UNIVERSITY HOSPITALS HEALTH SYSTEM INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY HOSPITALS HEALTH SYSTEM INC (EIN 34-0714612)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201133199349303578
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T12:22:55-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 307 | AddressLine1 |
| City | SOUTHFIELD | City |
| State | MI | State |
| ZIP Code | 480370307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340714612 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMH REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EMHR | NameControl |
| Phone | 4403297605 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES M SIMONE | Name |
| Title | CFO | Title |
| Phone | 4403297605 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2483522500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DONALD SHELDON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 309049337 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EMH-HEALTHCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1907 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | NON-PROFIT COMMUNITY HEALTH PROVIDING IN AND OUT PATIENT CARE INCLUDING FULL SERVICE EMERGENCY ROOM TO THE COMMUNITY OF ELYRIA, OHIO AND SURRONDING AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2098 | TotalNbrEmployees |
| Total Nbr Volunteers | 323 | TotalNbrVolunteers |
| Total Gross UBI | 28383 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 6318 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 452755 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 124618 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 181512445 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 185957490 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3352455 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5333840 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1953480 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1402913 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 187271135 | TotalRevenuePriorYear |
| Total Revenue Current Year | 192818861 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7022430 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 84691307 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 86788049 | 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 | 95506624 | OtherExpensePriorYear |
| Other Expenses Current Year | 98131866 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 180200931 | TotalExpensesPriorYear |
| Total Expenses Current Year | 191942345 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7070204 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 876516 | RevenuesLessExpensesCY |
| Total Assets BOY | 238893375 | TotalAssetsBOY |
| Total Assets EOY | 239835011 | TotalAssetsEOY |
| Total Liabilities BOY | 110578616 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 110643132 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 128314759 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 129191879 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SAFE, HIGH QUALITY AND COST EFFECTIVE CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32774305 | Expense |
| Grants | 7022430 | Grants |
| Revenue | 36366082 | Revenue |
| Description | CARDIOLOGY - EMH FEATURES LORAIN COUNTY'S LEADING AND NATIONALLY RECOGNIZED CARDIOVASCULAR HEALTH AND REHABILITATION CENTER, WITH SERVICES FOR CORONARY BYPASS SURGERY, ANGIOPLASTY, CARDIAC CATHETERIZATION, ELECTROPHYSIOLOGY, CARDIAC REHABILITATION, HEART FAILURE THERAPIES AND OTHER DIAGNOSTIC SERVICES. EMH REGIONAL MEDICAL CENTER RECEIVED FULL CYCLE II ACCREDITATION WITH PCI THROUGH 2010 FROM THE ACCREDITATION REVIEW COMMITTEE OF THE SOCIETY OF CHEST PAIN CENTERS. THE FIRST DESIGNATION WAS GRANTED IN 2004, AND ENSURES THAT EMH MEETS OR EXCEEDS QUALITY OF CARE MEASURES IN ACUTE CARDIAC MEDICINE. EMH IS THE 72ND ACCREDITED CHEST PAIN CENTER IN THE UNITED STATES. ADDITIONALLY, IN 2008, EMH REGIONAL MEDICAL CENTER RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATIONS' NCDR ACTION REGISTRY - GWTG SILVER PERFORMANCE ACHIEVEMENT AWARD - ONE OF ONLY 93 HOSPITALS NATIONWIDE TO DO SO. THE AWARD RECOGNIZES EMH'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 36851922 | Expense |
| Revenue | 34095395 | Revenue |
| Description | ROUTINE INPATIENT CARE - INPATIENT CARE AT EMH INCLUDES A VARIETY OF SERVICES, RANGING FROM INTENSIVE CARE UNITS (MEDICAL/SURGICAL) AND THE FAMILY BIRTH CENTER, TO MENTAL HEALTH AND UNIVERSAL CARE. EACH DEPARTMENT IS STAFFED WITH HIGHLY SKILLED AND SPECIALLY EDUCATED HEALTHCARE PROFESSIONALS WHO ARE EQUIPPED TO ADDRESS EACH PATIENTS'S NEEDS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 26561965 | Expense |
| Revenue | 23769065 | Revenue |
| Description | SURGICAL SERVICES - HIGHLY TRAINED MEDICAL PHYSICIANS AND SURGEONS TREAT A WIDE VARIETY AND COMPLEXITY OF SURGICAL CASES AT EMH REGIONAL MEDICAL CENTER. SERVICES INCLUDE BOTH INPATIENT AND OUTPATIENT SURGERY, WITH THE MAJORITY PERFORMED ON AN OUTPATIENT BASIS. CONSULTATION WITH SPECIALISTS ENSURE THAT PATIENTS RECEIVE THE MOST COMPREHENSIVE CARE, AND TECHNOLOGICAL INNOVATIONS ALLOW FOR LESS INVASIVE PROCEDURES, WHICH IN TURN ENABLES FASTER HEALING. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 74125360 | Expense |
