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

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 34-0714612)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201443219349308474
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T14:32:53-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2100 ONE PPG PLACE	AddressLine1
City	PITTSBURGH	City
State	PA	State
ZIP Code	15222	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714612	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EMH REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% DAVE COOK COO	InCareOfNm
Business Name Control	EMHR	BusinessNameControlTxt
Phone	4403297605	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	630 EAST RIVER STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	ELYRIA	City
State	OH	State
ZIP Code	44035	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVE COOK	PersonNm
Person Title	VP, GENERAL COUNSEL	PersonTitleTxt
Signature	2014-11-17	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES L ZIESCHE	PreparerPersonNm
PTIN	P01264584	PTIN

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	DONALD SHELDON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	630 EAST RIVER STREET	AddressLine1
City	ELYRIA	City
State	OH	State
ZIP Code	44035	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$206,109,103	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.EMH-HEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1907	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	WE ARE COMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	2122	TotalEmployeeCnt
Total Volunteers	302	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$326,373	PYContributionsGrantsAmt
CY Contributions Grants	$440,476	CYContributionsGrantsAmt
PY Program Service Revenue	$193,888,012	PYProgramServiceRevenueAmt
CY Program Service Revenue	$194,862,989	CYProgramServiceRevenueAmt
PY Investment Income	$5,486,208	PYInvestmentIncomeAmt
CY Investment Income	$7,093,775	CYInvestmentIncomeAmt
PY Other Revenue	$3,257,730	PYOtherRevenueAmt
CY Other Revenue	$3,692,650	CYOtherRevenueAmt
PY Total Revenue	$202,958,323	PYTotalRevenueAmt
CY Total Revenue	$206,089,890	CYTotalRevenueAmt
PY Grants And Similar Paid	$273,554	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$275,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$93,711,626	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$92,731,875	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$97,647,937	PYOtherExpensesAmt
CY Other Expenses	$102,515,266	CYOtherExpensesAmt
PY Total Expenses	$191,633,117	PYTotalExpensesAmt
CY Total Expenses	$195,522,141	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,325,206	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,567,749	CYRevenuesLessExpensesAmt
Total Assets BOY	$249,208,097	TotalAssetsBOYAmt
Total Assets EOY	$242,905,897	TotalAssetsEOYAmt
Total Liabilities BOY	$119,086,454	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$98,152,238	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$130,121,643	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$144,753,659	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	NON-PROFIT COMMUNITY HEALTH PROVIDING IN AND OUTPATIENT CARE, INCLUDING FULL SERVICE EMERGENCY ROOM, TO THE COMMUNITY OF ELYRIA, OHIO AND SURROUNDING AREAS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$24,102,071	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$30,247,427	RevenueAmt
Desc	CARDIOLOGY- EMH FEATURES LORAIN COUNTY'S LEADING AND NATIONALLY RECOGNIZED CARDIOVASCULAR HEALT AND REHABILITATION CENTER, WITH SERVICES FOR CORONARY BYPASS SURGERY, ANGIOPLASTY, CARDIA CATHERTERIZATION, ELECTROPHYSIOLOGY, CARDIA REHABILITATION, HEART FAILURE THERAPIES AND OTHER DIAGNOSTIC SERVICES. EMH REGIONAL MEDICAL CENTER RECEIVED FULL CYCLE II ACCREDITATION WITH PCI THROUGH 2010 FROM THE ACCREDATION REVIEW COMMITTEE OF THE SOCIETY OF CHEST PAIN CENTERS. THE FIRST DESIGNATION WAS GRANTED IN 2004, AND ENSURES THAT EMH MEETS OR EXCEEDS QUALITY OF CARE MEASURES IN ACUTE CARDIAC MEDICINE. EMH IS THE 72ND ACCREDITED CHEST PAIN CENTER IN THE UNITED STATES. ADDITIONALLY, IN 2008, EMH REGIONAL MEDICAL CENTER RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATIONS' NCDR ACTION REGISTRY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$47,685,965	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$46,812,942	RevenueAmt
Desc	ROUTINE INPATIENT CARE- INPATIENT CARE AT EMH INCLUDES A VARIETY OF SERVICES, RANGING FROM INTENSIVE CARE UNITS (MEDICAL/SURGICAL) AND THE FAMILY BIRTH CENTER, TO MENTAL HEALTH AND UNIVERSAL CARE. EACH DEPARTMENT IS STAFFED WITH HIGHLY SKILLED AND SPECIALLY EDUCATED HEALTHCARE PROFESSIONALS WHO ARE EQUIPPED TO ADDRESS EACH PATIENT'S NEEDS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$42,747,874	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$43,089,413	RevenueAmt
Desc	SURGICAL SERVICES - HIGHLY TRAINED MEDICAL PHYSICIANS AND SURGEONS TREAT A WIDE VARIETY AND COMPLEXITY OF SURGICAL CASES AT EMH REGIONAL MEDICAL CENTER. SERVICES INCLUDE BOTH INPATIENT AND OUTPATIENT SURGERY, WITH THE MAJORITY PERFORMED ON AN OUTPATIENT BASIS. CONSULTATION WITH SPECIALISTS ENSURE THAT PATIENTS RECEIVE THE MOST COMPREHENSIVE CARE, AND TECHNOLOGICAL INNOVATIONS ALLOW FOR LESS INVASIVE PROCEDURES, WHICH IN TURN ENABLES FASTER HEALING.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$60,080,113	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$275,000	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$77,409,273	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$174,616,023	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	152	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2122	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVE COOK COO	PersonNm
Phone	4403297605	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	630 EAST RIVER STREET	AddressLine1
City	ELYRIA	City
State	OH	State
ZIP Code	44035	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
WALDHEGER PRISCILLA MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
YOST ROBERT
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
FLANIGAN KEVIN
BOARD SECRETARY	2.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
FRANK RAY
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
RAMADUGU ASHOK
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
MUSSON JOHN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
PRIKH SANJAY MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
YOST JUNE
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
INCE DEBBIE
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SCHURMEIER JON
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ELEK GREGORY
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SHELDON DONALD MD
PRESIDENT &CEO	55.0	6.0	Yes (X)	$0	$882,159	$27,117	Yes (X)
BECKETT JONATHAN M
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
