EAST OHIO REGIONAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EAST OHIO REGIONAL HOSPITAL (EIN 34-0714457)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201343179349301779
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T10:07:29-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714457 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST OHIO REGIONAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EAST | NameControl |
| Phone | 7406331100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 90 N Fourth Street | AddressLine1 |
| City | Martins Ferry | City |
| State | OH | State |
| ZIP Code | 439351648 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lisa Simon | Name |
| Title | SR VP & CFO | Title |
| Phone | 3042348407 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | X | InitialReturn |
| Name Of Principal Officer Person | Lisa Simon | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Eoff Street | AddressLine1 |
| City | Wheeling | City |
| State | WV | State |
| ZIP Code | 26003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65852434 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.ovmc-eorh.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1906 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | EORH exists to serve the charitable purpose of providing quality, cost-effective, primary care to the citizens of our community in a manner that respects the rights of those we serve. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 11852 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 6599 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 66974689 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 64322869 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10758 | InvestmentIncomePriorYear |
| Investment Income Current Year | -7322 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2902563 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1536887 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 69888010 | TotalRevenuePriorYear |
| Total Revenue Current Year | 65852434 | 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 | 32265101 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30634438 | 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 | 34618482 | OtherExpensePriorYear |
| Other Expenses Current Year | 35254697 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66883583 | TotalExpensesPriorYear |
| Total Expenses Current Year | 65889135 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3004427 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -36701 | RevenuesLessExpensesCY |
| Total Assets BOY | 47585698 | TotalAssetsBOY |
| Total Assets EOY | 44357014 | TotalAssetsEOY |
| Total Liabilities BOY | 38745326 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 37869785 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8840372 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6487229 | NetAssetsOrFundBalancesEOY |
| Mission Description | EORH exists to serve the charitable purpose of providing quality, cost-effective, primary care to the citizens of our community in a manner that respects the rights of those we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 56317198 | Expense |
| Grants | 0 | Grants |
| Revenue | 64304104 | Revenue |
| Description | East Ohio Regional Hospital (EORH) provides medical healthcare, including acute inpatient care, longterm care and outpatient services to the public regardless of race, creed, sex, natural origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of EORH, it is recognized that not all individuals possess the ability to purchase essential medical services. It is the mission of the hospital to serve the community with respect to providing healthcare services and healthcare education. Therefore in keeping with the hospital's commitment to serve all members of the community:free care and/or subsidized care was provided during the year; care was provided to persons covered by government programs which reimburse the hospital at below cost during the year; and health activities and programs to support the community were conducted during the year. In addition to providing essential healthcare medical services to the community, other activities conducted during the year included wellness programs, community education programs, special programs for the elderly, handicapped, medically under-served, children and a variety of broad community support activities. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 56317198 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Eugene Townsend | NamePerson |
| Telephone Number | 3042348270 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Eoff Street | AddressLine1 |
| City | Wheeling | City |
| State | WV | State |
| ZIP Code | 26003 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| John Domenick | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| Rajai Khoury MD | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| John Kramer DDS | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| Terrence Lee | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| Jerry Narcici | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| James Shope MD | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| Susan Stepputtis | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| William Webster | |||||||||
| Trustee | 0 | 0 | X | 0 | 0 | 0 | |||
| Michael Caruso | |||||||||
| CEO/President/Trustee | 0 | 40 | 302559 | 0 | 17172 | X | |||
| Lisa Simon | |||||||||
| Sr VP & CFO | 0 | 40 | 279324 | 0 | 17172 | X | |||
| Sam Nassar MD | |||||||||
| Medical Doctor | 0 | 40 | 330013 | 0 | 746 | X | |||
| Mark Wilson MD | |||||||||
| Medical Doctor | 0 | 40 | 272776 | 0 | 17932 | X | |||
| Mario Mejia MD | |||||||||
| Medical Doctor | 0 | 40 | 271751 | 0 | 13144 | X | |||
| Nancy Sukys MD | |||||||||
| Medical Doctor | 0 | 40 | 224116 | 0 | 7513 | X | |||
| Nepomuceno Dario MD | |||||||||
| Medical Doctor | 0 | 40 | 215059 | 0 | 15172 | X | |||
| Brian Felici | |||||||||