| Revenue | 92040890 | Revenue |
| Description | OTHER PROGRAM SERVICES - ADDITIONAL MEDICAL SERVICES AT EMH ARE COMPREHENSIVE AND INCLUDE: RADIOLOGY/IMAGING, LABORATORY, WOUND CARE, PEDIATRIC AFTER-HOURS CARE, SPORTS MEDICINE/REHABILITATION, OUTPATIENT INFUSION, ORTHOPEDICS, DIABETES EDUCATION, HEALTHY WOMEN/HEALTHY FAMILIES, MENTAL HEALTH, HOME CARE, OCCUPATIONAL MEDICINE, SLEEP STUDIES, SOCIAL WORK AND EMERGENCY SERVICES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 74125360 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 92040890 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 170313552 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 77 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2098 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES M SIMONE VP FINANCECFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4403297605 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BECKETT JONATHAN M | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| CANNADAY LEE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| HOAGLAND BRIAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LAMB WILLIAM | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| MIGGINS LYNN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| OLESEN ROBERT | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| REIDY JOAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| RIGDA PAUL | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| RYAN SPENCER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| WALDHEGER PRISCILLA MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| YOST ROBERT | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BRAUSCH JEFF | ||||||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 | X | ||
| FLANIGAN KEVIN | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | ||
| SHELDON DONALD | ||||||||
| PRESIDENT & CEO | 55.00 | X | 0 | 416370 | 21214 | X | ||
| D'AMICO LOUIS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| FRANK RAY | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| HAYWOOD TIMOTHY | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SPIKE SANDY | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| MUSSON JOHN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SANJAY PALAKAR MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| POND FRED | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| YOST JUNE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| NORTON BENJAMIN PARTIAL YEAR | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SMITH STEPHEN PARTIAL YEAR | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| SIMONE JAMES M | ||||||||
| VP FINANCE/CFO | 55.00 | 0 | 290717 | 23975 | X | |||
| COOKSEY JILL | ||||||||
| VP NURSING/ CHEIF NURSING OFFICER | 55.00 | 0 | 159562 | 67623 | X | |||
| GARDNER FRANCIS X | ||||||||
| VP GENERAL COUNSEL | 55.00 | 0 | 219777 | 19386 | X | |||
| MCDONALD DOUGLAS | ||||||||
| ASSISTANT VP MEDICAL AFFIARS | 55.00 | 0 | 220492 | 25102 | X | |||
| MILLER DANIEL N | ||||||||
| VP HUMAN RESOURCES | 55.00 | 0 | 237762 | 24468 | X | |||
| WRAY CHARLOTTE | ||||||||
| VP CLINICAL OPERATIONS | 55.00 | 0 | 154545 | 19747 | X | |||
| GIBBONS TERRIL | ||||||||
| PHARMACY OPERATIONS COORDINATOR | 55.00 | 140157 | 0 | 20540 | X | |||
| GRAUER JOHN | ||||||||
| MEDICAL DIRECTOR CASE MANAGEMENT | 55.00 | 217426 | 0 | 967 | X | |||
| HALLIDAY DONALD | ||||||||
| DIRECTOR PHARMACY | 55.00 | 136226 | 0 | 19933 | X | |||
| WALSH BRIAN | ||||||||
| SURGICAL ASSISTANT | 55.00 | 135170 | 0 | 28878 | X | |||
| ZEOLLA KATERINE | ||||||||
| PHARMACY OPERATIONS COORDINATOR | 55.00 | 196944 | 0 | 14690 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 825923 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1699225 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 286523 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ELYRIA ANESTHESIA | |||||
| 860 BROAD STREET | ELYRIA | OH | 44035 | PURCHASED MEDICAL SERVICES | 1324246 |
| CLEVELAND CLINIC FND | |||||
| PO BOX 931760 | CLEVELAND | OH | 44193 | PURCHASED MEDICAL SERVICES | 890976 |
| COMMUNITY HOSPITALISTS LLC | |||||
| PO BOX 200466 | PITTSBURGH | PA | 15251 | PURCHASED MEDICAL SERVICES | 883228 |
| ARUP | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | PURCHASED MEDICAL SERVICES | 609332 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| PO BOX 850001 | ORLANDO | FL | 32888 | PURCHASED MEDICAL SERVICES | 583553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Related Organizations | 29186 | RelatedOrganizations |
| All Other Contributions | 95432 | AllOtherContributions |
| Total Contributions | 124618 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT CARE | 622110 | 182278360 | 182278360 | |
| HEALTH FITNESS CENTER | 622110 | 3650747 | 3650747 | |
| LABORATORY REVENUE | 621500 | 28383 | 28383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 185957490 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3130475 | TotalRevenueColumn |
