AULTMAN HEALTH FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- AULTMAN HEALTH FOUNDATION (EIN 34-0714538)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201203199349303870
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T13:01:21-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714538 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AULTMAN HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARK WRIGHT | InCareOfName |
| Name Control | AULT | NameControl |
| Phone | 3303636352 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK WRIGHT | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Date Signed | 2012-11-15 | 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 | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK WRIGHT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 473582738 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AULTMAN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1935 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION STATEMENT OF AULTMAN HOSPITAL IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH." | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 41 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 36 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4323 | TotalNbrEmployees |
| Total Nbr Volunteers | 431 | TotalNbrVolunteers |
| Total Gross UBI | 1327797 | TotalGrossUBI |
| Contributions Grants Prior Year | 1833045 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2609151 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 420855530 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 461048043 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -20986 | InvestmentIncomePriorYear |
| Investment Income Current Year | 30814 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8834620 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9744529 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 431502209 | TotalRevenuePriorYear |
| Total Revenue Current Year | 473432537 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 108593 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 308128 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 225071585 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 233458628 | 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 | 205499544 | OtherExpensePriorYear |
| Other Expenses Current Year | 228287208 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 430679722 | TotalExpensesPriorYear |
| Total Expenses Current Year | 462053964 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 822487 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 11378573 | RevenuesLessExpensesCY |
| Total Assets BOY | 372884164 | TotalAssetsBOY |
| Total Assets EOY | 310198352 | TotalAssetsEOY |
| Total Liabilities BOY | 40697018 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 44395791 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 332187146 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 265802561 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AULTMAN HOSPITAL'S MISSION IS TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. AULTMAN HOSPITAL HAS BEEN MEETING THE HEALTH CARE NEEDS OF STARK AND SURROUNDING COUNTIES FOR NEARLY 120 YEARS. AULTMAN CARES FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AULTMAN CONTINUOUSLY INVESTS IN FACILITIES AND TECHNOLOGY TO IMPROVE PATIENT CARE. AULTMAN PROVIDES EDUCATIONAL OPPORTUNITIES FOR STUDENTS IN HIGH SCHOOL, COLLEGE, MEDICAL SCHOOL AND RESIDENCY PROGRAMS. THROUGH OUTREACH EFFORTS INCLUDING THE WELLNESS ON WHEELS (WOW) MOBILE HEALTH-FAIR UNIT, AULTMAN OFFERS HEALTH AND WELLNESS EDUCATION FOR OUR COMMUNITY. AULTMAN IS ONE OF THE LOWEST-COST HEALTH CARE PROVIDERS IN NORTHEASTERN OHIO, HELPING LOCAL BUSINESSES STAY FINANCIALLY HEALTHY AND MAINTAIN GOOD JOBS IN OUR COMMUNITY. IN RECOGNITION OF THE HOSPITALS LOW-COST AND HIGH-QUALITY PHILOSOPHY, AULTMAN WAS HONORED BY BEING NAMED ONE OF THE 100 TOP HOSPITALS IN THE UNITED STATES BY THOMSON REUTERS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 333660503 | Expense |
| Grants | 306928 | Grants |
| Revenue | 404868748 | Revenue |
| Description | AULTMAN HOSPITAL IS A NOT-FOR-PROFIT TEACHING HOSPITAL SERVING STARK AND SURROUNDING COUNTIES IN NORTHEAST OHIO. THE HOSPITAL'S MAJOR PROGRAMS INCLUDE WOMEN AND CHILDREN'S SERVICES, EMERGENCY AND TRAUMA SERVICES, HEART SERVICES, CANCER CARE, NEUROSURGERY AND ORTHOPEDICS AND CRITICAL- CARE MEDICINE. EACH YEAR, AULTMAN HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF THE AREA'S TOTAL CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE. IN 2011, AULTMAN CARED FOR UNINSURED PATIENTS. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21431847 | Expense |
| Grants | 1200 | Grants |
| Revenue | 28323589 | Revenue |
| Description | SUBACUTE SERVICES: AULTMAN PROVIDES SUBACUTE SERVICES AT ITS AULTMAN WOODLAWN FACILITY. AULTMAN WOODLAWN INCLUDES A 60-BED UNIT FOR PATIENTS REQUIRING SKILLED NURSING CARE AND A 30-BED UNIT FOR PATIENTS NEEDING REHABILITATION. AULTMAN WOODLAWN FEATURES INDOOR THERAPY ENVIRONMENTS SUCH AS A MOCK KITCHEN, BEDROOM, STORE AND GAS STATION - ALONG WITH AN OUTDOOR COURTYARD FEATURING A HYDROPONIC GARDEN - TO HELP PATIENTS IMPROVE THEIR MOBILITY AND PREPARE FOR DISCHARGE. AULTMAN WOODLAWN ALSO HOUSES AULTMAN'S HOSPICE, PALLIATIVE CARE, HOME HEALTH CARE, ALTERNATIVE DAILY LIVING AND GRIEF SERVICES PROGRAMS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23847364 | Expense |
| Revenue | 34298487 | Revenue |
| Description | AULTMAN PROVIDES AN ARRAY OF MEDICAL SERVICES AT COMMUNITY CENTERS LOCATED THROUGHOUT STARK AND CARROLL COUNTIES. IMMEDIATE CARE SERVICES ARE AVAILABLE FOR MINOR INJURIES AND ILLNESSES - SEVEN DAYS A WEEK, EVERY DAY OF THE YEAR. SERVICES SUCH AS PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC REHABILITATION, OUTPATIENT LABORATORY SERVICES, SPORTS MEDICINE PROGRAMS AND DIAGNOSTIC TESTING ARE ALSO AVAILABLE AT THE AULTMAN SATELLITE FACILITIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 378939714 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 457 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 4323 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 41 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 36 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARK WRIGHT | NamePerson |
| Telephone Number | 3303636192 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH STREET SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (52 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| T STEPHEN GREGORY | ||||||||
| CHAIR | 1.0 | X | X | 0 | 0 | 0 | ||
| JOSEPH R HALTER JR | ||||||||
| VICE CHAIR | 1.0 | X | X | 0 | 0 | 0 | ||
| EDWARD J ROTH III | ||||||||
| CEO AND PRESIDENT - AHF | 5.0 | X | X | 0 | 525281 | 19325 | ||
| DAVID W BARTLEY II | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM H BELDEN JR | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| BARBARA HAMMONTREE BENNETT | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| PAUL R BISHOP | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| SHEILA MARKLEY BLACK ESQ | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| THEODORE V BOYD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| STEPHEN G DEUBLE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DARRYL J DILLENBACK | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MILAN R DOPIRAK MD | ||||||||
