AULTMAN HEALTH FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- AULTMAN HEALTH FOUNDATION (EIN 34-0714538)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349301191
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T09:17:03-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1 |
| City | Fort Wayne | City |
| State | IN | State |
| ZIP Code | 46802 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714538 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARK WRIGHT | InCareOfName |
| Name Control | AULT | NameControl |
| Phone | 3303636352 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK WRIGHT | Name |
| Title | CFO | Title |
| Phone | 3303636352 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joyce A Dulworth | Name |
| Phone | 2604604000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK WRIGHT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 471299262 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AULTMAN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1935 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION STATEMENT OF AULTMAN HOSPITAL IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 43 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 37 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4487 | TotalNbrEmployees |
| Total Nbr Volunteers | 548 | TotalNbrVolunteers |
| Total Gross UBI | 1267681 | TotalGrossUBI |
| Contributions Grants Prior Year | 2609151 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1456000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 461048043 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 460599872 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 30814 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18226 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9744529 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9225164 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 473432537 | TotalRevenuePriorYear |
| Total Revenue Current Year | 471299262 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 308128 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 586875 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 233458628 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 231349666 | 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 | 228287208 | OtherExpensePriorYear |
| Other Expenses Current Year | 240704171 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 462053964 | TotalExpensesPriorYear |
| Total Expenses Current Year | 472640712 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11378573 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1341450 | RevenuesLessExpensesCY |
| Total Assets BOY | 310198352 | TotalAssetsBOY |
| Total Assets EOY | 305767460 | TotalAssetsEOY |
| Total Liabilities BOY | 44395791 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 59720229 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 265802561 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 246047231 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AULTMAN HOSPITAL'S MISSION IS TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. AULTMAN HOSPITAL HAS BEEN MEETING THE HEALTH CARE NEEDS OF STARK AND SURROUNDING COUNTIES FOR NEARLY 120 YEARS. AULTMAN CARES FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AULTMAN CONTINUOUSLY INVESTS IN FACILITIES AND TECHNOLOGY TO IMPROVE PATIENT CARE. AULTMAN PROVIDES EDUCATIONAL OPPORTUNITIES FOR STUDENTS IN HIGH SCHOOL, COLLEGE, MEDICAL SCHOOL AND RESIDENCY PROGRAMS. THROUGH OUTREACH EFFORTS INCLUDING THE WELLNESS ON WHEELS (WOW) MOBILE HEALTH-FAIR UNIT, AULTMAN OFFERS HEALTH AND WELLNESS EDUCATION FOR OUR COMMUNITY. AULTMAN IS ONE OF THE LOWEST-COST HEALTH CARE PROVIDERS IN NORTHEASTERN OHIO, HELPING LOCAL BUSINESSES STAY FINANCIALLY HEALTHY AND MAINTAIN GOOD JOBS IN OUR COMMUNITY. IN RECOGNITION OF THE HOSPITALS LOW-COST AND HIGH-QUALITY PHILOSOPHY, AULTMAN WAS HONORED BY BEING NAMED ONE OF THE 100 TOP HOSPITALS IN THE UNITED STATES BY THOMSON REUTERS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 360213551 | Expense |
| Grants | 586875 | Grants |
| Revenue | 399827580 | Revenue |
| Description | AULTMAN HOSPITAL IS A NOT-FOR-PROFIT TEACHING HOSPITAL SERVING STARK AND SURROUNDING COUNTIES IN NORTHEAST OHIO. THE HOSPITAL'S MAJOR PROGRAMS INCLUDE WOMEN AND CHILDREN'S SERVICES, EMERGENCY AND TRAUMA SERVICES, HEART SERVICES, CANCER CARE, NEUROSURGERY AND ORTHOPEDICS AND CRITICAL-CARE MEDICINE. EACH YEAR, AULTMAN HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF THE AREA'S TOTAL CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE. IN 2012, AULTMAN CARED FOR UNINSURED PATIENTS. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 24681765 | Expense |
| Revenue | 32734524 | Revenue |
| Description | SUBACUTE SERVICES: AULTMAN PROVIDES POST-ACUTE SERVICES AT ITS AULTMAN WOODLAWN FACILITY. AULTMAN WOODLAWN INCLUDES A 60-BED UNIT FOR PATIENTS REQUIRING SKILLED NURSING CARE AND A 30-BED UNIT FOR PATIENTS NEEDING REHABILITATION. AULTMAN WOODLAWN FEATURES INDOOR THERAPY ENVIRONMENTS SUCH AS A MOCK KITCHEN, BEDROOM, STORE AND GAS STATION - ALONG WITH AN OUTDOOR COURTYARD FEATURING A HYDROPONIC GARDEN - TO HELP PATIENTS IMPROVE THEIR MOBILITY AND PREPARE FOR DISCHARGE. AULTMAN WOODLAWN ALSO HOUSES AULTMAN'S HOSPICE, PALLIATIVE CARE, HOME HEALTH CARE, ALTERNATIVE DAILY LIVING AND GRIEF SERVICES PROGRAMS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22907735 | Expense |
| Revenue | 30815355 | Revenue |
| Description | AULTMAN PROVIDES AN ARRAY OF MEDICAL SERVICES AT COMMUNITY CENTERS LOCATED THROUGHOUT STARK AND CARROLL COUNTIES. IMMEDIATE CARE SERVICES ARE AVAILABLE FOR MINOR INJURIES AND ILLNESSES - SEVEN DAYS A WEEK, EVERY DAY OF THE YEAR. SERVICES SUCH AS PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC REHABILITATION, OUTPATIENT LABORATORY SERVICES, SPORTS MEDICINE PROGRAMS AND DIAGNOSTIC TESTING ARE ALSO AVAILABLE AT THE AULTMAN SATELLITE FACILITIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 407803051 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 502 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4487 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 43 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 37 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK WRIGHT | NamePerson |
| Telephone Number | 3303636192 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (55 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| T STEPHEN GREGORY | |||||||||
| CHAIR | 1.0 | X | X | 0 | 0 | 0 | |||
| JOSEPH R HALTER JR | |||||||||
| VICE CHAIR | 1.0 | X | X | 0 | 0 | 0 | |||
| EDWARD J ROTH III | |||||||||
| CEO AND PRESIDENT - AHF | 5.0 | X | X | 0 | 599710 | 17093 | 50.0 | ||
