BLANCHARD VALLEY HEALTH SYSTEM: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BLANCHARD VALLEY HEALTH SYSTEM (EIN 34-4428206)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201223199349303732
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T12:59:59-06:00 | 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 | 344428206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANCHARD VALLEY HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DAVID M CYTLAK | InCareOfName |
| Name Control | BLAN | NameControl |
| Phone | 4194235497 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID CYTLAK | Name |
| Title | CFO | 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 | DAVID M CYTLAK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21909919 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BVHEALTHSYSTEM.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | WE PROVIDE MANAGEMENT OVERSIGHT AND GOVERNANCE OF ALL HEALTH SYSTEM ACTIVITIES. WE ALSO OPERATE FAMILY PRACTICES, SPECIALTY PRACTICES, AN URGENT CARE CENTER, AND A CANCER CENTER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 376 | TotalNbrEmployees |
| Total Nbr Volunteers | 83 | TotalNbrVolunteers |
| Total Gross UBI | 1318822 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1249545 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10240396 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10410233 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1704432 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2165373 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8523469 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5296176 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20468297 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17871782 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10659151 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10591328 | 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 | 6274074 | OtherExpensePriorYear |
| Other Expenses Current Year | 6388771 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16933225 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16980099 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3535072 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 891683 | RevenuesLessExpensesCY |
| Total Assets BOY | 67908350 | TotalAssetsBOY |
| Total Assets EOY | 65117312 | TotalAssetsEOY |
| Total Liabilities BOY | 40690681 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40041029 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 27217669 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25076283 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION: OUR EXTRAORDINARY PEOPLE PROVIDE CARING FOR A LIFETIME THROUGH A BROAD CONTINUUM OF EXCEPTIONAL HEALTH-RELATED SERVICES IN NORTHWEST OHIO. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 12230528 | Expense |
| Revenue | 10408351 | Revenue |
| Description | BLANCHARD VALLEY HEALTH SYSTEM'S PROGRAM SERVICE REVENUE IS GENERATED BY BLANCHARD VALLEY MEDICAL PRACTICES (BVMP), A WHOLLY OWNED, DISREGARDED ENTITY. BVMP CONSISTS OF FAMILY PRACTICE PHYSICIAN OFFICES, NEUROSURGICAL OFFICES, SPECIALTY PHYSICIAN OFFICES, RADIATION THERAPY SERVICES, AND AN URGENT CARE CENTER. BVMP IS COMMITTED TO PROVIDING EASILY ACCESSIBLE HEALTH CARE SERVICES TO ALL MEMBERS OF THE SURROUNDING COMMUNITIES THROUGH ITS FAMILY PRACTICES AND URGENT CARE CENTER. SPECIALIZED SERVICES ARE ALSO AVAILABLE, INCLUDING NEUROSURGICAL SERVICES, CARDIOLOGY SERVICES, DIAGNOSTIC SERVICES AND CANCER TREATMENT. | Description |
| Total Program Service Expense | 12230528 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 376 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID M CYTLAK | NamePerson |
| Telephone Number | 4194235497 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 SOUTH MAIN STREET | AddressLine1 |
| City | FINDLAY | City |
| State | OH | State |
| ZIP Code | 45840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 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 |
|---|---|---|---|---|---|---|---|---|
| SCOTT MALANEY | ||||||||
| PRESIDENT BVHS | 2.0 | X | X | 571993 | 0 | 46322 | ||
| G NORMAN NICHOLSON | ||||||||
| CHAIR/TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| JIM GEERS | ||||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | |||
| GARRY PEIFFER | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| STEPHEN ORR MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| FRANK A COSIANO MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ANDREA KOEPKE | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| FR MIKE HOHENBRINK | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| ROD NICHOLS | ||||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | |||