| DIRECTOR/PHYSICIAN | 54.0 | X | 0 | 400081 | 13550 | |||
| LEO E DOYLE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| GLENN A EISENBERG | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| NORMAN J GAYNOR III | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| PRABHCHARAN P GILL MD | ||||||||
| DIRECTOR/PHYSICIAN | 54.0 | X | 619676 | 0 | 20071 | |||
| PATRICIA A GRISCHOW | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RICK L HAINES | ||||||||
| DIRECTOR | 1.0 | X | 0 | 352955 | 19298 | |||
| MICHAEL E HANKE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| GEORGE W LEMON | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| GENE E LITTLE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| HARRY C MACNEALY | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| STEVEN OAKLAND | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MICHAEL RICH MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MARC L SCHNEIDER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| LOUIS G SHAHEEN MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DOUGLAS J SIBILA | ||||||||
| 2ND VICE CHAIR & SECRETARY | 1.0 | X | X | 0 | 0 | 0 | ||
| JOHN A SIRPILLA | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| VICKY L STERLING | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| R CLINT ZOLLINGER ESQ | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JEFFERY MILLER MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| BRIAN S BELDON | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| WILLIAM WALLACE MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOHN B HUMPHREY JR MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DAVID M FINDLEY | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| LISA WARBURTON GREGORY | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JAMES E KNISELY | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RONALD R LYONS | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ROBERT W SABOTA MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| TODD M SOMMER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MARK D WRIGHT | ||||||||
| CHIEF FINANCIAL OFFICER - AHF | 5.0 | X | 0 | 304025 | 16478 | |||
| CHRISTOPHER E REMARK | ||||||||
| FORMER TREASURER & COO | 50.0 | X | 295299 | 0 | 17193 | |||
| EILEEN F GOOD | ||||||||
| CEO of post acute services | 50.0 | 0 | 276955 | 15171 | X | |||
| ALLISON M OPRANDI MD | ||||||||
| PHYSICIAN | 55.0 | 308192 | 0 | 16478 | X | |||
| ANNE M GUNTHER | ||||||||
| CHIEF NURSING OFFICER | 55.0 | 198443 | 0 | 9096 | X | |||
| SUSAN E MERCER | ||||||||
| MEDICAL DIRECTOR | 55.0 | 234370 | 0 | 19858 | X | |||
| THOMAS F BOGGS | ||||||||
| VP PHYSICIAN RELATIONS | 55.0 | 274252 | 0 | 20041 | X | |||
| MICHAEL A KREW MD | ||||||||
| PHYSICIAN | 55.0 | 581995 | 0 | 17193 | X | |||
| ELETHERIOS P MAMOUNAS MD | ||||||||
| PHYSICIAN | 55.0 | 542770 | 0 | 8189 | X | |||
| TIMOTHY E MCDANIEL MD | ||||||||
| PHYSICIAN | 55.0 | 626349 | 0 | 20071 | X | |||
| JAMES S YOUNG | ||||||||
| PHYSICIAN | 55.0 | 263091 | 0 | 15171 | X | |||
| LORI L MERTES | ||||||||
| CHIEF QUALITY OFFICER | 55.0 | 252163 | 0 | 7059 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4196600 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1859297 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 254242 | TotalOtherCompensation |
| Number Individuals GT100 K | 88 | 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 |
|---|---|---|---|---|---|
| CANTON AULTMAN EMERGENCY PHYSICIANS | |||||
| 2600 6TH STREET SW | CANTON | OH | 447101702 | PHYSICIAN SERVICES | 1557486 |
| WHISLER PLUMBING HEATING | |||||
| 2521 LINCOLN WAY EAST | MASSILLON | OH | 446465052 | CONTRACTING | 1830381 |
| HAMMOND CONSTRUCTION INC | |||||
| 1278 PARK AVE SW | CANTON | OH | 44706 | CONTRACTING | 1331144 |
| PERINATAL PEDIATRICS | |||||
| 2600 6TH STREET SOUTHWEST | CANTON | OH | 44710 | PHYSICIAN SERVICES | 1208053 |
| PULMONARY PHYSICIANS INC | |||||
| 2600 TUSCARAWAS STREET WEST | CANTON | OH | 44708 | PHYSICIAN SERVICES | 1171852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 216 | NumberOfContractorsGT100K |
| All Other Contributions | 2609151 | AllOtherContributions |
| Total Contributions | 2609151 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | 420154353 | 420154353 |
| PREMIUM REVENUE | 621110 | 34859785 | 34859785 |
| PHARMACY REVENUE | 621110 | 6033905 | 6033905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 461048043 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31015 | TotalRevenueColumn |
| Exclusion | $31,015 | 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 | 1973951 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1973951 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1973951 | TotalRevenueColumn |
| Exclusion | $1,973,951 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 150000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 150201 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -201 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -201 | TotalRevenueColumn |
| Exclusion | -$201 | 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 (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| FOOD SERVICES | 621110 | 2853450 | 2853450 | |
| LAUNDRY INCOME | 812300 | 194061 | 194061 | |
| LABORATORY INCOME | 621500 | 1133736 | 1133736 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3589331 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3589331 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7770578 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 473432537 | TotalRevenueColumn |
| Related Or Exempt Function Income | 467490824 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1327797 | UnrelatedBusinessRevenue |
| Exclusion | $2,004,765 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308128 | Total |
| Program Services | 308128 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1635646 | Total |
| Program Services | 1341230 | ProgramServices |
| Management And General | 294416 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 397321 | Total |
| Program Services | 325803 | ProgramServices |
| Management And General | 71518 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173010499 | Total |
| Program Services | 141868609 | ProgramServices |
| Management And General | 31141890 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6030650 | Total |
| Program Services | 4945133 | ProgramServices |
| Management And General | 1085517 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38756652 | Total |
| Program Services | 31780455 | ProgramServices |
| Management And General | 6976197 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13627860 | Total |
| Program Services | 11174845 | ProgramServices |
| Management And General | 2453015 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1022737 | Total |
