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VENTURES 4050000 C INVESTMENT IN PREMIER PRCH PTN 184947 C INVESTMENT IN RENAL CARE GROUP 258515 C INVESTMENT IN CHC -304834 C INVESTMENT IN SPECIALTY HSPTL 431531 C 4620159 DUE FROM AFFILIATES 4963672 4963672 0 PENSION LIABILITY 1245655 1245655 AUXILLARY BALL 15439 9450 5989 8494 2580 193 HOLIDAY SHOP 10952 10952 2809 11 44377 44377 20763 70768 9450 61318 8494 2580 23765 34839 26479 true TEAM LORAIN COUNTY 311504633 501(c)(3) 15000 0 SUPPORT TEAM LORAIN COUNTY AMERICAN HEART ASSOCIATION PO BOX 4002097 DES MOINES IA 503402907 135613797 501(c)(3) 28000 0 SUPPORT LORAIN COUNTY HEART WALK 2 SCHEDULE I, PART I, LINE 2 ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO. THEY ARE SUBSTANTIALLY CONSISTENT ON A YEAR-TO-YEAR BASIS. X true true X X X X false true false false false false false false false SCHAEFFERJOHN MD BOARD MEMBER 0 293173 0 97605 0 10075 0 17650 0 1701 0 420204 0 0 SHELDON DONALD MD PRESIDENT & CEO 396404 0 362638 0 123117 0 15100 0 12017 0 909276 0 0 0 SIMONE JAMES VP FINANCE/CFO/BOARD TREASUREr 271272 0 141568 0 61438 0 12550 0 15322 0 502150 0 0 0 COOKSEY JILL VP NURSING/CHIEF NURSING 162607 0 0 0 28429 0 1704 0 17047 0 209787 0 0 0 GARDNER FRANCIS VP-GENERAL COUNSEL 216592 0 155432 0 41075 0 11566 0 1039 0 425704 0 0 0 MCDONALD DOUGLAS VP-MEDICAL AFFAIRS 233083 0 0 0 1111 0 13113 0 11721 0 259028 0 0 0 MILLERDANIEL VP-HUMAN RESOURCES 209360 0 201141 0 46386 0 16108 0 17213 0 490208 0 0 0 WRAY CHARLOTTE VP-CLINICAL OPERATIONS 178985 0 0 0 545 0 10260 0 17017 0 206807 0 0 0 Form 990, Schedule J, Part I, Line 1a DONALD 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 4b COMPREHENSIVE 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 FORM 990, PART III, LINE 4D THESE 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 7A THE DIRECTORS ARE ELECTED BY THE DIRECTORS. THE MEMBERS THEN APPROVE THE RESULTS OF THE ELECTION. FORM 990, PART VI, LINE 7B EACH 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 11B THE 990 IS REVIEWED BY THE CEO, CFO AND IN HOUSE GENERL COUNSEL PRIOR TO FILING. FORM 990, PART VI, LINE 12C EACH 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 & 15B THE 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 19 THE 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. 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