2012-11-15T13:03:49-06:00 2011-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2011-01-01 341492733 COMPREHENSIVE HEALTH CARE OF OHIO INC COMP 4403297605 630 EAST RIVER STREET ELYRIA OH 44035 JAMES SIMONE 4403297605 2012-11-14 1 P00842339 2483522500 2011 2016-02-24 21:20:13Z DONALD SHELDON 630 EAST RIVER STREET ELYRIA OH 44035 16519397 0 X WWW.EMH-HEALTHCARE.ORG X 1985 OH PROVISION OF CENTRALIZED HEALTH CARE MANAGEMENT TO SEVERAL NON-PROFIT COMMUNITY HEALTH CARE FACILITIES AND FOR-PROFIT SUBSIDIARIES THAT SERVE THE LORAIN COUNTY AND SURROUNDING COMMUNITIES. 13 11 117 10 59730 -24867 7028311 1011050 13251121 15065123 39511 -94463 240615 328922 20559558 16310632 5606648 101993 0 0 7956985 8630931 0 0 0 5494663 6563596 19058296 15296520 1501262 1014112 19113003 19393042 3114226 3375522 15998777 16017520 WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE. 0 0 4392960 4392960 SYSTEM INFORMATION SYSTEMS SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDS. 1990066 1990066 SYSTEM ADMINISTRATIVE SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDS. 1676440 1676440 SYSTEM MARKETING SUPPORT TO EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL ASSOCIATION, INC., BOTH 501(C)(3) GENERAL ACUTE CARE HOSPITALS SERVING THE COMMUNITIES OF ELYRIA AND AMHERST, OHIO AND SURROUNDS. 4614326 101993 6945927 4614326 101993 6945927 12673792 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 617 0 1 117 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 11 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 OH X JAMES M SIMONE VP FINANCECFO 4403297605 630 EAST RIVER STREET ELYRIA OH 44035 X BLOUCH GERALD 2.00 X 0 0 0 BRAUSCH JEFF 2.00 X X 0 0 0 DENGEL FREDRICH MD 2.00 X 0 0 0 HOAGLAND BRIAN 2.00 X 0 0 0 JUNEJA JAY 2.00 X X 0 0 0 LONG JANET 2.00 X X 0 0 0 MEAD CHRIS 2.00 X 0 0 0 RYAN JOHN 2.00 X 0 0 0 SCHAEFFER JOHN MD 2.00 X 0 521235 31312 SHELDON DONALD MD 2.00 X X 427900 0 21940 SMITH STEPHEN 2.00 X 0 0 0 STEVENS BRUCE 2.00 X 0 0 0 WHITE ROBERT 2.00 X 0 0 0 SIMONE JAMES 3.00 X 296279 0 26860 COOKSEY JILL 3.00 X 169410 0 15415 GARDNER FRANCIS 3.00 X 223294 0 10504 MCDONALD DOUGLAS 3.00 X 220840 0 26541 MILLER DANIEL 3.00 X 227438 0 27985 WRAY CHARLOTTE 3.00 X 187458 0 18359 AUBREY JOHN 3.00 X 115977 0 19077 BRINCKA STEVE 3.00 X 105191 0 19788 WILLETS DAVE 3.00 X 114185 0 12001 STEAD PEGGY 3.00 X 102972 0 19469 TONN KNOPF SHEILA M 3.00 X 122529 0 6945 2313473 521235 256196 14 0 1 0 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PKWY MALVERN PA 19355 INFO. SYSTEMS SUPPORT 985679 FAHLGREN 4030 EASTON STATION SUITE 300 COLUMBUS OH 43219 CONSULTING 753181 MICROSOFT 1950 N STEMMONS FWY STE 3010 DALLAS TX 75207 INFO. SYSTEMS SUPPORT 613696 COMMUNITY HEALTH COLLABORATIVE 18697 BAGLEY RD MIDDLEBURG HT OH 44130 CONSULTING 225000 MCKESSON TECHNOLOGIES 1 POST STREET SAN FRANCISO CA 94104 INFO. SYSTEMS SUPPORT 207347 14 7550 950000 53500 1011050 AFFILIATE FEES 561000 14736413 14736413 JOINT VENTURE REV. 621990 268980 268980 MANAGEMENT CONTRACT 561000 59730 59730 15065123 38150 38150 47400 41818 5582 5582 5582 132613 -132613 -132613 -132613 50908 7550 34334 16574 16574 GIFT SHOP 453220 233928 233928 REBATES 900099 72838 72838 306766 16310632 15005393 59730 234459 101993 101993 