AULTMAN HEALTH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: AULTMAN HEALTH FOUNDATION (EIN 34-0714581)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-09-30
IRS object ID: 201302749349301010
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-30T09:50:58-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	340714581	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALLIANCE COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALLI	NameControl
Phone	3305966000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 E State Street	AddressLine1
City	Alliance	City
State	OH	State
ZIP Code	44601	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Dale Wells	Name
Title	Chief Financial & Operating Officer	Title
Phone	3305967066	Phone
Date Signed	2013-09-30	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Dale W Wells	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	200 E State Street	AddressLine1
City	Alliance	City
State	OH	State
ZIP Code	44601	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	95920829	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.achosp.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1901	YearFormation
State Legal Domicile	OH	StateLegalDomicile
Activity Or Mission Description	Alliance Community Hospital is an acute care hospital providing care to all, regardless of ability to pay. The most significant activities include inpatient and outpatient care, surgical procedures, radiology, skilled nursing facility, lab and emergency treatment.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	1182	TotalNbrEmployees
Total Nbr Volunteers	357	TotalNbrVolunteers
Total Gross UBI	31682	TotalGrossUBI
Net Unrelated Business Txbl Income	-5379	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	113844	ContributionsGrantsPriorYear
Contributions Grants Current Year	377208	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	93151799	ProgramServiceRevenuePriorYear
Program Service Revenue CY	94533735	ProgramServiceRevenueCY
Investment Income Prior Year	151923	InvestmentIncomePriorYear
Investment Income Current Year	-43384	InvestmentIncomeCurrentYear
Other Revenue Prior Year	841857	OtherRevenuePriorYear
Other Revenue Current Year	986941	OtherRevenueCurrentYear
Total Revenue Prior Year	94259423	TotalRevenuePriorYear
Total Revenue Current Year	95854500	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	40000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	42000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	54066487	SalariesEtcPriorYear
Salaries Etc Current Year	53094417	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	43566955	OtherExpensePriorYear
Other Expenses Current Year	40457559	OtherExpensesCurrentYear
Total Expenses Prior Year	97673442	TotalExpensesPriorYear
Total Expenses Current Year	93593976	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3414019	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2260524	RevenuesLessExpensesCY
Total Assets BOY	109190659	TotalAssetsBOY
Total Assets EOY	107498046	TotalAssetsEOY
Total Liabilities BOY	68931168	TotalLiabilitiesBOY
Total Liabilities EOY	65050955	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	40259491	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	42447091	NetAssetsOrFundBalancesEOY
Mission Description	Alliance Community Hospital's (ACH) mission is to provide our patients and guests with a safe, comforting, and healing environment. This mission is accomplished through our Planetree philosophy of caring and provides for all patients to receive the appropriate care - physical, spiritual and social - regardless of their ability to pay.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	15283500	Expense
Grants	0	Grants
Revenue	7451407	Revenue
Description	Inpatient health care programs account for ACH's largest program service, providing medical services to patients from Alliance and surrounding communities. ACH admitted 3,797 patients (which includes 430 births) totaling 17,573 days of care from our staff. Various services include care from our Senior Care/Psychiatric Department, Medical Surgical Departments, Obstetrics, Intensive Care Unit, Dialysis, and Inpatient Rehabilitation Unit. Total expenses for inpatient health care in 2012 was $15.3 million.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	10396372	Expense
Grants	0	Grants
Revenue	15602663	Revenue
Description	Surgical procedures account for our second largest program service. In addition to Inpatient surgical procedures, ACH provides Same Day Surgery and Endoscopy services. Our surgical services performed 23,392 surgical procedures costing $10.4 million.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	7211345	Expense
Grants	0	Grants
Revenue	12689241	Revenue
Description	Radiology is ACH's third largest program service which includes Imaging, Womens Wellness, Ultrasound, MRI, Nuclear Medicine, and CT Scans. ACH provides a full service Radiology Department for Alliance and the surrounding communities that is used not only for the routine daily images, but also to service our Emergency Room 24 hours a day, 7 days per week. ACH is also providing women's wellness services to promote women's health in our service area. In 2012 ACH provided 60,865 tests costing $7.2 million.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	47124735	Expense
Grants	0	Grants
Revenue	58361442	Revenue
Description	All other program services	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	47124735	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	58361442	TotalOfOtherProgramServiceRev