| Former CEO | 0 | 0 | 170000 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2065598 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 88851 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Belmont Anesthesia | |||||
| 90 North Fourth Street | Martins Ferry | OH | 43935 | Anesthesia Services | 1237490 |
| Sodexo Inc & Affliliates | |||||
| PO Box 536922 | Atlanta | GA | 303536922 | Food Services & Mgt | 824999 |
| Alliance Imaging | |||||
| PO Box 96485 | Chicago | IL | 606936485 | MRI & PET | 582854 |
| Goodman Group Inc | |||||
| 250 W Main Street | St Clairsville | OH | 43950 | Medical Office Rental | 268141 |
| I and S of East Ohio | |||||
| One Medical Park | Wheeling | WV | 26003 | Medical Office Rental | 247167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 0 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Services | 622000 | 64311426 | 64311426 | 0 | $0 |
| Non-Patient Labs | 621500 | 11443 | 0 | 11443 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 64322869 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -7017 | TotalRevenueColumn |
| Related Or Exempt Function Income | -7017 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -305 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -305 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -305 | TotalRevenueColumn |
| Related Or Exempt Function Income | -305 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 0 | GrossIncomeGaming |
| Gaming Direct Expenses | 0 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 0 | GrossSalesOfInventory |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Catering | Description |
| Business Code | 722320 | BusinessCode |
| Total Revenue Column | 409 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 409 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1536478 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,536,478 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1536887 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 65852434 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64304104 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 11852 | UnrelatedBusinessRevenue |
| Exclusion | $1,536,478 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211495 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 211495 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24735658 | Total |
| Program Services | 24700348 | ProgramServices |
| Management And General | 35310 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329946 | Total |
| Program Services | 329946 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3451519 | Total |
| Program Services | 3451519 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1905820 | Total |
| Program Services | 1905820 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379571 | Total |
| Program Services | 20 | ProgramServices |
| Management And General | 379551 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 474 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207030 | Total |
| Program Services | 200570 | ProgramServices |
| Management And General | 6460 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2342470 | Total |
| Program Services | 2338427 | ProgramServices |
| Management And General | 4043 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75380 | Total |
| Program Services | 72560 | ProgramServices |
| Management And General | 2820 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329129 | Total |
| Program Services | 329129 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2963313 | Total |
| Program Services | 2963313 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428000 | Total |
| Program Services | 69650 | ProgramServices |
| Management And General | 358350 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Physician Fees | 1839634 | 1839194 | 440 | 0 |
| Purchased Services | 2209512 | 2030997 | 178515 | 0 |
| Supplies | 12902660 | 12902660 | 0 | 0 |
| Home Office Cost Allocation | 6666684 | 0 | 6666684 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4910840 | Total |
| Program Services | 3183045 | ProgramServices |
| Management And General | 1727795 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65889135 | Total |
| Program Services | 56317198 | ProgramServices |
| Management And General | 9571937 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8368 | BOY |
| EOY | 7157 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95981 | BOY |
| EOY | 114613 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3711 | BOY |
| EOY | 3711 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12595460 | BOY |
| EOY | 10642134 | 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 | 1347099 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1912648 | BOY |
| EOY | 1522208 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139846 | BOY |
| EOY | 95160 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 85699375 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 55492348 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31706618 | BOY |
| EOY | 30207027 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 904998 | BOY |
| EOY | 220489 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 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 | 218068 | BOY |
| EOY | 197416 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47585698 | BOY |
| EOY | 44357014 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3951953 | BOY |
| EOY | 3465275 | 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 | 124381 | BOY |
| EOY | 130923 | 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 | 7000000 | BOY |
| EOY | 7000000 | 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 | 27668992 | BOY |
| EOY | 27273587 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38745326 | BOY |
| EOY | 37869785 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6431664 | BOY |
| EOY | 4919641 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2408708 | BOY |
| EOY | 1567588 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8840372 | BOY |