1752619 1577357 175262 4834849 4351364 483485 1588959 1430063 158896 454504 409054 45450 42525 42525 47560 47560 699956 699956 1366995 1366995 375419 297095 78324 1623780 1461402 162378 107664 107664 107577 64546 43031 55362 49826 5536 80101 80101 DUES AND LICENSURE 856848 856848 ADMINISTRATIVE AND RENT 458971 243214 215757 BANK FEES 294671 147336 147335 REPAIRS AND MAINTENANCE 265441 236598 28843 180726 180726 15296520 12673792 2622728 0 308282 414536 800392 667169 264604 139602 520544 850697 8999230 1253235 7397505 7745995 4859797 5096749 4961879 4478294 19113003 19393042 2361791 2513108 752435 862414 3114226 3375522 X 15998777 16017520 15998777 16017520 19113003 19393042 X 1014112 -995369 X X 0 1 1 X 0 X X X 0 0 0 EMH REGIONAL MEDICAL CENTER 340714612 03 1 1 1 0 AMHERST HOSPITAL ASSOCIATION INC 340067060 03 1 1 1 0 2 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6808888 6808888 216413 115739 100674 971434 939851 31583 1002495 197645 804850 7745995 INVESTMENT IN COMPREHENSIVE VENTURES 4050000 C INVESTMENT IN PREMIER, INC. 75000 C INVESTMENT IN PREMIER PURCHASING PTRS, INC. 312103 C INVESTMENT IN RENAL CARE GROUP 337689 C INVESTMENT IN CHC 127472 C INVESTMENT IN SPECIALTY HOSPITAL 194485 C 5096749 DUE FROM AFFILIATES 4478294 4478294 PENSION LIABILITY 862414 862414 AUXILIARY BALL 21320 7550 13770 9584 3150 45 HOLIDAY SHOPPING EXTRAVAGANZA 12768 12768 2523 6 24370 24370 19032 58458 7550 50908 9584 3150 21600 34334 16574 1 TEAM LORAIN COUNTY 226 MIDDLE AVE ELYRIA OH 44035 311504633 501(C)(3) 15150 N/A N/A SUPPORT OF TEAM LORAIN COUNTY AMERICAN HEART ASSOCATION 1689 EAST 115TH ST CLEVELAND OH 44106 133561379 501(C)(3) 50000 N/A N/A SPONSORSHIP ELYRIA CATHOLIC HIGH SCHOOL 725 GULF ROAD ELYRIA OH 44035 340898044 501(C)(3) 10000 N/A N/A SPONSORSHIP FUND ELYRIA ROTARY PO BOX 627 ELYRIA OH 44035 341322781 501(C)(3) 5000 N/A N/A SUPPORT OF AUCTION HEART OF OHIO COUNCIL BSA PO BOX 368 ASHLAND OH 44805 344428215 501(C)(3) 5000 N/A N/A FUNDRAISER SPONSORSHIP AMERICAN CANCER SOCIETY 173 WINDBROOK COURT ELYRIA OH 44035 131788491 501(C)(3) 10000 N/A N/A SPONSOR FUNDRAISING EVENT LORAIN COUNTY FREE CLINIC 3323 PEARL AVE LORAIN OH 44055 341506180 501(C)(3) 6150 N/A N/A SPONSOR FUNDRAISING EVENT 7 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANTS ARE APPROVED AND PROCESSED BY THE ORGANIZATION'S CEO. THEY ARE SUBSTANTIALLY CONSISTENT ON A YEAR-TO-YEAR BASIS. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 SCHAEFFER JOHN MD 0 310359 0 194518 0 16358 0 17150 0 14162 0 552547 0 0 SHELDON DONALD MD 362131 0 0 0 65769 0 14700 0 7240 0 449840 0 0 0 SIMONE JAMES 259390 0 0 0 36889 0 12250 0 14610 0 323139 0 0 0 COOKSEY JILL 152393 0 0 0 17017 0 1580 0 13835 0 184825 0 0 0 GARDNER FRANCIS 201428 0 0 0 21866 0 9064 0 1440 0 233798 0 0 0 MCDONALD DOUGLAS 219753 0 0 0 1087 0 12342 0 14199 0 247381 0 0 0 MILLER DANIEL 194176 0 0 0 33262 0 13901 0 14084 0 255423 0 0 0 WRAY CHARLOTTE 186918 0 0 0 540 0 4520 0 13839 0 205817 0 0 0 PART I, LINE 1A DONALD SHELDON HAS HIS DUES PAID FOR AT A LOCAL COUNTRY CLUB. THE COUNTRY CLUB IS A WAY FOR HIM TO NETWORK WITH IMPORTANT STAKEHOLDERS. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION AS IT SOLELY WAS A BUSINESS EXPENSE. PART I, LINE 4B COMPREHENSIVE HEALTHCARE OF OHIO (CHCO) MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF CHCO AND ITS AFFILIATED ENTITIES. THE SERP IS A FUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH IRC SEC. 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THE SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. JILL COOKSEY - 457F PARTICIPANT FRANCIS GARDNER - 457F PARTICIPANT DANIEL MILLER - 457F PARTICIPANT DONALD SHELDON - 457F PARTICIPANT JAMES SIMONE - 457F PARTICIPANT FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE CORPORATION SHALL APPLY TO ANY PERSON TWENTY-ONE (21) YEARS OF AGE OR OLDER WHO HAS BEEN DULY ELECTED BY A MAJORITY VOTE OF THE MEMBERS PRESENT AT ANY ANNUAL MEETING, OR WHO HAS BEEN ELECTED AND/OR SELECTED TO SERVE AS A DIRECTOR OF THE CORPORATION. MEMBERSHIP SHALL BE LIMITED TO ONE HUNDERED FIFTY (150) PERSONS WHO SHALL EITHER BE RESIDENTS OF LORAIN COUNTY OR BE EMPLOYED IN LORAIN COUNTY. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER OF THE CORPORATION IN GOOD STANDING SHALL BE QUALIFIED TO VOTE UPON ANY ISSUE THAT MAY PROPERLY COME BEFORE ANY MEETING OF THE MEMBERS OF THE CORPORATION, AND TO HOLD ANY OFFICE OR POSITION IN THE CORPORATION TO WHICH HE OR SHE MAY BE ELECTED OR APPOINTED. EACH MEMBER PRESENT SHALL BE ENTITLED TO ONE VOTE UPON ANY MATTER PROPERLY SUBMITTED TO THE MEMBERS FOR THEIR VOTE. AT THE ANNUAL MEETING, THE MEMBERS SHALL ELECT NOMINEES TO THE BOARD OF DIRECTORS AND TRANSACT SUCH OTHER BUSINESS AS MAY PROPERLY BE BROUGHT BEFORE THE MEETING. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE CEO, CFO AND IN-HOUSE GENERAL COUNSEL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ALL DIRECTORS ARE PRESENTED WITH AN ATTESTATION DOCUMENT WHICH STATES THE ESSENCE OF THE CONFLICT OF INTEREST POLICY. EACH DIRECTOR IS REQUIRED TO COMPLETE THE DOCUMENT AND SIGN IT, VERIFYING THAT HE OR SHE IS AWARE OF THE POLICY AND DECLARING ANY POTENTIAL CONFLICTS OF INTEREST WHICH SUCH DIRECTOR MAY HAVE, OR WHICH MAY HAVE DEVELOPED SINCE THE PRIOR YEAR'S ATTESTATION. THE CHAIR OF THE BOARD, OR DESIGNEE, MEETS WITH ANY DIRECTOR WHO HAS INDICATED A POTENTIAL CONFLICT OF INTEREST TO EXPLORE IF THE CONFLICT MIGHT PRECLUDE FURTHER SERVICE OF THAT DIRECTOR. ALL ANNUAL CONFLICT STATEMENTS ARE REVIEWED BY THE CEO OF THE ORGANIZATION. THE CONFLICT OF INTEREST POLICY COVERS THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS INCLUDES AN EXTERNAL ANALYSIS COMPLETED BY TOWERS PERRIN, A NATIONALLY KNOWN BENEFITS AND COMPENSATION CONSULTANT. TOWERS PERRIN GATHERS MARKET RESEARCH DATA FROM THREE PUBLISHED AND RELIABLE HEALTHCARE COMPENSATION SURVEYS. THIS ANALYSIS UTILIZES NATIONAL PAY DATA AND TAKES INTO CONSIDERATION THE SIZE OF THE HEALTHCARE ORGANIZATION, THE RESPECTIVE JOB TITLE, AND TIME IN JOB. THE ANALYSIS IS COMPLETED ANNUALLY. IT INCLUDES RECOMMENDATIONS ON POSITIONING THE CEO AND OTHER TOP MANAGEMENT STAFF WITHIN THE APPROPRIATE PAY RANGE AS WELL AS POSSIBLE PAY RANGE ADJUSTMENTS AND BASE SALARY INCREASE PERCENTAGES FOR THE CURRENT YEAR. RECOMMENDATIONS ARE APPROVED BY A SUBCOMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IMPLEMENTATION. THIS PROCESS WAS LAST CONDUCTED IN 2011. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS NOT, TO THIS POINT, MADE ITS GOVERNING DOCUMENTS, OTHER THAN THE ORIGINAL ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL EMPLOYEES AND DIRECTORS ON THE ORGANIZATION'S INTRANET, AND HAS BEEN A PART OF THE ORGANIZATION'S WRITTEN POLICY HANDBOOK LONG IN ADVANCE OF THE DEVELOPMENT OF THE INTRANET SITE. FINANCIAL STATEMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC OTHER THAN FINANCIAL INFORMATION WHICH APPEARS ON THE FORM 990 AND OTHER PUBLIC FILINGS REQUIRED BY LAW. FORM 990, PART VII, SECTION A: THESE INDIVIDUALS DEVOTE THE FOLLOWING HOURS PER WEEK TO, RELATED ORGANIZATIONS, AMHERST HOSPITAL ASSOCIATION, INC., ELYRIA MEMORIAL HOSPITAL FOUNDATION AND EMH REGIONAL MEDICAL CENTER: DONALD SHELDON, MD 62.00 HOURS JAMES M. SIMONE 62.00 HOURS JEFFREY BRAUSCH 2.00 HOURS FRANCIS GARDNER 60.00 HOURS DOUGLAS MCDONALD 60.00 HOURS DANIEL MILLER 60.00 HOURS JILL COOKSEY 60.00 HOURS CHARLOTTE WRAY 60.00 HOURS BRIAN HOAGLAND 2.00 HOURS CHRIS MEAD 2.00 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -45,369. TRANSFER TO FUND NORTH OHIO HEART, INC. -950,000. TOTAL TO FORM 990, PART XI, LINE 5: -995,369. FORM 990, PART XII, LINE 2C: THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. EMH REGIONAL MEDICAL CENTER 630 EAST RIVER ST ELYRIA OH 44035 340714612 COMMUNITY HOSPITAL OH IRC SEC. 501(C)(3) 3 COMPREHENSIVE HEALTH CARE OF OHIO INC 1 AMHERST HOSPITAL ASSOCIATION INC 630 EAST RIVER ST ELYRIA OH 44035 340067060 COMMUNITY HOSPITAL OH IRC SEC. 501(C)(3) 3 COMPREHENSIVE HEALTH CARE OF OHIO INC 1 ELYRIA MEMORIAL HOSPITAL FOUNDATION 630 EAST RIVER ST ELYRIA OH 44035 341492735 FUNDRAISING OH IRC SEC. 501(C)(3) 7 COMPREHENSIVE HEALTH CARE OF OHIO INC 1 AVON HOSPITAL JOINT VENTURE LLC 254 CLEVELAND AVE AMHERST OH 44001 272199824 HOSPITAL OH N/A COMPREHENSIVE VENTURES UNLIMITED INC 630 EAST RIVER ST ELYRIA OH 44035 341596060 VARIOUS HEALTH CARE ACTIVITIES OH N/A C -69001 28369727 1.00000 EMH MEDICAL OFFICE BUILDING IN AVON 1997 HEALTHWAY DR AVON OH 44011 341935407 MEDICAL OFFICE BUILDING OH N/A C 84727 1.00000 EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOC 630 EAST RIVER ST ELYRIA OH 44035 260636602 CONDOMINIUM COMPLEX OH N/A C 42996 1.00000 CENTER FOR ORTHOPEDICS INC 630 EAST RIVER ST ELYRIA OH 44035 341665082 PHYSICIAN PRACTICE OH COMPREHENSIVE VENTURES UNLIMITED INC C -169805 992846 1.00000 EMH PROFESSIONAL SERVICES INC 630 EAST RIVER ST ELYRIA OH 44035 341778419 VARIOUS HEALTH CARE ACTIVITIES OH COMPREHENSIVE VENTURES UNLIMITED INC C -2590352 986007 1.00000 NORTH OHIO HEART INC 630 EAST RIVER ST ELYRIA OH 44035 272574020 VARIOUS HEALTH CARE ACTIVITIES OH N/A C -8163360 4022717 1.00000 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 EMH REGIONAL MEDICAL CENTER O 7822564 ACTUAL COST PER FINANCIAL STMTS EMH REGIONAL MEDICAL CENTER K 14217348 ACTUAL COST PER FINANCIAL STMTS AMHERST HOSPITAL ASSOCIATION INC B 5500000 CASH TRANSACTION EMH REGIONAL MEDICAL CENTER C 950000 CASH TRANSACTION COMPREHENSIVE VENTURES UNLIMITEDINC K 228618 ACTUAL COST PER FINANCIAL STMTS EMH PROFESSIONAL SERVICES INC K 69247 ACTUAL COST PER FINANCIAL STMTS CENTER FOR ORTHOPEDICS INC K 317646 ACTUAL COST PER FINANCIAL STMTS AVON HOSPITAL JOINT VENTURE K 638442 ACTUAL COST PER FINANCIAL STMTS