AULTMAN HEALTH FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AULTMAN HEALTH FOUNDATION (EIN 34-0714538)
Tax period
2010-01-01 to 2010-12-31
Filed
2012-04-16
IRS object ID
201221079349300327
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-04-16T15:33:24-04:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340714538EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AULTMAN HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAULTNameControl
Phone3303636352Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 SIXTH STREET SWAddressLine1
CityCANTONCity
StateOHState
ZIP Code44710ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK WRIGHTName
TitleCHIEF FINANCIAL OFFICERTitle
Phone3303636352Phone
Date Signed2012-04-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJoyce A DulworthName
Phone2604604000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonMARK WRIGHTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12600 SIXTH STREET SWAddressLine1
CityCANTONCity
StateOHState
ZIP Code44710ZIPCode
FieldValueIRS element (for citing)
Gross Receipts433241560GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AULTMAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1935YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION STATEMENT OF AULTMAN HOSPITAL IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH."ActivityOrMissionDescription
Nbr Voting Members Governing Body40NbrVotingMembersGoverningBody
Nbr Independent Voting Members35NbrIndependentVotingMembers
Total Nbr Employees4338TotalNbrEmployees
Total Nbr Volunteers424TotalNbrVolunteers
Total Gross UBI1391292TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1938992ContributionsGrantsPriorYear
Contributions Grants Current Year1833045ContributionsGrantsCurrentYear
Program Service Revenue Prior Year430207596ProgramServiceRevenuePriorYear
Program Service Revenue CY420855530ProgramServiceRevenueCY
Investment Income Prior Year111456InvestmentIncomePriorYear
Investment Income Current Year-20986InvestmentIncomeCurrentYear
Other Revenue Prior Year8414389OtherRevenuePriorYear
Other Revenue Current Year8834620OtherRevenueCurrentYear
Total Revenue Prior Year440672433TotalRevenuePriorYear
Total Revenue Current Year431502209TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year260165GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY108593GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year223682596SalariesEtcPriorYear
Salaries Etc Current Year225071585SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year213033823OtherExpensePriorYear
Other Expenses Current Year205499544OtherExpensesCurrentYear
Total Expenses Prior Year436976584TotalExpensesPriorYear
Total Expenses Current Year430679722TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3695849RevenuesLessExpensesPriorYear
Revenues Less Expenses CY822487RevenuesLessExpensesCY
Total Assets BOY361851326TotalAssetsBOY
Total Assets EOY372884164TotalAssetsEOY
Total Liabilities BOY39519682TotalLiabilitiesBOY
Total Liabilities EOY40697018TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY322331644NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY332187146NetAssetsOrFundBalancesEOY
Mission DescriptionAULTMAN 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 MORE THAN 115 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 HOSPITAL'S 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense313910832Expense
Grants108593Grants
Revenue379641984Revenue
DescriptionAULTMAN 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. 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 2010, AULTMAN HAS CONTINUED TO CARE FOR UNINSURED PATIENTS. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense12502547Expense
Revenue14632689Revenue
DescriptionSUBACUTE 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

FieldValueIRS element (for citing)
Expense26763541Expense
Revenue32078076Revenue
DescriptionAULTMAN 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
FieldValueIRS element (for citing)
Total Program Service Expense353176920TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096457NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4338NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members40NbrVotingGoverningBodyMembers
Number Independent Voting Members35NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK WRIGHTNamePerson
Telephone Number3303636192TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12600 SIXTH STREET SWAddressLine1