Total Program Service Expense	80015952	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	1	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	103	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1182	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Dale Wells	NamePerson
Telephone Number	3305967066	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 E State Street	AddressLine1
City	Alliance	City
State	OH	State
ZIP Code	44601	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Don McAlister
President	1	3.00	X	X	0	0	0
David Lundgren
Vice President	1	2.00	X	X	0	0	0
William McCallum
Secretary	1	2.00	X	X	0	0	0
Ron Lyons
Treasurer	1	3.00	X	X	0	0	0
Dan Davia
Trustee	1	1.00	X		0	0	0
Dr Paul Garfinkle
Trustee	1	0	X		0	0	0
Teresa Golden-McClelland
Trustee	1	1.00	X		0	0	0
John Gross
Trustee	1	1.00	X		0	0	0
Mike Hoover
Trustee	1	3.00	X		0	0	0
Scott Ingledue
Trustee	1	1	X		0	0	0
Stan Jonas
Trustee, Chief Executive Officer	41	6	X	X	388324	0	19347
Dr Duane Kuentz
Trustee, Physician	1	1.00	X		159357	0	11927
Dr Debra Lehrer
Trustee	1	1.00	X		0	0	0
Gary Wagner
Trustee	1	1.00	X		0	0	0
Dale Wells
Chief Financial & Operating Officer	40	6		X	180812	0	18280
Dr David Mungo
Physician	40	0			709510	0	18193	X
Dr Steven Deutch
Physician	40	0			534331	0	20485	X
Dr David Kanagy
Physician	40	0			436321	0	20997	X
Dr Michael Necci
Physician	40	0			510062	0	18277	X
Dr Zev Maycon
Physician	40	0			346806	0	8705	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3265523	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	136211	TotalOtherCompensation
Number Individuals GT100 K	19	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2
Anesthesia Associates of Alliance LLC
200 E State Street	Alliance	OH	44601	Anesthesiologists	899743
Salem Surgical Services LLC
944 Greenbriar Parkway	Kent	OH	44240	Lithostripsy Services	760960	Suite B
ARUP Laboratories
PO Box 27964	Salt Lake City	UT	84127	Lab Services	447471
S S & G Healthcare Diagnostics
PO Box 39453	Cleveland	OH	44139	Physician practice consulting & billing	423097
Dominick Catalano MD
1557 Overlook Rd	Kent	OH	44240	ER Medical Director Services	165296

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	12	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	29875	FundraisingEvents
Related Organizations	314387	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	32946	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	377208	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Patient Revenue	622110	93495793	93495793	$0
Cafeteria	722212	694103	0	$694,103
Other Hospital Services	900099	224592	0	$224,592
Program Related Investment Income	900099	83711	83711	$0
Patient Education	900099	35536	35536	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	94533735	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3991	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,991	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	447499	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	447499	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	447499	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$447,499	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	2000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	49375	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	-47375	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-47375	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$47,375	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	29079	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	29875	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	16954	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	12125	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$12,125	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Deferred Revenue Earned	900099	360000	360000	0	$0
Change in Fair Value of Interest Rate Swap Agreement	900099	129713	129713	0	$0
Catering	722320	31682	0	31682	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5922	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,922	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	527317	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	95854500	TotalRevenueColumn
Related Or Exempt Function Income	94104753	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	31682	UnrelatedBusinessRevenue
Exclusion	$1,340,857	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	42000	Total
Program Services	42000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	610019	Total
Program Services	0	ProgramServices
Management And General	610019	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	41730534	Total
Program Services	35951237	ProgramServices
Management And General	5779297	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	885311	Total
Program Services	762704	ProgramServices
Management And General	122607	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6896811	Total
Program Services	5941666	ProgramServices
Management And General	955145	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2971742	Total
Program Services	2530313	ProgramServices
Management And General	441429	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	427519	Total
Program Services	205768	ProgramServices
Management And General	221751	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	305616	Total
Program Services	0	ProgramServices
