BLANCHARD VALLEY HEALTH SYSTEM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BLANCHARD VALLEY HEALTH SYSTEM (EIN 34-4428206)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-29
- IRS object ID
- 201333029349300203
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-29T06:19:23-05:00 | 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 | 344428206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANCHARD VALLEY HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAVID M CYTLAK | InCareOfName |
| Name Control | BLAN | NameControl |
| Phone | 4194235497 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID M CYTLAK | Name |
| Title | CFO | Title |
| Phone | 4194235497 | 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 | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SCOTT MALANEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19017722 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BVHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | WE PROVIDE MANAGEMENT OVERSIGHT AND GOVERNANCE OF ALL HEALTH SYSTEM ACTIVITIES. WE ALSO OPERATE FAMILY PRACTICES, SPECIALTY PRACTICES, AN URGENT CARE CENTER, AND A CANCER CENTER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 444 | TotalNbrEmployees |
| Total Nbr Volunteers | 78 | TotalNbrVolunteers |
| Total Gross UBI | -187354 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -219826 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10410233 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16351862 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2165373 | InvestmentIncomePriorYear |
| Investment Income Current Year | 962492 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5296176 | OtherRevenuePriorYear |
| Other Revenue Current Year | 671535 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17871782 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17985889 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10591328 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12172201 | 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 | 6388771 | OtherExpensePriorYear |
| Other Expenses Current Year | 5747426 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16980099 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17919627 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 891683 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 66262 | RevenuesLessExpensesCY |
| Total Assets BOY | 65117312 | TotalAssetsBOY |
| Total Assets EOY | 72566126 | TotalAssetsEOY |
| Total Liabilities BOY | 40041029 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 45342547 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 25076283 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27223579 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11671077 | Expense |
| Revenue | 16342791 | Revenue |
| Description | BLANCHARD VALLEY HEALTH SYSTEM'S PROGRAM SERVICE REVENUE IS GENERATED BY BLANCHARD VALLEY MEDICAL PRACTICES (BVMP), A WHOLLY OWNED, DISREGARDED ENTITY. BVMP CONSISTS OF FAMILY PRACTICE PHYSICIAN OFFICES, NEUROSURGICAL OFFICES, SPECIALTY PHYSICIAN OFFICES, RADIATION THERAPY SERVICES, AND AN URGENT CARE CENTER. BVMP IS COMMITTED TO PROVIDING EASILY ACCESSIBLE HEALTH CARE SERVICES TO ALL MEMBERS OF THE SURROUNDING COMMUNITIES THROUGH THEIR FAMILY PRACTICES AND URGENT CARE CENTER. SPECIALIZED SERVICES ARE ALSO AVAILABLE, INCLUDING NEUROLOGICAL SERVICES, CANCER TREATMENT, CARDIAC CARE, AND DIAGNOSTIC SERVICES. | Description |
| Total Program Service Expense | 11671077 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | 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 | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | 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 | false | Hospital |
| Grants To Organizations | false | 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 444 | 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | 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 | DAVID M CYTLAK | NamePerson |
| Telephone Number | 4194235497 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| SCOTT MALANEY | |||||||||
| CHIEF EXECUTIVE OFFICER | 2.0 | 38.0 | X | X | 609374 | 0 | 44760 | ||
| DR ERIC BOSTICK | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| CHERYL BUCKLAND RN | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| KAREN CLINE | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| KURT GEISHEIMER | |||||||||
| TREASURER | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DUANE JEBBETT | |||||||||