CityCANTONCity
StateOHState
ZIP Code44710ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHARLES B SCHEURER
CHAIRMAN1.0XX000
T STEPHEN GREGORY
VICE CHAIRMAN1.0XX000
JOSEPH R HALTER JR
2ND VICE CHAIRMAN1.0XX000
CHRISTOPHER E REMARK
TREASURER50.0XX271383025377
EDWARD J ROTH III
CEO AND PRESIDENT - AHF50.0XX445347031183
DAVID W BARTLEY II
DIRECTOR1.0X000
WILLIAM H BELDEN JR
DIRECTOR1.0X000
BARBARA HAMMONTREE BENNETT
DIRECTOR1.0X000
PAUL R BISHOP
DIRECTOR1.0X000
SHEILA MARKLEY BLACK ESQ
DIRECTOR1.0X000
THEODORE V BOYD
DIRECTOR1.0X000
STEPHEN G DEUBLE
DIRECTOR1.0X000
DARRYL J DILLENBACK
DIRECTOR1.0X000
MILAN R DOPIRAK MD
DIRECTOR/PHYSICIAN1.0X041557938655
LEO E DOYLE
DIRECTOR1.0X000
GLENN A EISENBERG
DIRECTOR1.0X000
DAVID M FINDLEY
DIRECTOR1.0X000
NORMAN J GAYNOR III
DIRECTOR1.0X000
PRABHCHARAN P GILL MD
DIRECTOR/PHYSICIAN39.0X576518038069
PATRICIA A GRISCHOW
DIRECTOR1.0X000
RICK L HAINES
DIRECTOR1.0X032091928721
MICHAEL E HANKE
DIRECTOR1.0X000
JOHN B HUMPHREY JR MD
DIRECTOR1.0X000
DOUGLAS A JONES
DIRECTOR1.0X000
JAMES E KNISLEY
DIRECTOR1.0X000
GEORGE W LEMON
DIRECTOR1.0X000
GENE E LITTLE
DIRECTOR1.0X000
RONALD R LYONS
DIRECTOR1.0X000
HARRY C C MACNEALY
DIRECTOR1.0X000
STEVEN OAKLAND
DIRECTOR1.0X000
JUDY A SCHEURER
DIRECTOR1.0X000
MARC L SCHNEIDER
DIRECTOR1.0X000
LOUIS G SHAHEEN MD
DIRECTOR1.0X000
DOUGLAS J SIBILA
DIRECTOR1.0X000
JOHN A SIRPILLA
DIRECTOR1.0X000
VICKY L STERLING
DIRECTOR1.0X000
R CLINT ZOLLINGER ESQ
DIRECTOR1.0X000
JEFFERY MILLER MD
DIRECTOR1.0X000
ROBERT SABOTA MD
DIRECTOR1.0X000
TODD SUMMER
DIRECTOR1.0X000
LISA WARBURTON GREGORY
DIRECTOR1.0X000
MARK D WRIGHT
CHIEF FINANCIAL OFFICER - AHF1.0X027140025519
EILEEN F GOOD
CEO - WOODLAWN52.0250457024288X
ANNE M GUNTHER
CHIEF NURSING OFFICER53.0153035017020X
MICHAEL A KREW MD
PHYSICIAN55.0545804035062X
ELETHERIOS P MAMOUNAS MD
PHYSICIAN55.0459142021716X
TIMOTHY E MCDANIEL MD
PHYSICIAN55.0575032037868X
ALLISON M OPRANDI MD
PHYSICIAN55.0259064017219X
MICHAEL P HOPKINS MD
PHYSICIAN55.0260784013966X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3796566TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1007898TotalReportableCompFrmRltdOrgs
Total Other Compensation354663TotalOtherCompensation
Number Individuals GT100 K90NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CANTON AULTMAN EMERGENCY PHYSICIANS
2600 6TH STREET SWCANTONOH447101702PHYSICIAN SERVICES3624780
WHISLER PLUMBING HEATING
2521 LINCOLN WAY EASTMASSILLONOH446465052CONTRACTING1944778
ABBOTT ELECTRIC INC
1935 ALLEN AVENUE SOUTHEASTCANTONOH44707CONTRACTING2171927
FRED OLIVERI CONSTRUCTION
6315 PROMWAY AVE NWNORTH CANTONOH44720CONTRACTING1603352
BUCKINGHAM COOLITTLE BORROUGH
PO BOX 71-4085COLUMBUSOH432714085LEGAL1377462
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Related Organizations10000RelatedOrganizations
All Other Contributions1823045AllOtherContributions
Total Contributions1833045TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE621110385414280385414280
PREMIUM REVENUE6211102993848329938483
PHARMACY REVENUE62111055027675502767
FieldValueIRS element (for citing)
Total Program Service Revenue420855530TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column54739TotalRevenueColumn
Exclusion$54,739ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1946109Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1946109Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1946109TotalRevenueColumn
Exclusion$1,946,109ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1663625Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1739351Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-75726Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-75725TotalRevenueColumn
Exclusion-$75,725ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
FOOD SERVICES62111026009582600958
LAUNDRY INCOME812300201197201197
LABORATORY INCOME62150011900951190095

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2896261TotalRevenueColumn
Related Or Exempt Function Income2896261RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6888511TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column431502209TotalRevenueColumn
Related Or Exempt Function Income426352749RelatedOrExemptFunctionIncome
Unrelated Business Revenue1391292UnrelatedBusinessRevenue
Exclusion$1,925,123ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total108593Total
Program Services108593ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1832677Total