Management And General	305616	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	79600	Total
Program Services	0	ProgramServices
Management And General	79600	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1025085	Total
Program Services	806207	ProgramServices
Management And General	218878	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	348023	Total
Program Services	340572	ProgramServices
Management And General	7451	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	19500646	Total
Program Services	18424783	ProgramServices
Management And General	1075863	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1490948	Total
Program Services	1325629	ProgramServices
Management And General	165319	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1704850	Total
Program Services	1539589	ProgramServices
Management And General	165261	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	363007	Total
Program Services	304957	ProgramServices
Management And General	58050	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2314760	Total
Program Services	1972152	ProgramServices
Management And General	342608	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	5089550	Total
Program Services	4336246	ProgramServices
Management And General	753304	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	928561	Total
Program Services	837341	ProgramServices
Management And General	91220	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased Services	6580195	4459328	2120867
Minor Equipment	160850	152530	8320
Dues and Subscriptions	138349	82930	55419

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	93593976	Total
Program Services	80015952	ProgramServices
Management And General	13578024	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4252731	BOY
EOY	5662611	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12424540	BOY
EOY	12526678	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	66666	BOY
EOY	25000	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2022279	BOY
EOY	1721822	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	958565	BOY
EOY	877021	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1378777	BOY
EOY	1825103	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	116062422	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	36821558	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	82420549	BOY
EOY	79240864	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	134100	BOY
EOY	134100	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	317935	BOY
EOY	250534	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5214517	BOY
EOY	5234313	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	109190659	BOY
EOY	107498046	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11268358	BOY
EOY	10958409	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2520000	BOY
EOY	2160000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	55142810	BOY
EOY	51932546	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	68931168	BOY
EOY	65050955	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	39959913	BOY
EOY	42213847	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	299578	BOY
EOY	233244	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	40259491	BOY
EOY	42447091	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	109190659	BOY
EOY	107498046	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	2260524	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	0	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	-72924	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	0	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	0	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	0	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	0	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	0	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	0	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	15562377	OtherCostOrOtherBasis
Book Value	15562377	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	64786580	OtherCostOrOtherBasis
Depreciation	11858611	Depreciation
Book Value	52927969	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	36691	OtherCostOrOtherBasis
Depreciation	8561	Depreciation
Book Value	28130	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	31881036	OtherCostOrOtherBasis
Depreciation	22398941	Depreciation
Book Value	9482095	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3795738	OtherCostOrOtherBasis
Depreciation	2555445	Depreciation
Book Value	1240293	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	79240864	TotalOfBookValueLandBuildings

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	SchD_P05_S00_L04	Identifier
Return Reference	Schedule D, Part V, Line 4	ReturnReference
Explanation	The endowment funds are held by Alliance Community Hospital Foundation, a related organization. The intended use of the organization's endowment funds is to hold the principal in perpetuity and use the interest for the general operations of the organization.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Charity Golf Classic	NameOfEvent1
Gross Receipts Event1	58954	GrossReceiptsEvent1
Charitable Contributions Event1	29875	CharitableContributionsEvent1
Gross Revenue Event1	29079	GrossRevenueEvent1
Cash Prizes Event1	3700	CashPrizesEvent1
Non Cash Prizes Event1	60	NonCashPrizesEvent1
Rent Facility Costs Event1	5360	RentFacilityCostsEvent1
Food And Beverage Event1	6584	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	1250	OtherDirectExpensesEvent1