CANNADAY LEE
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
HOAGLAND BRIAN
BOARD CHAIR	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
LAMB WILLIAM
BAORD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
MIGGINS LYNN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
OLESEN ROBERT
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
REIDY JOAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
RIDGDA PAUL
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
RYAN SPENCER
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
pond fred
board member(until march 2013)	2.0	0.0	Yes (X)
SIMONE JAMES
VP FINANCE/CFO/TREASURER	55.0	7.0		$0	$474,278	$27,872	Yes (X)
GARDNER FRANCIS
VP GENERAL COUNSEL/BOARD SEC	55.0	8.0		$0	$413,099	$12,605	Yes (X)
COOKSEY JILL
VP NURSING/ CHIEF NURSING	55.0	8.0		$0	$191,036	$18,751		Yes (X)
MCDONALD DOUGLAS
VP MEDICAL AFFIARS	55.0	8.0		$0	$234,194	$24,834		Yes (X)
MILLER DANIEL
VP HUMAN RESOURCES	55.0	8.0		$0	$456,887	$33,321		Yes (X)
WRAY CHARLOTTE
VP CLINICAL OPERATIONS	55.0	8.0		$0	$179,530	$27,277		Yes (X)
GIBBONS TERRI
PHARMACY OPERATIONS COORDINATO	55.0	0.0		$146,605	$0	$16,188			Yes (X)
GRAUER JOHN
MEDICAL DIRECTOR CASE MGT	55.0	0.0		$255,198	$0	$0			Yes (X)
ZEOLLA KATHERINE
PHARMACY OPERATIONS COORDINATO	55.0	0.0		$160,592	$0	$10,496			Yes (X)
HALLIDAY DON
DIRECTOR PHARMACY	55.0	0.0		$134,425	$0	$16,579			Yes (X)
KODSY MAHER
MEDICAL DIRECTOR	55.0	0.0		$131,969	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$828,789	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,831,183	TotReportableCompRltdOrgAmt
Total Other Compensation	$215,040	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	25	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
OWENS AND MINOR
PO BOX 644783	PITTSBURGH	PA	152644783	MEDICAL SERVICES	$4,270,006
MEDTRONIC USA
4642 COLLECTIONS CENTER RD	CHICAGO	IL	606930046	MEDICAL SERVICES	$3,637,920
ZIMMER-USA
14235 COLLECTIONS CTR DR	CHICAGO	IL	60693	MEDICAL SERVICES	$2,506,220
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001	DALLAS	TX	753120733	MEDICAL SERVICES	$2,238,299
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001	DALLAS	TX	753120733	MEDICAL SERVICES	$1,881,442

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	140	CntrctRcvdGreaterThan100KCnt
Related Organizations	$154,500	RelatedOrganizationsAmt
All Other Contributions	$285,976	AllOtherContributionsAmt
Total Contributions	$440,476	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT CARE	621400	$189,812,347	$189,812,347
HEALTH & FITNESS CENTER	621400	$3,307,817	$3,307,817
ELECTRONIC MEDICAL RECORDS	900099	$1,742,825	$1,742,825

Field	Value	IRS element (for citing)
Total Program Service Revenue	$194,862,989	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,502,264	TotalRevenueColumnAmt
Exclusion	$2,502,264	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$175,347	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$19,213	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$156,134	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$156,134	TotalRevenueColumnAmt
Exclusion	$156,134	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,591,511	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,591,511	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,591,511	TotalRevenueColumnAmt
Exclusion	$4,591,511	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
CLINICAL SERVICES	561000	$1,716,331	$1,716,331
CAFE/VENDING	722210	$760,995		$760,995
AHA MANAGEMENT FEE	561000	$125,004	$125,004

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$934,186	TotalRevenueColumnAmt
Related Or Exempt Func Income	$854,731	RelatedOrExemptFuncIncomeAmt
Exclusion	$79,455	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,536,516	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,089,890	TotalRevenueColumnAmt
Related Or Exempt Func Income	$197,559,055	RelatedOrExemptFuncIncomeAmt
Exclusion	$8,090,359	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$275,000	TotalAmt
Program Services	$275,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$72,749,212	TotalAmt
Program Services	$65,474,291	ProgramServicesAmt
Management And General	$7,274,921	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,676,696	TotalAmt
Program Services	$13,209,026	ProgramServicesAmt
Management And General	$1,467,670	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,305,967	TotalAmt
Program Services	$4,775,370	ProgramServicesAmt
Management And General	$530,597	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,083,571	TotalAmt
Program Services	$15,375,214	ProgramServicesAmt
Management And General	$1,708,357	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$225,940	TotalAmt
Management And General	$225,940	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$112,805	TotalAmt
Management And General	$112,805	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,791,842	TotalAmt
Program Services	$12,518,949	ProgramServicesAmt
Management And General	$1,272,893	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$54,310	TotalAmt
Program Services	$54,310	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,079,207	TotalAmt
Program Services	$36,071,286	ProgramServicesAmt
Management And General	$4,007,921	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,134,362	TotalAmt
Program Services	$1,020,926	ProgramServicesAmt
Management And General	$113,436	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,085,196	TotalAmt
Program Services	$2,317,455	ProgramServicesAmt
Management And General	$1,767,741	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$229,273	TotalAmt
Program Services	$206,346	ProgramServicesAmt
Management And General	$22,927	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,693,861	TotalAmt
Program Services	$1,524,475	ProgramServicesAmt
Management And General	$169,386	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,559,061	TotalAmt
Program Services	$11,303,155	ProgramServicesAmt
Management And General	$1,255,906	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,365,882	TotalAmt
Program Services	$2,365,882	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE	$3,621,620	$3,259,458	$362,162
FRANCHISE TAX	$2,630,000	$2,367,000	$263,000
LEASE/RENTAL	$1,195,229	$1,075,706	$119,523
LAUNDRY	$1,008,834	$1,008,834

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$644,273	TotalAmt
Program Services	$413,340	ProgramServicesAmt
Management And General	$230,933	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$195,522,141	TotalAmt
Program Services	$174,616,023	ProgramServicesAmt
Management And General	$20,906,118	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,871,038	BOYAmt
EOY	$9,423,094	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	$24,980,169	BOYAmt
EOY	$24,924,423	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,573,211	BOYAmt