Program Services1502795ProgramServices
Management And General329882ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total366200Total
Program Services300284ProgramServices
Management And General65916ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total165053488Total
Program Services135343860ProgramServices
Management And General29709628ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5588355Total
Program Services4582451ProgramServices
Management And General1005904ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total39159487Total
Program Services32110779ProgramServices
Management And General7048708ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13071378Total
Program Services10718530ProgramServices
Management And General2352848ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1595340Total
Program Services1308179ProgramServices
Management And General287161ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14582Total
Program Services11957ProgramServices
Management And General2625ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8540Total
Program Services7003ProgramServices
Management And General1537ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27710571Total
Program Services22722668ProgramServices
Management And General4987903ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1593354Total
Program Services1306550ProgramServices
Management And General286804ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19282877Total
Program Services15811960ProgramServices
Management And General3470917ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1045313Total
Program Services857157ProgramServices
Management And General188156ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10513429Total
Program Services8621012ProgramServices
Management And General1892417ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total761212Total
Program Services624194ProgramServices
Management And General137018ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total105528Total
Program Services86533ProgramServices
Management And General18995ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total22280941Total
Program Services18270372ProgramServices
Management And General4010569ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21160333Total
Program Services17351473ProgramServices
Management And General3808860ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total324733Total
Program Services266281ProgramServices
Management And General58452ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES800841346566899014415144
EDUCATION21664711776506389965
BAD DEBT EXPENSE1109459790975701997027
FRANCHISE FEE41750003423500751500
MISCELLANEOUS15825891297723284866

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total430679722Total
Program Services353176920ProgramServices
Management And General77502802ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18818BOY
EOY16129EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10047687BOY
EOY4574767EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44704195BOY
EOY54764391EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY785603BOY
EOY432986EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3711785BOY
EOY3219675EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1653326BOY
EOY1921162EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis450357104LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec211981415LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY243665948BOY
EOY238375689EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2869443BOY
EOY1911871EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2693738BOY
EOY1929106EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY51700783BOY
EOY65738388EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY361851326BOY
EOY372884164EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY35239110BOY
EOY36867730EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4280572BOY
EOY3829288EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39519682BOY
EOY40697018EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY318375934BOY
EOY328348792EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3556909BOY
EOY3558145EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY398801BOY
EOY280209EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY322331644BOY
EOY332187146EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY361851326BOY
