Civic Intelligence

Health Professionals of Holmes County

EIN 30-0329769 • 501(c)3 • Millersburg, OH

Profile

To operate exclusively for charitable purposes including furthering the charitable purposes of pomerene health foundation and pomerene hospital.

981 Wooster RdMillersburg, OH 44654

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

81st percentile

0.55x

Higher debt load relative to assets than 81% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.26x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

3rd percentile

-88%

Higher net margin than 3% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

93rd percentile

$403,434

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 5.4% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

22nd percentile

-3.9%

Faster asset growth than 22% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

70th percentile

21%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$3,492,222

Down $143,076 (-3.9%) from 2023

Liabilities

Down

$1,930,491

Down $220,906 (-10%) from 2023

Net Assets

Up

$1,561,731

Up $77,830 (+5.2%) from 2023

Revenue

Up

$7,412,516

Up $1,293,280 (+21%) from 2023

Expenses

Up

$13,940,989

Up $2,250,370 (+19%) from 2023

Net Income

Down

-$6,528,473

Down $957,090 (-17%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0-$5.0MAssets 2010: $10,795Liabilities 2010: $32,116Net Assets 2010: -$21,3212010Assets 2016: $4,708Liabilities 2016: $108,556Net Assets 2016: -$103,8482016Assets 2017: $2,507Liabilities 2017: $15,412Net Assets 2017: -$12,9052017Assets 2018: $5,328Liabilities 2018: $13,929Net Assets 2018: -$8,6012018Assets 2019: -$5,484Liabilities 2019: $4,800Net Assets 2019: -$10,2842019Assets 2020: $5,097Liabilities 2020: $4,800Net Assets 2020: $2972020Assets 2021: $33,390Liabilities 2021: $6,427Net Assets 2021: $26,9632021Assets 2022: $4,106,434Liabilities 2022: $8,773,496Net Assets 2022: -$4,667,0622022Assets 2023: $3,635,298Liabilities 2023: $2,151,397Net Assets 2023: $1,483,9012023Assets 2024: $3,492,222Liabilities 2024: $1,930,491Net Assets 2024: $1,561,7312024

Highlighted filing

2024

Assets$3,492,222
Liabilities$1,930,491
Net Assets$1,561,731

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$20M$10M$0-$10MExpenses 2010: $1,719,3822010Revenue 2016: $929,829Expenses 2016: $1,034,059Net Income 2016: -$104,2302016Revenue 2017: $945,020Expenses 2017: $854,077Net Income 2017: $90,9432017Revenue 2018: $1,272,785Expenses 2018: $1,268,481Net Income 2018: $4,3042018Revenue 2019: $785,637Expenses 2019: $787,320Net Income 2019: -$1,6832019Revenue 2020: $769,844Expenses 2020: $759,263Net Income 2020: $10,5812020Revenue 2021: $782,856Expenses 2021: $756,190Net Income 2021: $26,6662021Revenue 2022: $5,352,706Expenses 2022: $10,046,731Net Income 2022: -$4,694,0252022Revenue 2023: $6,119,236Expenses 2023: $11,690,619Net Income 2023: -$5,571,3832023Revenue 2024: $7,412,516Expenses 2024: $13,940,989Net Income 2024: -$6,528,4732024

Highlighted filing

2024

Revenue$7,412,516
Expenses$13,940,989
Net Income-$6,528,473

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 21, 2025
Return Version
2024v5.2
Gross Receipts
$7,412,516
Mission and Program Overview

Mission

To operate exclusively for charitable purposes including furthering the charitable purposes of pomerene health foundation and pomerene hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$976,090$1,165,490▲ $189,400
Accounts Receivable$515,509$407,803▼ $107,706
Total Assets$3,635,298$3,492,222▼ $143,076
Other Assets Total$2,143,699$1,918,929▼ $224,770
Liabilities
Other Liabilities$2,151,397$1,930,491▼ $220,906
Total Liabilities$2,151,397$1,930,491▼ $220,906
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,483,901$1,561,731▲ $77,830
Total Net Assets Fund Balance$1,483,901$1,561,731▲ $77,830
Total Liabilities and Net Assets / Fund Balance$3,635,298$3,492,222▼ $143,076