| ERIC KURJAN | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| LEROY SCHROEDER MD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| KAREN KLASSEN HARDER PHD | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| KIM STUMPP | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| DUANE JEBBETT | ||||||||
| CHAIR | 1.0 | X | 0 | 0 | 0 | |||
| JOE LONGO | ||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |||
| DAVE CYTLAK | ||||||||
| CFO | 2.0 | X | 318925 | 0 | 40073 | |||
| WILLIAM KOSE | ||||||||
| SENIOR VP OF MEDICAL AFFAIRS | 40.0 | 350527 | 0 | 30630 | X | |||
| DR MICHAEL DENIKE | ||||||||
| PHYSICIAN | 40.0 | 495489 | 0 | 25344 | X | |||
| DR JEFFREY EIDEN | ||||||||
| PHYSICIAN | 40.0 | 180547 | 0 | 22538 | X | |||
| DR GARY PARENTEAU | ||||||||
| PHYSICIAN | 40.0 | 410508 | 0 | 31697 | X | |||
| DR JASON SCHROEDER | ||||||||
| PHYSICIAN | 40.0 | 863479 | 0 | 40322 | X | |||
| DR JACOB DAGANI | ||||||||
| PHYSICIAN | 40.0 | 178262 | 0 | 27068 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3369730 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 263994 | TotalOtherCompensation |
| Number Individuals GT100 K | 33 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALTA PARTNERS | |||||
| 902 WESTPOINT PKWY STE 320 | WESTLAKE | OH | 44145 | PHYSICIAN BILLING | 1760373 |
| SCHUMAKER LOOP KENDRICK LLP | |||||
| 41 SOUTH HIGH STREET STE 2400 | COLUMBUS | OH | 43215 | PROFESSIONAL SVCS | 224852 |
| BKD LLP | |||||
| 200 EAST MAIN STREET SUITE 700 | FORT WAYNE | IN | 46802 | AUDITING AND TAX | 167863 |
| SCHNEIDER AND WUEST INC | |||||
| 26302 THOMPSON RD | PERRYSBURG | OH | 43351 | PHYSICIST SERVICES | 144000 |
| GORDON FLESCH COMPANY INC | |||||
| 2675 RESEARCH PARK DR | MADISON | WI | 53711 | COPIER LEASING | 296529 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 10410233 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10410233 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10410233 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2145823 | TotalRevenueColumn |
| Unrelated Business Revenue | 1318822 | UnrelatedBusinessRevenue |
| Exclusion | $827,001 | 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 | 376285 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 376285 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 376285 | TotalRevenueColumn |
| Exclusion | $376,285 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4057688 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4036255 | Securities |
| Other | 1882 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21433 | Securities |
| Other | -1882 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19550 | TotalRevenueColumn |
| Related Or Exempt Function Income | -1882 | RelatedOrExemptFunctionIncome |
| Exclusion | $21,432 | 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 | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | 359120 | $359,120 |
| EQUITY INVESTMENTS | 621400 | -17783 | -$17,783 |
| MANAGEMENT ALLOCATIONS TO RELATED ENTITIES | 900099 | 4578554 | $4,578,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4919891 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17871782 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10408351 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1318822 | UnrelatedBusinessRevenue |
| Exclusion | $6,144,609 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1308646 | Total |
| Program Services | 368011 | ProgramServices |
| Management And General | 940635 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 889710 | Total |
| Program Services | 845313 | ProgramServices |
| Management And General | 44397 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6853664 | Total |
| Program Services | 5409606 | ProgramServices |
| Management And General | 1444058 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88287 | Total |
| Management And General | 88287 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 968802 | Total |
| Program Services | 751303 | ProgramServices |
| Management And General | 217499 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 482219 | Total |
| Program Services | 328517 | ProgramServices |
| Management And General | 153702 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479045 | Total |
| Management And General | 479045 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1037187 | Total |