EOY372884164EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses822487ReconcilationRevenueExpenses
Reconcilation Other Changes9033015ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance668598BeginningOfYearBalance
Contributions100Contributions
Investment Earnings Or Losses18235InvestmentEarningsOrLosses
Administrative Expenses5508AdministrativeExpenses
End Of Year Balance681425EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance532238BeginningOfYearBalance
Contributions118967Contributions
Investment Earnings Or Losses22208InvestmentEarningsOrLosses
Administrative Expenses4815AdministrativeExpenses
End Of Year Balance668598EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance516342BeginningOfYearBalance
Investment Earnings Or Losses20632InvestmentEarningsOrLosses
Administrative Expenses4736AdministrativeExpenses
End Of Year Balance532238EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis35620988OtherCostOrOtherBasis
Book Value35620988BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis141038112OtherCostOrOtherBasis
Depreciation58093846Depreciation
Book Value82944266BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis242034203OtherCostOrOtherBasis
Depreciation148432783Depreciation
Book Value93601420BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31663801OtherCostOrOtherBasis
Depreciation5454786Depreciation
Book Value26209015BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings238375689TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES64988908
DEFERRED TAX ASSETS749480
FieldValueIRS element (for citing)
Total Book Value Other Assets65738388TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST. THIRD-PARTY PAYOR SETTLEMDescription
Amount$3,829,288Amount
FieldValueIRS element (for citing)
Total Of Amounts3829288TotalOfAmounts
Total Revenue431502209TotalRevenue
Total Expenses430679722TotalExpenses
Excess Or Deficit For Year822487ExcessOrDeficitForYear
Net Unrealized GL On Investments89057NetUnrealizedGLOnInvestments
Other$7,666,337OtherAmount
Total Adjustments7755394TotalAdjustments
Excess Or Deficit Per FS8577881ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt435205404TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments89057NetUnrealizedGainsInvestments
Other Revenues3614138OtherRevenues
Revenue Not Rptd F9903703195RevenueNotRptdF990
Revenue Subtotal431502209RevenueSubtotal
Total Revenue Per Form990431502209TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt435117737TotExpensesEtcAuditedFinclStmt
Other Expenses Included4438015OtherExpensesIncluded
Expenses Not Rptd F9904438015ExpensesNotRptdF990
Expenses Subtotal430679722ExpensesSubtotal
Total Expenses Per Form990430679722TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierENDOWMENT FUNDSIdentifier
Return ReferencePART V, LINE 4ReturnReference
ExplanationTHE INTENDED USE FOR AULTMAN HOSPITAL'S ENDOWMENT IS TO SUPPORT THE CHAPLAINCY PROGRAM. RECONCILIATION PART XI, LINE 8 SEPARATELY REPORTED SUBSIDIARY REVENUE ($823,877) INTERFUND TRANSFERS 9,480,106 INTERFUND TRANSFERS ON SEPARATELY REPORTED SUBSIDIARY (989,891) TOTAL $7,666,338 PART XII, LINE 2D SEPARATELY REPORTED SUBSIDIARY REVENUE $3,614,138 PART XIII, INE 2D SEPARATELY REPORTED SUBSIDIARY EXPENSE $4,438,015 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage0DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense17625583TotalCommunityBenefitExpense
Direct Offsetting Revenue4096769DirectOffsettingRevenue
Net Community Benefit Expense13528814NetCommunityBenefitExpense
Percent Of Total Expense0.03220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense44752544TotalCommunityBenefitExpense
Direct Offsetting Revenue30285949DirectOffsettingRevenue
Net Community Benefit Expense14466595NetCommunityBenefitExpense
Percent Of Total Expense0.03450PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense62378127TotalCommunityBenefitExpense
Direct Offsetting Revenue34382718DirectOffsettingRevenue
Net Community Benefit Expense27995409NetCommunityBenefitExpense
Percent Of Total Expense0.06670PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1268721TotalCommunityBenefitExpense
Direct Offsetting Revenue10392DirectOffsettingRevenue
Net Community Benefit Expense1258329NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8819407TotalCommunityBenefitExpense
Direct Offsetting Revenue5090401DirectOffsettingRevenue