| DAVID W BARTLEY II | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| WILLIAM H BELDEN JR | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| BARBARA HAMMONTREE BENNETT | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| PAUL R BISHOP | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| SHEILA MARKLEY BLACK ESQ | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| THEODORE V BOYD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| STEPHEN G DEUBLE | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DARRYL J DILLENBACK | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| MILAN R DOPIRAK MD | |||||||||
| DIRECTOR/PHYSICIAN | 54.0 | X | 0 | 388530 | 13997 | 1.0 | |||
| LEO E DOYLE | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| GLENN A EISENBERG | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| NORMAN J GAYNOR III | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| PATRICIA A GRISCHOW | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| RICK L HAINES | |||||||||
| DIRECTOR | 1.0 | X | 0 | 416834 | 20202 | 54.0 | |||
| MICHAEL E HANKE | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| GEORGE W LEMON | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| GENE E LITTLE | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| HARRY C MACNEALY | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| MICHAEL RICH MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| MARC L SCHNEIDER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 25382 | 0 | 20.0 | |||
| LOUIS G SHAHEEN MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DOUGLAS J SIBILA | |||||||||
| 2ND VICE CHAIR & SECRETARY | 1.0 | X | X | 0 | 0 | 0 | |||
| JOHN A SIRPILLA | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| VICKY L STERLING | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| R CLINT ZOLLINGER ESQ | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| JEFFERY MILLER MD | |||||||||
| DIRECTOR | 1.0 | X | |||||||
| BRIAN S BELDEN | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| WILLIAM WALLACE MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| JOHN B HUMPHREY JR MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DAVID M FINDLEY | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| PEGGY R CLAYTON | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| JAMES E KNISELY | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| RONALD R LYONS | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ROBERT W SABOTA MD | |||||||||
| DIRECTOR | 6.0 | X | 30000 | 0 | 0 | ||||
| TODD M SOMMER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| TIMOTHY O'TOOLE MD | |||||||||
| DIRECTOR | 3.0 | X | 5000 | 0 | 0 | ||||
| CHARLES B SCHEURER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DENISE HILL | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| SUE HOSTETLER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| NATE J COOKS | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| MARK D WRIGHT | |||||||||
| CHIEF FINANCIAL OFFICER - AHF | 5.0 | X | 0 | 336882 | 17093 | 50.0 | |||
| CHRISTOPHER E REMARK | |||||||||
| TREASURER & COO | 50.0 | X | 339117 | 0 | 17752 | 5.0 | |||
| ALLISON M OPRANDI MD | |||||||||
| PHYSICIAN | 55.0 | 341225 | 0 | 17093 | X | ||||
| ANNE M GUNTHER | |||||||||
| CHIEF NURSING OFFICER | 55.0 | 235989 | 0 | 10227 | X | ||||
| SUSAN E MERCER | |||||||||
| MEDICAL DIRECTOR | 55.0 | 237402 | 0 | 19449 | X | ||||
| EILEEN F GOOD | |||||||||
| CEO OF POST ACUTE SERVICES | 50.0 | 0 | 307689 | 14807 | 5.0 | X | |||
| ROBERT C MOLNAR | |||||||||
| VP PHYSICIAN RELATIONS | 55.0 | 158592 | 0 | 13030 | X | ||||
| PRABHCHARAN P GILL MD | |||||||||
| PHYSICIAN | 55.0 | 626073 | 0 | 19663 | X | ||||
| MICHAEL A KREW MD | |||||||||
| PHYSICIAN | 55.0 | 609593 | 0 | 17752 | X | ||||
| ELETHERIOS P MAMOUNAS MD | |||||||||
| PHYSICIAN | 55.0 | 544732 | 0 | 19663 | X | ||||
| TIMOTHY E MCDANIEL MD | |||||||||
| PHYSICIAN | 55.0 | 629576 | 0 | 19663 | X | ||||
| LORI L MERTES | |||||||||
| CHIEF QUALITY OFFICER | 55.0 | 285648 | 0 | 7500 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4042947 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2075027 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 244984 | TotalOtherCompensation |
| Number Individuals GT100 K | 93 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BREWER-GARRETT COMPANY | |||||
| PO BOX 72324 | CLEVELAND | OH | 44192 | CONTRACTING | 6318508 |
| WHISLER PLUMBING HEATING | |||||
| 2521 LINCOLN WAY EAST | MASSILLON | OH | 446465052 | CONTRACTING | 2390405 |
| CANTON MEDICAL EDUCATION FOUNDATION | |||||
| 2600 6TH ST SW | CANTON | OH | 44710 | PHYSICIAN SERVICES | 2053840 |
| PERINATAL PEDIATRICS | |||||
| 2600 6TH STREET SOUTHWEST | CANTON | OH | 44710 | PHYSICIAN SERVICES | 1338605 |
| PULMONARY PHYSICIANS INC | |||||
| 2600 TUSCARAWAS STREET WEST | CANTON | OH | 44708 | PHYSICIAN SERVICES | 1002900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 220 | NumberOfContractorsGT100K |
| All Other Contributions | 1456000 | AllOtherContributions |
| Total Contributions | 1456000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 372023713 | 372023713 |
| PREMIUM REVENUE | 621110 | 82576669 | 82576669 |
| PHARMACY REVENUE | 621110 | 5999490 | 5999490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 460599872 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18226 | TotalRevenueColumn |
| Exclusion | $18,226 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2028106 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2028106 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2028106 | TotalRevenueColumn |
| Exclusion | $2,028,106 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| FOOD SERVICES | 621110 | 2924272 | $2,924,272 | |
| LAUNDRY INCOME | 812300 | 190264 | 190264 | |
| LABORATORY INCOME | 621500 | 1077417 | 1077417 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3005105 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2777587 | RelatedOrExemptFunctionIncome |
| Exclusion | $227,518 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7197058 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 471299262 | TotalRevenueColumn |
| Related Or Exempt Function Income | 463377459 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1267681 | UnrelatedBusinessRevenue |
| Exclusion | $5,198,122 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 586875 | Total |
| Program Services | 586875 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2035612 | Total |
| Program Services | 1669202 | ProgramServices |
| Management And General | 366410 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172447208 | Total |
| Program Services | 141406711 | ProgramServices |
| Management And General | 31040497 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6177388 | Total |
| Program Services | 5065458 | ProgramServices |
| Management And General | 1111930 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37076375 | Total |
| Program Services | 30402628 | ProgramServices |
