2013-11-15T09:17:03-06:00 2012-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2012-01-01 340714538 AULTMAN HOSPITAL % MARK WRIGHT AULT 3303636352 2600 SIXTH STREET SW Suite CANTON OH 44710 MARK WRIGHT 3303636352 2013-11-15 true Joyce A Dulworth 2604604000 2012 2016-03-07 17:11:31Z MARK WRIGHT 2600 SIXTH STREET SW CANTON OH 44710 471299262 false X WWW.AULTMAN.ORG X 1935 OH THE MISSION STATEMENT OF AULTMAN HOSPITAL IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." 43 37 4487 548 1267681 2609151 1456000 461048043 460599872 30814 18226 9744529 9225164 473432537 471299262 308128 586875 0 0 233458628 231349666 0 0 0 228287208 240704171 462053964 472640712 11378573 -1341450 310198352 305767460 44395791 59720229 265802561 246047231 X 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. false false 360213551 586875 399827580 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. 24681765 32734524 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. 22907735 30815355 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. 407803051 true true false false false false false false false true true false false false true true false true false false false false false false false false true true true false true false false false false false false true false false false false false true true true true false false true 502 0 true 4487 true true true false false false false false false false false false X 43 37 true false false false false false false true true false false true true true true true true true true true true X MARK WRIGHT 3303636192 2600 SIXTH STREET SW CANTON OH 44710 T STEPHEN GREGORY 1.0 X X 0 0 0 JOSEPH R HALTER JR 1.0 X X 0 0 0 EDWARD J ROTH III 5.0 50.0 X X 0 599710 17093 DAVID W BARTLEY II 1.0 X 0 0 0 WILLIAM H BELDEN JR 1.0 X 0 0 0 BARBARA HAMMONTREE BENNETT 1.0 X 0 0 0 PAUL R BISHOP 1.0 X 0 0 0 SHEILA MARKLEY BLACK ESQ 1.0 X 0 0 0 THEODORE V BOYD 1.0 X 0 0 0 STEPHEN G DEUBLE 1.0 X 0 0 0 DARRYL J DILLENBACK 1.0 X 0 0 0 MILAN R DOPIRAK MD 54.0 1.0 X 0 388530 13997 LEO E DOYLE 1.0 X 0 0 0 GLENN A EISENBERG 1.0 X 0 0 0 NORMAN J GAYNOR III 1.0 X 0 0 0 PATRICIA A GRISCHOW 1.0 X 0 0 0 RICK L HAINES 1.0 54.0 X 0 416834 20202 MICHAEL E HANKE 1.0 X 0 0 0 GEORGE W LEMON 1.0 X 0 0 0 GENE E LITTLE 1.0 X 0 0 0 HARRY C MACNEALY 1.0 X 0 0 0 MICHAEL RICH MD 1.0 X 0 0 0 MARC L SCHNEIDER 1.0 20.0 X 0 25382 0 LOUIS G SHAHEEN MD 1.0 X 0 0 0 DOUGLAS J SIBILA 1.0 X X 0 0 0 JOHN A SIRPILLA 1.0 X 0 0 0 VICKY L STERLING 1.0 X 0 0 0 R CLINT ZOLLINGER ESQ 1.0 X 0 0 0 JEFFERY MILLER MD 1.0 X BRIAN S BELDEN 1.0 X 0 0 0 WILLIAM WALLACE MD 1.0 X 0 0 0 JOHN B HUMPHREY JR MD 1.0 X 0 0 0 DAVID M FINDLEY 1.0 X 0 0 0 PEGGY R CLAYTON 1.0 X 0 0 0 JAMES E KNISELY 1.0 X 0 0 0 RONALD R LYONS 1.0 X 0 0 0 ROBERT W SABOTA MD 6.0 X 30000 0 0 TODD M SOMMER 1.0 X 0 0 0 TIMOTHY O'TOOLE MD 3.0 X 5000 0 0 CHARLES B SCHEURER 1.0 X 0 0 0 DENISE HILL 1.0 X 0 0 0 SUE HOSTETLER 1.0 X 0 0 0 NATE J COOKS 1.0 X 0 0 0 MARK D WRIGHT 5.0 50.0 X 0 336882 17093 CHRISTOPHER E REMARK 50.0 5.0 X 339117 0 17752 ALLISON M OPRANDI MD 55.0 X 341225 0 17093 ANNE M GUNTHER 55.0 X 235989 0 10227 SUSAN E MERCER 55.0 X 237402 0 19449 EILEEN F GOOD 50.0 5.0 X 0 307689 14807 ROBERT C MOLNAR 55.0 X 158592 0 13030 PRABHCHARAN P GILL MD 55.0 X 626073 0 19663 MICHAEL A KREW MD 55.0 X 609593 0 17752 ELETHERIOS P MAMOUNAS MD 55.0 X 544732 0 19663 TIMOTHY E MCDANIEL MD 55.0 X 629576 0 19663 LORI L MERTES 55.0 X 285648 0 7500 4042947 2075027 244984 93 false true false 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 220 1456000 1456000 NET PATIENT REVENUE 621110 372023713 372023713 PREMIUM REVENUE 621110 82576669 82576669 PHARMACY REVENUE 621110 5999490 5999490 460599872 18226 18226 0 0 2028106 2028106 0 2028106 2028106 0 0 0 0 FOOD SERVICES 621110 2924272 2924272 LAUNDRY INCOME 812300 190264 190264 LABORATORY INCOME 621500 1077417 1077417 3005105 2777587 227518 7197058 471299262 463377459 1267681 5198122 586875 586875 0 0 0 2035612 1669202 366410 0 172447208 141406711 31040497 6177388 5065458 1111930 37076375 30402628 6673747 13613083 11162728 2450355 0 1171477 960611 210866 1121 919 202 0 0 103208 84631 18577 32712403 26824170 5888233 1570002 1287402 282600 22299460 18285557 4013903 1688338 1384437 303901 0 10922766 8956668 1966098 1352405 1108972 243433 0 147785 121184 26601 21893 17952 3941 23678225 19416145 4262080 21151824 17344496 3807328 1178616 966465 212151 MEDICAL SUPPLIES 85023695 85023695 EDUCATION 2322067 1904096 417971 BAD DEBT EXPENSE 26820901 26820901 FRANCHISE FEE 7199997 5903998 1295999 1337988 1097150 240838 472640712 407803051 64837661 0 16481 17165 8785816 8549672 0 0 57557410 51662576 0 0 0 0 83273 19854 3131637 2843275 1941447 3394084 483080481 252000482 233892167 231079999 1940418 2117485 0 0 1705611 1810019 0 0 1144092 4273331 310198352 305767460 40799905 50689104 0 0 0 0 0 0 0 0 0 0 0 0 0 6502508 3595886 2528617 44395791 59720229 X 261525008 243348183 3997344 2300247 280209 398801 265802561 246047231 310198352 305767460 X -1341450 19055 -18432935 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 696799 31857 6067 722589 681425 20946 5572 696799 668598 100 18235 5508 681425 532238 118967 22208 4815 668598 516342 20632 4736 532238 1.00000 false false 28298782 28298782 146298723 66738578 79560145 264694861 178186385 86508476 43788114 7075518 36712596 231079999 0 EST. THIRD-PARTY PAYOR SETTLEM 2442348 INTEREST RATE SWAP 86269 2528617 448808920 19055 4311504 4330559 444478361 26820901 26820901 471299262 450637999 4818188 4818188 445819811 26820901 26820901 472640712 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 true true X true X true X 0 true true true false true true 15188520 4285659 10902861 0.02450 53631947 35839297 17792650 0.03990 68820467 40124956 28695511 0.06440 1339745 13825 1325920 0.00300 8944961 74374 8870587 0.01990 59368836 51341049 8027787 0.01800 989352 969728 19624 587757 587757 0.00130 71230651 52398976 18831675 0.04220 140051118 92523932 47527186 0.10660 1325 1325 1325 1325 false 13810133 3089527 88364983 89132645 -767662 X true true AULTMAN ONCOLOGY CEN ONCOLOGY SERVICES 0.64770 0.35230 3 1 AULTMAN HOSPITAL