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,918,929--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Tracy SmithSecretary$124,197$124,197
Jason RohrTreasurer Partial Term$64,680$64,680

Board Members and Trustees

NameTitle
Jason JustusChair/president
Tia CernavaVice President

Highest Paid Contractors

ContractorServicesLocationCompensation
Pomerene Emergency PhysiciansPhysician Services2624 MACNAUGHTEN RD NW, North Canton, OH 44720$2,079,613
Barrett Pain AsssociatesPain Management844 BOULEVARD ST, Dover, OH 44622$1,121,776
Anesthesia Care Of Union HospitalPhysician Services5480 GORDON WAY, Dublin, OH 43017$358,580
Wooster Orthopaedics & Sports MedicineAnesthesia Services17351 TALL TREE TRAIL, Millersburg, OH 44023$288,410
-Orthopaedics Coverage Services3373 COMMERCE PKWY STE 2, Wooster, OH 44691$219,600
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$7,412,516
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-6,528,473
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$13,940,989
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$10,448,974$997,421-$11,446,395
Occupancy$737,450$5,558-$743,008
Office Expenses$126,892$957-$127,849
Insurance$92,040$694-$92,734
Travel$50,565$381-$50,946
Other Expenses$31,361$236-$31,597
Advertising$282$2-$284
All Other Expenses$172$1-$173
Total Functional Expenses$12,924,906$1,016,083$0$13,940,989
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Rou Liability$1,930,491
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8B

There are no committees to document.

Form 990, Part VI, Section B, Line 11B

The process of reviewing the form 990 entails a detailed review by the organization's accounting department. The governing body receives an electronic copy of the form 990 including requested schedules, as ultimately filed with the irs, for review and approval prior to filing with the irs.

Form 990, Part VI, Section B, Line 12C

Upon appointment, and thereafter, annually, through signed acknowledgment of the conflict of interest agreement, or at the time when an actual or potential conflict of interest may arise, each covered person must identify and disclose at any meeting all material facts and details relating to the actual or potential conflict of interest so that the disinterested pomerene decision makers are able to make an objective, business determination, consistent with pomerene's mission and purpose. Any covered person with an actual or potential conflict of interest must not vote or use his/her personal influence with respect to any vote or action taken by pomerene decision makers voting on the proposed matter, contract, transaction, or business arrangement.

Form 990, Part VI, Section C, Line 19

The documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Health Professionals of Holmes County
EIN
30-0329769
Phone
3306741015
Address
981 WOOSTER RD, MILLERSBURG, OH 44654

Signing Officer

Name
Tia Cernava
Title
Chief Financial Officer
Phone
3306741015
Signed
2025-10-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tia Cernava
Formed
2005
Legal Domicile
Oh
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
56

Preparer

Firm
Blue & Co LLC
Address
500 N MERIDIAN ST SUITE 200, INDIANAPOLIS, IN 46204
Preparer
Emilie M Knieriem CPA
Phone
3176334705
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other medical professionals: program service expenses 8,771,395. Management and general expenses 837,285. Fundraising expenses 0. Total expenses 9,608,680. Professional fees - pain mgmt: program service expenses 756,866. Management and general expenses 72,248. Fundraising expenses 0. Total expenses 829,114. Professional fees - ob/gyn: program service expenses 920,713. Management and general expenses 87,888. Fundraising expenses 0. Total expenses 1,008,601.

FORM 990, PART XI, LINE 9:

Transfer from affiliate 6,606,303.

