Civic Intelligence

Pomerene Hospital Fka Joel Pomerene Foundation

990 • Fiscal year 2016 • EIN 31-1518658

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

Refreshing map…

981 Wooster RdMillersburg, OH 44654-1094

(330) 674-1015

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

32nd percentile

0.11x

Higher debt load relative to assets than 32% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

19th percentile

0.09x

Higher debt load relative to revenue than 19% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

33rd percentile

-0.7%

Higher net margin than 33% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

82nd percentile

$476,596

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Assets

Up

$29,390,450

Up $28,584,618 (+3547%) from 2010

Net Assets

Up

$26,146,730

Up $25,341,472 (+3147%) from 2010

Liabilities

Up

$3,243,720

Up $3,243,146 (+565008%) from 2010

Revenue

$35,396,443

No earlier filing loaded for comparison.

Expenses

Up

$35,638,517

Up $35,621,995 (+215603%) from 2010

Net Income

-$242,074

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0Assets 2010: $805,832Liabilities 2010: $574Net Assets 2010: $805,2582010Assets 2016: $29,390,450Liabilities 2016: $3,243,720Net Assets 2016: $26,146,7302016Assets 2017: $28,403,596Liabilities 2017: $3,355,357Net Assets 2017: $25,048,2392017Assets 2018: $28,715,628Liabilities 2018: $3,495,578Net Assets 2018: $25,220,0502018Assets 2019: $28,007,755Liabilities 2019: $3,840,832Net Assets 2019: $24,166,9232019Assets 2020: $38,025,678Liabilities 2020: $7,756,075Net Assets 2020: $30,269,6032020Assets 2021: $43,116,892Liabilities 2021: $4,121,128Net Assets 2021: $38,995,7642021Assets 2022: $48,216,274Liabilities 2022: $5,184,999Net Assets 2022: $43,031,2752022Assets 2024: $33,820,684Liabilities 2024: $4,425,879Net Assets 2024: $29,394,8052024

Highlighted filing

2016

Assets$29,390,450
Liabilities$3,243,720
Net Assets$26,146,730

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $16,5222010Revenue 2016: $35,396,443Expenses 2016: $35,638,517Net Income 2016: -$242,0742016Revenue 2017: $35,640,505Expenses 2017: $36,821,501Net Income 2017: -$1,180,9962017Revenue 2018: $36,941,939Expenses 2018: $36,873,553Net Income 2018: $68,3862018Revenue 2019: $36,354,677Expenses 2019: $37,420,236Net Income 2019: -$1,065,5592019Revenue 2020: $43,639,913Expenses 2020: $37,487,870Net Income 2020: $6,152,0432020Revenue 2021: $49,807,807Expenses 2021: $41,100,457Net Income 2021: $8,707,3502021Revenue 2022: $39,482,839Expenses 2022: $35,424,976Net Income 2022: $4,057,8632022Revenue 2024: $43,423,887Expenses 2024: $41,805,302Net Income 2024: $1,618,5852024

Highlighted filing

2016

Revenue$35,396,443
Expenses$35,638,517
Net Income-$242,074
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$35,396,443
Mission and Program Overview

Mission

Holmes county's community hospital. We provide high-quality, cost effective healthcare services to our community.

We will be a leader and partner in providing high quality , cost effective health care for all residents of greater Holmes County.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$476,467$10,939,186▲ $10,462,719
Accounts Receivable-$4,570,542-
Savings and Temporary Cash Investments$567,638$4,484,127▲ $3,916,489
Prepaid Expenses and Deferred Charges-$552,519-
Inventories for Sale or Use-$486,956-
Cash and Non-Interest-Bearing Accounts$5,023$1,033▼ $3,990
Total Assets$1,049,128$29,390,450▲ $28,341,322
Other Assets Total$0$8,356,087▲ $8,356,087
Liabilities
Accounts Payable and Accrued Expenses-$1,786,096-
Mortgage Notes Payable Secured by Investment Property$158,333$1,280,000▲ $1,121,667
Deferred Revenue-$177,624-
Other Liabilities$-1,540$0▲ $1,540
Total Liabilities$156,793$3,243,720▲ $3,086,927
Net Assets / Fund Balance
Unrestricted Net Assets$892,335$26,146,730▲ $25,254,395
Total Net Assets Fund Balance$892,335$26,146,730▲ $25,254,395
Total Liabilities and Net Assets / Fund Balance$1,049,128$29,390,450▲ $28,341,322

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,333,771$12,855,370$20,189,141
Equipment$2,973,197$12,884,745$15,857,942
Land$631,987-$631,987
Leasehold Improvements$231$51,402$51,633
Other Assets Org$8,049,737--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Dr Alexandros W NicolozakesPhysicianFT$476,596$476,596
Dr Michael T SchellPhysicianFT$361,385$361,385
Tony SnyderCEO-$346,375$346,375
Donna J AugustinePhysicianFT$226,792$226,792
Jason JustusCFOFT$219,191$219,191
Dwight J McFaddenPhysicianFT$159,397$159,397
Brenda K StallmanPhysicianFT$139,513$139,513