| Program Services | 658725 | ProgramServices |
| Management And General | 378462 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1032398 | Total |
| Program Services | 889731 | ProgramServices |
| Management And General | 142667 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3104 | Total |
| Program Services | 473 | ProgramServices |
| Management And General | 2631 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 577759 | Total |
| Program Services | 577759 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5776 | Total |
| Program Services | 4107 | ProgramServices |
| Management And General | 1669 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 507193 | Total |
| Program Services | 481884 | ProgramServices |
| Management And General | 25309 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174827 | Total |
| Program Services | 88321 | ProgramServices |
| Management And General | 86506 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 470354 | Total |
| Program Services | 446883 | ProgramServices |
| Management And General | 23471 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332208 | Total |
| Program Services | 314294 | ProgramServices |
| Management And General | 17914 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBTS | 588530 | 588530 | |
| MEDICAL & PRO. FEES | 177131 | 163173 | 13958 |
| OTHER | 989959 | 300598 | 689361 |
| ASSETS RELEASED FROM RESTRICT | 13300 | 13300 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16980099 | Total |
| Program Services | 12230528 | ProgramServices |
| Management And General | 4749571 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375 | BOY |
| EOY | 375 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2705813 | BOY |
| EOY | 2546862 | 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 | 1264808 | BOY |
| EOY | 1071729 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19437 | BOY |
| EOY | 21824 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351701 | BOY |
| EOY | 228370 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 34969088 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19753998 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15883338 | BOY |
| EOY | 15215090 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41520549 | BOY |
| EOY | 39871159 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6146002 | BOY |
| EOY | 6128218 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16327 | BOY |
| EOY | 33685 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67908350 | BOY |
| EOY | 65117312 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5022856 | BOY |
| EOY | 5244852 | 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 | 35667825 | BOY |
| EOY | 34796177 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40690681 | BOY |
| EOY | 40041029 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14159362 | BOY |
| EOY | 12042138 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 366235 | BOY |
| EOY | 346753 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12692072 | BOY |
| EOY | 12687392 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27217669 | BOY |
| EOY | 25076283 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67908350 | BOY |
| EOY | 65117312 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 891683 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3033069 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| BVRHC | |||||
| 341369963 | 03 | false | false | true | $3,970,408 |
| BVCCS | |||||
| 346006904 | 0 | false | false | true | $570,132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 4540540 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13058307 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1125 | InvestmentEarningsOrLosses |
| Other Expenditures | 23037 | OtherExpenditures |
| End Of Year Balance | 13034145 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14801268 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1731242 | InvestmentEarningsOrLosses |
| Other Expenditures | 11719 | OtherExpenditures |
| End Of Year Balance | 13058307 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13540550 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1260718 | InvestmentEarningsOrLosses |
| End Of Year Balance | 14801268 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14281717 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -732805 | InvestmentEarningsOrLosses |
| Other Expenditures | 8362 | OtherExpenditures |