| EOY | 6487229 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47585698 | BOY |
| EOY | 44357014 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -36701 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -2316442 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3499746 | OtherCostOrOtherBasis |
| Book Value | 3499746 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 60170877 | OtherCostOrOtherBasis |
| Depreciation | 37077220 | Depreciation |
| Book Value | 23093657 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 22028752 | OtherCostOrOtherBasis |
| Depreciation | 18415128 | Depreciation |
| Book Value | 3613624 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30207027 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Deferred Pension Costs | $15,302,436 |
| Interfund Accounts | $5,144,947 |
| Capital Leases | $936,742 |
| Notes Payable | $5,736,824 |
| Accrued Building Abatement | $88,598 |
| Malpractice | $64,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 27273587 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 1006269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 329417 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 676852 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0103 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 10321367 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6319977 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4001190 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0607 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 11327636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6649394 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4678042 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0710 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 11327636 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6649394 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4678042 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0710 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,629,545 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11463213 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15505017 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4041804 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DASCO-Ohio Valley HME LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Retail durable medical equipment | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.25 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | East Ohio Regional Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 90 North Fourth Street | AddressLine1 |
| City | Martins Ferry | City |
| State | OH | State |
| ZIP Code | 43935 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | East Ohio Regional Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | 1 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L03c | Schedule H, Part I, Line 3c | FPG is used when determining eligibility for free care but not used for providing for discounted care. |
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | Cost to charge ratio from worksheet 2 was used to determine costs. Part I Column F bad debt expense. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | The organizations financial statements do not include a footnote regarding bad debt expense. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | Cost was determined by Medicare Cost Report. |
| SchH_P03_S0C_L09a | Schedule H, Part III, Section C, Line 9a | East Ohio Regional Hospital (EORH) collection on private pay accounts will be performed consistently to ensure optimization of cash flow and for timely identification of bad debt accounts. Patients have the responsibility to provide requested information, pursue all other sources of financial assistance as may be available and to make appropriate payment arrangements. As a service to patients, EORH will assist by billing insurance companies and other third party payers, and assist in obtaining their payments on behalf of the patients. Patient accounts considered uncollectible are to be written-off to the appropriate bad debt account. RULES (GUIDELINES): - The goal of all contacts with patients is to determine when an outstanding account will be paid. Patients should be asked to commit to a payment date. - Any request for an itemized statement should be fulfilled but at no time should a HCFA 1450 (UB-92) or HCFA 1500 be sent to a patient. - Any request for a discount from the amount billed or financial assistance (charity care) must be referred to the Financial Counselor or Manager of Credit and Collections. - A continuous and reasonable collection effort will be made for all payer types, with the exception of charity care accounts and medically indigent accounts (Medicaid). - All patients should be encouraged to enter into a payment plan arrangement, if they are unable to pay the full amount owed. - If a patient breaches the payment plan arrangement by failure to pay according to terms agreed upon, the account will enter the collection process. - Bad debts are amounts (usually co-insurance and deductibles) owed on the patient accounts for services provided by the hospital that were not anticipated as being uncollectible at the time the services were performed. - Patient accounts considered uncollectible or which are to be written-off to bad debt must meet the following criteria: a. Patient accounts have been returned by the Collection Agency or b. Patient accounts are determined to be charity care or c. Patients are medically indigent (Medicaid) or d. Patient is bankrupt, in which a legal inquiry is required or e. Patient is deceased, in which an estate inquiry is required - When the patient cannot be located (i.e. incorrect address) after all possible steps have been completed (attempts to contact a relative, employer, referring physician, referrals from previous hospital or any other persons or places that may be listed on the admitting forms) the account is sent directly to the Collection Agency. - A Bad Debt log will be updated and accumulated daily as patient accounts are written off. - Payments received on accounts that have been identified as a bad debt and have been written off will be recorded to a Bad Debt Recovery Account. 