2014-11-17T14:32:53-06:00 2013-12-31 ERNST & YOUNG US LLP 2100 ONE PPG PLACE PITTSBURGH PA 15222 990 2013-01-01 340714612 EMH REGIONAL MEDICAL CENTER % DAVE COOK COO EMHR 4403297605 630 EAST RIVER STREET Suite ELYRIA OH 44035 DAVE COOK VP, GENERAL COUNSEL 2014-11-17 JAMES L ZIESCHE P01264584 2013 2015-11-30 17:44:51Z DONALD SHELDON 630 EAST RIVER STREET ELYRIA OH 44035 206109103 false X WWW.EMH-HEALTHCARE.ORG X 1907 OH WE ARE COMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE. 21 20 2122 302 0 326373 440476 193888012 194862989 5486208 7093775 3257730 3692650 202958323 206089890 273554 275000 0 0 93711626 92731875 0 0 0 97647937 102515266 191633117 195522141 11325206 10567749 249208097 242905897 119086454 98152238 130121643 144753659 X NON-PROFIT COMMUNITY HEALTH PROVIDING IN AND OUTPATIENT CARE, INCLUDING FULL SERVICE EMERGENCY ROOM, TO THE COMMUNITY OF ELYRIA, OHIO AND SURROUNDING AREAS. false false 24102071 0 30247427 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. 47685965 0 46812942 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. 42747874 0 43089413 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. 60080113 275000 77409273 174616023 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 152 0 true 2122 true true true false false false false false false false false false X 21 20 false false false false true true true true true false false true true true true true true true true true false OH X DAVE COOK COO 4403297605 630 EAST RIVER STREET ELYRIA OH 44035 WALDHEGER PRISCILLA MD BOARD MEMBER 2.0 0.0 X 0 0 0 YOST ROBERT BOARD MEMBER 2.0 0.0 X 0 0 0 FLANIGAN KEVIN BOARD SECRETARY 2.0 4.0 X X 0 0 0 FRANK RAY BOARD MEMBER 2.0 0.0 X 0 0 0 RAMADUGU ASHOK BOARD MEMBER 2.0 0.0 X 0 0 0 MUSSON JOHN BOARD MEMBER 2.0 0.0 X 0 0 0 PRIKH SANJAY MD BOARD MEMBER 2.0 0.0 X 0 0 0 YOST JUNE BOARD MEMBER 2.0 0.0 X 0 0 0 INCE DEBBIE BOARD MEMBER 2.0 0.0 X 0 0 0 SCHURMEIER JON BOARD MEMBER 2.0 0.0 X 0 0 0 ELEK GREGORY BOARD MEMBER 2.0 0.0 X 0 0 0 SHELDON DONALD MD PRESIDENT &CEO 55.0 6.0 X X 0 882159 27117 BECKETT JONATHAN M BOARD MEMBER 2.0 0.0 X 0 0 0 CANNADAY LEE BOARD MEMBER 2.0 0.0 X 0 0 0 HOAGLAND BRIAN BOARD CHAIR 2.0 2.0 X X 0 0 0 LAMB WILLIAM BAORD MEMBER 2.0 0.0 X 0 0 0 MIGGINS LYNN BOARD MEMBER 2.0 0.0 X 0 0 0 OLESEN ROBERT BOARD MEMBER 2.0 0.0 X 0 0 0 REIDY JOAN BOARD MEMBER 2.0 0.0 X 0 0 0 RIDGDA PAUL BOARD MEMBER 2.0 0.0 X 0 0 0 RYAN SPENCER BOARD MEMBER 2.0 0.0 X 0 0 0 pond fred board member(until march 2013) 2.0 0.0 X SIMONE JAMES VP FINANCE/CFO/TREASURER 55.0 7.0 X 0 474278 27872 GARDNER FRANCIS VP GENERAL COUNSEL/BOARD SEC 55.0 8.0 X 0 413099 12605 COOKSEY JILL VP NURSING/ CHIEF NURSING 55.0 8.0 X 0 191036 18751 MCDONALD DOUGLAS VP MEDICAL AFFIARS 55.0 8.0 X 0 234194 24834 MILLER DANIEL VP HUMAN RESOURCES 55.0 8.0 X 0 456887 33321 WRAY CHARLOTTE VP CLINICAL OPERATIONS 55.0 8.0 X 0 179530 27277 GIBBONS TERRI PHARMACY OPERATIONS COORDINATO 55.0 0.0 X 146605 0 16188 GRAUER JOHN MEDICAL DIRECTOR CASE MGT 55.0 0.0 X 255198 0 0 ZEOLLA KATHERINE PHARMACY