| End Of Year Balance | 13540550 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.97340 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.02660 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6701247 | OtherCostOrOtherBasis |
| Book Value | 6701247 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9283678 | OtherCostOrOtherBasis |
| Depreciation | 4608168 | Depreciation |
| Book Value | 4675510 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1476876 | OtherCostOrOtherBasis |
| Depreciation | 1094893 | Depreciation |
| Book Value | 381983 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15394843 | OtherCostOrOtherBasis |
| Depreciation | 12639994 | Depreciation |
| Book Value | 2754849 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2692010 | OtherCostOrOtherBasis |
| Depreciation | 1410943 | Depreciation |
| Book Value | 1281067 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15794656 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| VENTURES AND PARTNERSHIPS | 358218 | C |
| CARE SERVICES | 5770000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 6128218 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ADVANCES FROM AFFILIATES | Description |
| Amount | $34,796,177 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 34796177 | TotalOfAmounts |
| Total Revenue | 17871782 | TotalRevenue |
| Total Expenses | 16980099 | TotalExpenses |
| Excess Or Deficit For Year | 891683 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -24011 | NetUnrealizedGLOnInvestments |
| Other | -$1,690,236 | OtherAmount |
| Total Adjustments | -1714247 | TotalAdjustments |
| Excess Or Deficit Per FS | -822564 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 19419713 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -24011 | NetUnrealizedGainsInvestments |
| Other Revenues | 2890764 | OtherRevenues |
| Revenue Not Rptd F990 | 2866753 | RevenueNotRptdF990 |
| Revenue Subtotal | 16552960 | RevenueSubtotal |
| Other Revenues Not Included | 1318822 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1318822 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17871782 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12399099 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -4581000 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -4581000 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16980099 | ExpensesSubtotal |
| Total Expenses Per Form990 | 16980099 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART V, LINE 4 | Endowment funds are utilized for donor designated purposes, including charity care, capital projects and purchases, and continuing education for staff and physicians. |
| PART XI, LINE 8 | CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS: ($4,680) DEFINED BENEFIT PENSION PLAN: $2,895,444 OTHER CHANGES IN NET ASSETS: ($4,581,000) |
| PART XII, LINE 2d | CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS: ($4,680) DEFINED BENEFIT PENSION PLAN: $2,895,444 PART XII, LINE 4B INVESTMENT INCOME TIMING DIFFERENCE: $1,318,822 |
| PART XIII, LINE 2d | OTHER CHANGES IN NET ASSETS: ($4,581,000) |
| FIN 48 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVE CYTLAK | |||||||||||||
| 256705 | 0 | 38924 | 0 | 23296 | 0 | 14700 | 0 | 25373 | 0 | 358998 | 0 | 0 | 0 |
| DR MICHAEL DENIKE | |||||||||||||
| 493103 | 0 | 1900 | 0 | 486 | 0 | 0 | 0 | 25344 | 0 | 520833 | 0 | 0 | 0 |
| DR JEFFREY EIDEN | |||||||||||||
| 143033 | 0 | 37400 | 0 | 114 | 0 | 9498 | 0 | 13040 | 0 | 203085 | 0 | 0 | 0 |
| WILLIAM KOSE | |||||||||||||
| 274380 | 0 | 49061 | 0 | 27086 | 0 | 14700 | 0 | 15930 | 0 | 381157 | 0 | 0 | 0 |
| SCOTT MALANEY | |||||||||||||
| 429687 | 0 | 100628 | 0 | 41678 | 0 | 14700 | 0 | 31622 | 0 | 618315 | 0 | 0 | 0 |
| DR GARY PARENTEAU | |||||||||||||
| 409512 | 0 | 0 | 0 | 996 | 0 | 14700 | 0 | 16997 | 0 | 442205 | 0 | 0 | 0 |
| DR JASON SCHROEDER | |||||||||||||
| 742723 | 0 | 100000 | 0 | 20756 | 0 | 14700 | 0 | 25622 | 0 | 903801 | 0 | 0 | 0 |
| DR JACOB DAGANI | |||||||||||||
| 160732 | 0 | 0 | 0 | 17530 | 0 | 10800 | 0 | 16268 | 0 | 205330 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, LINE 4b | Identifier |
