2013-09-30T09:50:58-07:00 2012-12-31 990 2012-01-01 340714581 ALLIANCE COMMUNITY HOSPITAL ALLI 3305966000 200 E State Street Alliance OH 44601 Dale Wells 3305967066 2013-09-30 2012 2016-02-25 16:41:14Z Dale W Wells 200 E State Street Alliance OH 44601 95920829 0 X www.achosp.org X 1901 OH 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. 14 11 1182 357 31682 -5379 113844 377208 93151799 94533735 151923 -43384 841857 986941 94259423 95854500 40000 42000 0 0 54066487 53094417 0 0 0 43566955 40457559 97673442 93593976 -3414019 2260524 109190659 107498046 68931168 65050955 40259491 42447091 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. 0 0 15283500 0 7451407 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. 10396372 0 15602663 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. 7211345 0 12689241 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. 47124735 0 58361442 All other program services 47124735 0 58361442 80015952 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 103 0 1182 1 1 1 0 0 0 0 1 1 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X Dale Wells 3305967066 200 E State Street Alliance OH 44601 Don McAlister 1 3.00 X X 0 0 0 David Lundgren 1 2.00 X X 0 0 0 William McCallum 1 2.00 X X 0 0 0 Ron Lyons 1 3.00 X X 0 0 0 Dan Davia 1 1.00 X 0 0 0 Dr Paul Garfinkle 1 0 X 0 0 0 Teresa Golden-McClelland 1 1.00 X 0 0 0 John Gross 1 1.00 X 0 0 0 Mike Hoover 1 3.00 X 0 0 0 Scott Ingledue 1 1 X 0 0 0 Stan Jonas 41 6 X X 388324 0 19347 Dr Duane Kuentz 1 1.00 X 159357 0 11927 Dr Debra Lehrer 1 1.00 X 0 0 0 Gary Wagner 1 1.00 X 0 0 0 Dale Wells 40 6 X 180812 0 18280 Dr David Mungo 40 0 X 709510 0 18193 Dr Steven Deutch 40 0 X 534331 0 20485 Dr David Kanagy 40 0 X 436321 0 20997 Dr Michael Necci 40 0 X 510062 0 18277 Dr Zev Maycon 40 0 X 346806 0 8705 3265523 0 136211 19 0 1 0 Anesthesia Associates of Alliance LLC 200 E State Street Alliance OH 44601 Anesthesiologists 899743 Salem Surgical Services LLC 944 Greenbriar Parkway Suite B Kent OH 44240 Lithostripsy Services 760960 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 12 0 0 29875 314387 0 32946 0 377208 Patient Revenue 622110 93495793 93495793 0 0 Cafeteria 722212 694103 0 0 694103 Other Hospital Services 900099 224592 0 0 224592 Program Related Investment Income 900099 83711 83711 0 0 Patient Education 900099 35536 35536 0 0 0 0 0 0 94533735 3991 0 0 3991 0 0 0 0 0 0 0 0 447499 0 0 0 447499 0 447499 0 0 447499 0 2000 0 49375 0 -47375 -47375 0 0 -47375 29079 29875 16954 12125 0 12125 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 5922 0 0 5922 527317 95854500 94104753 31682 1340857 42000 42000 0 0 0 0 0 0 610019 0 610019 0 0 0 0 0 41730534 35951237 5779297 0 885311 762704 122607 0 6896811 5941666 955145 0 2971742 2530313 441429 0 427519 205768 221751 0 305616 0 305616 0 79600 0 79600 0 0 0 0 0 0 0 0 0 0 0 1025085 806207 218878 0 348023 340572 7451 0 19500646 18424783 1075863 0 1490948 1325629 165319 0 0 0 0 0 1704850 1539589 165261 0 363007 304957 58050 0 0 0 0 0 0 0 0 0 2314760 1972152 342608 0 0 0 0 0 5089550 4336246 753304 0 928561 837341 91220 0 Purchased Services 6580195 4459328 2120867 0 Minor Equipment 160850 152530 8320 0 Dues and Subscriptions 138349 82930 55419 0 93593976 80015952 13578024 0 4252731 5662611 0 0 0 0 12424540 12526678 66666 25000 0 0 2022279 1721822 958565 877021 1378777 1825103 116062422 36821558 82420549 79240864 0 134100 134100 317935 250534 0 5214517 5234313 109190659 107498046 11268358 10958409 0 0 2520000 2160000 55142810 51932546 0 0 0 0 0 0 0 0 0 68931168 65050955 X 39959913 42213847 299578 233244 0 0 40259491 42447091 109190659 107498046 X 2260524 0 0 0 0 -72924 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 15562377 15562377 0 64786580 11858611 52927969 0 36691 8561 28130 0 31881036 22398941 9482095 0 3795738 2555445 1240293 79240864 SchD_P05_S00_L04 Schedule D, Part V, Line 4 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. Charity Golf Classic 58954 29875 29079 3700 60 5360 6584 0 1250 0 0 58954 29875 29079 3700 60 5360 6584 0 1250 16954 12125 1 1 X 1 X 1 X 1 1 0 1 1 3222453 1877230 1345223 0.0144 12145116 9114658 3030458 0.0324 0 0 0 0 0 0 15367569 10991888 4375681 0.0468 216065 0 216065 0.0023 559688 396682 163006 0.0017 39671019 27297871 12373148 0.1322 0 0 0 0 140630 111646 28984 0.00003 0 0 40587402 27806199 12781203 0.13623 0 0 55954971 38798087 17156884 0.18303 32619 0 32619 0.0004 3741 0 3741 0.00 20099 0 20099 0.0002 0 0 56459 0 56459 0.0006 1 2386719 930821 10567760 10659190 -91430 X 1 1 1 1 Alliance Community Hospital