2600 SIXTH ST NW CANTON OH 44708

X X X X X MAIN HOSPITAL 2 AULTMAN WOODLAWN

2821 WOODLAWN AVE NW CANTON OH 44708

X SKILLED NURSING REHABILITATION CTR HOME CARE & HOSPICE 3 AULTMAN WEST

2051 WALES AVE NW MASSILLON OH 44646

X X IMMEDIATE CARE DIAGNOSTICS, THERAPY AND SURGERY 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 11 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 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. true 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 100 PUBLIC SQUARE STE 210 CANTON OH 44702 346609771 501(C)(3) 15100 SUPPORT 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 15 SCHEDULE I PART I, LINE 2 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. X true true X X X X X false true false false false false false false false EDWARD J ROTH III 0 533365 0 60000 0 6345 0 7500 0 9593 0 616803 0 0 MILAN R DOPIRAK MD 0 294511 0 90851 0 3168 0 7500 0 6497 0 402527 0 0 PRABHCHARAN P GILL MD 536795 0 70000 0 19278 0 7500 0 12163 0 645736 0 0 0 RICK L HAINES 0 355665 0 58800 0 2369 0 7500 0 12702 0 437036 0 0 MARK D WRIGHT 0 304215 0 31900 0 767 0 7500 0 9593 0 353975 0 0 MICHAEL A KREW MD 533658 0 65000 0 10935 0 7500 0 10252 0 627345 0 0 0 ELETHERIOS P MAMOUNAS MD 474160 0 50000 0 20572 0 7500 0 12163 0 564395 0 0 0 TIMOTHY E MCDANIEL MD 514641 0 40000 0 74935 0 7500 0 12163 0 649239 0 0 0 ALLISON M OPRANDI MD 306215 0 33930 0 1080 0 7500 0 9593 0 358318 0 0 0 ANNE M GUNTHER 215174 0 20384 0 431 0 6462 0 3765 0 246216 0 0 0 CHRISTOPHER E REMARK 305265 0 33111 0 741 0 7500 0 10252 0 356869 0 0 0 LORI L MERTES 258000 0 26790 0 858 0 7500 0 0 0 293148 0 0 0 SUSAN E MERCER 227160 0 7860 0 2382 0 7286 0 12163 0 256851 0 0 0 EILEEN F GOOD 0 265774 0 31815 0 10100 0 7500 0 7307 0 322496 0 0 ROBERT C MOLNAR 148046 0 10098 0 448 0 4454 0 8576 0 171622 0 0 0 SCHEDULE J PART I 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. 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 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 PART VI, SECTION A, LINE 11B 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. POLICIES PART VI, SECTION B, LINE 12C 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. POLICIES PART VI, SECTION B, LINE 15A AND 15B 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. DISCLOSURE PART VI, SECTION C, LINE 19 AULTMAN HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VIII STATEMENT OF REVENUE OTHER REVENUE DETAIL 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) ACUTE CARE SPECIALTY HOSPITAL 2600 SIXTH ST SW CANTON OH 44710 134246188 MED SERVICE OH AHF 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 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 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 PO BOX 1051 GEORGE TOWN GRAND CAYMANS CJ 980468384 PORTFOLIO CJ AHF C CORP false true false false false false false false false true true false true false true true true false true 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