| CHAIRMAN | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| KAREN KLASSEN HARDER PHD | |||||||||
| SECRETARY | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| ANDREA KOEPKE DNS | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| JOE LONGO | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DR STEVE MCCULLOUGH | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DR RANDALL MYERS | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| ROD NICHOLS | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DR NANCY OREL | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DR RICHARD POLDER | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| REV WILLIAM REIST | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DR LEROY SCHROEDER | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| KIMBERLY STUMP | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DAVID EUBANKS | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| ERIC KURJAN | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| GARRY PEIFFER | |||||||||
| TRUSTEE | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| PAUL WORSTELL | |||||||||
| VICE CHAIRMAN | 0.5 | 1.0 | X | 0 | 0 | 0 | |||
| DAVE CYTLAK | |||||||||
| CHIEF FINANCIAL OFFICER | 2.0 | 38.0 | X | 354304 | 0 | 40264 | |||
| DR WILLIAM KOSE | |||||||||
| CHIEF QUALITY OFFICER | 4.0 | 36.0 | X | 358444 | 0 | 31813 | |||
| CHRISTOPHER PRESS | |||||||||
| PRESIDENT BVRHC | 2.0 | 38.0 | X | 310390 | 0 | 30815 | |||
| ROBERT WESTPHAL | |||||||||
| PRESIDENT BVCCS | 2.0 | 38.0 | X | 0 | 221596 | 38361 | |||
| WILLIAM WATKINS | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 4.0 | 36.0 | 170664 | 0 | 26854 | X | |||
| DR JASON SCHROEDER | |||||||||
| PHYSICIAN | 40.0 | 589827 | 0 | 37215 | X | ||||
| DR MICHAEL DENIKE | |||||||||
| PHYSICIAN | 40.0 | 497235 | 0 | 38391 | X | ||||
| DR GARY PARENTEAU | |||||||||
| PHYSICIAN | 40.0 | 485226 | 0 | 28747 | X | ||||
| DR JEFFERY SCHULTZ | |||||||||
| PHYSICIAN | 40.0 | 414356 | 0 | 39798 | X | ||||
| DR BINH DINH | |||||||||
| PHYSICIAN | 40.0 | 239643 | 0 | 29159 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4029463 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 221596 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 386177 | TotalOtherCompensation |
| Number Individuals GT100 K | 40 | 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 |
|---|---|---|---|---|---|
| ALTA PARTNERS | |||||
| 902 WESTPOINT PKWY STE 320 | WESTLAKE | OH | 44145 | PHYSICIAN BILLING | 2025818 |
| BKD LLP | |||||
| 200 EAST MAIN STREET SUITE 700 | FORT WAYNE | IN | 46802 | AUDITING AND TAX | 216017 |
| COMPREHENSIVE REIMBURSEMENT INC | |||||
| 947 EAST JOHNSTOWN ROAD SUITE 234 | GAHANNA | OH | 43230 | COST REPORT PREP | 187643 |
| GORDON FLESCH COMPANY INC | |||||
| 2675 RESEARCH PARK DRIVE | MADISON | WI | 53701 | EQUIPMENT LEASING | 305511 |
| SCHNEIDER AND WUEST INC | |||||
| 26302 THOMPSON ROAD | PERRYSBURG | OH | 43351 | PHYSICIST SERVICES | 156500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | 11350382 | 11350382 |
| MANAGEMENT ALLOCATIONS TO RELATED ENTITIES | 900099 | 5001480 | 5001480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16351862 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 951034 | TotalRevenueColumn |
| Unrelated Business Revenue | -187354 | UnrelatedBusinessRevenue |
| Exclusion | $1,138,388 | 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 | 346966 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 346966 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 346966 | TotalRevenueColumn |
| Exclusion | $346,966 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1043292 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1022762 | Securities |
| Other | 9071 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20530 | Securities |
| Other | -9071 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11458 | TotalRevenueColumn |
| Related Or Exempt Function Income | -9071 | RelatedOrExemptFunctionIncome |
| Exclusion | $20,529 | ExclusionAmount |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 324569 | TotalRevenueColumn |
| Exclusion | $324,569 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 324569 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17985889 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16342791 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -187354 | UnrelatedBusinessRevenue |
| Exclusion | $1,830,452 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 3698212 | Total |
| Program Services | 1039992 | ProgramServices |