EOY	$1,995,256	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$813,637	BOYAmt
EOY	$1,193,638	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$241,312,271	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$166,513,797	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$81,847,776	BOYAmt
EOY	$74,798,474	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$100,595,937	BOYAmt
EOY	$93,418,758	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,526,329	BOYAmt
EOY	$37,152,254	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$249,208,097	BOYAmt
EOY	$242,905,897	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,845,445	BOYAmt
EOY	$24,272,826	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	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,053,425	BOYAmt
EOY	$34,849,418	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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,187,584	BOYAmt
EOY	$39,029,994	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$119,086,454	BOYAmt
EOY	$98,152,238	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,373,376	BOYAmt
EOY	$139,695,858	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,366,216	BOYAmt
EOY	$2,583,111	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,382,051	BOYAmt
EOY	$2,474,690	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$130,121,643	BOYAmt
EOY	$144,753,659	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$249,208,097	BOYAmt
EOY	$242,905,897	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,567,749	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,543,082	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,478,815	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,223	OtherActivitiesAmt
Total Lobbying Expenditures	$14,223	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS. A CERTAIN PERCENTAGE OF THOSE DUES ARE USED FOR PURPOSES OF LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,512,557	OtherCostOrOtherBasisAmt
Book Value	$4,512,557	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,024,907	OtherCostOrOtherBasisAmt
Depreciation	$41,103,128	DepreciationAmt
Book Value	$21,921,779	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,923,255	OtherCostOrOtherBasisAmt
Depreciation	$122,164,286	DepreciationAmt
Book Value	$44,758,969	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,851,552	OtherCostOrOtherBasisAmt
Depreciation	$3,246,383	DepreciationAmt
Book Value	$3,605,169	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$74,798,474	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$36,976,140
UNAMORTIZED FINANCING COSTS	$176,114

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$37,152,254	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$20,393,414
SELF INSURANCE RESERVE	$11,008,820
INTEREST RATE SWAP	$3,307,401
ESTIMATED 3RD PARTY PAYABLE	$4,320,359

Field	Value	IRS element (for citing)
Total Liability	$39,029,994	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,595,225	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,400,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,195,225	NetCommunityBenefitExpnsAmt
Total Expense	0.05750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,067,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,768,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,299,503	NetCommunityBenefitExpnsAmt
Total Expense	0.05290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,662,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,168,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,494,728	NetCommunityBenefitExpnsAmt
Total Expense	0.11040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,302,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,756,460	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,546,203	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,302,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,756,460	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,546,203	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,965,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,924,637	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,040,931	NetCommunityBenefitExpnsAmt
Total Expense	0.11830	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,023	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$200,023	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,153,443	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,643	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$63,270,656	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$62,531,997	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$738,659	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	EMH REGIONAL MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	630 EAST RIVER STREET	AddressLine1
City	ELYRIA	City
State	OH	State
ZIP Code	44035	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	EMH REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	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
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
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 (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H, PART V, SECTION B, LINE 1J	FormAndLineReferenceDesc
Explanation	For its 2013 CHNA, EMH Healthcare determined that it would be most efficient to develop its community health needs assessment by building upon efforts previously undertaken in the county to assess health needs and develop strategies to address those needs. EMH, the three (3) public health districts and other leading health and social service agencies participated in the 2011 Lorain County, Ohio Health Assessment Project. The results of the project were then shared with key leaders and groups in the community. Additionally, EMH Healthcare and Mercy Regional Medical Center engaged key community stakeholders to solicit their input and expertise in prioritizing the needs of the community. EMH is continuing to work with the other agencies in Lorain County to develop a county-wide Community Health Improvement Plan. The process of performing the community health assessment and developing priorities, including key dates is described in this section. The Hospital encountered no information gaps in its effort to survey the community and seek community input. This project, undertaken by Lorain County health partners, resulted in production of a health needs assessment of the county at large. The project was coordinated and managed by the Hospital Council of Northwest Ohio, a non-profit hospital association located in Toledo, Ohio, under contract with the county health partners. The Hospital Council has experience completing comprehensive health assessments since 1998, and the Project Coordinator holds a Master's degree in Public Health. The assessment process included two cross-sectional surveys conducted in 2011 as the main source of primary data for the county-wide health