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Gross Receipts Total	58954	GrossReceiptsTotal
Charitable Contributions Total	29875	CharitableContributionsTotal
Gross Revenue Total Events	29079	GrossRevenueTotalEvents
Cash Prizes Total Events	3700	CashPrizesTotalEvents
Non Cash Prizes Total Events	60	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	5360	RentFacilityCostsTotalEvents
Food And Beverage Total Events	6584	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	1250	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	16954	DirectExpenseSummaryEvents
Net Income Summary	12125	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3222453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1877230	DirectOffsettingRevenue
Net Community Benefit Expense	1345223	NetCommunityBenefitExpense
Percent Of Total Expense	0.0144	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12145116	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9114658	DirectOffsettingRevenue
Net Community Benefit Expense	3030458	NetCommunityBenefitExpense
Percent Of Total Expense	0.0324	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	15367569	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10991888	DirectOffsettingRevenue
Net Community Benefit Expense	4375681	NetCommunityBenefitExpense
Percent Of Total Expense	0.0468	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	216065	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	216065	NetCommunityBenefitExpense
Percent Of Total Expense	0.0023	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	559688	TotalCommunityBenefitExpense
Direct Offsetting Revenue	396682	DirectOffsettingRevenue
Net Community Benefit Expense	163006	NetCommunityBenefitExpense
Percent Of Total Expense	0.0017	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39671019	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27297871	DirectOffsettingRevenue
Net Community Benefit Expense	12373148	NetCommunityBenefitExpense
Percent Of Total Expense	0.1322	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	140630	TotalCommunityBenefitExpense
Direct Offsetting Revenue	111646	DirectOffsettingRevenue
Net Community Benefit Expense	28984	NetCommunityBenefitExpense
Percent Of Total Expense	0.00003	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	40587402	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27806199	DirectOffsettingRevenue
Net Community Benefit Expense	12781203	NetCommunityBenefitExpense
Percent Of Total Expense	0.13623	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	55954971	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38798087	DirectOffsettingRevenue
Net Community Benefit Expense	17156884	NetCommunityBenefitExpense
Percent Of Total Expense	0.18303	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	32619	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	32619	NetCommunityBuildingExpense
Percent Of Total Expense	0.0004	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	3741	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3741	NetCommunityBuildingExpense
Percent Of Total Expense	0.00	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	20099	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	20099	NetCommunityBuildingExpense
Percent Of Total Expense	0.0002	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	56459	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	56459	NetCommunityBuildingExpense
Percent Of Total Expense	0.0006	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,386,719	BadDebtExpenseAmount
Amount Attributable To	930821	AmountAttributableTo
Amount Reimbursed By Medicare	10567760	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10659190	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-91430	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Alliance Community Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	200 E State Street	AddressLine1
City	Alliance	City
State	OH	State
ZIP Code	44601	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.achosp.org	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	Visiting Nurse Assn, Skilled Nursing Facility, Hospice, Senior Care/Psych Unit, Rehab Unit	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Alliance Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	0	CHNAConducted
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Lowest Negotiated Rates	X	LowestNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Alliance Community Medical Foundation	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	200 E State Street	AddressLine1
City	Alliance	City
State	OH	State
ZIP Code	44601	ZIPCode

Field	Value	IRS element (for citing)
Facility Type	Physician Practices	FacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L06a	Schedule H, Part I, Line 6a	Alliance Community Hospital's (ACH) community benefit report is contained in a report prepared by Alliance Community Hospital Foundation (EIN 34-1531817), a related organization.
SchH_P01_S00_L07	Schedule H, Part I, Line 7	ACH's cost accounting system was used to calculate the amounts reported in the table for line 7. The cost accounting system addresses all patient segments specific to ACH. Where applicable, a cost to charge ratio was used and the ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges.
SchH_P01_S00_L07g	Schedule H, Part I, Line 7g	Subsidized health services data on line 7g does not include any costs attributable to a physician clinic; thus there are no costs to report in Part VI.