| Program Services | 838644 | ProgramServices |
| Management And General | 184093 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27102 | Total |
| Program Services | 22224 | ProgramServices |
| Management And General | 4878 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5683 | Total |
| Program Services | 4660 | ProgramServices |
| Management And General | 1023 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28241522 | Total |
| Program Services | 23158048 | ProgramServices |
| Management And General | 5083474 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1724973 | Total |
| Program Services | 1414478 | ProgramServices |
| Management And General | 310495 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22701343 | Total |
| Program Services | 18615101 | ProgramServices |
| Management And General | 4086242 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1386142 | Total |
| Program Services | 1136636 | ProgramServices |
| Management And General | 249506 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11005635 | Total |
| Program Services | 9024621 | ProgramServices |
| Management And General | 1981014 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1257824 | Total |
| Program Services | 1031416 | ProgramServices |
| Management And General | 226408 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124711 | Total |
| Program Services | 102263 | ProgramServices |
| Management And General | 22448 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22704221 | Total |
| Program Services | 18617461 | ProgramServices |
| Management And General | 4086760 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21038226 | Total |
| Program Services | 17251345 | ProgramServices |
| Management And General | 3786881 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1016124 | Total |
| Program Services | 833222 | ProgramServices |
| Management And General | 182902 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 83724505 | 68654094 | 15070411 |
| EDUCATION | 2341714 | 1920206 | 421508 |
| BAD DEBT EXPENSE | 23478559 | 19252418 | 4226141 |
| FRANCHISE FEE | 5192058 | 4257488 | 934570 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1294129 | Total |
| Program Services | 1061186 | ProgramServices |
| Management And General | 232943 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 462053964 | Total |
| Program Services | 378939714 | ProgramServices |
| Management And General | 83114250 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16129 | BOY |
| EOY | 16481 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4574767 | BOY |
| EOY | 8785816 | 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 | 54764391 | BOY |
| EOY | 57557410 | 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 | 432986 | BOY |
| EOY | 83273 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3219675 | BOY |
| EOY | 3131637 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1921162 | BOY |
| EOY | 1941447 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 465898188 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 232006021 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238375689 | BOY |
| EOY | 233892167 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1911871 | BOY |
| EOY | 1940418 | 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 | 1929106 | BOY |
| EOY | 1705611 | 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 | 65738388 | BOY |
| EOY | 1144092 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372884164 | BOY |
| EOY | 310198352 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36867730 | BOY |
| EOY | 40799905 | 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 | 3829288 | BOY |
| EOY | 3595886 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40697018 | BOY |
| EOY | 44395791 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 328348792 | BOY |
| EOY | 261525008 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3558145 | BOY |
| EOY | 3997344 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 280209 | BOY |
| EOY | 280209 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 332187146 | BOY |
| EOY | 265802561 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372884164 | BOY |
| EOY | 310198352 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 11378573 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -77763158 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 681425 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 20946 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5572 | AdministrativeExpenses |
| End Of Year Balance | 696799 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 668598 | BeginningOfYearBalance |
| Contributions | 100 | Contributions |
| Investment Earnings Or Losses | 18235 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5508 | AdministrativeExpenses |
| End Of Year Balance | 681425 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 532238 | BeginningOfYearBalance |
| Contributions | 118967 | Contributions |
| Investment Earnings Or Losses | 22208 | InvestmentEarningsOrLosses |
| Administrative Expenses | 4815 | AdministrativeExpenses |
| End Of Year Balance | 668598 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 516342 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 20632 | InvestmentEarningsOrLosses |
| Administrative Expenses | 4736 | AdministrativeExpenses |
| End Of Year Balance | 532238 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39048663 | OtherCostOrOtherBasis |
| Book Value | 39048663 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 141290355 | OtherCostOrOtherBasis |
| Depreciation | 62429218 | Depreciation |
| Book Value | 78861137 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 250678968 | OtherCostOrOtherBasis |
| Depreciation | 163326519 | Depreciation |
| Book Value | 87352449 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34880203 | OtherCostOrOtherBasis |
| Depreciation | 6250285 | Depreciation |
| Book Value | 28629918 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 233892167 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EST. THIRD-PARTY PAYOR SETTLEM | Description |
| Amount | $3,595,886 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3595886 | TotalOfAmounts |
| Total Revenue | 473432537 | TotalRevenue |
| Total Expenses | 462053964 | TotalExpenses |
| Excess Or Deficit For Year | 11378573 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2007 | NetUnrealizedGLOnInvestments |
| Other | -$77,765,165 | OtherAmount |
| Total Adjustments | -77763158 | TotalAdjustments |
| Excess Or Deficit Per FS | -66384585 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 476921400 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2007 | NetUnrealizedGainsInvestments |
| Other Revenues | 3486856 | OtherRevenues |
| Revenue Not Rptd F990 | 3488863 | RevenueNotRptdF990 |
| Revenue Subtotal | 473432537 | RevenueSubtotal |
| Total Revenue Per Form990 | 473432537 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 466519632 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4465668 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4465668 | ExpensesNotRptdF990 |