assessment. Local agencies, especially those which serve the underserved, low-income, minority or chronic disease populations were invited to participate in the health assessment process, which included choosing questions to be used on the surveys. During these series of meetings, potential survey questions from the Behavioral Risk Factor Surveillance, Youth Risk Behavior Surveillance, and National Survey of Children's Health Surveys were reviewed and discussed. Based on input, the Coordinator composed drafts of the surveys which contained 116 items for the adult survey and 78 for the youth survey. Both surveys were reviewed and approved by health researchers at the University of Toledo (Ohio). The needs of the entire population, especially those critical populations previously listed were taken into account through the sample methodology that ensured these populations were surveyed and, in the case of minority populations, were over-sampled. SCHEDULE H, PART V, SECTION B, Line 3 The assessment took into account information obtained from the Lorain County, Ohio Health Assessment Project, undertaken by Lorain County health partners, a Community Summit held by the Lorain County General Health District, and Community Engagement Sessions commissioned by the Lorain County General Health District . More than 100 key leaders from the community were in represented throughout these projects. In order to develop a three (3) year plan to address community health needs beginning in 2013, EMH Healthcare (and Mercy Regional Medical Center) took the results from the previous work and engaged key stakeholders in the community to prioritize the key needs of Lorain County. A total of 28 in-depth interviews were conducted with key individuals who represented a cross section of community leaders including public health officials, health care providers, funding entities, not-for-profit health and social service providers, schools, faith-based organizations, philanthropy and others. While about half of the organizations served all of Lorain County, the others served smaller areas within the county such as an individual city, a portion of the county or a specific school district within the county. Additionally, many of those interviewed also provide services into areas surrounding Lorain County, including western Cuyahoga County, Huron County and Erie County. Organizations and groups attending included: American Red Cross, Lorain County Board of Mental Health Child Care Resource Center Church of the Open Door Cornerstone Among Women Elyria City Health Department Genesis House Have House LaGrange United Methodist Church Lorain City Health Department Lorain County Board of Developmental Disabilities Lorain County Catholic Charities Lorain County Community Action Agency Lorain County Free Clinic Lorain County General Health District Lorain County Health and Dentistry Migrant and Immigration Services Oberlin Community Services Pathways Counseling & Growth Center Pastor at Oberlin House of the Lord Fellowship (Pentecostal Church) Sacred Heart Chapel The Alcohol & Drug Addiction Services Board of Lorain County (ADAS) The Nord Center The Nord Family Foundation The Urban Minority Alcoholism and Drug Abuse Outreach Program United Way of Greater Lorain County Wellington Office of Aging Participants with expertise in public health: Elyria City Health Department Lorain City Health Department Lorain County General Health District SCHEDULE H, PART V, SECTION B, Line 4 The CHNA was conducted in collaboration with the American Cancer Society, American Heart Association, Area senior living facilities, Elyria Fire Department, Elyria Police Department, Lorain County Health & Dentistry, Lorain County Free Clinic, University Hospitals. SCHEDULE H, PART V, SECTION B, Line 5a The CHNA can be accessed at: http://www.emh-healthcare.org/community-health-needs-assessment SCHEDULE H, PART V, SECTION B, Line 7 The Hospital is committed to adhering to its Mission and remaining financially healthy so that it can continue to enhance its clinical activities and to provide a wide range of community benefits. The Hospital will address all of the significant health needs in its community identified by the 2014 CHNA. SCHEDULE H, PART V, SECTION B, LINE 18 No boxes are checked for this line due to the fact that no EMH Regional Medical Center hospital facility engaged in any of the actions described in Part V, Line 17. SCHEDULE H, PART V, SECTION B, LINE 20D EFFECTIVE 1/1/2011, EMH REGIONAL MEDICAL CENTER BEGAN PROVIDING AN ACROSS THE BOARD (ATB) DISCOUNT TO ALL UNINSURED PATIENTS (33 PERCENT) - A DISCOUNT CONSISTENT WITH ONE A TYPICAL LOCAL HEALTH PLAN WOULD BE GIVEN. IN ADDITION, THE SMALLEST LEVEL OF DISCOUNT UNDER THE FINANCIAL ASSISTANCE POLICY IS 30% OF THE BALANCE, WHICH IS APPLIED AFTER THE ATB DISCOUNT. IN TOTAL, FAP-ELIGIBLE INDIVIDUALS ARE ELIGIBLE FOR A MINIMUM 53.1% DISCOUNT, APPLIED TO GROSS CHARGES.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
EMH AVON CAMPUS
1997 HEALTHWAY ROAD	AVON	OH	44011	IMAGING, LAB REHABILITATION SERVICES FITNESS CENTER
EMH AMHERST CAMPUS
254 CLEVELAND ROAD	AMHERST	OH	44001	IMAGING, LAB 24 HOUR ER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7	THE COST-TO-CHANGE RATIO WAS USED FOR CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE OTHER BENEFITS SECTION (LINE 7E - 7I).
SCHEDULE H, PART I, LINE 7G	THE SUBSIDIZED HEALTH SERVICES PROVIDED INCLUDE NEONATAL INTENSIVE CARE AND INDIVIDUAL PSYCHOLOGY.
SCHEDULE H, PART I, LINE 7, COLUMN F	NO BAD DEBT EXPENSES ARE INCLUDED ON FORM 990, PART IX, LINE 25.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES INCLUDE HEALTH SCREENS AND PATIENT EDUCATION. COMMUNITY HEALTH SCREENINGS ARE CONDUCTED EVALUATING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, BODY MASS INDEX, PSA FOR PROSTATE CANCER, SKIN CANCER SCREENINGS. SCREENINGS ARE CONDUCTED FOR LOCAL BUSINESS AND INDUSTRY AND AT LOCAL PUBLIC EVENTS AT SHOPPING MALLS, SALVATION ARMY, UNITED WAY, EL CENTRO EVENTS ETC.
SCHEDULE H, PART III, LINE 4	ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CHCO ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE. TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE. IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CHCO ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND CO PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO PAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), CHCO RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE AMOUNTS ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR ASSISTANCE. $16,877 IS BASED ON INSURED ACCOUNTS IN BAD DEBT STATUS THAT LATER HAD A CHARITY ADJUSTMENT.
SCHEDULE H, PART III, LINE 8	THE MEDICARE COST REPORT ALLOWABLE COSTS WERE USED TO ARRIVE AT AMOUNT REPORTED ON PART III, LINE 6. THESE MEDICARE ALLOWABLE COSTS WERE DETERMINED USING THE COST-TO-CHARGE RATIO.