SchH_P02_S00_L00	Schedule H, Part II	ACH's Inhouse Hospitalilty Program is a 16 week program offered annually during the spring school semester. It is geared to teach handicapped high school students job, life, and personal skills. Students are mentored by an ACH colleague. ACH colleagues also reach out to the community to protect and improve community health and safety. ACH offers reading programs to special-needs children and therapeutic programs to local nursing home residents. ACH colleagues provide leadership development and training through programs such as Junior Achievement and drug education. Numerous colleagues participate in collaborative events including blood drives, local YMCA health challenges, and local health-related boards such as the Prescription Assistance Network of Stark County, The Stark County Health Needs Advisory Committee, The Alzheimer Association, Domestic Violence, Alliance for Children and Families and the Stark County Minority Health Coaltion.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	See page 8 of the AFS for footnote text re: bad debt exp included under Patient Accounts Receivable.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	Part III lines 5 & 6 data was derived based on Worksheet B from Medicare Cost Reports excluding subsidized programs included on Part I line 7g. Reimbursement was less than allowable cost creating a shortfall in 2012. The shortfall calculated on Part III should be considered community benefit since ACH provided benefit greater than the reimbursement received for services.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	ACH's collection practices for patients identified as qualifying for financial assistance is based on the account balance net of the charity write-off. As long as the patient makes a minimal monthly payment, the account is considered current. If payment is not received monthly, a call from our credit department is made along with receiving a monthly statement. If payment is then received, the account returns to "current". If there are six consecutive months without payment, the account is turned over to our collection agency to attempt to collect the balance due. ACH does not charge interest on outstanding balances.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	ACH has played an active role in a county-wide health needs assessment group that is evaluating the health care needs of the community from a local perspective. Members of the group include other health care and health-related nonprofit organizations. The top three community health needs identified based on that study are 1)access to health, 2)behavioral health, and 3)childhood obesity. ACH is conducting its own community health needs assessment to identify needs of the Hospital's specific population. ACH is analyzing the data collected and creating an action plan based on the results. The goal is to begin implementation of the action plan by the beginning of 2014.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	During the registration process, the patient's initial financial responsibility is determined based on insurance coverage, deductibles, etc. supplied by the patient. If it is determined that the patient will be partially or fully responsible for their medical charges, then the patient will receive personal credit counseling from ACH credit personnel. ACH follows EMTALA standards for emergency room and labor visits. A Patient Billing brochure is available in the admissions and emergency room areas to all patients. The brochure provides information on financial assistance along with phone numbers so that an individual can speak to a member of the patient billing team and/or set up a personal appointment for financial assistance. In addition, monthly billing statements include a financial assistance application on the back plus phone numbers for assistance. We refer patients who we believe are eligible for Medicaid to RevCare which is an agency specializing in Medicaid eligibility and application so the patient receives the financial expertise needed for financial assistance.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	Alliance Community Hospital is located in Alliance, Ohio and serves Stark, Mahoning, Columbiana and other surrounding counties. The geographic service area is made up of urban, suburban, and rural areas. In 2012, our patient charges consisted of the following financial classes: 18% from individuals on Means-tested government programs or uninsured; 31% from commercial insurance, health maintenance and preferred provider organizations; and 51% from Medicare programs. Persons below the poverty level was 15.5% per the latest census data available at www.census.gov. For the three-county area, the average household size was 2.42 and the average household income was $42,307. Persons under the age of 18 accounted for 21.5% of the population, and 17.5% of the population was 65 years and older.