| Expenses Subtotal | 462053964 | ExpensesSubtotal |
| Total Expenses Per Form990 | 462053964 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ENDOWMENT FUNDS | Identifier |
| Return Reference | PART V, LINE 4 | ReturnReference |
| Explanation | THE INTENDED USE FOR AULTMAN HOSPITAL'S ENDOWMENT IS TO SUPPORT THE CHAPLAINCY PROGRAM. RECONCILIATION PART XI, LINE 8 INTERFUND TRANSFERS (77,765,165) PART XII, LINE 2D SEPARATELY REPORTED SUBSIDIARY REVENUE $3,486,856 PART XIII, LINE 2D SEPARATELY REPORTED SUBSIDIARY EXPENSE $4,465,668 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FIN 48 FOOTNOTE FROM AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. IN ACCORDANCE WITH THE INCOME TAXES TOPIC OF THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION, THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 0 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14063879 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5366836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8697043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01980 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48493445 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31049079 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17444366 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 62557324 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36415915 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26141409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05960 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1304188 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25996 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1278192 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8902299 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 177487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8724812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01990 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54117266 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48130830 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5986436 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01360 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 583607 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 634116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -50509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 356829 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 356829 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65264189 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48968429 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16295760 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03720 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 127821513 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 85384344 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42437169 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09680 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5686 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5686 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2760 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2760 | NetCommunityBuildingExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3091 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3091 | NetCommunityBuildingExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 221 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 221 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2484 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2484 | NetCommunityBuildingExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4030 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4030 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18272 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18272 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $11,450,708 | BadDebtExpenseAmount |
| Amount Attributable To | 2926320 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 94500055 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 91376959 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 3123096 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HOSPITAL | ||||||||||
| 1 | 2600 SIXTH ST SW | CANTON | OH | 44708 | X | X | X | X | X | MAIN HOSPITAL |
| AULTMAN WOODLAWN | ||||||||||
| 2 | 2821 WOODLAWN AVE NW | CANTON | OH | 44708 | X | SKILLED NURSING REHABILITATION CTR HOME CARE & HOSPICE | ||||
| AULTMAN WEST | ||||||||||
| 3 | 2051 WALES AVE NW | MASSILLON | OH | 44646 | X | X | IMMEDIATE CARE, DIAGNOSTICS, THERAPY AND SURGERY | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)
| Hospital Facility NumberHospitalFacilityNumber | Community Health NeedsCommunityHealthNeeds | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HOSPITAL | ||||||||||||||||||||||||||||
| 1 | X | true | true | 100 | true | 100 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | true | false | true | X | false | false |
| AULTMAN WOODLAWN | ||||||||||||||||||||||||||||
| 2 | true | true | 100 | true | 100 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | true | false | true | X | false | false | |
| AULTMAN WEST | ||||||||||||||||||||||||||||
| 3 | true | true | 100 | true | 100 | true | X | X | X | X | X | X | X | true | true | X | X | X | X | X | X | true | false | true | X | false | false | |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| AULTMAN NORTH | ||||
| 6100 WHIPPLE AVE NW | NORTH CANTON | OH | 44720 | Immediate Care, Diagnostics Therapy and Surgery |
| AULTMAN CENTER FOR DIALYSIS | ||||
| 2912 W TUSCARAWAS ST | CANTON | OH | 44708 | Dialysis Center |
| CENTER FOR PAIN MANAGEMENT | ||||
| 2302 FULTON DR | CANTON | OH | 44718 | GENERAL MEDICAL & SURGICAL |
| HOME MEDICAL SUPPLY EQUIPMENT | ||||
| 5200 TUSCARAWAS ST | CANTON | OH | 44708 | Medical Supply Co. |
| AULTWORKS | ||||
| 3730 WHIPPLE AVE NE | CANTON | OH | 44718 | BWC Certified Treatment FACILITY |
| AULTWORKS | ||||
| 2021 WALES AVE NW | MASSILLON | OH | 44646 | BWC Certified Treatment FACILITY |
| AULTMAN CARROLLTON | ||||
| 1020 TRUMP RD | CARROLLTON | OH | 44615 | Immediate Care, Diagnostics and Therapy |
| AULTMAN TUSCARAWAS | ||||
| 2615 Tuscarawas St | CANTON | OH | 44708 | Therapy Clinic |
| WEIGHT MANAGEMENT | ||||
| 2732 Fulton Dr NW | CANTON | OH | 44718 | Weight Management Program |
| AULTMAN FAMILY MEDICINE CENTER | ||||
| 4319 Hills Dales NW | CANTON | OH | 44708 | Outpatient Physician Clinic |
| AULTMAN FAMILY MEDICINE CENTER | ||||
| 8320 Waynesburg Dr SE | WAYNESBURG | OH | 44688 | Outpatient Physician Clinic |
| AULTMAN LOUISVILLE | ||||
| 1925 Williamsburg Way | LOUISVILLE | OH | 44641 | Therapy Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 3C | ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES A 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 250% IS DISCOUNTED 65%, 251% TO 300% IS DISCOUNTED 55%, 301% TO 350% IS DISCOUNTED 45%, 351% TO 400% IS DISCOUNTED 35%, AND 401% AND ABOVE IS DISCOUNTED 30%. |