SCHEDULE H, PART III, LINE 9B	EMH WILL PROVIDE MEDICALLY NECESSARY SERVICE(S) FREE OF CHARGE TO ANY NONMEDICAID OHIO RESIDENT, WHO IS EITHER COVERED BY DISABILITY ASSISTANCE OR HAS A FAMILY INCOME ON THE DATE-OF-SERVICE WHICH IS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES, AND CHARITY DISCOUNTS ARE EXTENDED TO FAMILIES WHOSE INCOME IS BETWEEN 201% AND 300% OF THE FPG BASED ON INCOME AND FAMILY SIZE, DEPENDENT ON THEIR ABILITY TO PAY. IF THE PATIENT'S GUARANTOR(S) IS UNABLE TO MAKE FULL PAYMENT, ASSISTANCE MAY BE PROVIDED UNDER THE EMH CHARITY CARE PROGRAM. FREE CARE WILL BE PROVIDED TO ALL THOSE WHO PROVIDE THE NEEDED DOCUMENTATION ESTABLISHED BY THE OHIO DEPARTMENT OF HUMAN SERVICES, AND WHO HAVE A FAMILY INCOME ON THE DATE OF SERVICE WHICH IS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES, AND CHARITY DISCOUNTS ARE EXTENDED TO FAMILIES WHOSE INCOME IS BETWEEN 201% AND 300% OF THE FPG BASED ON INCOME AND FAMILY SIZE, DEPENDENT ON THEIR ABILITY TO PAY. FREE CARE - OUR CHARITY PROGRAM INCORPORATES OHIO'S FREE CARE REQUIREMENTS HOSPITAL SERVICES FOR MEDICALLY NECESSARY SERVICES ARE AVAILABLE AT NO CHARGE TO THOSE FAMILIES WHOSE INCOME IS UP TO 200% OF THE FEDERAL POVERTY GUIDELINES, AND CHARITY DISCOUNTS ARE EXTENDED TO FAMILIES WHOSE INCOME IS BETWEEN 201% AND 300% OF THE FPG BASED ON INCOME AND FAMILY SIZE, DEPENDENT ON THEIR ABILITY TO PAY. THESE GUIDELINES ESTABLISH A THRESHOLD OF INCOME WHICH GROWS AS THE FAMILY SIZE OF THE APPLICANT DOES APPLYING FOR ASSISTANCE- A RELATIVELY SIMPLE APPLICATION HAS BEEN DESIGNED TO HELP DETERMINE ELIGIBILITY TO BASIC PROGRAMS AND A SPECIAL ABBREVIATED APPLICATION IS USED FOR THE HOMELESS. A PATIENT ACCOUNT REPRESENTATIVE SHALL ASSIST EACH APPLICANT WITH NECESSARY PAPERWORK. THE REPRESENTATIVE WILL ADJUST ACCOUNTS WITH A BALANCE UNDER $2,000. BALANCES $2,000 AND GREATER ARE REFERRED WITH THE APPROPRIATE INFORMATION TO THE PATIENT ACCOUNT ANALYST FOR A FINAL DECISION. ACCOUNTS WITH A BALANCE GREATER THAN $5,000 WILL REQUIRE THE PATIENT ACCOUNT MANAGER APPROVAL. A DECISION ON ELIGIBILITY WILL NORMALLY BE MADE WITHIN FIVE BUSINESS DAYS OF THE APPLICATION.
SCHEDULE H, PART VI, LINE 2	COMMUNITY HEALTH SCREENINGS ARE CONDUCTED EVALUATING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, BODY MASS INDEX, PSA FOR PROSTATE CANCER, SKIN CANCER SCREENINGS. SCREENINGS ARE CONDUCTED FOR LOCAL BUSINESS AND INDUSTRY AND AT LOCAL PUBLIC EVENTS AT SHOPPING MALLS, SALVATION ARMY, UNITED WAY, EL CENTRO EVENTS ETC. DATA FROM PATIENT ADMISSIONS FROM THE COMMUNITY ARE ALSO EVALUATED. THERE ARE MANY DIABETICS IN OUR COMMUNITY AND WE OFFER FREE DIABETES SEMINARS FOR THE PUBLIC. DATA FROM THE CENTER FOR DISEASE CONTROL INFORMS US OF FLU TRENDS AND THE NEED TO OFFER VACCINATIONS TO OUR PATIENTS.
SCHEDULE H, PART VI, LINE 3	NOTICE OF AVAILABILITY OF FREE CARE IS GIVEN TO PATIENTS ON THE ITEMIZED STATEMENT OF ACCOUNT, THEIR FIRST STATEMENT ADVISING THEM OF THE CHARGES AND MONTHLY GUARANTOR STATEMENTS. TO ADVISE OUR CUSTOMERS OF OUR CHARITY PROGRAMS, INCLUDING FREE CARE, SIGNS SHALL BE POSTED IN THE FOLLOWING PLACES -CENTRAL REGISTRATION-CASHIER'S STATION-PATIENT ACCOUNT REPRESENTATIVE OFFICES-EMERGENCY ROOM LOBBY - ACC LOBBY-GATES LABORATORY. TO ENSURE THAT THE MESSAGE IS DELIVERED EVEN IF THE SIGNS ARE MISSED, THIS INFORMATION WILL BE PRINTED ON THE BACK OF EACH "STATEMENT OF ACCOUNT" AND "MONTHLY STATEMENT" FORMS.