| Explanation | In 2011, Blanchard Valley Health System contributed on behalf of Scott Malaney $123,519 to a Supplemental Executive Retirement Plan (SERP). The SERP is an unfunded, nonqualified deferred compensation arrangement consisting of two plans: an "eligible" plan subject to Internal Revenue Code Section 457(b) and an "ineligible" plan subject to Section 457(f). The 457(b) plan was originally implemented effective January 1, 2002. The 457(f) plan was originally effective September 1, 2000 and was restated on January 1, 2002 for coordination with the 457(b) plan. In 2010 and 2011, the 457(f) plan was further amended and restated to comply with the latest regulatory guidance and provide for a new contribution model and vesting schedule. Additional executives were also added and deemed eligible for plan benefits in 2010, including David Cytlak. In 2011, Blanchard Valley Health System contributed on behalf of David Cytlak $18,385 to the SERP. Key features of the SERP, as amended and restated in 2010/2011, include the following: * Eligibility is limited to certain management or highly-compensated employees of BVHS (i.e., "top hat" reference). Future participation is upon nomination by the CEO and approval by the executive compensation Committee of the Board. * Employer contributions are comprised of: ** Defined Contribution Target Income Replacement Percentage Contribution: Provide 60% target income replacement for CEO (Scott Malaney) Provide 50% target income replacement for CFO (David Cytlak) **Employee contributions to the SERP are not allowed. * Each participants 457(b) account will be credited up to the statutory limit ($16,500 in 2011), with the remaining amount being deposited into the 457(f) account. * Employer contributions to the 457(f) plan are subject to a class year vesting schedule, with a waiting period set at 2-5 years, depending on the age of the participant at the time of contribution. Upon vesting, the full vested balance will be distributed to the participant and considered taxable income. In addition to the vesting schedule above, 100% and immediate vesting of the benefit accrued upon attainment of normal retirement age, death, disability, involuntary termination without cause, plan termination, or change of control. * Distribution of the vested portion of the 457(f) benefit is paid as a lump sum as soon as administratively feasible. | Explanation |
Schedule L IRS990ScheduleL
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 0 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DR JASON SCHROEDER | |||
| SON- DR. LEROY SCHROEDER | 863479 | COMPENSATION | false |
| TERESA SCHROEDER | |||
| WIFE- DR. LEROY SCHROEDER | 26231 | COMPENSATION | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, QUESTION 1b | SCOTT MALANEY IS A BOARD MEMBER AND IS ALSO A PAID EMPLOYEE OF BLANCHARD VALLEY HEALTH SYSTEM. DUE TO THIS, HE IS CONSIDERED NON-INDEPENDENT. | |
| FORM 990, PART VI, QUESTION 11b | DETAIL REVIEWS OF THE FORM 990'S ARE PERFORMED BY AN INDEPENDENT CPA FIRM AND THE ORGANIZATION'S COMPLIANCE AND AUDIT COMMITTEE WHICH IS COMPRISED OF MEMBERS OF THE GOVERNING BODIES OF THE SYSTEM. THE BOARD CHAIR OF THE HEALTH FOUNDATION ALSO ATTENDS THIS REVIEW. THE COMPLIANCE COMMITTEE REPORTS TO THE PARENT BOARD ANY AREAS OF CONCERN REGARDING THE 990'S. THE PARENT BOARD HAS GRANTED AUTHORITY TO THE COMPLIANCE COMMITTEE TO REVIEW AND APPROVE THE 990'S. ONCE THE 990'S HAVE BEEN FINALIZED, REVIEWED AND APPROVED, THE MEMBERS OF THE PARENT AND HEALTH FOUNDATION BOARDS RECEIVE ELECTRONIC COMMUNICATION THAT THE 990S ARE COMPLETE AND AVAILABLE FOR THEIR REVIEW ON THE ELECTRONIC REPOSITORY. ANY QUESTIONS ARISING FROM BOARD MEMBERS ARE ADDRESSED BY THE COMPLIANCE AND AUDIT COMMITTEE, UPPER MANAGEMENT, THE ACCOUNTING DEPARTMENT, AND EXTERNAL ACCOUNTANTS. | |
| FORM 990, PART VI, QUESTION 12c | ANNUALLY, THE ORGANIZATION ASKS THEIR BOARD AND EXECUTIVES TO SIGN CONFLICT OF INTEREST POLICIES. THE ORGANIZATION ALSO ASKS THEM TO REVIEW THEIR ACTIVITY AND COMPLETE RELATIONSHIP QUESTIONNAIRES FOR THE FORM 990 FILING YEAR. TRUSTEES ARE REQUIRED TO BRING TO THE ATTENTION OF MANAGEMENT ANY CONFLICTS AS THEY ARISE. THESE CONFLICTS ARE DOCUMENTED IN THE BOARD MINUTES. MEMBERS WITH CONFLICTS ARE TO EXCUSE THEMSELVES FROM DISCUSSION AND/OR VOTING ON ISSUES WITH WHICH A CONFLICT EXISTS. | |
| FORM 990, PART VI, QUESTION 15a | THE ORGANIZATION PERFORMS AN INDEPTH REVIEW OF EXECUTIVE AND PHYSICIAN COMPENSATION, BENEFITS, AND PERQUISITES ON A BIENNIAL BASIS TO ENSURE CONSISTENCY WITH COMPENSATION PHILOSOPHY AND MARKET PRACTICE. AN ANNUAL REVIEW FOR COMPETITIVENESS IS ALSO PERFORMED. THE EXECUTIVE COMMITTEE FROM THE BOARD OF DIRECTORS SERVES AS THE EXECUTIVE COMPENSATION COMMITTEE, AND AS SUCH MAINTAINS SEPARATE MEETING MINUTES IN THEIR ROLE AS COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE MEETS TO APPROVE WAGE INCREASES AS WELL AS REVIEW THE ORGANIZATION'S POSITION IN THE MARKET WHEN IT COMES TO EXECUTIVE AND PHYSICIAN COMPENSATION. IN ADDITION, THE COMMITTEE REGULARLY ENGAGES A HUMAN RESOURCES CONSULTING FIRM TO ASSESS THE REASONABLENESS OF THE COMPENSATION PROGRAM