| Management And General | 6673747 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13613083 | Total |
| Program Services | 11162728 | ProgramServices |
| Management And General | 2450355 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1171477 | Total |
| Program Services | 960611 | ProgramServices |
| Management And General | 210866 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1121 | Total |
| Program Services | 919 | ProgramServices |
| Management And General | 202 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103208 | Total |
| Program Services | 84631 | ProgramServices |
| Management And General | 18577 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32712403 | Total |
| Program Services | 26824170 | ProgramServices |
| Management And General | 5888233 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1570002 | Total |
| Program Services | 1287402 | ProgramServices |
| Management And General | 282600 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22299460 | Total |
| Program Services | 18285557 | ProgramServices |
| Management And General | 4013903 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1688338 | Total |
| Program Services | 1384437 | ProgramServices |
| Management And General | 303901 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10922766 | Total |
| Program Services | 8956668 | ProgramServices |
| Management And General | 1966098 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1352405 | Total |
| Program Services | 1108972 | ProgramServices |
| Management And General | 243433 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147785 | Total |
| Program Services | 121184 | ProgramServices |
| Management And General | 26601 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21893 | Total |
| Program Services | 17952 | ProgramServices |
| Management And General | 3941 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23678225 | Total |
| Program Services | 19416145 | ProgramServices |
| Management And General | 4262080 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21151824 | Total |
| Program Services | 17344496 | ProgramServices |
| Management And General | 3807328 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1178616 | Total |
| Program Services | 966465 | ProgramServices |
| Management And General | 212151 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 85023695 | 85023695 | |
| EDUCATION | 2322067 | 1904096 | 417971 |
| BAD DEBT EXPENSE | 26820901 | 26820901 | |
| FRANCHISE FEE | 7199997 | 5903998 | 1295999 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1337988 | Total |
| Program Services | 1097150 | ProgramServices |
| Management And General | 240838 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472640712 | Total |
| Program Services | 407803051 | ProgramServices |
| Management And General | 64837661 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16481 | BOY |
| EOY | 17165 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8785816 | BOY |
| EOY | 8549672 | 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 | 57557410 | BOY |
| EOY | 51662576 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 83273 | BOY |
| EOY | 19854 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3131637 | BOY |
| EOY | 2843275 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1941447 | BOY |
| EOY | 3394084 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 483080481 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 252000482 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233892167 | BOY |
| EOY | 231079999 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1940418 | BOY |
| EOY | 2117485 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1705611 | BOY |
| EOY | 1810019 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1144092 | BOY |
| EOY | 4273331 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 310198352 | BOY |
| EOY | 305767460 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40799905 | BOY |
| EOY | 50689104 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 6502508 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3595886 | BOY |
| EOY | 2528617 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44395791 | BOY |
| EOY | 59720229 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261525008 | BOY |
| EOY | 243348183 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3997344 | BOY |
| EOY | 2300247 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280209 | BOY |
| EOY | 398801 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265802561 | BOY |
| EOY | 246047231 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 310198352 | BOY |
| EOY | 305767460 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1341450 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 19055 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -18432935 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 696799 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 31857 | InvestmentEarningsOrLosses |
| Administrative Expenses | 6067 | AdministrativeExpenses |
| End Of Year Balance | 722589 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 681425 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 20946 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5572 | AdministrativeExpenses |
| End Of Year Balance | 696799 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 668598 | BeginningOfYearBalance |
| Contributions | 100 | Contributions |
| Investment Earnings Or Losses | 18235 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5508 | AdministrativeExpenses |
| End Of Year Balance | 681425 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 532238 | BeginningOfYearBalance |
| Contributions | 118967 | Contributions |
| Investment Earnings Or Losses | 22208 | InvestmentEarningsOrLosses |
| Administrative Expenses | 4815 | AdministrativeExpenses |
| End Of Year Balance | 668598 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 516342 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 20632 | InvestmentEarningsOrLosses |
| Administrative Expenses | 4736 | AdministrativeExpenses |
| End Of Year Balance | 532238 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28298782 | OtherCostOrOtherBasis |
| Book Value | 28298782 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146298723 | OtherCostOrOtherBasis |
| Depreciation | 66738578 | Depreciation |
| Book Value | 79560145 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 264694861 | OtherCostOrOtherBasis |
| Depreciation | 178186385 | Depreciation |
| Book Value | 86508476 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43788114 | OtherCostOrOtherBasis |
| Depreciation | 7075518 | Depreciation |
| Book Value | 36712596 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 231079999 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST. THIRD-PARTY PAYOR SETTLEM | $2,442,348 |
