLEBURG HEIGHTS, OH 44130 EIN: 45-3023728 COMMUNITY HEALTH PURCHASING ORGANIZATION, LLC 18697 BAGLEY ROAD MIDDLEBURG HEIGHTS, OH 44130 EIN: 45-2450431 COMMUNITY MEDICAL GROUP, LLC 18697 BAGLEY ROAD MIDDLEBURG HEIGHTS, OH 44130 EIN: 45-3023969ExplanationTxt