| Exclusion | $3,130,475 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 202027 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 202027 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 202027 | TotalRevenueColumn |
| Exclusion | $202,027 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 118352983 | Securities |
| Other | 80858 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 116230476 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2122507 | Securities |
| Other | 80858 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2203365 | TotalRevenueColumn |
| Exclusion | $2,203,365 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA / VENDING | 900099 | 737633 | $737,633 | |
| AHA MANAGEMENT FEE | 561000 | 264999 | 264999 | |
| DISCOUNTS / REBATES | 900099 | 77326 | 77326 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120928 | TotalRevenueColumn |
| Exclusion | $120,928 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1200886 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 192818861 | TotalRevenueColumn |
| Related Or Exempt Function Income | 186271432 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 28383 | UnrelatedBusinessRevenue |
| Exclusion | $6,394,428 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7022430 | Total |
| Program Services | 7022430 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68013959 | Total |
| Program Services | 61212563 | ProgramServices |
| Management And General | 6801396 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13683888 | Total |
| Program Services | 12315499 | ProgramServices |
| Management And General | 1368389 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5090202 | Total |
| Program Services | 4581182 | ProgramServices |
| Management And General | 509020 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11444019 | Total |
| Program Services | 8583014 | ProgramServices |
| Management And General | 2861005 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120779 | Total |
| Management And General | 120779 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75560 | Total |
| Management And General | 75560 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5332271 | Total |
| Program Services | 4301678 | ProgramServices |
| Management And General | 1030593 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44398 | Total |
| Program Services | 44398 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41177717 | Total |
| Program Services | 36657249 | ProgramServices |
| Management And General | 4520468 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 783228 | Total |
| Program Services | 704905 | ProgramServices |
| Management And General | 78323 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4102933 | Total |
| Program Services | 2515255 | ProgramServices |
| Management And General | 1587678 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180747 | Total |
| Program Services | 108448 | ProgramServices |
| Management And General | 72299 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2065553 | Total |
| Program Services | 1858998 | ProgramServices |
| Management And General | 206555 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12272491 | Total |
| Program Services | 11045242 | ProgramServices |
| Management And General | 1227249 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1125897 | Total |
| Program Services | 1125897 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 6340362 | 6340362 | |
| REPAIRS AND MAINTENANCE | 3364519 | 2907518 | 457001 |
| LAUNDRY | 1042989 | 1042989 | |
| LEASE / RENTAL | 690984 | 552787 | 138197 |
| DUES AND LICENSES | 217303 | 217303 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7750116 | Total |
| Program Services | 7175835 | ProgramServices |
| Management And General | 574281 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191942345 | Total |
| Program Services | 170313552 | ProgramServices |
| Management And General | 21628793 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19722810 | BOY |
| EOY | 11499480 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17349425 | BOY |
| EOY | 18994438 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1581529 | BOY |
| EOY | 2032554 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1514482 | BOY |
| EOY | 1502741 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 221482104 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 133363061 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89727571 | BOY |
| EOY | 88119043 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98249528 | BOY |
| EOY | 108204715 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10748030 | BOY |
| EOY | 9482040 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238893375 | BOY |
| EOY | 239835011 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14078623 | BOY |
| EOY | 19143812 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53380344 | BOY |
| EOY | 46526508 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43119649 | BOY |