| INTEREST RATE SWAP | $86,269 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2528617 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 448808920 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 19055 | NetUnrealizedGainsInvestments |
| Other Revenues | 4311504 | OtherRevenues |
| Revenue Not Rptd F990 | 4330559 | RevenueNotRptdF990 |
| Revenue Subtotal | 444478361 | RevenueSubtotal |
| Other Revenues Not Included | 26820901 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 26820901 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 471299262 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 450637999 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4818188 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4818188 | ExpensesNotRptdF990 |
| Expenses Subtotal | 445819811 | ExpensesSubtotal |
| Other Expenses Not Included | 26820901 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 26820901 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 472640712 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | PART V, LINE 4 | THE INTENDED USE FOR AULTMAN HOSPITAL'S ENDOWMENT IS TO SUPPORT THE CHAPLAINCY PROGRAM. ASC 740 FOOTNOTE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FROM AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION, THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. |
| RECONCILIATION | PART XI LINE 2D SEPARATELY REPORTED SUBSIDIARY REVENUE $4,311,504 LINE 4B BAD DEBT EXPENSE $26,820,901 PART XII LINE 2D SEPARATELY REPORTED SUBSIDIARY EXPENSE $4,818,188 LINE 4B BAD DEBT EXPENSE $26,820,901 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 0 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15188520 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4285659 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10902861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02450 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 53631947 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35839297 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17792650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03990 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 68820467 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40124956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28695511 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06440 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1339745 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13825 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1325920 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8944961 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74374 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8870587 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01990 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 59368836 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51341049 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8027787 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01800 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 989352 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 969728 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19624 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 587757 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 587757 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 71230651 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52398976 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18831675 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04220 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 140051118 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 92523932 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47527186 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10660 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1325 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1325 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1325 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1325 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $13,810,133 | BadDebtExpenseAmount |
| Amount Attributable To | 3089527 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 88364983 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 89132645 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -767662 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN ONCOLOGY CEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | ONCOLOGY SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.64770 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.35230 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HOSPITAL | ||||||||||
| 1 | 2600 SIXTH ST NW | CANTON | OH | 44708 | X | X | X | X | X | MAIN HOSPITAL |
| AULTMAN WOODLAWN | ||||||||||
| 2 | 2821 WOODLAWN AVE NW | CANTON | OH | 44708 | X | SKILLED NURSING REHABILITATION CTR HOME CARE & HOSPICE | ||||
| AULTMAN WEST | ||||||||||
| 3 | 2051 WALES AVE NW | MASSILLON | OH | 44646 | X | X | IMMEDIATE CARE DIAGNOSTICS, THERAPY AND SURGERY | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)
| Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HOSPITAL | |||||||||||||||||||||||||
| true | true | 100 | true | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | true | false | true | X | false | false |
| AULTMAN WOODLAWN | |||||||||||||||||||||||||
| true | true | 100 | true | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | true | false | true | X | false | false |
| AULTMAN WEST | |||||||||||||||||||||||||
| true | true | 100 | true | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | true | false | true | X | false | false |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| AULTMAN NORTH | ||||
| 6100 WHIPPLE AVE NW | NORTH CANTON | OH | 44720 | Immediate Care, Diagnostics Therapy and Surgery |
| AULTMAN CENTER FOR DIALYSIS | ||||
| 2912 W TUSCARAWAS ST | CANTON | OH | 44710 | Dialysis Center |
| CENTER FOR PAIN MANAGEMENT | ||||
| 2302 FULTON DR NW | CANTON | OH | 44718 | GENERAL MEDICAL & SURGICAL |
| HOME MEDICAL SUPPLY EQUIPMENT | ||||
| 5200 TUSCARAWAS ST | CANTON | OH | 44708 | Medical Supply Co. |
| AULTWORKS | ||||
| 4650 HILLS DALES RD NW | CANTON | OH | 44708 | BWC Certified Treatment FACILITY |
| AULTMAN CARROLLTON | ||||
| 1020 TRUMP RD | CARROLLTON | OH | 44615 | Immediate Care, Diagnostics and Therapy |
| AULTMAN TUSCARAWAS | ||||
| 2615 Tuscarawas St W | CANTON | OH | 44708 | Therapy Clinic |
| WEIGHT MANAGEMENT | ||||
| 2615 TUSCARAWAS ST W | CANTON | OH | 44708 | Weight Management Program |
| AULTMAN FAMILY MEDICINE CENTER | ||||
| 4319 Hills Dales NW | CANTON | OH | 44708 | Outpatient Physician Clinic |
| AULTMAN FAMILY MEDICINE CENTER | ||||
| 8320 Waynesburg Dr SE | WAYNESBURG | OH | 44688 | Outpatient Physician Clinic |
| AULTMAN LOUISVILLE | ||||