| Management And General | 2658220 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614955 | Total |
| Program Services | 496401 | ProgramServices |
| Management And General | 118554 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6067405 | Total |
| Program Services | 4901565 | ProgramServices |
| Management And General | 1165840 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340781 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 340781 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 913751 | Total |
| Program Services | 708611 | ProgramServices |
| Management And General | 205140 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 537097 | Total |
| Program Services | 365903 | ProgramServices |
| Management And General | 171194 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 331959 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 331959 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 975476 | Total |
| Program Services | 619532 | ProgramServices |
| Management And General | 355944 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 651068 | Total |
| Program Services | 561097 | ProgramServices |
| Management And General | 89971 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19118 | Total |
| Program Services | 2912 | ProgramServices |
| Management And General | 16206 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 703178 | Total |
| Program Services | 703178 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206527 | Total |
| Program Services | 146852 | ProgramServices |
| Management And General | 59675 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 528330 | Total |
| Program Services | 501967 | ProgramServices |
| Management And General | 26363 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108364 | Total |
| Program Services | 54744 | ProgramServices |
| Management And General | 53620 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 426332 | Total |
| Program Services | 405058 | ProgramServices |
| Management And General | 21274 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384278 | Total |
| Program Services | 363557 | ProgramServices |
| Management And General | 20721 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PROVISION FOR BAD DEBTS | 523932 | 523932 | 0 | 0 |
| MEDICAL & PRO. FEES | 9514 | 8764 | 750 | 0 |
| OTHER | 879350 | 267012 | 612338 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17919627 | Total |
| Program Services | 11671077 | ProgramServices |
| Management And General | 6248550 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375 | BOY |
| EOY | 375 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2546862 | BOY |
| EOY | 2357954 | 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 | 1071729 | BOY |
| EOY | 1841604 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21824 | BOY |
| EOY | 300 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228370 | BOY |
| EOY | 249404 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 37175213 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21060947 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15215090 | BOY |
| EOY | 16114266 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39871159 | BOY |
| EOY | 45587734 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6128218 | BOY |
| EOY | 6120516 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 33685 | BOY |
| EOY | 293973 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65117312 | BOY |
| EOY | 72566126 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5244852 | BOY |
| EOY | 4848033 | 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 | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34796177 | BOY |
| EOY | 40494514 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40041029 | BOY |
| EOY | 45342547 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12042138 | BOY |
| EOY | 12798754 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346753 | BOY |
| EOY | 386749 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12687392 | BOY |
| EOY | 14038076 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25076283 | BOY |
| EOY | 27223579 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65117312 | BOY |
| EOY | 72566126 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 66262 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 3910 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2077124 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| BVRHC | |||||
| 341369963 | 03 | false | false | true | $4,833,576 |
| BVCCS | |||||