Net Community Benefit Expense3729006NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense26343847TotalCommunityBenefitExpense
Direct Offsetting Revenue22552586DirectOffsettingRevenue
Net Community Benefit Expense3791261NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense496310TotalCommunityBenefitExpense
Direct Offsetting Revenue526662DirectOffsettingRevenue
Net Community Benefit Expense-30352NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense123990TotalCommunityBenefitExpense
Net Community Benefit Expense123990NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense37052275TotalCommunityBenefitExpense
Direct Offsetting Revenue28180041DirectOffsettingRevenue
Net Community Benefit Expense8872234NetCommunityBenefitExpense
Percent Of Total Expense0.02110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense99430402TotalCommunityBenefitExpense
Direct Offsetting Revenue62562759DirectOffsettingRevenue
Net Community Benefit Expense36867643NetCommunityBenefitExpense
Percent Of Total Expense0.08780PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense434TotalCommunityBuildingExpense
Net Community Building Expense434NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense110TotalCommunityBuildingExpense
Net Community Building Expense110NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Building Expense11192TotalCommunityBuildingExpense
Net Community Building Expense11192NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense13910TotalCommunityBuildingExpense
Net Community Building Expense13910NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense463680TotalCommunityBuildingExpense
Net Community Building Expense463680NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense9329TotalCommunityBuildingExpense
Net Community Building Expense9329NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Total Community Building Expense498655TotalCommunityBuildingExpense
Net Community Building Expense498655NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,410,835BadDebtExpenseAmount
Amount Attributable To2017536AmountAttributableTo
Amount Reimbursed By Medicare92070494AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare88510505CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3559989MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOther
AULTMAN HOSPITAL
12600 SIXTH ST SWCANTONOH44708XXXXXMAIN HOSPITAL
AULTMAN WOODLAWN
22821 WOODLAWN AVE NWCANTONOH44708XSKILLED NURSING REHABILITATION CTR HOME CARE & HOSPICE
AULTMAN WEST
32051 WALES AVE NWMASSILLONOH44646XXIMMEDIATE CARE, DIAGNOSTICS, THERAPY AND SURGERY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber
AULTMAN HOSPITAL
1
AULTMAN WOODLAWN
2
AULTMAN WEST
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities12NumberOfOtherFacilities

Other Facilities OtherFacilities (12 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
AULTMAN NORTH
6100 WHIPPLE AVE NWNORTH CANTONOH44720Immediate Care, Diagnostics Therapy and Surgery
AULTMAN CENTER FOR DIALYSIS
2912 W TUSCARAWAS STCANTONOH44708Dialysis Center
CENTER FOR PAIN MANAGEMENT
2302 FULTON DRCANTONOH44718GENERAL MEDICAL & SURGICAL
HOME MEDICAL SUPPLY EQUIPMENT
5200 TUSCARAWAS STCANTONOH44708Medical Supply Co.
AULTWORKS
3730 WHIPPLE AVE NECANTONOH44718BWC Certified Treatment FACILITY
AULTWORKS
2021 WALES AVE NWMASSILLONOH44646BWC Certified Treatment FACILITY
AULTMAN CARROLLTON
1020 TRUMP RDCARROLLTONOH44615Immediate Care, Diagnostics and Therapy
AULTMAN TUSCARAWAS
2615 Tuscarawas StCANTONOH44708Therapy Clinic
WEIGHT MANAGEMENT
2732 Fulton Dr NWCANTONOH44718Weight Management Program
AULTMAN FAMILY MEDICINE CENTER
4319 Hills Dales NWCANTONOH44708Outpatient Physician Clinic
AULTMAN FAMILY MEDICINE CENTER
8320 Waynesburg Dr SEWAYNESBURGOH44688Outpatient Physician Clinic
AULTMAN LOUISVILLE
1925 Williamsburg WayLOUISVILLEOH44641Therapy Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3CACCORDING 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 6AAultman 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 FBAD DEBT EXPENSE IN THE AMOUNT OF $11,094,597 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 4Receivables 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 no related unearned premium. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for doubtful accounts, $12,315 and $19,186 for 2010 and 2009, 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 2010 and then multiplying this amount by the cost to charge ratio calculated in worksheet 2.