| 1925 Williamsburg Way | LOUISVILLE | OH | 44641 | Therapy Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 3B & 3C | ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES A 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 250% IS DISCOUNTED 65%, 251% TO 300% IS DISCOUNTED 55%, 301% TO 350% IS DISCOUNTED 40%, 351% TO 400% IS DISCOUNTED 35%, AND 401% AND ABOVE IS DISCOUNTED 30%. PART I, LINE 6A Aultman Health Foundation, the parent company, publishes annually its annual report which includes all related organizations' programs and services designed to lead the community to improved health and promote healthy lifestyles. This report is available on Aultman's website. |
| PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE IN THE AMOUNT OF $26,820,901 IS INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. THE ORGANIZATION USES A COMBINATION OF THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H AND DIRECT COSTING METHOD OF CERTAIN PROGRAMS. |
| PART III, LINE 3 | Methodology for Bad Debt Related to Charity Care According to Aultman Hospitals Financial Assistance Policy (FAP), all medically necessary self-pay patients are eligible for financial assistance.(1) Eligibility criteria is based on the Federal Poverty guidelines and are updated annually based on the updates published by the United States of Health and Human Services. The FAP discount is based on income and family size. Self-pay balances will receive a minimum of 30% discount and up to 100% as long as the necessary Financial Assistance Application is complete. Patients must cooperate with the facility to provide the information and documentation necessary to determine eligibility. To determine the amount of bad debt expense that potentially could have been attributable to patients eligible under the organization's charity care policy the organization looked at all bad debt balances that were self-pay. From this population the organization identified those self-pay balances that did not receive any form of FAP or HCAP discount. Because all self-pay patients receive at least a minimum of 30% regardless of income, the assumption was made that if the account had no discount the proper paper work was not turned in to determine eligibility criteria. From this remaining population the estimated discount at cost that would have been provided if documentation had been received was calculated by applying the actual FAP distribution of patients who received discounts in 2012 and then multiplying this amount by the cost to charge ratio calculated in worksheet 2. PART III, LINE 4 Patient accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Premium receivables are carried at original billed amount less an estimate for doubtful receivables based on a review of all outstanding amounts on a monthly basis. Premium receivables are considered past due to the extent that there is no related unearned premium. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The Foundation has determined, based on an assessment at the consolidated entity level, that patient service revenue is primarily recorded prior to assessing the patients ability to pay and as such, the entire provision for doubtful accounts related to patient revenue is recorded as a deduction from patient service revenue in the accompanying consolidated statements of operations. The amount of the provision for doubtful accounts, $30,159,000 and $24,339,000 for 2012 and 2011, respectively, is based upon managements assessment of the historical and expected net collections. |
| PART III, LINE 9B | The Collections Department will attempt to contact the patient; by phone, letter or a combination of the two, to settle a debt with payment in full or monthly installments. If it has been determined an account is approved for HCAP the account is removed from Bad Debt and the adjustment is applied. Also, if an account is approved for FAP, the account is removed from Bad Debt and the adjustment is applied. After the guideline adjustment has been made the remaining balance is sent back to resume collections. Once it has been determined that internal collection efforts will cease, the collector will request the account to be cancelled in both Ontario and MPAC. These accounts will then be referred to a secondary outside collection agency. |
| PART V | AULTMAN HOSPITAL INCLUDES ONE DURABLE MEDICAL EQUIPMENT COMPANY, ONE PAIN MANAGEMENT CENTER, ONE SKILLED NURSING FACILITY, ONE HOME CARE, ONE HOSPICE, TWO BUREAU OF WORKMAN'S COMPENSATION CERTIFIED TREATMENT FACILITIES, ONE DIALYSIS CENTER, TWO FAMILY PRACTICES, ONE WEIGHT MANAGEMENT FACILITY, SIX THERAPY CLINICS, THREE DIAGNOSTIC CENTERS, TWO SAME DAY SURGERY CENTERS, ONE INPATIENT SURGERY CENTER, THREE IMMEDIATE CARE CENTERS. PART V LINE 10 ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES A 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 250% IS DISCOUNTED 65%, 251% TO 300% IS DISCOUNTED 55%, 301% TO 350% IS DISCOUNTED 40%, 351% TO 400% IS DISCOUNTED 35%, AND 401% AND ABOVE IS DISCOUNTED 30%. PART V, LINE 20D A SLIDING SCALE IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. |
| NEEDS ASSESSMENT | Aultman Hospital assesses the community's health care needs a variety of ways. We study protocol volume and patient satisfaction surveys. In our SHaron Lane Health Center Health Library, we document the medical conditions about which thousands of community members and our medical staff members have inquired. We track attendance at the more than 100 Health Talk presentations held each year to determine what topics are of most interest to the community. In 2011, Aultman collaborated with area hospitals and health care facilities to conduct a community health survey. The goal was to gauge the health status and health habits of Stark County residents and identify areas where Aultman can improve the health of our community. Fifteen questions were included on the poll of 1,067 Stark County households. The survey showed access to health insurance coverage and health care as the top priority; along with obesity and lack of healthy lifestyle choice; other areas of concern were prescription drug misuse, larger need for mental health services, and greater access to dental care. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | The application and guidelines are provided on the back of every patient statement. At the time of registration patients are asked to fill out the Hospital Care Assurance Program application which includes contact information for questions and assistance in completing the form. Signs and applications are posted at all points of admissions informing patients of the free care programs which are available. In 2010, the application was added to the internet for easy patient access. Aultmans outreach department assists self pay inpatients with the initial Medicaid application process and other charity care programs under which they are eligible for assistance. Patients who are unable to be screened during their admission or outpatient visit are sent an application, upon request, after they have been discharged. Improvement processes for 2011 included formal patient outreach staff training in HCAP program requirements and customer service skills. |