| 346006904 | 0 | false | false | true | $339,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 5172732 | SumOfAmounts |
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 | 13034145 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1720414 | InvestmentEarningsOrLosses |
| Other Expenditures | 329735 | OtherExpenditures |
| End Of Year Balance | 14424824 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13058307 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1125 | InvestmentEarningsOrLosses |
| Other Expenditures | 23037 | OtherExpenditures |
| End Of Year Balance | 13034145 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14801268 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1731242 | InvestmentEarningsOrLosses |
| Other Expenditures | 11719 | OtherExpenditures |
| End Of Year Balance | 13058307 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13540550 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1260718 | InvestmentEarningsOrLosses |
| End Of Year Balance | 14801268 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14281717 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -732805 | InvestmentEarningsOrLosses |
| Other Expenditures | 8362 | OtherExpenditures |
| End Of Year Balance | 13540550 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.97320 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.02680 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6701247 | OtherCostOrOtherBasis |
| Book Value | 6701247 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9293380 | OtherCostOrOtherBasis |
| Depreciation | 3916319 | Depreciation |
| Book Value | 5377061 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1480576 | OtherCostOrOtherBasis |
| Depreciation | 1175063 | Depreciation |
| Book Value | 305513 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15892619 | OtherCostOrOtherBasis |
| Depreciation | 14407306 | Depreciation |
| Book Value | 1485313 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3807392 | OtherCostOrOtherBasis |
| Depreciation | 1562260 | Depreciation |
| Book Value | 2245132 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16114266 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| VENTURES AND PARTNERSHIPS | 350516 | C |
| CARE SERVICES | 5770000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 6120516 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ADVANCES FROM AFFILIATES | Description |
| Amount | $40,494,514 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 40494514 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 20066923 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3910 | NetUnrealizedGainsInvestments |
| Other Revenues | 2077124 | OtherRevenues |
| Revenue Not Rptd F990 | 2081034 | RevenueNotRptdF990 |
| Revenue Subtotal | 17985889 | RevenueSubtotal |
| Total Revenue Per Form990 | 17985889 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17919627 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 17919627 | ExpensesSubtotal |
| Total Expenses Per Form990 | 17919627 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART V, LINE 4 | Endowment funds are utilized for donor designated purposes, including charity care, capital projects and purchases, and continuing education for staff and physicians. |
| PART XI, LINE 2d | CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS: $1,350,684 TRANSFERS TO AFFILIATES: $539,086 INVESTMENT INCOME TIMING DIFFERENCE: $187,354 |
| ASC 740 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT MALANEY | |||||||||||||
| CHIEF EXECUTIVE OFFICER | 479574 | 0 | 105145 | 0 | 24654 | 0 | 134697 | 0 | 29760 | 0 | 773831 | 0 | |
| DAVE CYTLAK | |||||||||||||
| CHIEF FINANCIAL OFFICER | 283140 | 0 | 47118 | 0 | 24045 | 0 | 18164 | 0 | 25264 | 0 | 397732 | 0 | |
| DR WILLIAM KOSE | |||||||||||||
| CHIEF QUALITY OFFICER | 292662 | 0 | 35847 | 0 | 29935 | 0 | 15000 | 0 | 16813 | 0 | 390257 | 0 | |
| WILLIAM WATKINS | |||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 148477 | 0 | 18171 | 0 | 4016 | 0 | 10320 | 0 | 16534 | 0 | 197518 | 0 | |
| CHRISTOPHER PRESS | |||||||||||||
| PRESIDENT BVRHC | 243708 | 0 | 48656 | 0 | 18026 | 0 | 41749 | 0 | 16128 | 0 | 368267 | 0 | |
| DR JASON SCHROEDER | |||||||||||||
| PHYSICIAN | 498790 | 0 | 75000 | 0 | 16036 | 0 | 14850 | 0 | 22365 | 0 | 627042 | 0 | |
| DR MICHAEL DENIKE | |||||||||||||
| PHYSICIAN | 496749 | 0 | 0 | 0 | 486 | 0 | 15000 | 0 | 23391 | 0 | 535626 | 0 | |
| DR GARY PARENTEAU | |||||||||||||
| PHYSICIAN | 427510 | 0 | 56666 | 0 | 1049 | 0 | 15000 | 0 | 13747 | 0 | 513973 | 0 | |