SCHEDULE H, PART VI, LINE 4	The community the Hospital services is Lorain County, Ohio as the service area. Patient discharge data from the Ohio Hospital Association indicates that approximately 93% of inpatients served by the Hospital were residents of Lorain County in 2011. According to Census 2010 data, Lorain County had more than 301,000 residents, with 75% being adults over the age of 19, 10% being youths between 12 and 18 and the remaining 15% being children under the age of 11. Caucasians accounted for 85% of residents, followed by African-Americans (9%), Hispanics (8%), Multiracial (3%) and Asian (1%). The mean household income in Lorain County (based on 2010 in?ation-adjusted dollars) was $61,475. In Lorain County, 14% of all residents and 11% of families had an income below the poverty level. The Hospital is located in the city of Elyria in Lorain County, Ohio. Lorain County amasses a land area of nearly 493 square miles, with approximately 612 persons per square mile. Lorain County is considered a rural, rustbelt community comprising cities, villages and townships. While some cities, such as Avon, Avon Lake and North Ridgeville, are experiencing bustling growth, others such as Elyria and Lorain have seen businesses close in the past several years, resulting in job loss and people.
SCHEDULE H, PART VI, LINE 5	EMH HEALTHCARE BELIEVES THAT EDUCATIONAL AND PREVENTATIVE SERVICES ARE IMPERATIVE TO IMPROVING THE HEALTH OF OUR COMMUNITY. AS SUCH, NO-COST HEALTH SCREENINGS ARE HELD THROUGHOUT THE YEAR ON OUR ELYRIA, AMHERST AND AVON CAMPUSES, INCLUDING SKIN CANCER AND PROSTATE CANCER SCREENINGS, ALONG WITH BLOOD PRESSURE, DIABETES, CHOLESTEROL AND BONE DENSITY SCREENINGS. IN JUNE OF 2013, THE CENTER FOR ORTHOPEDICS, A DEPARTMENT OF EMH HEALTHCARE, PROVIDED 675 FREE SPORTS PHYSICALS TO LOCAL STUDENTS REPRESENTING EVERY HIGH SCHOOLIN LORAIN COUNTY AS PART OF THEIR ANNUAL HIGH SCHOOL SPORTS PHYSICAL EVENT. EMH ALSO TRAVELS TO UNDERSERVED NEIGHBORHOODS TO BRING THEIR EDUCATION TO THE COMMUNITY. ONE OF THE LARGEST EVENTS SERVES A COMMUNITY THAT IS MAINLY LATINO, AND THAT IS THE UNITED WAY WEEK OF CARING EVENT AT EL CENTRO IN LORAIN, OHIO. IN PARTNERSHIP WITH EL CENTRO, EMH AND OTHER PROVIDERS OFFER FREE HEALTH SCREENINGS AND HAVE A TEAM OF LABORATORY TECHNICIANS ON-SITE SO THAT RESULTS AND HEALTH EDUCATION CAN BE GIVEN IMMEDIATELY. ANOTHER COMMUNITY OUTREACH PROGRAM IN WHICH EMH PARTICIPATED IN 2012 WAS CALLED "DR LEARNER". THROUGH A GRANT FROM OUR LOCAL NEWSPAPER, EMH CLINICIANS TRAVELED ON FIVE OCCASIONS TO A LARGE, SOCIO-ECONOMICALLY DEPRIVED ELEMENTARY SCHOOL IN ELYRIA, TO PROVIDE HEALTH AND EXERCISE EDUCATION TO THE STUDENTS. THE STUDENTS WERE ASKED TO SUBMIT QUESTIONS AND THOSE QUESTIONS DICTATED THE HEALTH PRESENTATIONS GIVEN. THROUGHOUT THE YEAR THEY WERE ALSO ENCOURAGED TO TRY HEALTHY FOODS THAT THEY MAY NOT HAVE HAD EXPOSURE TO BEFORE (E.G. MANGOS, ASPARAGUS, ETC). IN ALL, NEARLY 1,150 MEMBERS OF THE COMMUNITY RECEIVED FREE HEALTH SCREENS OR HEALTH EDUCATION FROM EMH DOCTORS, NURSES OR TECHNICIANS IN 2013. ALSO IN 2013, EMH HEALTHCARE PROFESSIONALS DONATED HUNDREDS OF HOURS OF THEIR TIME TO THE LORAIN COUNTY FREE CLINIC, INCLUDING OUR PRESIDENT AND CHIEF EXECUTIVE OFFICER DONALD SHELDON, MD. THERE WERE 653 NO-COST ENCOUNTERS WITH PATIENTS OF THE FREE CLINIC IN 2013 THAT WOULD TOTAL $622,682 HAD THOSE ENCOUNTERS BEEN BILLED. VARIOUS HEALTH EDUCATION EVENTS WERE PRESENTED BY EMH HEALTHCARE IN 2013 THAT SUPPORT ITS EXEMPT PURPOSE. THOSE INCLUDE -COFFEE, TEA & ME -FOUR TIMES EACH YEAR, AN EMH CLINICIAN GIVES AN HOUR-LONG PRESENTATION ON TOPICS RELEVANT TO WOMEN. A HEART-HEALTHY BREAKFAST IS ALSO PROVIDED FREE OF CHARGE. MALL WALKERS -FROM SEPTEMBER THROUGH MAY, EMH HEALTHCARE SPONSORS A ONCE-MONTHLY FREE HEALTH EDUCATIONAL PROGRAM AT THE MIDWAY MALL IN ELYRIA. AN EMH CLINICIAN PRESENTS HEALTH INFORMATION IN A CASUAL, INFORMAL WAY WHILE ATTENDEES DINE ON FRESH FRUIT, CEREAL BARS, JUICE AND COFFEE. TO FURTHER ENCOURAGE THE HEALTH AND OVERALL WELLBEING OF ITS MEMBERS, THE EMH CENTER FOR HEALTH AND FITNESS CONTINUED THEIR FREE HEALTH SCREENING PROGRAM. IN 2013 A TOTAL OF 110 MEMBERS RECEIVED A FREE CHOLESTEROL AND HDL SCREENING, ALONG WITH EDUCATION PROVIDED BY OUR HEALTHCARE PROFESSIONALS ABOUT HOW TO IMPROVE THEIR NUMBERS IF NECESSARY. LASTLY, EMH UTILIZES SOCIAL MEDIA TO HELP MEMBERS OF THE COMMUNITY MAKE HEALTHY CHOICES AND TO CREATE AWARENESS OF EVENTS, PROGRAMS OR SERVICES TO IMPROVE THEIR OVERALL WELLNESS. THROUGH BOTH FACEBOOK AND TWITTER, EMH PROVIDES HEALTH TIPS AND INFORMATION DIRECTLY FROM OUR PHYSICIANS, NURSES, DIETICIANS AND OTHER HEALTHCARE PROFESSIONALS. WE BELIEVE THAT SOCIAL MEDIA CHANNELS ARE EXCELLENT MEDIUMS TO PROMOTE A MESSAGE OF HEALTH TO THE COMMUNITY AND GENERATE AWARENESS OF UPCOMING EVENTS WHERE PEOPLE CAN TAKE ADVANTAGE OF OUR OUTREACH PROGRAMS.