FORM 990, PART XII, LINE 2C:

The finance manager, staff accountant, and financial analyst provide requested data to the auditors. The auditor's findings are reviewed and presented to the cfo for approval. The process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability if an uncertain position has been taken that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by these entities and has concluded that as of december 31, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. The organization is required to file federal form 990 return of organization exempt from income tax, which is an information return only. The organization is subject to routine audits by taxing jurisdictions. However, as of the date the consolidated financial statements were available to be issued, there were no audits for any tax periods in progress. These income tax returns are generally open to examination by the relevant taxing authorities for a period of three years from the later of the date the return was filed or its due date (including approved extensions). The organization has filed its applicable federal income tax returns for periods through december 31, 2023. These income tax returns are generally open to examination by the relevant taxing authorities for a period of three years from the later of the date the return was filed or its due date (including approved extensions).

Raw XML AppendixShowing 400 of 480 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt011690619
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt06119236
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-6528473
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt07412516
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt020
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt020
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt07412516
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt06119216
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt05352706
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0782856
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0769844
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt020437138
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt020437158
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt07412516
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt06119236
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt05352706
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0782856
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0769844
IRS990ScheduleA/Total509Grp/TotalAmt020437158
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt07412516
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt06119236
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt05352706
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0782856
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0769844
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt020437158
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt01918929
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0ROU ASSET
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01930491
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ROU LIABILITY
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATION RETURN ONLY. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). THE ORGANIZATION HAS FILED ITS APPLICABLE FEDERAL INCOME TAX RETURNS FOR PERIODS THROUGH DECEMBER 31, 2023. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt01918929
IRS990ScheduleD/TotalLiabilityAmt01930491
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt027360
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt112515
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0318912
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1200992
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt010350
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt16537
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt034100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt121679
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt012712
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt17380
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JASON JUSTUS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1TIA CERNAVA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIR/PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0403434
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1249103
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A RELATED ORGANIZATION (POMERENE HOSPITAL) DETERMINES THE CEO'S COMPENSATION BY USING THE FOLLOWING METHODS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION COMMITTEE -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THERE ARE NO COMMITTEES TO DOCUMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2UPON APPOINTMENT, AND THEREAFTER, ANNUALLY, THROUGH SIGNED ACKNOWLEDGMENT OF THE CONFLICT OF INTEREST AGREEMENT, OR AT THE TIME WHEN AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY ARISE, EACH COVERED PERSON MUST IDENTIFY AND DISCLOSE AT ANY MEETING ALL MATERIAL FACTS AND DETAILS RELATING TO THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO THAT THE DISINTERESTED POMERENE DECISION MAKERS ARE ABLE TO MAKE AN OBJECTIVE, BUSINESS DETERMINATION, CONSISTENT WITH POMERENE'S MISSION AND PURPOSE. ANY COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MUST NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE WITH RESPECT TO ANY VOTE OR ACTION TAKEN BY POMERENE DECISION MAKERS VOTING ON THE PROPOSED MATTER, CONTRACT, TRANSACTION, OR BUSINESS ARRANGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4OTHER MEDICAL PROFESSIONALS: PROGRAM SERVICE EXPENSES 8,771,395. MANAGEMENT AND GENERAL EXPENSES 837,285. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,608,680. PROFESSIONAL FEES - PAIN MGMT: PROGRAM SERVICE EXPENSES 756,866. MANAGEMENT AND GENERAL EXPENSES 72,248. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 829,114. PROFESSIONAL FEES - OB/GYN: PROGRAM SERVICE EXPENSES 920,713. MANAGEMENT AND GENERAL EXPENSES 87,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,008,601.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5TRANSFER FROM AFFILIATE 6,606,303.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE FINANCE MANAGER, STAFF ACCOUNTANT, AND FINANCIAL ANALYST PROVIDE REQUESTED DATA TO THE AUDITORS. THE AUDITOR'S FINDINGS ARE REVIEWED AND PRESENTED TO THE CFO FOR APPROVAL. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0POMERENE HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0POMERENE HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1POMERENE HEALTH FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0311518658
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1475317369
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1FUNDRAISING
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 12B, II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0981 WOOSTER RD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt1981 WOOSTER RD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MILLERSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1MILLERSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd044654
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd144654
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd01
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd01
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH

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