| DR JEFFERY SCHULTZ | |||||||||||||
| PHYSICIAN | 307314 | 0 | 106871 | 0 | 171 | 0 | 15000 | 0 | 24798 | 0 | 454154 | 0 | |
| DR BINH DINH | |||||||||||||
| PHYSICIAN | 207401 | 0 | 20000 | 0 | 12242 | 0 | 5604 | 0 | 23555 | 0 | 268802 | 0 | |
| ROBERT WESTPHAL | |||||||||||||
| PRESIDENT BVCCS | 0 | 180208 | 0 | 33152 | 0 | 8236 | 0 | 13561 | 0 | 24800 | 0 | 259957 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 4b | Identifier |
| Explanation | In 2012, Blanchard Valley Health System contributed on behalf of Scott Malaney $136,697 to a Supplemental Executive Retirement Plan (SERP). The SERP is an unfunded, nonqualified deferred compensation arrangement consisting of two plans: an "eligible" plan subject to Internal Revenue Code Section 457(b) and an "ineligible" plan subject to Section 457(f). The 457(b) plan was originally implemented effective January 1, 2002. The 457(f) plan was originally effective September 1, 2000 and was restated on January 1, 2002 for coordination with the 457(b) plan. In 2010 and 2011, the 457(f) plan was further amended and restated to comply with the latest regulatory guidance and provide for a new contribution model and vesting schedule. Additional executives were also added and deemed eligible for plan benefits in 2010, including Christopher Press and David Cytlak. In 2012, Blanchard Valley Health System contributed on behalf of Christopher Press $44,062 and contributed on behalf of David Cytlak $20,164 to the SERP. Key features of the SERP, as amended and restated in 2010/2011, include the following: * Eligibility is limited to certain management or highly-compensated employees of BVHS (i.e., "top hat" reference). Future participation is upon nomination by the CEO and approval by the Committee of the Board. * Employer contributions are comprised of: ** Defined Contribution Target Income Replacement Percentage Contribution: Provide 60% target income replacement for CEO (Scott Malaney) Provide 50% target income replacement for President (Christopher Press) Provide 50% target income replacement for CFO (David Cytlak) **Employee contributions to the SERP are not allowed. * Each participants 457(b) account will be credited up to the statutory limit ($17,000 in 2012), with the remaining amount being deposited into the 457(f) account. * Employer contributions to the 457(f) plan are subject to a class year vesting schedule, with a waiting period set at 2-5 years, depending on the age of the participant at the time of contribution. Upon vesting, the full vested balance will be distributed to the participant and considered taxable income. In addition to the vesting schedule above, 100% and immediate vesting of the benefit accrued upon attainment of normal retirement age, death, disability, involuntary termination without cause, plan termination, or change of control. * Distribution of the vested portion of the 457(f) benefit is paid as a lump sum as soon as administratively feasible. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DR JASON SCHROEDER | |||
| SON- DR. LEROY SCHROEDER | 589827 | COMPENSATION | false |
| TERESA SCHROEDER | |||
| WIFE- DR. LEROY SCHROEDER | 25128 | COMPENSATION | false |
| BUCKMAN LTD | |||
| >35% OWNED BOARD | 0 | SEE STATEMENT | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, LINE 3 | Identifier |
| Explanation | CHERYL BUCKLAND IS A TRUSTEE ON THE ORGANIZATION'S BOARD. SHE IS A 50% OWNER IN BUCKMAN LTD. BLANCHARD VALLEY CONTINUING CARE SERVICES, A RELATED ENTITY, HAS AN OUSTANDING LOAN TO BUCKMAN LTD FOR THE 2008 PURCHASE OF INDEPENDENCE HOUSE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, QUESTION 1b | SCOTT MALANEY IS A BOARD MEMBER AND IS ALSO A PAID EMPLOYEE OF BLANCHARD VALLEY HEALTH SYSTEM. DR. LEROY SCHROEDER IS A BOARD MEMBER AND IS RELATED TO TWO PAID EMPLOYEES OF BVHS. DUE TO THESE RELATIONSHIPS, THESE INDIVIDUALS ARE CONSIDERED NON-INDEPENDENT. |
| FORM 990, PART VI, QUESTION 11b | DETAIL REVIEWS OF THE FORM 990'S ARE PERFORMED BY AN INDEPENDENT CPA FIRM AND THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE. THIS COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF THE COMMUNITY, AND MEMBERS OF UPPER MANAGEMENT. THE COMPLIANCE AND AUDIT COMMITTEE REPORTS TO THE BOARD OF TRUSTEES ANY AREAS OF CONCERN REGARDING THE FORM 990'S. ONCE THE FORM 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF BOARD OF TRUSTEES RECEIVE ELECTRONIC COMMUNICATION THAT THE FORM 990'S ARE COMPLETE AND AVAILABLE ON BOARDNET. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE & AUDIT COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND/OR EXTERNAL ACCOUNTANTS. |