| EOY | 44972812 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110578616 | BOY |
| EOY | 110643132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124190123 | BOY |
| EOY | 124760056 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1973643 | BOY |
| EOY | 2098240 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2150993 | BOY |
| EOY | 2333583 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128314759 | BOY |
| EOY | 129191879 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238893375 | BOY |
| EOY | 239835011 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 876516 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 604 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $10,926 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 10926 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE ORGANIZATION PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS. A CERTAIN PERCENTAGE OF THOSE DUES ARE USED FOR PURPOSES OF LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4509220 | OtherCostOrOtherBasis |
| Book Value | 4509220 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61475404 | OtherCostOrOtherBasis |
| Depreciation | 35991992 | Depreciation |
| Book Value | 25483412 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 144619157 | OtherCostOrOtherBasis |
| Depreciation | 94452787 | Depreciation |
| Book Value | 50166370 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10878323 | OtherCostOrOtherBasis |
| Depreciation | 2918282 | Depreciation |
| Book Value | 7960041 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 88119043 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $22,519,588 |
| SELF-INSURANCE RESERVE | $13,587,593 |
| INTEREST RATE SWAP | $3,832,113 |
| ESTIMATED 3RD PARTY PAYABLE | $5,033,518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 44972812 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10050495 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1073723 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8976772 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20682606 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14311330 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6371276 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03570 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30733101 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15385053 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15348048 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08600 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1892012 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1415651 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 476361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1892012 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1415651 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 476361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32625113 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16800704 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15824409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08870 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 417969 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 417969 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 417969 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 417969 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,496,940 | BadDebtExpenseAmount |
| Amount Attributable To | 47309 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 61179617 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 60218916 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 960701 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 ELYRIA CARDIAC CATH LAB LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT DIAGNOSTIC CATH LAB PROCEDURES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMH REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| EMH AVON CAMPUS | ||||
| 1997 HEALTHWAY RD | AVON | OH | 44001 | IMAGING, LAB REHABILITATION SERVICES & FITNESS CENTER |
| EMH WESTLAKE CAMPUS | ||||
| 2211 CROCKER RD | WESTLAKE | OH | 44145 | IMAGING |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 3C: N/A |
| PART I, LINE 6A: N/A |
| PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED FOR CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. |
| PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES PROVIDED INCLUDE NEONATAL INTENSIVE CARE AND INDIVIDUAL PSYCHOLOGY. |
| PART I, L7 COL(F): CALCULATED NET COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL OPERATING EXPENSES (LESS BAD DEBT EXPENSE). THE BAD DEBT EXPENSE EXCLUDED FROM THE DENOMINATOR IS $6,340,362. |
| PART II: COMMUNITY BUILDING ACTIVITIES INCLUDE HEALTH SCREENS AND PATIENT EDUCATION. COMMUNITY HEALTH SCREENINGS ARE CONDUCTED EVALUATING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, BODY MASS INDEX, PSA FOR PROSTATE CANCER, SKIN CANCER SCREENINGS.SCREENINGS ARE CONDUCTED FOR LOCAL BUSINESS AND INDUSTRY AND AT LOCAL PUBLIC EVENTS AT SHOPPING MALLS, SALVATION ARMY, UNITED WAY, EL CENTRO EVENTS ETC. |
| PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING CHCO'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. COST-TO-CHARGE RATIO USED TO DETERMINE COST REPORTED IN PART III, LINE 2. COST ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR ASSISTANCE ($47,309) BASED ON INSURED ACCOUNTS IN BAD DEBT STATUS THAT LATER HAD A CHARITY ADJUSTMENT. |
| PART III, LINE 8: THE MEDICARE COST REPORT ALLOWABLE COSTS WERE USED TO ARRIVE AT AMOUNT REPORTED ON PART III, LINE 6. THESE MADICARE ALLOWABLE COSTS WERE DETERMINED USING THE COST-TO-CHARGE RATIO. |
| PART III, LINE 9B: EMH WILL PROVIDE MEDICALLY NECESSARY SERVICE(S) FREE OF CHARGE TO ANY NON-MEDICAID OHIO RESIDENT, WHO IS EITHER COVERED BY DISABILITY ASSISTANCE OR HAS A FAMILY INCOME ON THE DATE-OF-SERVICE WHICH IS AT OR BELOW THE FEDERAL POVERTY INCOME GUIDELINES.IF THE PATIENT'S GUARANTOR(S) IS UNABLE TO MAKE FULL PAYMENT, ASSISTANCE MAY BE PROVIDED UNDER THE EMH CHARITY CARE PROGRAM. FREE CARE WILL BE PROVIDED TO ALL THOSE WHO PROVIDE THE NEEDED DOCUMENTATION ESTABLISHED BY THE OHIO DEPARTMENT OF HUMAN SERVICES, AND THE INCOME IS AT OR BELOW THE FEDERAL POVERTY GUIDELINE FOR THE DATE OF SERVICE.FREE CARE - OUR CHARITY PROGRAM INCORPORATES OHIO'S FREE CARE REQUIREMENTS. HOSPITAL SERVICES FOR MEDICALLY NECESSARY SERVICES ARE AVAILABLE AT NO CHARGE TO THOSE FAMILIES WHOSE INCOME IS AT OR LESS THAN THE FEDERAL INCOME GUIDELINES, WHICH ARE UPDATED ANNUALLY AND PUBLISHED EACH SPRING IN THE FEDERAL REGISTER. THESE GUIDELINES ESTABLISH A THRESHOLD OF INCOME WHICH GROWS AS THE FAMILY SIZE OF THE APPLICANT DOES.APPLYING FOR ASSISTANCE - A RELATIVELY SIMPLE APPLICATION HAS BEEN DESIGNED TO HELP DETERMINE ELIGIBILITY TO BASIC PROGRAMS AND A SPECIAL ABBREVIATED APPLICATION IS USED FOR THE HOMELESS. A PATIENT ACCOUNT REPRESENTATIVE SHALL ASSIST EACH APPLICANT WITH NECESSARY PAPERWORK. THE REPRESENTATIVE WILL ADJUST ACCOUNTS WITH A BALANCE UNDER $2,000. BALANCES $2,000 AND GREATER ARE REFERRED WITH THE APPROPRIATE INFORMATION TO THE PATIENT ACCOUNT ANALYST FOR A FINAL DECISION. ACCOUNTS WITH A BALANCE GREATER THAN $5,000 WILL REQUIRE THE PATIENT ACCOUNT MANAGER APPROVAL. A DECISION ON ELIGIBILITY WILL NORMALLY BE MADE WITHIN FIVE BUSINESS DAYS OF THE APPLICATION. |
| PART VI, LINE 2: COMMUNITY HEALTH SCREENINGS ARE CONDUCTED EVALUATING BLOOD PRESSURE, BLOOD SUGAR, CHOLESTEROL, BODY MASS INDEX, PSA FOR PROSTATE CANCER, SKIN CANCER SCREENINGS.SCREENINGS ARE CONDUCTED FOR LOCAL BUSINESS AND INDUSTRY AND AT LOCAL PUBLIC EVENTS AT SHOPPING MALLS, SALVATION ARMY, UNITED WAY, EL CENTRO EVENTS ETC.DATA FROM PATIENT ADMISSIONS FROM THE COMMUNITY ARE ALSO EVALUATED. THERE ARE MANY DIABETICS IN OUR COMMUNITY AND WE OFFER FREE DIABETES SEMINARS FOR THE PUBLIC.DATA FROM THE CENTER FOR DISEASE CONTROL INFORMS US OF FLU TRENDS AND THE NEED TO OFFER VACCINATIONS TO OUR PATIENTS. |
| PART VI, LINE 3: NOTICE OF AVAILABILITY OF FREE CARE IS GIVEN TO PATIENTS ON THE ITEMIZED STATEMENT OF ACCOUNT, THEIR FIRST STATEMENT ADVISING THEM OF THE CHARGES AND MONTHLY GUARANTOR STATEMENTS.TO ADVISE OUR CUSTOMERS OF OUR CHARITY PROGRAMS, INCLUDING FREE CARE, SIGNS SHALL BE POSTED IN THE FOLLOWING PLACES:-CENTRAL REGISTRATION-CASHIER'S STATION-PATIENT ACCOUNT REPRESENTATIVE OFFICES-EMERGENCY ROOM LOBBY-ACC LOBBY-GATES LABORATORYTO ENSURE THAT THE MESSAGE IS DELIVERED EVEN IF THE SIGNS ARE MISSED, THIS INFORMATION WILL BE PRINTED ON THE BACK OF EACH "STATEMENT OF ACCOUNT" AND "MONTHLY STATEMENT" FORMS. |
| PART VI, LINE 4: EMH REGIONAL MEDICAL CENTER IN ELYRIA AND AMHERST HOSPITAL IN AMHERST ARE BOTH LOCATED IN LORAIN COUNTY, OHIO. LORAIN COUNTY AMASSES A LAND AREA OF NEARLY 493 SQUARE MILES, WITH APPROXIMATELY 577 PERSONS PER SQUARE MILE. IN 2009, THE POPULATION OF LORAIN COUNTY WAS ESTIMATED AT APPROXIMATELY 305,700, WITH NEARLY 24% OF THOSE PERSONS BEING UNDER 18 YEARS OLD, AND NEARLY 14% AGED 65 YEARS OR OLDER. THE MEDIAN HOUSEHOLD INCOME IN 2008 WAS $52,878 WITH 12.3% OF THE COUNTY'S POPULATION LIVING BELOW THE POVERTY LEVEL. APPROXIMATELY 88% OF THE COUNTY'S POPULATION IS WHITE, WITH THE REMAINING 12% BEING COMPRISED OF BLACK, AMERICAN INDIAN, ASIAN AND HISPANIC ETHNICITY. FEMALES MAKE UP NEARLY 51% PERCENT OF THE COUNTY'S POPULATION.LORAIN COUNTY IS CONSIDERED A RURAL, RUSTBELT COMMUNITY COMPRISED OF MANY CITIES, VILLAGES AND TOWNSHIPS. WHILE SOME CITIES, SUCH AS AVON, AVON LAKE AND NORTH RIDGEVILLE ARE EXPERIENCING BUSTLING GROWTH, OTHERS SUCH AS ELYRIA AND LORAIN HAVE SEEN BUSINESSES CLOSE IN THE PAST SEVERAL YEARS, RESULTING IN JOB LOSS AND PEOPLE LEAVING THE COUNTY. |