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	ACH in conjunction with its Foundation promote the health of the community by giving back both time and dollars to charitable organizations such as the local YMCA, Alliance Neighborhood Center, the Stark County Homeless Council, the Alliance Area Develpment Foundation and others. Carnation Days in the Park allowed volunteers to offer free blood pressure screenings, and health information/handouts. The hospital's Health Caring Resource Library offers free blood pressure screenings to the community each week as well as a reference library for medical questions. A mock disaster drill gave our community emergency and police departments a chance to test and enhance its response efforts. Several community health fairs were offered by renting booth space at the local mall where shoppers could pick up information about services and free seminars offered by ACH. Some of the presentations offered to the community in 2012 included sun safety, medication instructions, sleep lab studies, and general health and nutrition. ACH's Cardiopulmonary Rehab department sponsors the Heart and Sole walking program which encourages senior citizens to walk the mall for good heart health. In conjunction with the Alliance Family YMCA's city wide health challenge, ACH provided baseline for screenings such as weight, BMI, body measurements, cholesterol and glucose testing and also healthy eating, smoking cessation, women's health and stress management classes. Sports symposiums provided education to local healthcare professionals such as athletic directors, trainers and coaches. Other Health Fairs are offered free to the community at local grocery stores, farmer's markets, libraries, YMCA's, and assisted living locations. Services include free osteoporosis screenings, blood pressure screens, and BMI checks. ACH sponsored a Rehab car show again in 2012. Blood Pressure Screenings were offered during the event and canned goods were collected and distributed to a local food pantry. Our Foundation staff served on the Stark County Minority Health coalition committee which was established to improve and protect the health of racial and ethnic minority populations through the development of health programs and activities that will reduce and eliminate health disparities. ACH promoted colleague support teams for The American Cancer Society (Relay for Life) and The American Heart Association. Our volunteer department coordinates ACH's participation in a local high school health sciences technology program, a Hospitality program which offers mentoring to handicapped high school students, Federal Work study programs with the local university, volunteer training to local high school students, therapeutic services to local nursing homes and community reading programs for students and senior citizens.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Business Name Line2RecipientNameBusiness/BusinessNameLine2
Alliance Family YMCA
205 S Union St	Alliance	OH	44601	340714792	501[c](3)	10500	General support payment as a result of the Charity Golf Classic held on behalf of these entities.
Alliance Neighborhood Center
405 S Linden Ave	Alliance	OH	44601	311566678	501[c](3)	10500	General support payment as a result of the Charity Golf Classic held on behalf of these entities.
Sisters of Charity Fdn of Canton
2475 E 22nd St	Cleveland	OH	44115	341832697	501[c](3)	10500	General support payment as a result of the Charity Golf Classic held on behalf of these entities.	Restricted Fund Stark County Homeless Council
Alliance Area Development Fdn
2490 W State St	Alliance	OH	44601	311652174	501[c](3)	10500	General support payment as a result of the Charity Golf Classic held on behalf of these entities.

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	Alliance Community Hospital (ACH) has not provided grants to organizations outside its control. It worked in conjunction with other community, non-profit organizations to raise funds on their behalf. As such, these organizations such as the local YMCA, Neighborhood Center, Stark County Homeless Council, and Alliance Area Development Foundation are fully engaged and a participant in the fund raising process. As such, ACH relies on their participation and funding reports to verify use of the funds. Should ACH provide grants outside those listed above, then ACH will rely on the policy of lump sum funding preceeded by a grant application, approval from the Board, and then followed by a 6-month and annual evaluation of the project if needed and/or grant application funding based on reimbursement of actual expense(s) along with Board approval.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Stan Jonas
Chief Executive Officer	371324	0	0	0	17000	0	6964	0	14502	0	409790	0	0	0
Dale Wells
Chief Financial & Operating Officer	180812	0	0	0	0	0	4625	0	14792	0	200229	0	0	0
Dr David Mungo
Physician	692510	0	0	0	17000	0	10000	0	13637	0	733147	0	0	0
Dr Steven Deutch
Physician	517123	0	0	0	17208	0	10000	0	15687	0	560018	0	0	0
Dr David Kanagy
Physician	419321	0	0	0	17000	0	10000	0	16725	0	463046	0	0	0
Dr Michael Necci
Physician	483437	0	0	0	26625	0	10000	0	14277	0	534339	0	0	0