| FORM 990, PART VI, QUESTION 12c | ANNUALLY, THE ORGANIZATION ASKS ITS BOARD MEMBERS, ITS CORPORATE OFFICERS, AND ITS KEY EMPLOYEES TO SIGN CONFLICT OF INTEREST LETTERS. THE ORGANIZATION ALSO ASKS THESE INDIVIDUALS TO REVIEW THEIR ACTIVITIES AND COMPLETE RELATIONSHIP QUESTIONNAIRES FOR THE FORM 990 FILING YEAR. BOARD MEMBERS ARE REQUIRED TO BRING TO THE ATTENTION OF EXECUTIVE MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. BOARD MEMBERS THAT HAVE CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSIONS AND/OR VOTING ON ISSUES WITH WHICH A CONFLICT EXISTS. |
| FORM 990, PART VI, QUESTION 15a | THE ORGANIZATION REVIEWS EXECUTIVE COMPENSATION, BENEFITS, AND PERQUISITES ON A BI-ANNUAL BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. A SUBSET OF MEMBERS FROM THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION REVIEW COMMITTEE, AND THIS COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEWS THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE COMPENSATION. IN ADDITION, THE EXECUTIVE COMPENSATION REVIEW COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS". THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE "REBUTTABLE PRESUMPTION OF REASONABLENESS". THE MOST RECENT REVEIW WAS COMPLETED IN EARLY 2011 BY SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2011. |
| FORM 990, PART VI, QUESTION 15b | THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO. |
| FORM 990, PART VI, QUESTION 19 | FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES. |
| FORM 990, PART IX | The amounts reported on 990 Part VIII Line 11a columns (b) and (d) represent management fee allocations out to other related organizations for management related services performed by individuals employed by Blanchard Valley Health System. The compensation, benefits, and other related costs for such individuals are recorded on 990 Part IX columns (b) and (c). FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS: $1,350,684 INVESTMENT INCOME TIMING DIFFERENCE: $187,354 TRANSFERS FROM AFFILIATES: $539,086 Total: $2,077,124 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY MEDICAL PRACTICES | |||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 421659766 | PHYS OFCS | OH | 11240000 | 3334000 | BVHS |
| BLANCHARD VALLEY HOME CARE SERVICES | |||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 421565629 | HOME HEALTH | OH | BVCCS | ||
| CRNA OF BLANCHARD VALLEY LLC | |||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 061748552 | CERT NURSE | OH | BVHS | ||
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY CONTINUING CARE SVCS | ||||||||||
| 15100 BIRCHAVEN LN | FINDLAY | OH | 45840 | 346006904 | CONT. CARE | OH | 501(C)(3) | 9 | BVHS | true |
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 341369963 | ACUTE CARE | OH | 501(C)(3) | 3 | BVHS | true |
| BLANCHARD VALLEY HEALTH FOUNDATION | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 341370522 | FUNDRAISING | OH | 501(C)(3) | 7 | BVHS | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| NORTHWEST OHIO MEDICAL EQUIPMENT | ||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 341882390 | MED EQUIPMENT | OH | BVCCS | N/A |
| BLANCHARD VALLEY PAIN MANAGEMENT | ||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 270095470 | PAIN MGMT | OH | BVRHC | N/A |
| TECHNICORE | ||||||||
| PO BOX 1210 | FINDLAY | OH | 45839 | 421702910 | BIO-MED SUPPO | OH | BVRHC | N/A |
| CREIGHTON DIALYSIS | ||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 274527592 | DIALYSIS SVCS | OH | BVRHC | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BIRCHAVEN ESTATES AT EASTERN WOODS LTD | ||||||||||||
| 15100 BRIRCHAVEN LANE | FINDLAY | OH | 45840 | 346006904 | CONDOMINIUMS | OH | BVCCS | C CORP | 0 | 0 | 1.00000 | false |
| CITAS INC | ||||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 311369708 | RECRUITING | OH | BVHS | C CORP | 0 | 0 | 1.00000 | false |
| HANCO AMBULANCE INC | ||||||||||||
| 417 SIXTH STREET | FINDLAY | OH | 45840 | 382048755 | HEALTHCARE | OH | BVHS | C CORP | 2219000 | 1053000 | 1.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | 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 | true | 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 | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | ||
| D | 106675000 | FMV |
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | ||
| I | 56004 | FMV |
| BLANCHARD VALLEY CONTINUING CARE SERVICES | ||
| I | 60000 | FMV |