| PART I, LINE 6A | Aultman Health Foundation, the parent company, publishes annually its annual report which includes all related organizations' programs and services designed to lead the community to improved health and promote healthy lifestyles. This report is available on Aultman's website. |
| PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE IN THE AMOUNT OF $23,478,559 IS INCLUDED ON FORM 990, PART IX, LINE 24, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. THE ORGANIZATION USES A COMBINATION OF THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H AND DIRECT COSTING METHOD OF CERTAIN PROGRAMS. |
| PART III, LINE 4 | Receivables and Provisions for Bad Debts Patient accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. Premium receivables are carried at original billed amount less an estimate for doubtful receivables based on a review of all outstanding amounts on a monthly basis. Premium receivables are considered past due to the extent that there is not related unearned premium. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for doubtful accounts, $12,315,000 and $19,186,000 for 2011 and 2010, respectively, is based upon managements assessment of the historical and expected net collections. Methodology for Bad Debt related to Charity Care According to Aultman Hospitals Financial Assistance Policy (FAP), all medically necessary self pay patients are eligible for financial assistance. Eligibility criteria is based on the Federal Poverty guidelines and are updated annually based on the updates published by the United States of Health and Human Services. The FAP discount is based on income and family size. Self pay balances will receive a minimum of 30% discount and up to 100% as long as the necessary Financial Assistance Application is complete. Patients must cooperate with the facility to provide the information and documentation necessary to determine eligibility. To determine the amount of bad debt expense that potentially could have been attributable to patients eligible under the organizations charity care policy the organization looked at all bad debt balances that were self pay. From this population the organization identified those self pay balances that did not receive any form of FAP or HCAP discount. Because all self pay patients receive at least a minimum of 30% regardless of income, the assumption was made that if the account had no discount the proper paper work was not turned in to determine eligibility criteria. From this remaining population the estimated discount at cost that would have been provided if documentation had been received was calculated by applying the actual FAP distribution of patients who received discounts in 2011 and then multiplying this amount by the cost to charge ratio calculated in worksheet 2. |
| PART III, LINE 8 | The hospital does not have a shortfall with their Medicare patients. The costing methodology used in determining the amount reported on line 6 is Medicare Cost Report. |
| PART III, LINE 9B | The Collections Department will attempt to contact the patient; by phone, letter or a combination of the two, to settle a debt with payment in full or monthly installments. If it has been determined an account is approved for HCAP the account is removed from Bad Debt and the adjustment is applied. Also, if an account is approved for FAP, the account is removed from Bad Debt and the adjustment is applied. After the guideline adjustment has been made the remaining balance is sent back to resume collections. Once it has been determined that internal collection efforts will cease, the collector will request the account to be cancelled in both Ontario and MPAC. These accounts will then be referred to a secondary outside collection agency. |
| PART V | AULTMAN HOSPITAL INCLUDES ONE DURABLE MEDICAL EQUIPMENT COMPANY, ONE PAIN MANAGEMENT CENTER, ONE SKILLED NURSING FACILITY, ONE HOME CARE, ONE HOSPICE, TWO BUREAU OF WORKMAN'S COMPENSATION CERTIFIED TREATMENT FACILITIES, ONE DIALYSIS CENTER, TWO FAMILY PRACTICES, ONE WEIGHT MANAGEMENT FACILITY, SIX THERAPY CLINICS, THREE DIAGNOSTIC CENTERS, TWO SAME DAY SURGERY CENTERS, ONE INPATIENT SURGERY CENTER, THREE IMMEDIATE CARE CENTERS. PART V LINE 10 ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES (FPG) AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES A 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 250% IS DISCOUNTED 65%, 251% TO 300% IS DISCOUNTED 55%, 301% TO 350% IS DISCOUNTED 45%, 351% TO 400% IS DISCOUNTED 35%, AND 401% AND ABOVE IS DISCOUNTED 30%. PART V, LINE 19D A SLIDING SCALE IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. |
| NEEDS ASSESSMENT | Aultman Hospital assesses the community's health care needs a variety of ways. We study protocol volume and patient satisfaction surveys. We document the medical conditions thousands of community members and medical staff members inquire about in our Sharon Lane Health Center health library. We track attendance at the more than 100 Health Talk presentations held each year to determine what topics are of most interest to the community. In 2011, Aultman collaborated with area hospitals and health care facilities to conduct a community health survey. The goal was to gauge the health status and health habits of Stark County residents and identify areas where Aultman can improve the health of our community. Fifteen questions were included on the poll of 1,067 Stark County households. The survey showed access to health insurance coverage and health care as the top priority; along with obesity and lack of healthy lifestyle choice; other areas of concern were prescription drug misuse, larger need for mental health services, and greater access to dental care. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | The application and guidelines are provided on the back of every patient statement. At the time of registration patients are asked to fill out the Hospital Care Assurance Program application which includes contact information for questions and assistance in completing the form. Signs and applications are posted at all points of admissions informing patients of the free care programs which are available. In 2010, the application was added to the internet for easy patient access. Aultmans outreach department assists self pay inpatients with the initial Medicaid application process and other charity care programs under which they are eligible for assistance. Patients who are unable to be screened during their admission or outpatient visit are sent an application, upon request, after they have been discharged. Improvement processes for 2011 included formal patient outreach staff training in HCAP program requirements and customer service skills. |
| COMMUNITY INFORMATION | Aultman's service area includes Stark, Wayne, Holmes, Carroll and Tuscarawas counties. The core market for Aultman Hospital is Stark County. The U.S. Census Bureau estimated the population of our five county areas to be over 654,000. There are ten registered hospitals in the five county areas. Two of these are Aultman facilities. Aultman provided care for 23% of the total 279,529 Medicaid cases in the primary service area for 2011. Of the 125,060 self pay cases in our primary service area Aultman provided care for 39%. |