| PART VI, LINE 6: EMH HEALTHCARE BELIEVES THAT EDUCATIONAL AND PREVENTATIVE SERVICES ARE IMPERATIVE TO IMPROVING THE HEALTH OF OUR COMMUNITY. AS SUCH, NO-COST HEALTH SCREENINGS ARE HELD THROUGHOUT THE YEAR ON OUR ELYRIA, AMHERST AND AVON CAMPUSES, INCLUDING SKIN CANCER AND PROSTATE CANCER SCREENINGS, ALONG WITH BLOOD PRESSURE, DIABETES, CHOLESTEROL AND BONE DENSITY SCREENINGS. IN JUNE OF 2010, THE CENTER FOR ORTHOPEDICS - A DEPARTMENT OF EMH HEALTHCARE - PROVIDED APPROXIMATELY 300 FREE SPORTS PHYSICALS TO LOCAL STUDENTS FROM 23 HIGH SCHOOLS AS PART OF THEIR ANNUAL HIGH SCHOOL SPORTS PHYSICAL EVENT. EMH ALSO TRAVELS TO UNDERSERVED NEIGHBORHOODS TO BRING THEIR EDUCATION TO THE COMMUNITY. ONE OF THE LARGEST EVENTS SERVES A COMMUNITY THAT IS MAINLY LATINO, AND THAT IS THE UNITED WAY WEEK OF CARING EVENT AT PRINCIPE DE PAZ CHURCH IN LORAIN, OHIO. IN PARTNERSHIP WITH EL CENTRO, EMH AND OTHER PROVIDERS OFFER FREE HEALTH SCREENINGS AND HAVE A TEAM OF LABORATORY TECHNICIANS ON-SITE SO THAT RESULTS AND HEALTH EDUCATION CAN BE GIVEN IMMEDIATELY. IN ALL, NEARLY 2,600 MEMBERS OF THE COMMUNITY RECEIVED FREE HEALTH SCREENS OR HEALTH EDUCATION FROM EMH DOCTORS, NURSES OR TECHNICIANS IN 2010.ALSO IN 2010, EMH HEALTHCARE PROFESSIONALS DONATED HUNDREDS OF HOURS OF THEIR TIME TO THE LORAIN COUNTY FREE CLINIC, INCLUDING OUR PRESIDENT AND CHIEF EXECUTIVE OFFICER DONALD SHELDON, M.D. THERE WERE 646 NO-COST ENCOUNTERS WITH PATIENTS OF THE FREE CLINIC IN 2010 THAT WOULD TOTAL $470,813 HAD THOSE ENCOUNTERS BEEN BILLED. VARIOUS HEALTH EDUCATION EVENTS WERE PRESENTED BY EMH HEALTHCARE IN 2010 THAT SUPPORT ITS EXEMPT PURPOSE. THOSE INCLUDE:-COFFEE, TEA & ME - FOUR TIMES EACH YEAR, AN EMH PHYSICIAN GIVES AN HOUR-LONG PRESENTATION ON TOPICS RELEVANT TO WOMEN. A HEART-HEALTHY BREAKFAST IS ALSO PROVIDED FREE OF CHARGE.-MALL WALKERS - FROM SEPTEMBER THROUGH MAY, EMH HEALTHCARE SPONSORS A ONCE-MONTHLY FREE HEALTH EDUCATIONAL PROGRAM AT THE MIDWAY MALL IN ELYRIA. AN EMH CLINICIAN PRESENTS HEALTH INFORMATION IN A CASUAL, INFORMAL WAY WHILE ATTENDEES DINE ON FRESH FRUIT, CEREAL BARS, BAGELS, JUICE AND COFFEE.-INDEPENDENT AND/OR ASSISTED LIVING COMMUNITIES - EMH PROVIDES A HEALTH-ORIENTED PRESENTATION MONTHLY AT WESLEYAN MEADOWS IN SHEFFIELD VILLAGE AND QUARTERLY AT WESLEYAN VILLAGE IN ELYRIA ON A VARIETY OF TOPICS RELEVANT TO SENIORS. PRESENTERS HAVE INCLUDED EMH PHYSICIANS, NURSES, EDUCATORS AND PHARMACISTS.-ARTERY EXPLORER - IN 2010, EMH ELYRIA MEDICAL CENTER HOSTED THE ARTERY EXPLORER, AN 18-WHEEL SEMI TRUCK THAT HAS BEEN CONVERTED INTO A MOTION SIMULATOR TO SHOW GUESTS THE EFFECTS OF ATHEROSCLEROSIS. THIS FREE, FIVE MINUTE RIDE TAKES GUESTS ON A 3-D JOURNEY THROUGH THE ARTERIES AND PROVIDES HELPFUL TIPS TO HELP PREVENT THIS POTENTIALLY DEADLY DISEASE. 160 MEMBERS OF THE COMMUNITY VIEWED THE INFORMATIVE VIDEO.LASTLY, AN EXCELLENT TOOL UTILIZED BY EMH HEALTHCARE TO PROVIDE NO-COST HEALTH EDUCATIONAL INFORMATION TO THE COMMUNITY IS OUR QUARTERLY MAGAZINE, HEALTHY OUTLOOK. THIS 16-PAGE NEWSLETTER IS FILLED WITH INFORMATION ABOUT MEDICAL ISSUES THAT ARE AFFECTING THE PEOPLE OF OUR COMMUNITY, SUCH AS HEART DISEASE, WOUND CARE, OBESITY, DIABETES, AND MORE. EACH ISSUE ALSO INCLUDES TWO HEALTHY RECIPES USING A FEATURED INGREDIENT, SUCH AS QUINOA, WHOLE GRAIN, OR A TYPE OF ANTIOXIDANT. THE MAGAZINE IS MAILED TO APPROXIMATELY 108,000 HOUSEHOLDS PER QUARTER. |
| PART VI, LINE 7: EMH REGIONAL MEDICAL CENTER AND AMHERST HOSPITAL COMPRISE THE TWO HOSPITALS IN THE EMH REGIONAL HEALTHCARE SYSTEM, WITH EMH ACCOUNTING FOR 94% OF TOTAL SYSTEM ADMISSIONS. BOTH HOSPITALS ARE LOCATED IN LORAIN COUNTY. ALL HEALTH SCREENING AND PATIENT EDUCATION IS PROVIDED BY EMH AND AMHERST STAFF IN AREAS WITHIN LORAIN COUNTY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPREHENSIVE HEALTHCARE OF OHIO | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 EAST RIVER STREET | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 341492733 | EINOfRecipient |
| IRC Section | IRC SEC. 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 7015430 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | TO PROMOTE HEALTH WITHIN THE COMMUNITY | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHELDON DONALD | |||||||||||||
| 0 | 362269 | 0 | 0 | 0 | 54101 | 0 | 14491 | 0 | 6723 | 0 | 437584 | 0 | 0 |
| SIMONE JAMES M | |||||||||||||
| 0 | 259639 | 0 | 0 | 0 | 31078 | 0 | 10579 | 0 | 13396 | 0 | 314692 | 0 | 0 |
| COOKSEY JILL | |||||||||||||
| 0 | 146846 | 0 | 0 | 0 | 12716 | 0 | 55020 | 0 | 12603 | 0 | 227185 | 0 | 0 |
| GARDNER FRANCIS X | |||||||||||||
| 0 | 202561 | 0 | 0 | 0 | 17216 | 0 | 9235 | 0 | 10151 | 0 | 239163 | 0 | 0 |
| MCDONALD DOUGLAS | |||||||||||||
| 0 | 219879 | 0 | 0 | 0 | 613 | 0 | 12342 | 0 | 12760 | 0 | 245594 | 0 | 0 |
| MILLER DANIEL N | |||||||||||||
| 0 | 195290 | 0 | 0 | 0 | 42472 | 0 | 11915 | 0 | 12553 | 0 | 262230 | 0 | 0 |
| WRAY CHARLOTTE | |||||||||||||
| 0 | 154063 | 0 | 0 | 0 | 482 | 0 | 7212 | 0 | 12535 | 0 | 174292 | 0 | 0 |
| GIBBONS TERRIL | |||||||||||||
| 138437 | 0 | 0 | 0 | 1720 | 0 | 8502 | 0 | 12038 | 0 | 160697 | 0 | 0 | 0 |
| GRAUER JOHN | |||||||||||||
| 216972 | 0 | 0 | 0 | 454 | 0 | 0 | 0 | 967 | 0 | 218393 | 0 | 0 | 0 |
| HALLIDAY DONALD | |||||||||||||
| 128991 | 0 | 7000 | 0 | 235 | 0 | 8480 | 0 | 11453 | 0 | 156159 | 0 | 0 | 0 |
| WALSH BRIAN | |||||||||||||
| 134994 | 0 | 0 | 0 | 176 | 0 | 24128 | 0 | 4750 | 0 | 164048 | 0 | 0 | 0 |
| ZEOLLA KATERINE | |||||||||||||