Dr Zev Maycon
Physician	346806	0	0	0	0	0	0	0	8705	0	355511	0	0	0
Dr Duane Kuentz
Trustee	159357	0	0	0	0	0	3878	0	13819	0	177054	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
City of Alliance Ohio
A	346000043	018744AA0	2008-01-25	51150000	Refund the 2003 bond issue	0	0	0
City of Alliance Ohio
B	346000043		2010-12-28	16350000	Refund a portion of the refunded 2003 bond issue	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	17120000	0	51150000	2259788	0	0	0	0	0	0	48890212	0	2005	1	0	1	1
B	0	0	16350000	0	0	0	200000	0	0	0	16150000	0	2005	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0	0.001	0.001	0	0	1
B	0	0	0	0	0	0.001	0.001	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
JP Morgan Chase
A	0	1	0	0	1	1	24.8	0	0	0	0	1
(no name)
B	0	0	0	0	0	0				0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	Dr Michael Necci	NamePerson
Relationship With Organization	Employed Physician	RelationshipWithOrganization
Purpose Of Loan	Sign On Bonus	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$75,000	OriginalPrincipalAmount
Balance Due	25000	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	25000	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L01a	Form 990, Part VI, Section A, Line 1a	The governing body of Alliance Community Hospital has delegated authority to the Executive Committee, as follows: (excerpts from the Code of Regulations) Composition of the Executive Committee: The Executive Committee shall meet at least four (4) times each year and shall be authorized to exercise all the powers of the Board Of Trustees and perform all of its duties, except as otherwise provided by the Member (Alliance Citizens' Health Association), the Code of Regulations, Articles of Incorporation, or by law. The Executive Committee shall be composed of the President, the Vice President, the Secretary, Treasurer, Chief Executive Officer, President of the Medical Staff, and up to four (4) Other members of the Board of Trustees. The governing body of Alliance Community Hospital (per its Code of Regulations) has delegated authority to the Board of Alliance Citizens' Health Association (the Member), a related organization, as follows: 1.) Power to elect and remove members of the Board of Trustees and/or Officers of the corporation; 2.) Approve the annual operating budgets; capital expenditures budgets; capital expenditures or dispositions of capital assets with a value in excess of such limits as shall be set from time to time by the Member; any action which requires Certificate of Need approval from the State Health Planning Development Agency; and any purchase, sale, lease, disposition, or hypothecation of real property; 3.) The incurrence of any obligation(s), liability(ies), and/or debt(s) requiring a mortgage on or security interest in any part of the assets of the corporation; 4.) Power to determine, upon dissolution of the corporation, the organization or organizations to which its remaining assets will be distributed.
F990_P06_S0A_L06	Form 990, Part VI, Section A, Line 6	See Schedule O comment for Part VI question 1a.
F990_P06_S0A_L07a	Form 990, Part VI, Section A, Line 7a	See Schedule O comment for Part VI question 1a.
F990_P06_S0A_L07b	Form 990, Part VI, Section A, Line 7b	See Schedule O comment for Part VI question 1a.
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The Form 990 is reviewed by the CFO of Alliance Community Hospital and the Hospital hires an independent accouting firm to review the Form 990 and schedules. Prior to filing, the 990 is also distributed to the Board of Trustees for their review and comments. It is then discussed as part of the financial report at the next Board meeting where any questions/concerns can be addressed.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	Members of the Board of Trustees are required to annually review and sign a conflict of interest policy. Under that policy, the Board member (i) has a duty to disclose any conflict, and (ii) must recuse themselves from a vote and or decision when such conflict arises. If this policy is violated, then the Board shall take appropriate action which may include an investigation and disciplinary action.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Compensation of officers is determined by an independent (noncompensated) committee from the Board of Trustees. This committee annually reviews compensation by obtaining market surveys of the positions.
F990_P06_S0C_L17	Form 990, Part VI, Section C, Line 17	Ohio does not require the Form 990 to be filed with the Ohio Attorney General's Office. Instead, a "Verification of Filing with the Internal Revenue Service" form is completed stating that we did file Form 990 by the required due date.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The organization makes its governing documents available to the public via the Ohio Secretary of State's website. Financial statements are available in the NRMSIR filing database at www.emma.msrb.org. The conflict of interest policy is available upon request.