| PROMOTION OF COMMUNITY HEALTH | Aultmans board of directors has 36 non-employed members. A total of 30 of the 39 voting board members reside in the core market area. The remaining portion resides in the tertiary market. Community physicians requesting and ultimately qualifying for medical staff privileges would be granted privileges in their respective medical departments. From educational programs to health screenings, Aultman actively promotes health and wellness in the community. Educational programs include more than 100 free Health Talk presentations each year and access to medical information through the Sharon Lane Health Center. Additional health resources include the A.D.A.M. illustrated health encyclopedia on the Aultman website and community health presentations offered by nurses with the Aultman Wellness on Wheels (WOW) mobile health-fair unit. In 2011, Aultman encouraged members of the community to take a proactive approach to their health. The online Health Assessment Center at www.aultman.org offered free risk assessments for heart disease (HeartAware); joint problems (JointAware); breast, lung, prostate and colorectal cancer (CancerAware); and sleep disorders (SleepAware). Participants received customized reports based on the responses provided during the assessment. Those at high risk for health problems were invited for a personal consultation or group presentation with Aultman health professionals. In 2011, a total of 615 members of the community completed Aware risk assessments and 174 people took advantage of the free follow-up consultations. Additional outreach efforts a diabetes health fair and "Wear Red" events to promote womens heart health. Aultman representatives also attended health fairs throughout the year, including Senior Citizens Day at the Pro Football Hall of Fame, the Canton Farmers' Market, the Senior Expo and health fairs at local schools. Through the Safety First program, Aultman is striving to keep our community's kids safe by preventing head trauma and other bike-related injuries. In 2011, Aultman volunteers visited 84 Stark County schools and taught more than 200 classes. The safety lesson which reached approximately 5,000 students included topics such as the importance of wearing a bike helmet and other safety gear; obeying traffic signs and signals; and using hand signals. In addition to the in-class education, each student received a free bicycle safety booklet and bike helmet. Since the programs inception in 2005, Safety First has reached about 22,000 students with free helmets and the important message of bicycle safety. Aultman's Level III Neonatal Intensive Care Unit, designated by the Ohio Department of Health, is a transfer hospital for the aforementioned counties and Coshocton and Columbiana counties. Aultman provides specialized care for mothers with high-risk pregnancies and premature babies. In 2011, Aultman collaborated with Northeastern Ohio Universities Colleges of Medicine and Pharmacy (NEOUCOM) and Aultman College of Nursing and Health Sciences to provide a day of education and activities for minority high school students interested in becoming physicians, pharmacists or nurses. The Minority Medical Career Symposium included presentations from health care professionals, a panel discussion, a career fair and tours of Aultman College and the Aultman Pharmacy. More than two dozen local high school students attended. Critically injured patients who need specialized care are brought to Aultman's Level II Trauma Center. Aultman Hospital has the only Level II trauma center for adult and pediatric patients in its five-county service area. The Level II designation from the American College of Surgeons certifies Aultman has the facilities, technology and specially trained clinical staff to treat trauma patients. The Aultman Trauma Center was re-verified as a Level II center in 2011. Aultmans WOW mobile health-fair unit debuted in February 2009. Staffed by medical professionals, the WOW van visits schools, community centers, churches, senior centers and block parties to provide free screenings and health education. Screenings such as blood pressure checks, height, weight and Body Mass Index/percentage of body fat are provided. In 2011, the WOW van has reached more than 21,000 people. In 2011, Aultman Health Foundation contributed to the betterment of the Stark County community with the following activities. Health Vision 2020 Aultman launched its Health Vision 2020 initiative in response to a national study (http://www.countyhealthrankings.org) that ranked every U.S. county based on factors ranging from low birth weight to diet and exercise to education and unemployment. Stark County ranked 44 out of Ohios 88 counties in current health outcomes and 37 in future health based on current actions. Wanting to make a measurable impact in those health rankings, the Aultman Health Vision 2020 committee targeted tobacco use and obesity 2011. Aultman provided free educational programs, health screenings and tobacco cessation classes to equip local residents with the tools they need to make healthier lifestyle choices. Cancer Screening Day For a decade, the Aultman Cancer Center has held Cancer Screening Day to help underinsured people in our community. The 2011 event brought 173 patients to Aultman, who received a total of 375 free screenings for breast, cervical, colon, lung, prostate and skin cancer. Close the Gap In conjunction with the OJays Celebration Weekend in August 2011, Aultman Health Foundation and Boston Scientific collaborated on a Close the Gap event to raise awareness about health disparities in heart care for women, African-Americans and Latino Americans. Aultman provided free health screenings and information, healthy food samples and cooking demonstrations, tobacco cessation materials and the opportunity to take the HeartAware risk assessment. Look Good Feel Better The Aultman Infusion Therapy Department offers an American Cancer Society program called Look Good Feel Better. It is a free program that helps individuals with cancer improve their self-esteem and manage their treatment and recovery with greater confidence. The program is provided in collaboration with the Cosmetic, Toiletry and Fragrance Association Foundation and the National Cosmetology Association. Participants in the Look Good, Feel Better program are given makeup kits that contain more than $300 worth of cosmetics. Specially trained, licensed cosmetologists help patients apply makeup to help cover the effects of chemotherapy. Aultman Infusion Therapy also has a wig bank that provides free wigs to anyone in need. A total of 50 women took advantage of the Look Good, Feel Better program in 2011. Harvest for Hunger Aultman Health Foundation team members generously donated 7,775 pounds of food and $36,053 during the 2011 Harvest for Hunger campaign. Aultman donations provided more than 114,000 meals to hungry families served by the