| 191686 | 0 | 5079 | 0 | 179 | 0 | 9924 | 0 | 4766 | 0 | 211634 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | COMPREHENSIVE HEALTHCARE OF OHIO (CHCO), THE PARENT ORGANIZATION, MAINTAINS A SUPPLEMENTAL RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF EXECUTIVES OF CHCO AND ITS AFFILIATED ENTITIES. THE SERP IS A FUNDED, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT IS INTENDED TO COMPLY WITH IRC SEC. 457(F) OF THE INTERNAL REVENUE CODE. BENEFITS UNDER THE SERP ARE TAXABLE TO THE PARTICIPATING EXECUTIVES WHEN SUCH AMOUNTS ARE VESTED. JILL COOKSEY - 457(F) PARTICIPANT FRANCIS GARDNER - 457(F) PARTICIPANT DANIEL MILLER - 457(F) PARTICIPANT DONALD SHELDON - 457(F) PARTICIPANT JAMES SIMONE - 457(F) PARTICIPANT | |
| PART III | PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE | SUPPLEMENTAL INFORMATION |
| PART III | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNTY OF LORAIN OHIO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 340714612 | IssuerEIN |
| CUSIP Number | 543583LF3 | CUSIPNumber |
| Date Issued | 2008-07-31 | DateIssued |
| Issue Price | 36730000 | IssuePrice |
| Description Of Purpose | REFUNDING SERIES 2005 BOND ISSUE | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 1 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 36627156 | TotalProceeds |
| Issuance Costs From Proceeds | 36625 | IssuanceCostsFromProceeds |
| Capital Expenditures | 36578616 | CapitalExpenditures |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEUTSCHE BANK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 1.400000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBER WITH RIGHTS TO GOVERN EMH REGIONAL MEDICAL CENTER IS COMPREHENSIVE HEALTH CARE OF OHIO, INC. IT IS THE SOLE MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 7A | COMPREHENSIVE HEALTH CARE OF OHIO, INC. IS THE SOLE MEMBER WHICH HAS AUTHORITY TO ELECT THE GOVERNING BODY OF EMH REGIONAL MEDICAL CENTER. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS, BUT NOT ALL DECISIONS, OF THE GOVERNING BODY OF EMH REGIONAL MEDICAL CENTER ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER, COMPREHENSIVE HEALTH CARE OF OHIO, INC. EXAMPLES OF DECISIONS OF THE GOVERNING BODY OF THE EMH REGIONAL MEDICAL CENTER WHICH ARE SUBJECT TO THE APPROVAL OF THE MEMBER ARE ANNUAL OPERATING BUDGETS, CAPITAL EXPENDITURE BUDGETS, LONG RANGE PLANNING DOCUMENTS, CAPITAL EXPENDITURES INCRURRING DEBT WHICH WOULD REQUIRE MORTGAGE OF ANY PARTS OF THE ASSETS OF EMH REGIONAL MEDICAL CENTER AND AMENDMENT TO THE GOVERNING DOCUMENTS OF EMH REGIONAL MEDICAL CENTER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED BY THE CEO, CFO AND IN-HOUSE GENERAL COUNSEL PRIOR TO FILING. | |
| EACH YEAR, ALL DIRECTORS ARE PRESENTED WITH AN ATTESTATION DOCUMENT WHICH STATES THE ESSENCE OF THE CONFLICT OF INTEREST POLICY. EACH DIRECTOR IS REQUIRED TO COMPLETE THE DOCUMENT AND SIGN IT, VERIFYING THAT HE OR SHE IS AWARE OF THE POLICY AND DECLARING ANY POTENTIAL CONFLICTS OF INTEREST WHICH SUCH DIRECTOR MAY HAVE, OR WHICH MAY HAVE DEVELOPED SINCE THE PRIOR YEAR'S ATTESTATION. THE CHAIR OF THE BOARD, OR DESIGNEE, MEETS WITH ANY DIRECTOR WHO HAS INDICATED A POTENTIAL CONFLICT OF INTEREST IN ORDER TO FULLY EXPLORE THE NATURE OF THE POTENTIAL OR EXISTING CONFLICT, WITH THE POTENTIAL THAT SUCH CONFLICT MIGHT PRECLUDE FURTHER SERVICE OF THAT DIRECTOR. ALL ANNUAL ATTESTATIONS ARE MAINTAINED BY THE CEO OF THE ORGANIZATION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS INCLUDES AN EXTERNAL ANALYSIS COMPLETED BY TOWERS PERRIN, A NATIONALLY KNOWN BENEFITS AND COMPENSATION CONSULTANT. TOWERS PERRIN GATHERS MARKET RESEARCH DATA FROM THREE PUBLISHED AND RELIABLE HEALTHCARE COMPENSATION SURVEYS. THIS ANALYSIS UTILIZES NATIONAL PAY DATA AND TAKES INTO CONSIDERATION THE SIZE OF THE HEALTHCARE ORGANIZATION, THE RESPECTIVE JOB TITLE, AND TIME IN JOB. THE ANALYSIS IS COMPLETED ANNUALLY. IT INCLUDES RECOMMENDATIONS ON POSITIONING THE CEO AND OTHER TOP MANAGEMENT WITH STAFF WITHIN THE APPROPRIATE PAY RANGE AS WELL AS POSSIBLE PAY RANGE ADJUSTMENTS AND BASE SALARY INCREASE PERCENTAGES FOR THE CURRENT YEAR. RECOMMENDATIONS ARE APPROVED BY A SUBCOMITTEE OF THE BOARD OF DIRECTORS PRIOR TO IMPLEMENTATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2010 BY COMPREHENSIVE HEALTHCARE OF OHIO, THE PARENT ENTITY. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION HAS NOT, TO THIS POINT, MADE ITS GOVERNING DOCUMENTS, OTHER THAN THE ORIGINAL ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL EMPLOYEES AND DIRECTORS ON THE ORGANIZATION'S INTRANET SITE, AND HAS BEEN A PART OF THE ORGANIZATION'S WRITTEN POLICY HANDBOOK LONG IN ADVANCE OF THE DEVELOPMENT OF THE INTRANET SITE. FINANCIAL STATEMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC OTHER THAN FINANCIAL INFORMATION WHICH APPEARS ON THE FORM 990 AND OTHER PUBLIC FILINGS REQUIRED BY LAW. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 3,183,584. PENSION RELATED CHANGES LIABILITY ADJUSTMENT -3,365,570. UNREALIZED GAIN ON PERPETUAL TRUSTS 182,590. TOTAL TO FORM 990, PART XI, LINE 5: 604. | FORM 990, PART XI, LINE 5: |
| THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR | FORM 990, PART XII, LINE 2C | |