| COMMUNITY INFORMATION | Aultman's service area is Northeast Ohio, including Stark, Wayne, Holmes, Carroll and Tuscarawas counties. The U.S. Census Bureau estimated the 2012 population of these five counties to be over 653,720. There are ten registered hospitals in these five counties. Two of these are Aultman facilities. Aultman provided care for 25% of the total 304,514 Medicaid cases in this service area for 2012. Aultman provided care for 34% OF THE 120,872 SELF-PAY CASES IN THIS SERVICE AREA. |
| PROMOTION OF COMMUNITY HEALTH | Aultmans board of directors has 40 non-employed members, all of which reside within Aultman's service area. Community physicians requesting and ultimately qualifying for medical staff privileges would be granted privileges in their respective medical departments. Aultman has more than 535 physicians on active staff in more than 40 medical specialties. From educational programs to health screenings, Aultman actively promotes health and wellness in the community. Educational programs include more than 100 free Health Talk presentations each year, featuring local physicians and health care professionals. The Sharon Lane Health Information Center offers a comprehensive collection of health care and consumer-health materials ranging from books and DVDs available for lending to anatomical models. The center is open to patients and their family members, students, physicians and the general public. Additional health resources include the A.D.A.M. illustrated health encyclopedia on the Aultman website. Aultmans Working on Wellness (WOW) mobile health-fair unit debuted in February 2009. Staffed by medical professionals, the WOW van visits schools, community centers, churches, senior centers and neighborhood events to provide free screenings and health education. Screenings such as blood pressure checks, height, weight and Body Mass Index/percentage of body fat are provided. In 2012, the WOW van has reached more than 20,000 people. In 2012, Aultman encouraged members of the community to take a proactive approach to their health. The online Health Assessment Center at www.aultman.org offered free risk assessments for heart disease (HeartAware); joint problems (JointAware); breast, lung, prostate and colorectal cancer (CancerAware); and sleep disorders (SleepAware). Participants received customized reports based on the responses provided during the assessment. Those at high risk for health problems were invited for a personal consultation or group presentation with Aultman health professionals. In 2012, the Aware sites garnered a total of 2,038 hits with an average survey completion rate of 80 percent. Additional outreach efforts included a "Wear Red" event to promote womens heart health and Wellness Week for Aultman visitors and staff. Aultman representatives also attended health fairs throughout the year, including Senior Citizens Day at the Pro Football Hall of Fame, the Canton Farmers' Market, the Senior Expo and health fairs at local schools. 2012 marked the third year Aultman hosted the Minority Medical Career Symposium for students interested in becoming doctors, nurses and pharmacists. Participants included minority high school students from Stark County schools as well as students in Multi-Development Services of Stark County programs and the Stark State Upward Bound Math-Science Academy. The symposium included a career panel discussion with minority physicians, pharmacists and nurses, along with a health care career fair held in conjunction with the Aultman Medical Education Department. Aultman's Level III Neonatal Intensive Care Unit, designated by the Ohio Department of Health, is a transfer hospital for the aforementioned counties and Coshocton and Columbiana counties. Aultman provides specialized care for mothers with high-risk pregnancies and premature babies, under one roof. Critically injured patients who need specialized care are brought to Aultman's Level II Trauma Center. Aultman Hospital has the only Level II trauma center for adult and pediatric patients in its five-county service area. The Level II designation from the American College of Surgeons certifies Aultman has the facilities, technology and specially trained clinical staff to treat trauma patients. In 2012, Aultman Trauma Services was selected to perform research on the treatment of traumatic brain injury (TBI). Aultman was the only Ohio hospital and one of 18 in the United States, along with facilities in Canada and Australia. In 2012, Aultman Health Foundation contributed to the betterment of the Stark County community with the following activities. Safety First Through the Safety First program, Aultman strives to keep our community's kids safe by preventing head trauma and other bike-related injuries. In 2012, hundreds of Aultman employees volunteered to teach nearly 5,000 local first-grade students about bike safety. Topics included the importance of wearing a bike helmet and other safety gear; obeying traffic signs and signals; and using hand signals. In addition to the in-class education, each student received a free bicycle safety booklet and bike helmet. Since the programs inception in 2005, Safety First has reached about 27,000 students with the important message of bicycle safety. Health Vision 2020 Aultman launched its Health Vision 2020 initiative in response to a national study (http://www.countyhealthrankings.org) that ranked every U.S. County based on factors ranging from low birth weight to diet and exercise to education and unemployment. Wanting to make a measurable impact in those health rankings, the Aultman Health Vision 2020 committee targeted tobacco use and obesity in 2012. Aultman provided free educational programs, health screenings and tobacco cessation classes to equip local residents with the tools they need to make healthier lifestyle choices. Cancer Screening Day At the annual Cancer Screening Day, 161 patients were screened for breast, cervical, colon, lung, prostate and skin cancers. A total of 353 free cancer screenings were performed. The Aultman Cancer Center also offered a Breast Screening Day in 2012 to underserved women in the Carrollton area. Harvest for Hunger Aultman team members helped hungry people in need by donating 11,168 pounds of food and $43,285 to the Harvest for Hunger campaign, which benefited the Akron-Canton Regional Foodbank. United Way Aultman Health Foundation contributed $462,414 to the United Way. Employees also supported United Way through the annual Day of Caring, with efforts ranging from cleaning at the Domestic Violence Project in Canton to teaching Junior Achievement in a Day sessions