OPERATIONS COORDINATO 55.0 0.0 X 160592 0 10496 HALLIDAY DON DIRECTOR PHARMACY 55.0 0.0 X 134425 0 16579 KODSY MAHER MEDICAL DIRECTOR 55.0 0.0 X 131969 0 0 828789 2831183 215040 25 false true false OWENS AND MINOR PO BOX 644783 PITTSBURGH PA 152644783 MEDICAL SERVICES 4270006 MEDTRONIC USA 4642 COLLECTIONS CENTER RD CHICAGO IL 606930046 MEDICAL SERVICES 3637920 ZIMMER-USA 14235 COLLECTIONS CTR DR CHICAGO IL 60693 MEDICAL SERVICES 2506220 SIEMENS MEDICAL SOLUTIONS PO BOX 120001 DALLAS TX 753120733 MEDICAL SERVICES 2238299 SIEMENS MEDICAL SOLUTIONS PO BOX 120001 DALLAS TX 753120733 MEDICAL SERVICES 1881442 140 154500 285976 440476 NET PATIENT CARE 621400 189812347 189812347 HEALTH & FITNESS CENTER 621400 3307817 3307817 ELECTRONIC MEDICAL RECORDS 900099 1742825 1742825 194862989 2502264 2502264 0 0 175347 19213 156134 0 156134 156134 4591511 4591511 4591511 4591511 0 0 0 CLINICAL SERVICES 561000 1716331 1716331 CAFE/VENDING 722210 760995 760995 AHA MANAGEMENT FEE 561000 125004 125004 934186 854731 79455 3536516 206089890 197559055 8090359 275000 275000 0 0 0 0 0 72749212 65474291 7274921 0 14676696 13209026 1467670 5305967 4775370 530597 17083571 15375214 1708357 225940 225940 112805 112805 0 0 0 13791842 12518949 1272893 54310 54310 40079207 36071286 4007921 1134362 1020926 113436 0 4085196 2317455 1767741 229273 206346 22927 0 0 1693861 1524475 169386 0 12559061 11303155 1255906 2365882 2365882 REPAIRS AND MAINTENANCE 3621620 3259458 362162 FRANCHISE TAX 2630000 2367000 263000 LEASE/RENTAL 1195229 1075706 119523 LAUNDRY 1008834 1008834 644273 413340 230933 195522141 174616023 20906118 0 13871038 9423094 0 0 0 0 24980169 24924423 0 0 0 0 0 0 1573211 1995256 813637 1193638 241312271 166513797 81847776 74798474 100595937 93418758 0 0 0 0 0 0 25526329 37152254 249208097 242905897 23845445 24272826 0 0 0 0 39053425 34849418 0 0 0 0 0 0 0 0 56187584 39029994 119086454 98152238 X 125373376 139695858 2366216 2583111 2382051 2474690 130121643 144753659 249208097 242905897 X 10567749 6543082 -2478815 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14223 14223 false SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS. A CERTAIN PERCENTAGE OF THOSE DUES ARE USED FOR PURPOSES OF LOBBYING. 4512557 4512557 63024907 41103128 21921779 166923255 122164286 44758969 6851552 3246383 3605169 74798474 INTERCOMPANY RECEIVABLE 36976140 UNAMORTIZED FINANCING COSTS 176114 37152254 0 PENSION LIABILITY 20393414 SELF INSURANCE RESERVE 11008820 INTEREST RATE SWAP 3307401 ESTIMATED 3RD PARTY PAYABLE 4320359 39029994 true true X true X true X true true true false true true 12595225 1400000 11195225 0.05750 26067680 15768177 10299503 0.05290 38662905 17168177 21494728 0.11040 3302663 1756460 1546203 0.00790 3302663 1756460 1546203 0.00790 41965568 18924637 23040931 0.11830 200023 200023 0.00150 200023 200023 0.00150 true 3153443 5643 63270656 62531997 738659 X true true 1 1 EMH REGIONAL MEDICAL CENTER 630 EAST RIVER STREET ELYRIA OH 44035 X X X EMH REGIONAL MEDICAL CENTER 1 true X X X X X X X X X X 13 true true true X SEE SUPPLEMENTAL INFORMATION X X X X X X true false true true 200. true 300. true X X X X true true X X X X X X true false true X false false SCHEDULE H, PART V, SECTION B, LINE 1J 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. 