F990_P11_S00_L09	Form 990, Part XI, Line 9	Decrease in Temporarily Restricted Assets of $66,334 plus amortization of interest rate swap agreement of $6,590 equals the $72,924 reduction in Net assets at 12-31-2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Alliance Community Medical Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 E State Street	AddressLine1
City	Alliance	City
State	OH	State
ZIP Code	44601	ZIPCode

Field	Value	IRS element (for citing)
EIN	263646817	EIN
Primary Activities	Physician Offices	PrimaryActivities
Legal Domicile State	OH	LegalDomicileState
Total Income	5056622	TotalIncome
EOY Assets	1391605	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Alliance Comm Hosp	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Alliance Citizens' Health Association
200 E State St	Alliance	OH	44601	341531815	Manage Health Facil	OH	501(C)(3)	Sch A, 11b, II	N/A	0
Alliance Community Hospital Foundation
200 E State St	Alliance	OH	44601	341531817	Fundraising	OH	501(C)(3)	Sch A, 11a, I		0	Alliance Citizens' Health Assn
Alliance Comm Hospital Auxiliary
200 E State St	Alliance	OH	44601	340777659	Volunteer Services	OH	501(C)(3)	Sch A, 11c, III-FI	N/A	0
Alliance Health Institute
200 E State St	Alliance	OH	44601	341932972	Support ACH	OH	501(C)(3)	Sch A, 11a, I		0	Alliance Citizens' Health Assn
Caring Hands
885 Sawburg Rd	Alliance	OH	44601	341505340	Private Duty Nursing	OH	501(C)(3)	Sch A, 11c, III-FI		0	Alliance Citizens' Health Assn

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Alliance Health Partners
200 E State St	Alliance	OH	44601	341884059	PHO	OH	N/A	C	0	0	0	0
Alliance Hospitalist Group
200 E State St	Alliance	OH	44601	203188585	Dr Offices	OH		C	0	0	1	1	Alliance Comm Hospital
Alliance Community Radiologists Inc
200 E State St	Alliance	OH	44601	205698786	Dr Offices	OH		C	0	0	1	1	Alliance Comm Hospital
Alliance Medical Associates Inc
200 E State St	Alliance	OH	44601	911889215	Dr Offices	OH		C	0	0	1	1	Alliance Comm Hospital
Alliance Pulmonary Associates Inc
200 E State St	Alliance	OH	44601	204083441	Dr Offices	OH		C	0	0	1	1	Alliance Comm Hospital
Health Alliance Inc
200 E State St	Alliance	OH	44601	341531993	Dr Offices	OH		C	0	0	1	0	All Citizens' Hlth Assn
NEO Surgical Associates Inc
200 E State St	Alliance	OH	44601	200760723	Dr Offices	OH		C	0	0	1	1	Alliance Comm Hospital

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Alliance Community Radiologists Inc
a-i	38358	Interest is calculated monthly and equals prime interest rate at the beginning of the year plus 1 percent times the loan balance.
Alliance Pulmonary Associates Inc
a-i	38056	Interest is calculated monthly and equals prime interest rate at the beginning of the year plus 1 percent times the loan balance.
NEO Surgical Associates Inc
a-i	996	Interest is calculated monthly and equals prime interest rate at the beginning of the year plus 1 percent times the loan balance.
Alliance Pulmonary Associates Inc
a-iv	19744	Fair vaule based on area rentals of similar square footage and type of facility.
Alliance Community Radiologists Inc
d	398000	Current year loan advances
Alliance Pulmonary Associates Inc
d	346000	Current year loan advances
Alliance Hospitalist Group
p	1171000	Current year subsidy to cover entity's expenses.
Alliance Medical Associates Inc
p	404000	Current year subsidy to cover entity's expenses.

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	SchR_P04_S00_L00	Identifier
Return Reference	Schedule R, Part IV	ReturnReference
Explanation	The 100% ownership in column (h) of Part IV is based on voting power, not total value of all outstanding shares; thus, columns (f) and (g) are 0.	Explanation