| THE AMOUNT OF TIME OFFICERS, DIRECTORS AND KEY EMPLOYEES SPENT WORK FOR COMPREHENSIVE HEALTH CARE OF OHIO IS AS FOLLOWS: JAMES SIMONE - 3 HOURS DONALD SHELDON - 2 HOURS JILL COOKSEY - 3 HOURS FRANCIS GARDNER - 3 HOURS DOUGLAS MCDONALD - 3 HOURS DANIEL MILLER - 3 HOURS CHARLOTTE WRAY - 3 HOURS | FORM 990, PART VII, SECTION A |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELYRIA CARDIAC CATH LAB LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 630 E RIVER ST | AddressLine1 |
| City | ELYRIA | City |
| State | OH | State |
| ZIP Code | 44035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202217238 | EIN |
| Primary Activities | CARDIAC CATHERTERZATION | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | -112180 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
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 | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMPREHENSIVE HEALTH CARE OF OHIO INC | |||||||||||
| 630 EAST RIVER STREET | ELYRIA | OH | 44035 | 341492733 | CENTRALIZED MANAGEMENT | OH | 501(C)(3) | 11 | N/A | 0 | |
| AMHERST HOSPITAL ASSOCIATION INC | |||||||||||
| 630 EAST RIVER STREET | ELYRIA | OH | 44035 | 340067060 | COMMUNITY HOSPITAL | OH | 501(C)(3) | 3 | 1 | COMPREHESIVE HEALTH CARE OF OHIO INC | |
| ELYRIA MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 630 EAST RIVER STREET | ELYRIA | OH | 44035 | 341492735 | FUNDRAISING | OH | 501(C)(3) | 7 | 1 | COMPREHENSIVE HEALTH CARE OF OHIO INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELYRIA CARDIAC CATH LAB LLC | ||||||||||||
| 630 E RIVER ST | ELYRIA | OH | 44035 | 202217238 | CARDIAC CATHETERIZATION | OH | N/A | RELATED | 49191 | 0 | 0 | 0.00000 |
| AVON HOSPITAL JOINT VENTURE LLC | ||||||||||||
| 254 CLEVELAND AVE | AMHERST | OH | 44001 | 272199824 | HOSPITAL | OH | N/A | |||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| COMPREHENSIVE VENTURES UNLIMITED INC | ||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341596060 | VARIOUS HEALTHCARE ACTIVITIES | OH | N/A | C |
| EMH MEDICAL OFFICE BUILDING IN AVON | ||||||||
| 1997 HEALTHWAY DR | AVON | OH | 44011 | 341935407 | MEDICAL OFFICE BUILDING | OH | N/A | C |
| EMH SHEFFIELD MEDICAL BUILDING CONDOMINIUM ASSOC | ||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 260636602 | CONDOMINIUM COMPLEX | OH | N/A | C |
| CENTER FOR ORTHOPEDICS INC | ||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341665082 | PHYSICIAN PRACTICE | OH | N/A | C |
| EMH MSO INC | ||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341783546 | PHYSICIAN PRACTICE | OH | N/A | C |
| EMH PROFESSIONAL SERVICES INC | ||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 341778419 | VARIOUS HEALTHCARE ACTIVITIES | OH | N/A | C |
| NORTH OHIO HEART INC | ||||||||
| 630 EAST RIVER ST | ELYRIA | OH | 44035 | 272574020 | VARIOUS HEALTHCARE ACTIVITIES | OH | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COMPREHENSIVE HEALTH CARE OF OHIO INC | ||
| B | 7015430 | CASH TRANSACTION |
| COMPREHENSIVE HEALTH CARE OF OHIO INC | ||
| L | 10899000 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE HEALTH CARE OF OHIO INC | ||
| P | 14397825 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE HEALTH CARE OF OHIO INC | ||
| O | 2004209 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE HEALTH CARE OF OHIO INC | ||
| R | 202687 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE VENTURES UNLIMITED INC | ||
| I | 874833 | ACTUAL COST PER FINANCIAL STATE. |
| EMH FOUNDATION | ||
| P | 140015 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE HEALTH CARE OF OHIO INC | ||
| L | 4278067 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE VENTURES UNLIMITED INC | ||
| P | 3029536 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE VENTURES UNLIMITED INC | ||
| O | 127507 | ACTUAL COST PER FINANCIAL STATE. |
| EMH PROFESSIONAL SERVICES INC | ||
| P | 3874749 | ACTUAL COST PER FINANCIAL STATE. |
| EMH PROFESSIONAL SERVICES INC | ||
| O | 501551 | ACTUAL COST PER FINANCIAL STATE. |
| CENTER FOR ORTHOPEDICS INC | ||
| G | 243400 | ACTUAL COST PER FINANCIAL STATE. |
| CENTER FOR ORTHOPEDICS INC | ||
| P | 8114735 | ACTUAL COST PER FINANCIAL STATE. |
| CENTER FOR ORTHOPEDICS INC | ||
| O | 907187 | ACTUAL COST PER FINANCIAL STATE. |
| AMHERST HOSPTIAL ASSOCIATION INC | ||
| P | 14629044 | ACTUAL COST PER FINANCIAL STATE. |
| AMHERST HOSPTIAL ASSOCIATION INC | ||
| O | 478778 | ACTUAL COST PER FINANCIAL STATE. |
| AMHERST HOSPTIAL ASSOCIATION INC | ||
| Q | 79625 | ACTUAL COST PER FINANCIAL STATE. |
| AVON HOSPITAL JOINT VENTURE LLC | ||
| M | 361133 | ACTUAL COST PER FINANCIAL STATE. |
| NORTH OHIO HEART INC | ||
| P | 148139 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE VENTURES UNLIMITED INC | ||
| L | 71508 | ACTUAL COST PER FINANCIAL STATE. |
| EMH PROFESSIONAL SERVICES INC | ||
| K | 1282726 | ACTUAL COST PER FINANCIAL STATE. |
| NORTH OHIO HEART INC | ||
| K | 4286772 | ACTUAL COST PER FINANCIAL STATE. |
| CENTER FOR ORTHOPEDICS INC | ||
| L | 421090 | ACTUAL COST PER FINANCIAL STATE. |
| AMHERST HOSPTIAL ASSOCIATION INC | ||
| K | 3471290 | ACTUAL COST PER FINANCIAL STATE. |
| COMPREHENSIVE VENTURES UNLIMITED INC | ||
| K | 3308096 | ACTUAL COST PER FINANCIAL STATE. |
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