2 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 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. true COMPREHENSIVE HEALTHCARE OF OHIO 630 EAST RIVER STREET ELYRIA OH 44035 341492733 501(C)(3) 25000 PROMOTE HEALTH IN COMMUNITY LORAIN COUNTY HEALTH AND DENTISTRY 1205 BROADWAY LORAIN OH 44052 341957404 501(C)(3) 250000 PROMOTE HEALTH IN COMMUNITY 2 SCHEDULE I, PART I, LINE 2 ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO. X true true false true false false false false false false false SHELDON DONALD MD PRESIDENT &CEO 0 396404 0 362638 0 123117 0 15100 0 12017 0 909276 0 0 SIMONE JAMES VP FINANCE/CFO/TREASURER 0 271272 0 141568 0 61438 0 12550 0 15322 0 502150 0 0 GARDNER FRANCIS VP GENERAL COUNSEL/BOARD SEC 0 216592 0 155432 0 41075 0 11566 0 1039 0 425704 0 0 COOKSEY JILL VP NURSING/ CHIEF NURSING 0 162607 0 0 0 28429 0 1704 0 17047 0 209787 0 0 MCDONALD DOUGLAS VP MEDICAL AFFIARS 0 233083 0 0 0 1111 0 13113 0 11721 0 259028 0 0 MILLER DANIEL VP HUMAN RESOURCES 0 209360 0 201141 0 46386 0 16108 0 17213 0 490208 0 0 WRAY CHARLOTTE VP CLINICAL OPERATIONS 0 178985 0 0 0 545 0 10260 0 17017 0 206807 0 0 GIBBONS TERRI PHARMACY OPERATIONS COORDINATO 146304 0 0 0 301 0 0 0 16188 0 162793 0 0 0 GRAUER JOHN MEDICAL DIRECTOR CASE MGT 254644 0 0 0 554 0 0 0 0 0 255198 0 0 0 ZEOLLA KATHERINE PHARMACY OPERATIONS COORDINATO 160407 0 0 0 185 0 0 0 10496 0 171088 0 0 0 HALLIDAY DON DIRECTOR PHARMACY 133960 0 0 0 465 0 0 0 16579 0 151004 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, 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 A COUNTY OF LORAIN OHIO 340714612 543583LF3 2008-07-31 36730000 REFUNDING OF SERIES 2005 BOND ISSU false true false A 0 0 36627156 0 0 0 36625 0 0 36578616 0 0 2008 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false false A false true false false true true DEUTSCHE BANK 1.4 false false false 0 false false A false Schedule K, Part III, Line 9; Part IV, Line 7, Part V 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. 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) 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 true ELYRIA MEMORIAL HOSPITAL FOUNDATION 630 EAST RIVER STREET ELYRIA OH 44035 341492735 FUNDRAISING OH 501(C)(3) 7 CHCO true 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 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 true true true false false false true true false true true false true true false true true true true COMPREHENSIVE VENTURES UNLIMITED P 1534116 COST COMPREHENSIVE VENTURES UNLIMITED L 134857 COST EMH PROFESSIONAL SERVICES P 1788222 COST EMH PROFESSIONAL SERVICES L 477245 COST CENTER FOR ORTHOPEDICS P 1878510 COST NORTH OHIO HEART P 4485333 COST SUPPLEMENTAL INFORMATION 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