at Cedar Elementary School. Neighborhood Cleanup Day More than two dozen Aultman employees and students from nearby St. Joseph elementary school teamed up to help beautify Aultman Hospitals surrounding neighborhood. They collected trash along the sidewalks and tree lines to celebrate Earth Day in April 2012. Wonderful Week of Giving During the Wonderful Week of Giving in November 2012, the Aultman Blood Center contributed $10 to the Stark County Hunger Task Force for every good blood donation for a total of $4,200. Fundraising Walks Aultman also supports community endeavors that improve the quality of life for area residents. Aultman and its employees support health-related causes such as fundraising walks for the American Cancer Society, American Heart Association, the March of Dimes and Juvenile Diabetes Research Foundation. Additional Community Benefit In addition to providing care for patients with no insurance, Aultman also serves thousands of patients covered by programs such as Medicaid. Payments from these federally funded programs do not always cover the total cost of service. In 2012, Aultman provided services to Medicaid patients resulting in more than $17.4 million in unreimbursed cost. Through its resident teaching programs, Aultman delivers a significant level of quality outpatient and inpatient health care to insured, underinsured, and uninsured individuals in our market. For members of the Amish community, Aultman offers free transportation to and from doctors' appointments and Aultman Hospital. An Amish House is also located adjacent to the Aultman campus, giving visitors a free place to stay when loved ones are hospitalized. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| UNITED WAY GREATER STARK COUNTY | ||||||||
| 4825 HIGBEE AVE NW STE 101 | CANTON | OH | 447182597 | 134254191 | 501(C)(3) | 204070 | SUPPORT | |
| GOODWILL INDUSTRIES OF GREATER CLEVELAND | ||||||||
| 408 NINTH ST SW | CANTON | OH | 44707 | 340909974 | 501(C)(3) | 140000 | SUPPORT | |
| STARK DEVELOPMENT BOARD INC | ||||||||
| 116 CLEVELAND AVE SUITE 600 | CANTON | OH | 44702 | 341476938 | 501(C)(3) | 96667 | SUPPORT | |
| NATIONAL FOOTBALL MUSEUM | ||||||||
| 2121 GEORGE HALAS DR NW | CANTON | OH | 44708 | 340898576 | 501(C)(3) | 83750 | SUPPORT | |
| CITY OF MASSILLON | ||||||||
| ONE JAMES DUNCAN PLAZA | MASSILLON | OH | 446466686 | 346001829 | CITY OF MASSILL | 42592 | SUPPORT | |
| MOUNT UNION COLLEGE | ||||||||
| 1972 CLARK AVE | ALLIANCE | OH | 44601 | 340714687 | 501(C)(3) | 35000 | SUPPORT | |
| AKRON CANTON FOOD BANK | ||||||||
| 350 OPPORTUNITY PKWY | AKRON | OH | 443072234 | 341369388 | 501(C)(3) | 32904 | SUPPORT | |
| OHIO FOUNDATION OF INDEPENDENT COLLEGES | ||||||||
| 250 E BROAD ST STE 1700 | COLUMBUS | OH | 432153722 | 314441082 | 501(C)(3) | 25200 | SUPPORT | |
| CANTON SYMPHONY ORCHESTRA | ||||||||
| 1001 MARKET AVE N | CANTON | OH | 44702 | 346533119 | 501(C)(3) | 25000 | SUPPORT | |
| STARK EDUCATION PARTNERSHIP | ||||||||
| 400 MARKET AVE N SUITE B | CANTON | OH | 44702 | 341625250 | 501(C)(3) | 20000 | SUPPORT | |
| ECONOMIC GROWTH FOUNDATION | ||||||||
| 100 PUBLIC SQUARE STE 210 | CLEVELAND | OH | 441132225 | 341916518 | 501(C)(3) | 20000 | SUPPORT | |
| ARTS IN STARK | ||||||||
| 1001 MARKET AVE N | CANTON | OH | 44702 | 346609771 | 501(C)(3) | 15100 | SUPPORT | 100 PUBLIC SQUARE STE 210 |
| AMERICAN CANCER SOCIETY | ||||||||
| 5555 FRANTZ RD | DUBLIN | OH | 43017 | 240726080 | 501(C)(3) | 10000 | SUPPORT | |
| STARK COUNTY OUT OF POVERTY | ||||||||
| 126 CENTRAL PLZ N | CANTON | OH | 447021404 | 341706993 | 501(C)(3) | 10000 | SUPPORT | |
| COMMUNITY BUILDING PARTNERSHIP | ||||||||
| 601 CLEVELAND AVE N | CANTON | OH | 447021805 | 451560552 | 501(C)(3) | 10000 | SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 15 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I | Identifier |
| Return Reference | PART I, LINE 2 | ReturnReference |
| Explanation | THE AULTMAN HOSPITAL COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AULTMAN HOSPITAL DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD J ROTH III | ||||||||||||||
| CEO AND PRESIDENT - AHF | 0 | 533365 | 0 | 60000 | 0 | 6345 | 0 | 7500 | 0 | 9593 | 0 | 616803 | 0 | 0 |
| MILAN R DOPIRAK MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | 0 | 294511 | 0 | 90851 | 0 | 3168 | 0 | 7500 | 0 | 6497 | 0 | 402527 | 0 | 0 |
| PRABHCHARAN P GILL MD | ||||||||||||||
| PHYSICIAN | 536795 | 0 | 70000 | 0 | 19278 | 0 | 7500 | 0 | 12163 | 0 | 645736 | 0 | 0 | 0 |
| RICK L HAINES | ||||||||||||||
| DIRECTOR | 0 | 355665 | 0 | 58800 | 0 | 2369 | 0 | 7500 | 0 | 12702 | 0 | 437036 | 0 | 0 |
| MARK D WRIGHT | ||||||||||||||
| CHIEF FINANCIAL OFFICER - AHF | 0 | 304215 | 0 | 31900 | 0 | 767 | 0 | 7500 | 0 | 9593 | 0 | 353975 | 0 | 0 |
| MICHAEL A KREW MD | ||||||||||||||
| PHYSICIAN | 533658 | 0 | 65000 | 0 | 10935 | 0 | 7500 | 0 | 10252 | 0 | 627345 | 0 | 0 | 0 |
| ELETHERIOS P MAMOUNAS MD | ||||||||||||||
| PHYSICIAN | 474160 | 0 | 50000 | 0 | 20572 | 0 | 7500 | 0 | 12163 | 0 | 564395 | 0 | 0 | 0 |
| TIMOTHY E MCDANIEL MD | ||||||||||||||
| PHYSICIAN | 514641 | 0 | 40000 | 0 | 74935 | 0 | 7500 | 0 | 12163 | 0 | 649239 | 0 | 0 | 0 |
| ALLISON M OPRANDI MD | ||||||||||||||
| PHYSICIAN | 306215 | 0 | 33930 | 0 | 1080 | 0 | 7500 | 0 | 9593 | 0 | 358318 | 0 | 0 | 0 |
| ANNE M GUNTHER | ||||||||||||||
| CHIEF NURSING OFFICER | 215174 | 0 | 20384 | 0 | 431 | 0 | 6462 | 0 | 3765 | 0 | 246216 | 0 | 0 | 0 |
| CHRISTOPHER E REMARK | ||||||||||||||
| TREASURER & COO | 305265 | 0 | 33111 | 0 | 741 | 0 | 7500 | 0 | 10252 | 0 | 356869 | 0 | 0 | 0 |
| LORI L MERTES | ||||||||||||||
| CHIEF QUALITY OFFICER | 258000 | 0 | 26790 | 0 | 858 | 0 | 7500 | 0 | 0 | 0 | 293148 | 0 | 0 | 0 |
| SUSAN E MERCER | ||||||||||||||
| MEDICAL DIRECTOR | 227160 | 0 | 7860 | 0 | 2382 | 0 | 7286 | 0 | 12163 | 0 | 256851 | 0 | 0 | 0 |
| EILEEN F GOOD | ||||||||||||||
| CEO OF POST ACUTE SERVICES | 0 | 265774 | 0 | 31815 | 0 | 10100 | 0 | 7500 | 0 | 7307 | 0 | 322496 | 0 | 0 |
| ROBERT C MOLNAR | ||||||||||||||
| VP PHYSICIAN RELATIONS | 148046 | 0 | 10098 | 0 | 448 | 0 | 4454 | 0 | 8576 | 0 | 171622 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J | Identifier |
| Return Reference | PART I | ReturnReference |
| Explanation | LINE 1: ALL EMPLOYEES ARE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR HEALTH CLUB COSTS UP TO $120 ANNUALLY AS PART OF THE ORGANIZATION'S EFFORT TO PROMOTE HEALTHY LIVING STYLES. LINE 3: SEE SCHEDULE O FOR THE EXPLANATION OF EXECUTIVE COMPENSATION REVIEW. LINE 4B: CHRISTOPHER E REMARK, EDWARD J ROTH, III, RICK L HAINES, EILEEN F GOOD, AND MARK D WRIGHT ARE PARTICIPANTS IN THE ORGANIZATION'S 457(F) PLAN. THERE WERE NO CONTRIBUTIONS IN 2012. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TIFFANY GOOD-WITMER | |||
| FAMILY MBR TO EILEEN GOOD | 154747 | WAGES | false |
| ELIZABETH GOOD | |||