PART III, LINE 8The costing methodology used in determining the amount reported on line 6 is Medicare Cost Report. Other Costs Not Reflected in Part III: Medicare Fee for Service $1,526,036 Non-Reimburseable Physicians 1,245,604 ----------- 2,771,640 NET MEDICARE MARGIN 788,349
PART III, LINE 9BThe 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 VAULTMAN HOSPITALS INCLUDE 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.
NEEDS ASSESSMENTAultman 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 2007, Aultman conducted a community health survey. The goal was to gauge the health status and health habits of Stark County residents and indentify areas where Aultman can improve the health of our community. Nearly 5,000 surveys were completed and returned. The survey showed overweight/obesity is a top area of opportunity, along with ensuring people get proper vaccinations (flu, pneumonia shots) and health screenings (prostate, colonoscopy). The most commonly diagnosed health problems included high blood pressure, high cholesterol, arthritis, heart disease, chronic back pain and diabetes. In 2010, Aultman began a collaboration with local hospitals and area agencies to assess the needs of Stark County. The Community Health Needs Assessment was performed in 2011.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEThe 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 2010 included formal patient outreach staff training in HCAP program requirements and customer service skills.
COMMUNITY INFORMATIONAultman'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 2010 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 2010. Of the 125,060 self pay cases in our primary service area Aultman provided care for 39%.
PROMOTION OF COMMUNITY HEALTHAultman's board of directors has 36 six 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 2010, 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. More than 11,700 community members have taken the "Aware" risk assessments since HeartAware launched in March 2008. Nearly 2000 high-risk people have taken advantage of the free follow-up education and information. 2010 health screening events included the annual Cancer Screening Day that offers free screenings for breast, colon, lung, cervical, colon and skin cancers - and a free mammogram screening event at Aultman Carrollton for underserved women. Additional outreach efforts included an Educational Health Fair for the Uninsured, Diabetes Health Fair and "Wear Red" events to promote women's heart health and raise awareness about heart disease. 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 2010, Aultman volunteers visited 84 Stark County schools and taught 220 classes. The safety lesson - which reached 5,400 students in 2010 - 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 program's inception in 2005, Safety First has reached about 17,000 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 2010, 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. A total of 35 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. Aultman's Wellness on Wheels (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. During the inaugural year of outreach, the WOW van has reached more than 12,500 at 150 locations. Aultman offers a free tobacco cessation program called "Give It Up!" Hour-long group sessions are held once a week for six weeks. The program covers everything from how to create a quitting "plan" to tips on staying tobacco-free. Participants receive follow-up support such as phone communication at three and six months after program completion and are eligible to attend additional counseling if needed. In 2010, a total of 76 community members completed Aultman's Give It Up program. In 2010, Aultman Health Foundation contributed to the betterment of the Stark County community with the following activities. 