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Pomerene Emergency PhysiciansED Physicians2624 MacNaughten Rd, North Canton, OH 44720$1,911,000
Tri - County AnesthesiaAnesthesia ServicesPO BOX 20451, Columbus, OH 43220$993,520
Alliance ImagingMRI ServicesPO BOX 96485, Chicago, OH 60693$303,772
Fammily PropertiesLeasing Services6214 SR 83, Millersburg, OH 44654$286,321
Bricker Eckler LLPLegal Services100 S Third Street, Columbus, OH 43215$202,799
Revenue and Support

Revenue Composition

Contributions and Grants
$96,739
Program Service Revenue
$34,693,438
Investment Income
$33,768
Other Revenue
$572,498
All Other Contributions
$45,989
Change in Net Assets
$-242,074
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,632,914
Salaries, Compensation, and Employee Benefits$16,990,378
Grants and Similar Amounts Paid$15,225
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,939,924$4,605,415-$13,545,339
Fees for Services Other$5,119,816$2,637,482-$7,757,298
Other Employee Benefits$1,694,497$872,922-$2,567,419
Occupancy$1,060,674$546,408-$1,607,082
Depreciation Depletion-$1,340,651-$1,340,651
Payroll Taxes$579,229$298,391-$877,620
All Other Expenses$191,279$98,537-$289,816
Information Technology$180,063$92,760-$272,823
Fees for Services Legal$167,522$86,299-$253,821
Insurance$151,485$78,038-$229,523
Office Expenses$149,180$76,850-$226,030
Travel$142,940$73,636-$216,576
Other Expenses$139,906$72,073-$211,979
Advertising$103,536$53,337-$156,873
Fees for Services Accounting$40,587$20,909-$61,496
Grants to Domestic Individuals$15,225--$15,225
Conferences and Meetings$6,671$3,436-$10,107
Interest$330$170-$500
Total Functional Expenses$22,641,768$12,996,749$0$35,638,517
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
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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 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 acknowledgement of the conflict of interest agreement, or at the time when an actual or potential conflict of interest may arise, the 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 B, line 15

the board of trustees conducts a periodic review of the chief executive officer's performance and compensation during an executive session of the board.

Form 990, Part VI, Section C, line 19

documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Pomerene Hospital
EIN
31-1518658
Phone
3306741015
Address
981 Wooster Rd, MILLERSBURG, OH 44654-1094

Signing Officer

Name
Jason Justus
Title
Chief Financial Officer
Phone
3306741015
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jason Justus
Formed
1937
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
13
Employees
414
Volunteers
56

Preparer

Firm
Blue & Co LLC
Address
8800 Lyra Drive Suite 450, Columbus, OH 43240
Preparer
Nancy Kirchner
Phone
6148852583
Supplemental Narrative

Additional Explanations

Form 990, Part III, line 2

Not-for-profit hospital that provided accute care inpatient and outpatient services to the Holmes County area. We provided this through Medcial, Surgical, Maternal, and Nursery inpatient services. Outpatient services include Laboratory, Radiogly, Rehabiltation, Respiratory Services. Pomerene Hospital provided 11,938 ED visits, 1,984 Inpatient Discharge, and 42,841 Outpatient Regisrations.

Form 990, Part IX, line 11G

Professional Fees: Program service expenses 3,987,129. Management and general expenses 2,053,976. Fundraising expenses 0. Total expenses 6,041,105. Purchased Services: Program service expenses 1,132,687. Management and general expenses 583,506. Fundraising expenses 0. Total expenses 1,716,193.

Form 990, Part XI, line 9:

assets transfer from prior hospital entity 25,447,159.

Form 990, Part XII, Line 2C:

The process has not changed from the previous year.

Financial Statement Notes

Part X, Line 2:

The Hospital, Foundation and HPHC are organized as tax-exempt organizations under Section 501(c)(3) of the Internal Revenue Code. 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, 2016, 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 has filed all required federal and state income tax returns for periods through December 31, 2015 and is subject to routine audits by taxing jurisdictions. However, as of the date the 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).

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IRS990/Desc0THE JOEL POMERENE FOUNDATION PROVIDES SUPPORT TO THE HOLMES COUNTY COMMUNITY AND POMERENE HOSPITAL BY OFFERING HEALTHCARE SCHOLARSHIPS FOR LOCAL RESIDENTS, AND EMERGENCY MEDICATION FUND TO PATIENTS IN NEED, AND SPECIAL HOSPITAL REQUESTS FOR EQUIPMENT AND SUPPLIES THAT MAY ARISE.
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IRS990/Form990PartVIISectionAGrp/PersonNm14Jason Justus
IRS990/Form990PartVIISectionAGrp/PersonNm15Dr Alexandros W Nicolozakes
IRS990/Form990PartVIISectionAGrp/PersonNm16Dr Michael T Schell
IRS990/Form990PartVIISectionAGrp/PersonNm17Donna J Augustine
IRS990/Form990PartVIISectionAGrp/PersonNm18Dwight J McFadden
IRS990/Form990PartVIISectionAGrp/PersonNm19Brenda K Stallman
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IRS990/Form990PartVIISectionAGrp/TitleTxt1TrusTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt5Vice Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt6Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt7Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt8Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt9Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt10Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt11Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt12CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt13Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO
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IRS990/Form990PartVIISectionAGrp/TitleTxt16Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt17Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt18Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt19Physician
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0Holmes County's community hospital. We provide high-quality, cost effective healthcare services to our community.
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IRS990/ProgSrvcAccomActyOtherGrp/GrantAmt015225
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IRS990/PYBenefitsPaidToMembersAmt00

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