SCHEDULE H, PART VI, LINE 6	EMH REGIONAL MEDICAL CENTER (EMH) OPERATES A FULL-SERVICE ACUTE CARE HOSPITAL AT ITS MAIN CAMPUS IN ELYRIA, OHIO AND PROVIDES FREESTANDING EMERGENCY DEPARTMENT SERVICES AND OTHER ANCILLARY SERVICES ON SEVERAL OTHER CAMPUSES IN LORAIN COUNTY, PRIMARILY AT ITS AVON OHIO CAMPUS AND ITS AMHERST OHIO CAMPUS. APPROXIMATELY 94% OF ADMISSIONS ARE DERIVED FROM THE THREE EMERGENCY DEPARTMENTS OPERATED BY EMH AND FROM DIRECT ADMISSIONS BY PHYSICIANS PRACTICING WITHIN LORAIN COUNTY AND WHO HOLD ADMITTING PRIVILEGES FOR EMH. EMH PROVIDES PATIENT EDUCATION ACTIVITIES AND NUMEROUS HEALTH SCREENINGS THROUGHOUT LORAIN COUNTY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMPREHENSIVE HEALTHCARE OF OHIO
630 EAST RIVER STREET	ELYRIA	OH	44035	341492733	501(C)(3)	$25,000	PROMOTE HEALTH IN COMMUNITY
LORAIN COUNTY HEALTH AND DENTISTRY
1205 BROADWAY	LORAIN	OH	44052	341957404	501(C)(3)	$250,000	PROMOTE HEALTH IN COMMUNITY

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
SHELDON DONALD MD
PRESIDENT &CEO	$0	$396,404	$0	$362,638	$0	$123,117	$0	$15,100	$0	$12,017	$0	$909,276	$0	$0
SIMONE JAMES
VP FINANCE/CFO/TREASURER	$0	$271,272	$0	$141,568	$0	$61,438	$0	$12,550	$0	$15,322	$0	$502,150	$0	$0
GARDNER FRANCIS
VP GENERAL COUNSEL/BOARD SEC	$0	$216,592	$0	$155,432	$0	$41,075	$0	$11,566	$0	$1,039	$0	$425,704	$0	$0
COOKSEY JILL
VP NURSING/ CHIEF NURSING	$0	$162,607	$0	$0	$0	$28,429	$0	$1,704	$0	$17,047	$0	$209,787	$0	$0
MCDONALD DOUGLAS
VP MEDICAL AFFIARS	$0	$233,083	$0	$0	$0	$1,111	$0	$13,113	$0	$11,721	$0	$259,028	$0	$0
MILLER DANIEL
VP HUMAN RESOURCES	$0	$209,360	$0	$201,141	$0	$46,386	$0	$16,108	$0	$17,213	$0	$490,208	$0	$0
WRAY CHARLOTTE
VP CLINICAL OPERATIONS	$0	$178,985	$0	$0	$0	$545	$0	$10,260	$0	$17,017	$0	$206,807	$0	$0
GIBBONS TERRI
PHARMACY OPERATIONS COORDINATO	$146,304	$0	$0	$0	$301	$0	$0	$0	$16,188	$0	$162,793	$0	$0	$0
GRAUER JOHN
MEDICAL DIRECTOR CASE MGT	$254,644	$0	$0	$0	$554	$0	$0	$0	$0	$0	$255,198	$0	$0	$0
ZEOLLA KATHERINE
PHARMACY OPERATIONS COORDINATO	$160,407	$0	$0	$0	$185	$0	$0	$0	$10,496	$0	$171,088	$0	$0	$0
HALLIDAY DON
DIRECTOR PHARMACY	$133,960	$0	$0	$0	$465	$0	$0	$0	$16,579	$0	$151,004	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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, Line 3 EMH Regional Medical Center's President and CEO is compensated by its Section 501(c)(3) parent organization, Comprehensive Health Care of Ohio, Inc ("CHCO"). CHCO used the following to establish the President and CEO's compensation: (1) compensation committee; (2) independent compensation consultant; compensation survey or study; and (3) approval by the board or compensation committee.