Akron-Canton Regional Foodbank. United Way Aultman Health Foundation made a significant contribution to the United Way of Greater Stark Countys 2011 fundraising campaign. Aultman team members and physicians donated more than $450,000 while Aultman Health Foundations corporate contribution brought the total donation to more than $896,000. Adopt-a-Need Created by an Aultman employee, the Adopt-a-Need program provides year-round support for six location organizations that do not receive government or United Way funding. On the second Friday each month, Aultman employees donate personal care items, cleaning supplies and baby necessities to six local outreach organizations that help people in need. In 2011, Aultman employees donated nearly 14,000 items such as shampoo, deodorant, toilet paper, feminine hygiene products, baby necessities and soap. Cedar Elementary School Reading Program Each school year, Aultman provides volunteers to help nearby Cedar Elementary School students improve their reading skills. In 2011, 34 Aultman employees donated 228 hours of time to mentor students and help the children improve their reading skills and confidence. Aultman Career Academy Aultman partners with eight local high schools to provide top-performing junior and senior students with the opportunity to explore health care careers. The Aultman Career Academy also helps nurture local talent and keeps young individuals connected to Aultman Health Foundation. Career Academy students participate in clinical rotations in areas such as the Aultman Emergency Department, the Aultman Birth Center and various nursing units, in addition to learning about support areas such as corporate communications, the consumer health library and finance. In the 2011-12 school year, 34 students participated in the Aultman Career Academy. Students and Aultman staff members collectively contributed 5,474 hours of their time to the Career Academy. Project SEARCH The goal of Project SEARCH is to train, improve and build workplace skills for adults with disabi |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| City of Massillon | ||||||||
| One James Duncan Plaza | Massillon | OH | 446466686 | 346001829 | N/A | 55000 | Support | |
| Stark Development Board | ||||||||
| 116 Cleveland Ave Suite 600 | Canton | OH | 44702 | 341476938 | 501(c)(3) | 20000 | Support | |
| NATIONAL FOOTBALL MUSEUM | ||||||||
| 2121 George Halas Dr NW | Canton | OH | 44708 | 340898576 | 501(C)(3) | 36000 | Support | |
| Stark Education Partnership | ||||||||
| 400 Market Ave N Suite B | Canton | OH | 44702 | 341625250 | 501(C)(3) | 15000 | Support | |
| United Way Greater Stark County | ||||||||
| 825 Higbee Ave NW Ste 101 | Canton | OH | 44718 | 134254191 | 501(C)(3) | 100568 | Support | |
| Stark Community Foundation | ||||||||
| 220 Market Ave S | Canton | OH | 447022181 | 340943665 | 501(c)(3) | 70000 | Support | |
| Ohio Foundation of Independent Colleges | ||||||||
| 250 E BROAD ST STE 1700 | Columbus | OH | 43215 | 314441082 | 501(c)(3) | 25000 | Support | |
| Stark County Agricultural Society | ||||||||
| 305 WERTZ AVE NW PO BOX 80279 | Canton | OH | 44708 | 340801375 | 501(c)(3) | 9820 | Support | |
| Akron Canton Food Bank | ||||||||
| 350 OPPORTUNITY PKWY | Akron | OH | 443072234 | 341369388 | 501(c)(3) | 23325 | Support | |
| Goodwill Industries of Greater Cleveland | ||||||||
| 408 NINTH ST SW | Canton | OH | 44707 | 340909974 | 501(c)(3) | 100000 | Support | |
| Economic Growth Foundation | ||||||||
| The Higbee Building | Cleveland | OH | 441132225 | 341916518 | 501(c)(3) | 20000 | Support | 100 PUBLIC SQUARE STE 210 |
| Yes For Stark | ||||||||
| 2745 DUNKEITH DR NW | Canton | OH | 447081331 | 452977754 | N/A | 15000 | Support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I | Identifier |
| Return Reference | PART I, LINE 2 | ReturnReference |
| Explanation | THE AULTMAN HOSPITAL COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AULTMAN HOSPITAL DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD J ROTH III | |||||||||||||
| 0 | 519216 | 0 | 0 | 0 | 6065 | 0 | 7350 | 0 | 11975 | 0 | 544606 | 0 | 0 |
| MILAN R DOPIRAK MD | |||||||||||||
| 0 | 296956 | 0 | 99957 | 0 | 3168 | 0 | 7350 | 0 | 6200 | 0 | 413631 | 0 | 0 |
| PRABHCHARAN P GILL MD | |||||||||||||
| 473559 | 0 | 65000 | 0 | 81117 | 0 | 7350 | 0 | 12721 | 0 | 639747 | 0 | 0 | 0 |
| RICK L HAINES | |||||||||||||
| 0 | 350633 | 0 | 0 | 0 | 2322 | 0 | 7350 | 0 | 11948 | 0 | 372253 | 0 | 0 |
| EILEEN F GOOD | |||||||||||||
| 0 | 266888 | 0 | 0 | 0 | 10067 | 0 | 7350 | 0 | 7821 | 0 | 292126 | 0 | 0 |
| MARK D WRIGHT | |||||||||||||
| 0 | 303448 | 0 | 0 | 0 | 577 | 0 | 7350 | 0 | 9128 | 0 | 320503 | 0 | 0 |
| MICHAEL A KREW MD | |||||||||||||
| 470417 | 0 | 65000 | 0 | 46578 | 0 | 7350 | 0 | 9843 | 0 | 599188 | 0 | 0 | 0 |
| ELETHERIOS P MAMOUNAS MD | |||||||||||||
| 475900 | 0 | 46241 | 0 | 20629 | 0 | 7350 | 0 | 839 | 0 | 550959 | 0 | 0 | 0 |
| TIMOTHY E MCDANIEL MD | |||||||||||||
| 510867 | 0 | 35000 | 0 | 80482 | 0 | 7350 | 0 | 12721 | 0 | 646420 | 0 | 0 | 0 |
| ALLISON M OPRANDI MD | |||||||||||||
| 300898 | 0 | 6250 | 0 | 1044 | 0 | 7350 | 0 | 9128 | 0 | 324670 | 0 | 0 | 0 |
| ANNE M GUNTHER | |||||||||||||
| 198056 | 0 | 0 | 0 | 387 | 0 | 5460 | 0 | 3636 | 0 | 207539 | 0 | 0 | 0 |
| CHRISTOPHER E REMARK | |||||||||||||
| 294856 | 0 | 0 | 0 | 443 | 0 | 7350 | 0 | 9843 | 0 | 312492 | 0 | 0 | 0 |
| JAMES S YOUNG | |||||||||||||
| 247888 | 0 | 10250 | 0 | 4953 | 0 | 7350 | 0 | 7821 | 0 | 278262 | 0 | 0 | 0 |
| LORI L MERTES | |||||||||||||
| 251500 | 0 | 0 | 0 | 663 | 0 | 7059 | 0 | 0 | 0 | 259222 | 0 | 0 | 0 |
| SUSAN E MERCER | |||||||||||||
| 224948 | 0 | 7900 | 0 | 1522 | 0 | 7137 | 0 | 12721 | 0 | 254228 | 0 | 0 | 0 |
| THOMAS F BOGGS | |||||||||||||
| 273724 | 0 | 0 | 0 | 528 | 0 | 7350 | 0 | 12691 | 0 | 294293 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J | Identifier |
| Return Reference | PART I | ReturnReference |
| Explanation | LINE 1: ALL EMPLOYEES ARE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR HEALTH CLUB COSTS UP TO $120 ANNUALLY AS PART OF THE ORGANIZATION'S EFFORT TO PROMOTE HEALTHY LIVING STYLES. LINE 3: SEE SCHEDULE O FOR THE EXPLANATION OF EXECUTIVE COMPENSATION REVIEW. LINE 4B: CHRISTOPHER E REMARK, EDWARD J ROTH, III, RICK L HAINES, EILEEN F GOOD, AND MARK D WRIGHT ARE PARTICIPANTS IN THE ORGANIZATION'S 457(F) PLAN. THERE WERE NO CONTRIBUTIONS IN 2011. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| TIFFANY GOOD-WITMER | |||
| FAMILY MBR TO EILEEN GOOD | 129908 | WAGES | false |
| ELIZABETH GOOD | |||
| FAMILY MBR TO EILEEN GOOD | 90739 | WAGES | false |
| DOREEN GOOD | |||
| FAMILY MBR TO EILEEN GOOD | 69071 | WAGES | false |
| VICTORIA HAINES | |||
| FAMILY MBR TO RICK HAINES | 107603 | WAGES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| GOVERNING BODY AND MANAGEMENT | AULTMAN HOSPITAL IS A SUBSIDIARY OF AULTMAN HEALTH FOUNDATION (AHF). PART VI, SECTION A, LINE 1B EdWARD J Roth III, Christopher Remark, and Prabhcharan Gill MD are employees of Aultman Hospital. Rick Haines and Milan Dopirak MD are paid employees of a related organization. PART VI, SECTION A, LINE 2 JOHN SIRPILLA AND THEODORE BOYD ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. R CLINT ZOLLINGER ESQ AND SHEILA MARKLEY BLACK ESQ ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP. T STEPHEN GREGORY AND LISA WARBURTON-GREGORY ARE BOARD MEMBERS OF THE AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A FAMILY RELATIONSHIP. | |