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 2010-11 school year, 37 students participated in the Aultman Career Academy. Students and Aultman staff members collectively contributed 5,620 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 disabilities through yearlong internships. The program participants work in areas ranging from Human Resources to Environmental Services to Aultman Weight Management. Each year, Aultman provides work experience for 12-15 Project SEARCH interns. In 2010, approximately 15,600 Aultman staff and intern hours were dedicated to Project SEARCH endeavors. Massillon Sports Medicine Aultman partners with the Massillon High School to allow students interested in health care to explore career options in sports medicine. In 2010, a total of 14 students participated in sports medicine exploration. Staff and student hours totaled 840 hours. GlenOak Hospitality Program Through the hospitality program, GlenOak High School students garner experience in support and service jobs - with the ultimate goal of finding gainful employment upon graduating from high school. In 2010, five students received hands-on experience at Aultman. The total program commitment among the students and Aultman staff was 810 hours. Cedar Elementary School Reading Program Each school year, Aultman provides volunteers to help nearby Cedar Elementary School students improve their reading skills. In 2010, 52 Aultman employees donated 383 hours of time to mentor students and help the children improve their reading skills and confidence. 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. In 2010, a total of 86 women took advantage of the Look Good, Feel Better program at Aultman. ACHIEVE/Live Well ACHIEVE was originally a grant form the Centers for Disease Control and Prevention (CDC) that Stark County received to start a coalition of community stakeholders to help promote wellness policy changes in the different sectors of our community. The coalition morphed into "Live Well Stark County." Live Well Stark County is a group of leaders working together to make Stark County a healthier community through promoting policy and environmental changes that focus on chronic diseases such as obesity, diabetes and heart disease. Plans include: *Improving worksite wellness *Increasing community gardens and farmers' markets *Adding bike lanes and paths *Posting calor

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
City of Massillon
One James Duncan PlazaMassillonOH4464666863460018298000Support
Kent State University
500 E Main StKentOH4424231640207910000Support501(C)(3)
Stark Development Board
116 Cleveland Ave Suite 600CantonOH447023414769387692Support
National Football Museum Inc
2121 George Halas Dr NWCantonOH4470834089857618000Support501(C)(3)
Stark Education Partner
400 Market Ave NCantonOH4470234162525010000Support501(C)(3)
Ohio Foundation of Independent Colleges
250 E Broad St STE 1700ColumbusOH43215372231444108225000Support501(C)(3)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE IIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRISTOPHER E REMARK
270532000851015600097770296760000
EDWARD J ROTH III
44302800023190156000155830476530000
MILAN R DOPIRAK MD
029714801152630316802908409571045423400
PRABHCHARAN P GILL MD
4426600350000988580238500142190614587000
RICK L HAINES
03187000002219015600013121034964000
EILEEN F GOOD
2456400004817015600086880274745000
MARK D WRIGHT
027102600037401560009919029691900
MICHAEL A KREW MD
4394820350000713220238470112150580866000
ELETHERIOS P MAMOUNAS MD
43857700020565019101026150480858000
TIMOTHY E MCDANIEL MD
4717940300000732380238500140180612900000
ALLISON M OPRANDI MD
254626000443807550096690276283000
MICHAEL P HOPKINS MD
24774801000003036012250017160274750000
ANNE M GUNTHER
152729000306012842041780170055000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE JIdentifier
Return ReferencePART IReturnReference
ExplanationLINE 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 2010.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
TIFFANY GOOD-WITMER
FAMILY MBR TO EILEEN GOOD126314WAGESfalse
ELIZABETH GOOD
FAMILY MBR TO EILEEN GOOD88732WAGESfalse
DOREEN GOOD
FAMILY MBR TO EILEEN GOOD57551WAGESfalse
VICTORIA HAINES
FAMILY MBR TO RICK HAINES93603WAGESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
GOVERNING BODY AND MANAGEMENTAULTMAN 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 TED BOYD ARE BOARD MEMBERS OF AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. R CLINT ZOLLINGER ESQ AND SHEILA MARKLEY BLACK ESQ ARE BOARD MEMBERS OF AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. CHARLES B. SCHEURER AND JUDY A. SCHEURER ARE BOARD MEMBERS OF AULTMAN HEALTH FOUNDATION AND AULTMAN HOSPITAL AND HAVE A FAMILY RELATIONSHIP.