Form 990, Schedule J, Part I, 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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF LORAIN OHIO	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	340714612	BondIssuerEIN
CUSIP	543583LF3	CUSIPNum
Bond Issued	2008-07-31	BondIssuedDt
Issue Price	$36,730,000	IssuePriceAmt
Purpose	REFUNDING OF SERIES 2005 BOND ISSU	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	Yes (true)	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$36,627,156	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$36,625	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$36,578,616	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2008	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0.00000	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	DEUTSCHE BANK	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	1.4	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part III, Line 9; Part IV, Line 7, Part V	FormAndLineReferenceDesc
Explanation	Part III, Line 9; Part IV, Line 7, Part V. EMH Regional Medical Center believes that it is in full compliance with all Internal Revenue Code and IRS requirements related to its tax-exempt bonds. Effective January 1, 2014, EMH Regional Medical Center's sole member is University Hospitals Health System, Inc. (UHHS). As part of the UHHS health system, EMH Regional Medical Center is subject to UHHS' policies and procedures, which include those written procedures addressed in Form 990, Schedule K.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D	OTHER PROGRAM SERVVICES - ADDITIONAL MEDICAL SERVICES AT EMH ARE COMPREHENSIVE AND INCLUDE: RADIOLOGY/IMGAING, LABORATORY, WOUND CARE, PREDIATRIC AFTER-HOURS CARE, SPORTS MEDICINE/ REHABILITATION, OUTPATIENT INFUSION, ORTHOPEDICS, DIABETES EDUCATION, HEALTHY WOMEN/HEALTHY FAMILIES, MEDICAL HEALTH, HOME CARE, OCCUPATIONAL MEDICINE, SLEEP STUDIES, SOCIAL WORK AND EMERGENCY SERVICES. FORM 990, PART VI, LINE 6 THE MEMBER WITH RIGHTS TO GOVERN EMH REGIONAL MEDICAL CENTER IS COMPREHENSIVE HEALTH CARE OF OHIO, INC. IT IS THE SOLE MEMBER.
FORM 990, PART VI, LINE 7A	COMPREHENSIVE HEALTHCARE OF OHIO, INC. IS THE SOLE MEMBER AND HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF EMH REGIONAL MEDICAL CENTER.
FORM 990, PART VI, LINE 7B	CERTAIN DECISIONS, BUT NOT ALL DECISIONS, OF THE GOVERNING BODY OF EMH REGIONAL MEDICAL CENTER ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER, COMPREHENSIVE HEALTH CARE OF OHIO, INC. EXAMPLES OF DECISIONS OF THE GOVERNING BODY OF THE EMH REGIONAL MEDICAL CENTER WHICH ARE SUBJECT TO THAT APPROVAL OF THE MEMBER ARE ANNUAL OPERATING BUDGETS, CAPITAL EXPENDITURE BUDGETS, LONG RANGE PLANNING DOCUMENTS, CAPITAL EXPENDITURES INCURRING DEBT WHICH WOULD REQUIRE MORTGAGE OF ANY PARTS OF THE ASSTES OF EMH REGIONAL MEDICAL CENTER AND AMENDMENT TO THE GOVERNING DOCUMENTS OF EMH REGIONAL MEDICAL CENTER.
FORM 990, PART VI, LINE 11B	THE 990 IS REVIEWED BY THE CEO, CFO AND IN-HOUSE GENERAL 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 DELOPED 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 BY 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 ORGANIZATIONS CONFLICT OF INTEREST POLCIYY 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. FORM 990, PART XI, LINE 9 PENSION ADJUSTMENT $13,134,021 FUND BALANCE RESTRICTED $92,639 TRANSFERS TO AFFILIATES ($15,705,481) ROUNDING $6 ----------------- TOTAL ($2,478,815)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
COMPREHENSIVE HEALTHCARE OF OHIO INC
630 EAST RIVER STREET	ELYRIA	OH	44035	341492733	CENTRAL MGMT	OH	501(C)(3)	11-TYPE III	NA	false
AMHERST HOSPITAL ASSOCIATION INC
630 EAST RIVER STREET	ELYRIA	OH	44035	340067060	COMM. HSPTL	OH	501(C)(3)	3	CHCO	Yes (true)
ELYRIA MEMORIAL HOSPITAL FOUNDATION
630 EAST RIVER STREET	ELYRIA	OH	44035	341492735	FUNDRAISING	OH	501(C)(3)	7	CHCO	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1
COMMUNITY HEALTH COLLABORATIVE
452450431	HLTH COLLABOR.	OH	NA
COMMUNITY HEALTH CONTRACTING ORG
453023728	HLTH CONTRACTING	OH	NA
COMMUNITY HEALTH PURCHASING ORG
452450431	HLTH PURCHASING	OH	NA
COMMUNITY MEDICAL GROUP LLC
453023969	HEALTH CARE SVCS	OH	NA

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
COMPREHENSIVE VENTURES UNLIMITED INC
630 EAST RIVER STREET	ELYRIA	OH	44035	341596060	VARIOUS	OH	NA	C CORP	false
EMH MEDICAL OFFICE BUILDING IN AVON
1997 HEALTHWAY DRIVE	AVON	OH	44011	341935407	OFFICE BUILDING	OH	NA	C CORP	false
EMH SHEFFIELD MEDICAL BLDG CONDO ASSOC
630 EAST RIVER STREET	ELYRIA	OH	44035	260636602	CONDO COMPLEX	OH	NA	C CORP	false
CENTER FOR ORTHOPEDICS INC
630 EAST RIVER STREET	ELYRIA	OH	44035	341665082	PHYSICIAN PRACT.	OH	NA	C CORP	false
NORTH OHIO HEART INC
630 EAST RIVER STREET	ELYRIA	OH	44035	272574020	VARIOUS	OH	NA	C CORP	false
EMH PROFESSIONAL SERVICES INC
630 EAST RIVER STREET	ELYRIA	OH	44035	341778419	VARIOUS	OH	NA	C CORP	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMPREHENSIVE VENTURES UNLIMITED
P	$1,534,116	COST
COMPREHENSIVE VENTURES UNLIMITED
L	$134,857	COST
EMH PROFESSIONAL SERVICES
P	$1,788,222	COST
EMH PROFESSIONAL SERVICES
L	$477,245	COST
CENTER FOR ORTHOPEDICS
P	$1,878,510	COST
NORTH OHIO HEART
P	$4,485,333	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	PART 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: 45-3023969	ExplanationTxt