| GOVERNING BODY AND MANAGEMENT | AULTMAN HEALTH FOUNDATION'S FINANCE DEPARTMENT CAREFULLY REVIEWS AND ANALYZES THE TAX RETURN. THE DEPARTMENT RECONCILES THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARES THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. AN INDEPENDENT CPA FIRM ALSO REVIEWS FORM 990. IN ADDITION, THE FINANCE DEPARTMENT DOES A COMPARATIVE ANALYSIS TO THE PRIOR YEAR RETURN. THE ANALYSIS AND RECONCILIATION SCHEDULES ALONG WITH A COMPLETE COPY OF THE 990 ARE PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. A COMPLETE COPY OF THE 990 IS THEN PRESENTED AT THE BOARD OF DIRECTORS MEETING PRIOR TO THE FILING DATE, AND A COMPLETE FINAL COPY IS EMAILED TO EACH MEMBER OF THE BAORD OF DIRECTORS FOR ANY ADDITIONAL REVIEW BEFORE FILING. | PART VI, SECTION A, LINE 11B |
| POLICIES | THE AULTMAN'S BOARD OF DIRECTORS HAS A CONFLICT OF INTEREST POLICY. AS A RESULT OF THIS POLICY, EACH YEAR BOARD MEMBERS, OFFICERS, AND SENIOR STAFF COMPLETE A FORM DISCLOSING ANY CONFLICTS OF INTEREST THEY MAY HAVE. THE COMPLIANCE OFFICE REVIEWS THESE DISCLOSURE FORMS AND INFORMS THE BOARD CHAIRMAN, AND OTHER APPROPRIATE OFFICERS, OF NOTABLE CONFLICTS, IF ANY. THOSE WITH CONFLICTS ARE ASKED TO RECUSE THEMSELVES FROM DISCUSSIONS RELATING TO THE CONFLICT. | PART VI, SECTION B, LINE 12C |
| POLICIES | THE AULTMAN HOSPITAL USES THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF EXECUTIVE COMPENSATION: OHIO HOSPITAL ASSOCIATION (OHA), MERCER INTEGRATED HEALTH NETWORK, INCLUDING SURVEY DATA FOR BOTH HOSPITALS AND HEALTH PLANS, AND SULLIVAN COTTER AND ASSOCIATES (SCA). ADDITIONAL SOURCES OF SALARY SURVEY DATA ARE AVAILABLE FOR USE WHERE APPROPRIATE INCLUDING COMPDATASURVEYS.COM, SALARY.COM, AND CHAMPS. IN THESE CASES, THE SURVEY IS REFERENCED WHERE APPLICABLE. EXECUTIVE PERFORMANCE, WAGE RECOMMENDATIONS, AND BONUS PAYMENTS ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE OF THE AULTMAN HEALTH FOUNDATION BOARD OF DIRECTORS HAS ENGAGED SULLIVAN COTTER & ASSOCIATES, INC., AN INDEPENDENT COMPENSATION CONSULTING FIRM FOR REVIEW OF EXECUTIVE COMPENSATION PRACTICES. THE AULTMAN HOSPITAL USES THE FOLLOWING REFERENCE MATERIALS FOR THE DEVELOPMENT OF PHYSICIAN COMPENSATION: MEDICAL GROUP MANAGEMENT ASSOCIATES (MGMA), AMERICAN MEDICAL GROUP ASSOCIATION (AMGA), HOSPITAL AND HEALTHCARE COMPENSATION SERVICE (HHCS) AND SULLIVAN COTTER AND ASSOCIATES (SCA). IN ADDITION TO SALARY SURVEYS, AULTMAN HOSPITAL ALSO RETAINS AN INDEPENDENT CONSULTING FIRM FOR PHYSICIANS COMPENSATION SERVICES. ALL PHYSICIAN COMPENSATION RECOMMENDATIONS ARE SENT TO THE CEO, VP OF PHYSICIAN SERVICES, COO, AND CNO FOR FINAL APPROVAL. | PART VI, SECTION B, LINE 15A AND 15B |
| DISCLOSURE | AULTMAN HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | PART VI, SECTION C, LINE 19 |
| PART VIII | CLINICAL TRIAL AND RESEARCH 1,312,984 PARKING DECK 256,756 SCIENCE LAB CAMPAIGN 150,000 ANSWERING SERVICE 175,354 PART IX STATEMENT OF FUNCTIONAL EXPENSE DETAIL LINE 11G PROFESSIONAL FEES - PHYSICIAN 17,901,718 PROFESSIONAL FEES - NON PHYSICIANS 969,719 SERVICE CONTRACTS 1,301,726 PURCHASED TESTS 1,409,079 PURCHASED SERVICES 2,401,404 OTHER 4,257,876 LINE 24E RECRUITMENT 482,967 MEMBERSHIP FEES 401,500 MISCELLANEOUS 100,537 RECONCILIATION OF NET ASSETS PART XI INTERFUND TRANSFERS ON SEPARATELY REPORTED SUBSIDIARY (77,765,165) UNREALIZED GAIN ON SALE OF ASSETS 2,007 TOTAL (77,763,158) | STATEMENT OF REVENUE OTHER REVENUE DETAIL |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:EDWARD J ROTH III TITLE:CEO AND PRESIDENT - AHF HOURS:50 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:MILAN R DOPIRAK MD TITLE:DIRECTOR/PHYSICIAN HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:PRABHCHARAN P GILL MD TITLE:DIRECTOR/PHYSICIAN HOURS:1 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:RICK L HAINES TITLE:DIRECTOR HOURS:54 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:MARK D WRIGHT TITLE:CHIEF FINANCIAL OFFICER - AHF HOURS:50 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:CHRISTOPHER E REMARK TITLE:FORMER TREASURER & COO HOURS:5 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:EILEEN F GOOD TITLE:CEO of post acute services HOURS:5 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACUTE CARE SPECIATLY HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH ST SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134246188 | EIN |
| Primary Activities | MED SERVICE | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHF | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN HEALTH FOUNDATION | ||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 341445390 | SUPPORT ORG | OH | 501(c)(3) | 11 B | NA | false |
| AULTMAN COLLEGE OF NURSING AND HEALTH | ||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 47710 | 201359433 | COLLEGE | OH | 501(c)(3) | 2 | NA | true |
| AULTMAN DEVELOPMENT INSTITUTE | ||||||||||
| 2600 SIXTH STREET SW | CANTON | OH | 44710 | 341388891 | CHARITABLE | OH | 501(c)(3) | 11A | NA | true |
| THE AULTMAN FOUNDATION | ||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 208090459 | FUNDRAISER | OH | 501(C)(3) | 7 | AHF | true |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WTPM LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 SIXTH ST SW | AddressLine1 |
| City | CANTON | City |
| State | OH | State |
| ZIP Code | 44710 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200090246 | EIN |
| Primary Activity | PROPERTY MGMT | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHF | BusinessNameLine1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH CENTRAL MEDICAL RESOURCES INC | |||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 341610344 | MED EQUIP RENTAL | OH | AHF | C CORP | |||||
| AULTRA ADMINISTRATIVE GROUP | |||||||||||||
| 4845 FULTON DR NW | CANTON | OH | 44718 | 204951704 | ADMIN SERVICE | OH | AHF | C CORP | |||||
| MCKINLEY LIFE INSRUANCE COMPANY | |||||||||||||
| 2600 SIXTH ST SW | CANTON | OH | 44710 | 341624818 | INSURANCE | OH | AHF | C CORP | |||||
| MCKINLEY ASSURANCE SPC | |||||||||||||
| 980468384 | PORTFOLIO | AHF | C CORP | PO BOX 1051 | GEORGE TOWN | GRAND CAYMANS | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| A | 341692 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| P | 8488335 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| N | 3167717 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| O | 1297951 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| P | 4461511 | ACTUAL COST |
| AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES | ||
| R | 196000 | ACTUAL COST |
| AULTMAN DEVELOPMENT INSTITUTE | ||
| P | 3189569 | ACTUAL COST |
| AULTMAN DEVELOPMENT INSTITUTE | ||
| O | 99462 | ACTUAL COST |
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