GOVERNING BODY AND MANAGEMENTAULTMAN HEALTH FOUNDATIONS 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. IN ADDITION, THE FINANCE DEPARTMENT DOES A COMPARATIVE ANALYSIS TO THE PRIOR YEAR RETURN. THE ANALYSIS AND RECONCILIATION SCHEDULES ALONG WITH A COMPLETE COPY OF THE 990 ARE PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW AND APPROVAL. A COMPLETE COPY OF THE 990 IS THEN MADE AVAILABLE AT THE BOARD OF DIRECTORS MEETING PRIOR TO THE FILING DATE.PART VI, SECTION A, LINE 11B
POLICIESTHE 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
POLICIESAultman 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 CEO prior to review and approval 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 and Associates, Inc., an independent compensation consulting firm for review of executive compensation practices. Aultman Hospital uses the following reference materials for the development of Physician Compensation: Medical Group Management Association (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 physician 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
DISCLOSUREAULTMAN 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 VIIICLINICAL 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 16,806,218 PROFESSIONAL FEES - NON PHYSICIANS 992,543 LINE 24E RECRUITMENT 760,980 MEMBERSHIP FEES 231,785 RECONCILIATION OF NET ASSETS PART XI INTERFUND TRANSFERS ON SEPARATELY REPORTED SUBSIDIARY 8,943,958 UNREALIZED GAIN ON SALE OF ASSETS 89,057 TOTAL 9,033,015STATEMENT OF REVENUE OTHER REVENUE DETAIL
AMENDED RETURNSCHEDULE H HAS BEEN AMENDED TO REFLECT THE FOLLOWING CORRECTION: TOTAL REVENUE RECEIVED FROM MEDICARE TO $92,070,494 MEDICARE ALLOWABLE COSTS OF CARE TO $88,510,505 SURPLUS/(SHORTFALL) $3,559,989 After further review and consideration of the IRS guidance in reporting costs on Schedule H, additional discussion of best practices within the health care community and further consultation with their outside accounting firm, Aultman revised the calculation of various costs on the original return. The amended return adjusts those costs to more accurately reflect the industry practice on the original return.SCHEDULE H
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:CHRISTOPHER E REMARK TITLE:TREASURER HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:EDWARD J ROTH III TITLE:CEO AND PRESIDENT - AHF HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:MILAN R DOPIRAK MD TITLE:DIRECTOR/PHYSICIAN HOURS:54FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:PRABHCHARAN P GILL MD TITLE:DIRECTOR/PHYSICIAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RICK L HAINES TITLE:DIRECTOR HOURS:54FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:MARK D WRIGHT TITLE:CHIEF FINANCIAL OFFICER - AHF HOURS:54FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:EILEEN F GOOD TITLE:CEO - WOODLAWN HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ANNE M GUNTHER TITLE:CHIEF NURSING OFFICER HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:MICHAEL A KREW MD TITLE:PHYSICIAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ELETHERIOS P MAMOUNAS MD TITLE:PHYSICIAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:TIMOTHY E MCDANIEL MD TITLE:PHYSICIAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ALLISON M OPRANDI MD TITLE:PHYSICIAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:MICHAEL P HOPKINS MD TITLE:PHYSICIAN HOURS:1FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
AULTMAN HEALTH FOUNDATION
2600 SIXTH ST SWCANTONOH44710341445390SUPPORT ORGOH501(C)(3)11 BNA
AULTMAN COLLEGE OF NURSING AND HEALTH
2600 SIXTH ST SWCANTONOH47710201359433COLLEGEOH501(C)(3)2NA
AULTMAN DEVELOPMENT INSTITUTE
2600 SIXTH STREET SWCANTONOH44710341388891CHARITABLEOH501(C)(3)11ANA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES
A341692
AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES
D2037949
AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES
N2605181
AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES
O1822053
AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES
P4438015
AULTMAN COLLEGE OF NURSING & HEALTH SCIENCES
R988383
AULTMAN DEVELOPMENT INSTITUTE
E102733
AUTLAMN DEVELOPMENT INSTITUTE
O281976

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