| FAMILY MBR TO EILEEN GOOD | 91969 | WAGES | false |
| DOREEN GOOD | |||
| FAMILY MBR TO EILEEN GOOD | 69843 | WAGES | false |
| VICTORIA HAINES | |||
| FAMILY MBR TO RICK HAINES | 121372 | WAGES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| GOVERNING BODY AND MANAGEMENT | AULTMAN HOSPITAL IS A SUBSIDIARY OF AULTMAN HEALTH FOUNDATION (AHF). PART VI, SECTION A, LINE 1B EdWARD J Roth III is an employee of Aultman Hospital. Rick Haines and Milan Dopirak MD are paid employees of a related organization. Marc Schneider resigned his directorship mid-year and is now an independent contractor of a related organization. Robert Sabota and Timothy O'Toole perform medical directorship duties for the organization. PART VI, SECTION A, LINE 2 JOHN SIRPILLA AND THEODORE BOYD ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. R CLINT ZOLLINGER ESQ AND SHEILA MARKLEY BLACK ESQ ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. T STEPHEN GREGORY AND LISA WARBURTON-GREGORY ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A FAMILY RELATIONSHIP. | |
| GOVERNING BODY AND MANAGEMENT | AULTMAN HEALTH FOUNDATION'S FINANCE DEPARTMENT CAREFULLY REVIEWS AND ANALYZES THE TAX RETURN. THE DEPARTMENT RECONCILES THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARES THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. AN INDEPENDENT CPA FIRM ALSO REVIEWS FORM 990. IN ADDITION, THE FINANCE DEPARTMENT DOES A COMPARATIVE ANALYSIS TO THE PRIOR YEAR RETURN. THE ANALYSIS AND RECONCILIATION SCHEDULES ALONG WITH A COMPLETE COPY OF THE 990 ARE PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. A COMPLETE COPY OF THE 990 IS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS THROUGH A SECURED INTERNET PORTAL PRIOR TO THE FILING DATE. | PART VI, SECTION A, LINE 11B |
| POLICIES | THE AULTMAN'S BOARD OF DIRECTORS HAS A CONFLICT OF INTEREST POLICY. AS A RESULT OF THIS POLICY, EACH YEAR BOARD MEMBERS, OFFICERS, AND SENIOR STAFF COMPLETE A FORM DISCLOSING ANY CONFLICTS OF INTEREST THEY MAY HAVE. THE COMPLIANCE OFFICE REVIEWS THESE DISCLOSURE FORMS AND INFORMS THE BOARD CHAIRMAN, AND OTHER APPROPRIATE OFFICERS, OF NOTABLE CONFLICTS, IF ANY. THOSE WITH CONFLICTS ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS RELATING TO THE CONFLICT. | PART VI, SECTION B, LINE 12C |
| POLICIES | THE AULTMAN HOSPITAL USES THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF EXECUTIVE COMPENSATION: OHIO HOSPITAL ASSOCIATION (OHA), MERCER INTEGRATED HEALTH NETWORK, INCLUDING SURVEY DATA FOR BOTH HOSPITALS AND HEALTH PLANS, AND SULLIVAN COTTER AND ASSOCIATES (SCA). ADDITIONAL SOURCES OF SALARY SURVEY DATA ARE AVAILABLE FOR USE WHERE APPROPRIATE INCLUDING COMPDATASURVEYS.COM, SALARY.COM, AND CHAMPS. IN THESE CASES, THE SURVEY IS REFERENCED WHERE APPLICABLE. EXECUTIVE PERFORMANCE, WAGE RECOMMENDATIONS, AND BONUS PAYMENTS ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS HAS ENGAGED SULLIVAN COTTER & ASSOCIATES, INC., AN INDEPENDENT COMPENSATION CONSULTING FIRM FOR REVIEW OF EXECUTIVE COMPENSATION PRACTICES. THE AULTMAN HOSPITAL USES THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF PHYSICIAN COMPENSATION: MEDICAL GROUP MANAGEMENT ASSOCIATES (MGMA), AMERICAN MEDICAL GROUP ASSOCIATION (AMGA), HOSPITAL AND HEALTHCARE COMPENSATION SERVICE (HHCS) AND SULLIVAN COTTER AND ASSOCIATES (SCA). IN ADDITION TO SALARY SURVEYS, AULTMAN HOSPITAL ALSO RETAINS AN INDEPENDENT CONSULTING FIRM FOR PHYSICIANS COMPENSATION SERVICES. ALL PHYSICIAN COMPENSATION RECOMMENDATIONS ARE SENT TO THE CEO, VP OF PHYSICIAN SERVICES, COO, AND CNO FOR FINAL APPROVAL. | PART VI, SECTION B, LINE 15A AND 15B |
| DISCLOSURE | AULTMAN HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | PART VI, SECTION C, LINE 19 |
| PART VIII | CLINICAL TRIAL AND RESEARCH 1,658,475 PARKING DECK 227,518 SCIENCE LAB CAMPAIGN 200,000 ANSWERING SERVICE 181,066 CO-MANAGEMENT INCENTIVE 320,000 FLOWER SHOP 109,937 EDUCATION 37,207 FITNESS AND SPORTS MEDICINE 270,902 PART IX STATEMENT OF FUNCTIONAL EXPENSE DETAIL LINE 11G PROFESSIONAL FEES - PHYSICIAN 19,019,939 PROFESSIONAL FEES - NON PHYSICIANS 985,006 SERVICE CONTRACTS 3,819,096 PURCHASED TESTS 1,376,778 PURCHASED SERVICES 2,635,229 OTHER 4,876,355 LINE 24E RECRUITMENT 640,926 MEMBERSHIP FEES 256,413 COLLECTIONS EXPENSE 103,797 MISCELLANEOUS 336,852 PART X LINE 15 INTERCOMPANY ACCOUNTS 3,820,607 DEFERRED TAX ASSET 452,724 RECONCILIATION OF NET ASSETS PART XI LINE 9 INTERFUND TRANSFERS ON SEPARATELY REPORTED SUBSIDIARY (18,312,936) ADJUSTMENT TO PAID IN CAPITAL (120,000) | STATEMENT OF REVENUE OTHER REVENUE DETAIL |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACUTE CARE SPECIALTY HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH ST SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134246188 | EIN |
| Primary Activities | MED SERVICE | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHF | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HEALTH FOUNDATION | ||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 341445390 | SUPPORT ORG | OH | 501(c)(3) | 11 B | NA | false |
| AULTMAN COLLEGE OF NURSING AND HEALTH | ||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 47710 | 201359433 | COLLEGE | OH | 501(c)(3) | 2 | AULTMAN HOSP | true |
| THE AULTMAN FOUNDATION | ||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 208090459 | FUNDRAISER | OH | 501(c)(3) | 7 | AHF | false |
| ORRVILLE HOSPITAL FOUNDATION | ||||||||||
| 832 S MAIN STREET | ORRVILLE | OH | 446672208 | 340733138 | HOSPITAL | OH | 501(C)(3) | 3 | AHF | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WTPM LLC | |||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 200090246 | PROPERTY MGMT | OH | AHF | ||||||
| AULTMAN ONCOLOGY CENTER OF EXCELLENCE | |||||||||||||
| 2600 SIXTH STREET SW | CANTON | OH | 44710 | 454215510 | ONCOLOGY SERVICES | OH | AH | RELATED | 202047 | -41463 | false | false | 0.64770 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH CENTRAL MEDICAL RESOURCES INC | ||||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 341610344 | MED EQUIP REN | OH | AHF | C CORP | false | |||||
| AULTRA ADMINISTRATIVE GROUP | ||||||||||||||
| 4845 FULTON DR NW | CANTON | OH | 44718 | 204951704 | ADMIN SERVICE | OH | AHF | C CORP | false | |||||
| MCKINLEY LIFE INSURANCE COMPANY | ||||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 341624818 | INSURANCE | OH | AHF | C CORP | false | |||||
| MCKINLEY ASSURANCE SPC | ||||||||||||||
| 980468384 | PORTFOLIO | AHF | C CORP | false | PO BOX 1051 | GEORGE TOWN | GRAND CAYMANS | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| A | 337678 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| O | 3485701 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| P | 1335388 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| Q | 4818188 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| S | 96817 | ACTUAL COST |
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