USED FOR ITS EXECUTIVES. THE ORGANIZATION IS COMMITTED TO A DECISION-MAKING PROCESS FOR EXECUTIVE COMPENSATION THAT IS CONSISTENT WITH INTERNAL REVENUE CODE SECTION 4958 REQUIREMENTS FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS": THE MEMBERS OF THE COMMITTEE APPROVING EXECUTIVE COMPENSATION DECISIONS ARE INDIVIDUALS WHO ARE DISINTERESTED (I.E., DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE ARRANGEMENTS). THE COMMITTEE REVIEWS OBJECTIVE DATA, INCLUDING SURVEY DATA PREPARED BY INDEPENDENT FIRMS, AS PART OF THE DECISION-MAKING PROCESS. THE MARKET DATA PROVIDED IN THE COMPENSATION REPORT FROM THE CONSULTING FIRM ASSISTS THE ORGANIZATION IN ESTABLISHING THE "REBUTTABLE PRESUMPTION OF REASONABLENESS". THE MOST RECENT FULL REVIEW OF COMPENSATION, BENEFITS, AND PERQUISITES WAS COMPLETED IN EARLY 2011 BY SULLIVAN COTTER AND ASSOCIATES (AN EXTERNAL CONSULTANT) AND SHARED/DISCUSSED WITH THE BOARD IN APRIL 2011. PRIOR TO AWARDING WAGE INCREASES IN 2012, ANOTHER LESS EXTENSIVE REVIEW WAS COMPLETED OF EXECUTIVE COMPENSATION TO REFRESH MARKET DATA PROVIDED IN THE 2011 REPORT. THIS LESS EXTENSIVE REVIEW WAS ALSO SHARED WITH THE EXECUTIVE COMPENSATION COMMITTEE IN APRIL 2012, AND THEN WITH THE FULL BOARD IN JUNE 2012. | |
| FORM 990, PART VI, QUESTION 15b | THE SAME PROCESS APPLIES FOR ALL OTHER EXECUTIVE STEERING COMMITTEE MEMBERS AS DETAILED FOR THE CEO. | |
| FORM 990, PART VI, QUESTION 19 | FINANCIAL STATEMENTS, REQUIRED TAX FORMS (I.E., FORM 990), AS WELL AS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATIVE AND FINANCE OFFICES. | |
| FORM 990, PART IX | The amounts reported on 990 Part VIII Line 11a columns (b) and (d) represent management fee allocations out to other related organizations for management related services performed by individuals employed by Blanchard Valley Health System. The compensation, benefits, and other related costs for such individuals are recorded on 990 Part IX columns (b) and (c). FORM 990, PART XI, LINE 5 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS: ($4,680) DEFINED BENEFIT PENSION PLAN: $2,895,444 OTHER CHANGES IN NET ASSETS: ($4,581,000) UNREALIZED LOSS: ($24,011) INVESTMENT INCOME TIMING DIFFERENCE: $1,318,822 | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:SCOTT MALANEY TITLE:PRESIDENT BVHS HOURS:38 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:DAVE CYTLAK TITLE:CFO HOURS:38 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY MEDICAL PRACTICES | |||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 421659766 | PHYS OFCS | OH | 10936408 | 2106995 | NA |
| BLANCHARD VALLEY HOME CARE SERVICES | |||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 421565629 | HOME HEALTH | OH | BVCCS | ||
| CRNA OF BLANCHARD VALLEY LLC | |||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 061748552 | CERT NURSE | OH | BVRHC | ||
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BLANCHARD VALLEY CONTINUING CARE SVCS | ||||||||||
| 15100 BIRCHAVEN LN | FINDLAY | OH | 45840 | 346006904 | CONT. CARE | OH | 501(C)3 | 9 | NA | false |
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 341369963 | ACUTE CARE | OH | 501(C)3 | 3 | NA | false |
| BLANCHARD VALLEY HEALTH FOUNDATION | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 341370522 | FUNDRAISING | OH | 501(C)3 | 7 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST OHIO MEDICAL EQUIPMENT | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 341882390 | MED EQUIPMENT | OH | BVCCS | N/A | 0 | 0 |
| BLANCHARD VALLEY PAIN MANAGEMENT | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 270095470 | PAIN MGMT | OH | BVRHC | N/A | 0 | 0 |
| TECHNICORE | ||||||||||
| PO BOX 1210 | FINDLAY | OH | 45839 | 421702910 | BIO-MED SUPPORT | OH | BVRHC | N/A | 0 | 0 |
| CREIGHTON DIALYSIS | ||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 274527592 | DIALYSIS SVCS | OH | BVRHC | N/A | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BIRCHAVEN ESTATES AT EASTERN WOODS LTD | |||||||||||
| 15100 BRIRCHAVEN LANE | FINDLAY | OH | 45840 | 346006904 | CONDOMINIUMS | OH | BVCCS | C CORP | 0 | 0 | 1.00000 |
| CITAS INC | |||||||||||
| 1900 SOUTH MAIN ST | FINDLAY | OH | 45840 | 311369708 | RECRUITING | OH | NA | C CORP | 56738 | 1998 | 1.00000 |
| HANCO AMBULANCE INC | |||||||||||
| 417 SIXTH STREET | FINDLAY | OH | 45840 | 382048755 | HEALTHCARE | OH | NA | C CORP | -1733696 | 964012 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | ||
| D | 107675000 | FMV |
| BLANCHARD VALLEY REGIONAL HEALTH CENTER | ||
| I | 56004 | FMV |
| BLANCHARD VALLEY CONTINUING CARE SERVICES | ||
| I | 60000 | FMV |