200 E State Street Alliance OH 44601

www.achosp.org X X X Visiting Nurse Assn, Skilled Nursing Facility, Hospice, Senior Care/Psych Unit, Rehab Unit Alliance Community Hospital 1 0 1 1 100 1 300 1 X X X X X 1 1 X X X X X 1 X X X 1 X X X X X X X 1 X 0 0 1 Alliance Community Medical Foundation

200 E State Street Alliance OH 44601

Physician Practices 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. 1 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 Restricted Fund Stark County Homeless Council 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. 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. 4 0 SchI_P01_S00_L02 Schedule I, Part I, Line 2 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. X X X X X X 0 0 0 0 0 0 0 0 0 Stan Jonas 371324 0 0 0 17000 0 6964 0 14502 0 409790 0 0 0 Dale Wells 180812 0 0 0 0 0 4625 0 14792 0 200229 0 0 0 Dr David Mungo 692510 0 0 0 17000 0 10000 0 13637 0 733147 0 0 0 Dr Steven Deutch 517123 0 0 0 17208 0 10000 0 15687 0 560018 0 0 0 Dr David Kanagy 419321 0 0 0 17000 0 10000 0 16725 0 463046 0 0 0 Dr Michael Necci 483437 0 0 0 26625 0 10000 0 14277 0 534339 0 0 0 Dr Zev Maycon 346806 0 0 0 0 0 0 0 8705 0 355511 0 0 0 Dr Duane Kuentz 159357 0 0 0 0 0 3878 0 13819 0 177054 0 0 0 A City of Alliance Ohio 346000043 018744AA0 2008-01-25 51150000 Refund the 2003 bond issue 0 0 0 B City of Alliance Ohio 346000043 2010-12-28 16350000 Refund a portion of the refunded 2003 bond issue 0 0 0 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 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 A 0 1 0 0 1 1 JP Morgan Chase 24.8 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 1 B 1 Dr Michael Necci Employed Physician Sign On Bonus X 75000 25000 0 1 1 25000 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. Alliance Community Medical Foundation 200 E State Street Alliance OH 44601 263646817 Physician Offices OH 5056622 1391605 Alliance Comm Hosp 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 Alliance Citizens' Health Assn 0 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 Alliance Citizens' Health Assn 0 Caring Hands 885 Sawburg Rd Alliance OH 44601 341505340 Private Duty Nursing OH 501(C)(3) Sch A, 11c, III-FI Alliance Citizens' Health Assn 0 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 Alliance Comm Hospital C 0 0 1 1 Alliance Community Radiologists Inc 200 E State St Alliance OH 44601 205698786 Dr Offices OH Alliance Comm Hospital C 0 0 1 1 Alliance Medical Associates Inc 200 E State St Alliance OH 44601 911889215 Dr Offices OH Alliance Comm Hospital C 0 0 1 1 Alliance Pulmonary Associates Inc 200 E State St Alliance OH 44601 204083441 Dr Offices OH Alliance Comm Hospital C 0 0 1 1 Health Alliance Inc 200 E State St Alliance OH 44601 341531993 Dr Offices OH All Citizens' Hlth Assn C 0 0 1 0 NEO Surgical Associates Inc 200 E State St Alliance OH 44601 200760723 Dr Offices OH Alliance Comm Hospital C 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 1 0 1 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. SchR_P04_S00_L00 Schedule R, Part IV 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.