1. Registration: a. Admitting Office gathers the patient's third party payer (Insurance, Medicare, Medicaid) cards/information and all applicable forms/applications. b. Financial Counselor determines the patient's ability to pay, which includes 1. verifying third payer eligibility; 2. establishing whether all or a portion of the bill will be a Self-Pay account; 3. assisting in the completion of charity care application; 4. establishing a payment plan arrangement when possible; 5. and checking pre-certification requirements. c. On-site WV Department of Health and Human Services employee assists the patient in creating an application for Medicaid and determines Medicaid eligibility. 1. Dual-Eligibility/Crossover Claims are also entered into the system at this time for proper electronic transfer/correspondence from Medicare to Medicaid. d. Manager of Credit & Collections reviews all documentation for accuracy. 2. Charity Care - refer to Policy Number 11.842.55 3. Payment Plan Arrangement: a. Patient must complete a payment plan application (Extended Financial Arrangement Application) b. Approved by the Manager of Credit & Collections based upon the patient's ability to pay as verified by the application. c. Monthly payments must be at least $25.00 per month. d. Patients receive a monthly billing statement reflecting the payment amount per the payment plan arrangement. e. If patient defaults on the arrangement, the outstanding amount is then considered a Self-Pay account. 4. The portion of the bill that has been determined to be the patient's responsibility, such as deductibles, coinsurance, and/or non-covered services, are due and payable when the services are rendered. 5. Patient Accounting Department: a. Accounts are assigned to each Patient Accounting Representative based on payer types (Insurance, Medicare, Medicaid, or Self-Pay accounts). b. Each Representative is responsible for the following: 1. verifying proper and consistent billing; 2. tracking the payment plan arrangements; 3. inquiring on bankruptcy and estate cases; 4. corresponding with third party payers; 5. receiving calls from patients (PHONE CALLS ARE NEVER MADE TO THE PATIENT); 6. and addressing any problems that may arise. c. Representatives document all correspondence and collection processes through notes in the system. 6. Approximately 5 days after discharge/visit, the Patient Accounting Department either bills the patient's third party payer, or processes a statement for Self-Pay accounts to be sent to the patient. 7. Medicare Account: a. Medicare Payment - remaining amount, if determined to be the responsibility of Insurance or Medicaid, is billed to that payer and the specific process at #8 or #9 is followed. If the remaining amount is determined to be the patient's responsibility, then the process at #10 is followed. b. Medicare Denial - determination will be made as to why the amount was denied and either correctly re-bill; bill another payer, if applicable, following the specific process #8 or #9; or bill the patient following the Self-Pay process at #10. 8. Medicaid Account: a. Medicaid Payment - remaining amount is deemed to be charity care as the patient is medically indigent, and the account is written-off as a bad debt. b. Medicaid Denial - determination will be made as to why the amount was denied and either correctly re-bill or bill the patient c. Dually Eligible - proper transfer and billing of Medicare and Medicaid EOB/Remits is verified, and any errors are followed up with the specific payer. Once both EOB/Remits have been received and determined to be accurate, the remaining amount is written off as bad debt. 9. Insurance Account: a. Insurance Payment - remaining amount, if determined to be the responsibility of Insurance or Medicaid, is billed to that payer and the specific process at #8 or #9 is followed. If the remaining amount is determined to be the patient's responsibility, then the process at #10 is followed. b. Insurance Denial - determination will be made as to why the amount was denied and either correctly re-bill; bill another payer, if applicable, following the specific process at #8 or #9; or bill the patient following the Self-Pay process at #10. c. No Response - after approximately 30 days, the system will print a reminder and a follow-up phone call will be made to the payer to assess the situation. Multiple phone calls may be made. If the payer still does not respond the patient receives the following: 1. 20 days after billing - statement is sent to the patient notifying them that their insurance has not responded or paid, and that they should contact their payer. 2. 50 days after billing - statement is sent to the patient notifying them that their insurance has not responded or paid, and that they should contact their payer. 3. 80 days after billing - statement is sent to the patient notifying them that they are responsible for the amount. 4. After the 3rd statement is sent the process at #10 is followed. 5. Medicare and Medicaid patients do not receive these statements. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | 10. Self Pay Account: a. Billing Statements: 1. 1st bill is sent to the patient approximately 5 days after discharge/visit and states that they have 30 days to pay the outstanding amount. 2. 2nd bill is sent to the patient approximately 35 days after discharge/visit, and states that their account is 30 days old. 3. 3rd bill is sent to the patient approximately 65 days after the discharge/visit, and states that their account is now 60 days old. b. If no payment has been received after approximately 95 days after the discharge/visit, the account is turned over to the Collection Agency. c. If patient is making payments, the billing statements will continue until either 1. amount has been paid in full, or 2. payments cease, at which time the account will be turned over to the Collection Agency. d. When statements and letters are returned due to an incorrect address the Patient Accounting Department will try to locate the 12. Collection Agency: a. Once the accounts are turned over to the Collection Agency, the length of time that they are kept depends on the following: 1. Patient does not make payments - the Collection Agency returns accounts to EORH after 1 year of inactivity. 2. Patient is making payments - Collection Agency keeps them indefinitely until either the account is paid in full or 1 year from turn-over inactivity, at which time the account is returned to EORH in an electronic file. b. All accounts sent to the Collection Agency are coded as an "Agency Code" and are tracked. A report of these accounts is periodically reviewed and an inquiry is made for accounts being held for a long period of time. The Collection Agency also has the capability to send reports summarizing the accounts. This report is also reviewed periodically. c. Accounts returned by the Collection Agency should be accompanied by documentation of the collection efforts applied. 13. Once an account is returned from the Collection Agency, it is considered uncollectible and written-off as a bad debt, at which time the collection process ends. 14. Deceased Patient: a. Patient Accounting Department verifies the estate status to determine if there is any possibility of collection of the outstanding amount owed. 1. Estate - collection process continues on the account. 2. No Estate - account is written-off as a bad debt. 15. Bankrupt Patient: a. Patient Accounting Department verifies the bankruptcy status to determine if there is any possibility of collection of the outstanding amount owed. 1. Possibility - collection process continues on account. 2. No Possibility - account is written-off as a bad debt. |
| SchH_P05_S0B_L21 | Schedule H, Part V, Section B, Line 21 | If the patient requested and if the situation warranted, the patient was given a discount. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | The hospital is in the process of creating a new strategic assessment that reviews the healthcare needs of the community it serves. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | See collection/bad debt write off policy. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | See answer to question number two above. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sam Nassar MD | ||||||||||||||
| Medical Doctor | 265013 | 0 | 65000 | 0 | 0 | 0 | 531 | 0 | 215 | 0 | 330759 | 0 | 0 | 0 |
| Mark Wilson MD | ||||||||||||||
| Medical Doctor | 207776 | 0 | 65000 | 0 | 0 | 0 | 760 | 0 | 17172 | 0 | 290708 | 0 | 0 | 0 |
| Nepomuceno Dario MD | ||||||||||||||
| Medical Doctor | 206751 | 0 | 8308 | 0 | 0 | 0 | 2028 | 0 | 13144 | 0 | 230231 | 0 | 0 | 0 |
| Mario Mejia MD | ||||||||||||||
| Medical Doctor | 271751 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13144 | 0 | 284895 | 0 | 0 | 0 |
| Nancy Sukys MD | ||||||||||||||
| Medical Doctor | 188399 | 0 | 35717 | 0 | 0 | 0 | 439 | 0 | 7074 | 0 | 231629 | 0 | 0 | 0 |
| Michael Caruso | ||||||||||||||
| CEO/President/Trustee | 0 | 302559 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17172 | 0 | 319731 | 0 | 0 |
| Lisa Simon | ||||||||||||||
| Sr VP & CFO | 0 | 250724 | 0 | 28600 | 0 | 0 | 0 | 300 | 0 | 17172 | 0 | 296796 | 0 | 0 |
| Brian Felici | ||||||||||||||
| Former CEO | 0 | 0 | 0 | 0 | 0 | 170000 | 0 | 0 | 0 | 0 | 0 | 170000 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L04 | Schedule J, Part I, Line 4 | Payment to Brian Felici, former Chief Executive Officer, in settlement of claims. |
| SchJ_P01_S00_L07 | Schedule J, Part I, Line 7 | See answer to Schedule J, Part II. |
| SchJ_P02_S00_L00 | Schedule J, Part II | Compensation is resonable based on comparability data, caps and subject to a formula. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | David McKeen | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Trustee | Relationship |
| Amount Of Transaction | 431231 | AmountOfTransaction |
| Description Of Transaction | Security/Cleaning | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | Form 990 and all schedules are reviewed by the CFO & Board of Directors prior to final submission. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | The executive committee of the board reviews the conflicts. Trustees with conflicts are not allowed to vote on matters in which their conflict pertains. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | Compensation is reasonable based on comparative data, caps and subject to a formula. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | These documents are not made available to the public. |
| F990_P11_S00_L09 | Form 990, Part XI, Line 9 | Pension decreased by $2,235,764, Net Assets decreased by $80,678 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Ohio Valley Health Services & Education Corporation | |||||||||
| 2000 Eoff Street | Wheeling | WV | 26003 | 550357044 | Supporting Organization | WV | 501 (c) (3) | 13 | N/A |
| Ohio Valley Health Services & Education Foundation | |||||||||
| 2000 Eoff Street | Wheeling | WV | 26003 | 550615693 | Supporting Organization | WV | 501 (c) (3) | PF | N/A |
| Ohio Valley Medical Center | |||||||||
| 2000 Eoff Street | Wheeling | WV | 26003 | 550614866 | Hospital | WV | 501 (c) (3) | 3 | N/A |
| Family Services of the Upper Ohio Valley | |||||||||
| 51 11th Street | Wheeling | WV | 26003 | 550357074 | Social Services | WV | 501 (c) (3) | 11 | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | River Health Enterprises Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 Eoff Street | AddressLine1 |
| City | Wheeling | City |
| State | WV | State |
| ZIP Code | 26003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550611593 | EIN |
| Primary Activity | Physician Offices | PrimaryActivity |
| Legal Domicile State | WV | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Percentage Ownership | 0 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Additional time needed to compile and review the information. | Explanation |
Comments