Civic Intelligence

Pomerene Hospital Fka Joel Pomerene Foundation

990 • Fiscal year 2017 • EIN 31-1518658

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 15, 2018

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

34th percentile

0.12x

Higher debt load relative to assets than 34% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

21st percentile

0.09x

Higher debt load relative to revenue than 21% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

23rd percentile

-3.3%

Higher net margin than 23% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

75th percentile

$384,790

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

17th percentile

-3.4%

Faster asset growth than 17% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

35th percentile

0.7%

Faster revenue growth than 35% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Down

$28,403,596

Down $986,854 (-3.4%) from 2016

Net Assets

Down

$25,048,239

Down $1,098,491 (-4.2%) from 2016

Liabilities

Up

$3,355,357

Up $111,637 (+3.4%) from 2016

Revenue

Up

$35,640,505

Up $244,062 (+0.7%) from 2016

Expenses

Up

$36,821,501

Up $1,182,984 (+3.3%) from 2016

Net Income

Down

-$1,180,996

Down $938,922 (-388%) from 2016

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

2017

Assets$28,403,596
Liabilities$3,355,357
Net Assets$25,048,239

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

2017

Revenue$35,640,505
Expenses$36,821,501
Net Income-$1,180,996
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 15, 2018
Return Version
2017v2.3
Gross Receipts
$35,640,505
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$10,939,186$10,373,549▼ $565,637
Accounts Receivable$4,570,542$5,092,971▲ $522,429
Savings and Temporary Cash Investments$4,484,127$3,159,451▼ $1,324,676
Inventories for Sale or Use$486,956$514,170▲ $27,214
Prepaid Expenses and Deferred Charges$552,519$490,944▼ $61,575
Cash and Non-Interest-Bearing Accounts$1,033$1,133▲ $100
Total Assets$29,390,450$28,403,596▼ $986,854
Other Assets Total$8,356,087$8,771,378▲ $415,291
Liabilities
Accounts Payable and Accrued Expenses$1,786,096$2,053,445▲ $267,349
Mortgage Notes Payable Secured by Investment Property$1,280,000$1,139,000▼ $141,000
Deferred Revenue$177,624$162,912▼ $14,712
Total Liabilities$3,243,720$3,355,357▲ $111,637
Net Assets / Fund Balance
Unrestricted Net Assets$26,146,730$25,048,239▼ $1,098,491
Total Net Assets Fund Balance$26,146,730$25,048,239▼ $1,098,491
Total Liabilities and Net Assets / Fund Balance$29,390,450$28,403,596▼ $986,854

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,205,427$16,357,303$19,562,730
Buildings$6,498,141$10,749,943$17,248,084
Land$631,987-$631,987
Leasehold Improvements$37,994$54,690$92,684
Other Assets Org$8,771,790--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Alexandros W NicolozakesPhysicianFT$357,035$27,755$384,790
Dr Michael T SchellPhysicianFT$353,664$26,755$380,419
Tony SnyderCEO-$270,000-$270,000
Donna J AugustinePhysicianFT$203,261$11,015$214,276
Jason JustusCFOFT$168,000-$168,000
Dr Zane CraigPhysicianFT$149,937$5,361$155,298
Dwight J McfaddenPhysicianFT$141,119$10,420$151,539

Board Members and Trustees

NameTitle
Dan MathieChairman
Ernest HershbergerVice Chairman
Craig MullerTrustee
Dave FinleyTrustee
Jeremy KauffmanTrustee
Jerry SchlabachTrustee
Leroy YoderTrustee
Mary HoxworthTrustee
Melvin YoderTrustee
Mike StephensTrustee
Roman RaberTrustee
Shasta MastTrustee
Dr Yasser OmranEx-officio
Jane GravenSecretary
Ellie RamseyerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Pomerene Emergency PhysiciansEd Physicians2624 MACNAUGHTEN RD, North Canton, OH 44720$1,912,656
Tri - County AnesthesiaAnesthesia ServicesPO BOX 20451, Columbus, OH 43220$910,752
Fammily PropertiesLeasing Services6214 SR 83, Millersburg, OH 44654$286,321
Alliance ImagingMri ServicesPO BOX 96485, Chicago, OH 60693$212,523
Quest DiagnosticsLaboratory Services12436 COLLECTION CENTER, Chicago, IL 60693$196,354
Revenue and Support

Revenue Composition

Contributions and Grants
$20,006
Program Service Revenue
$34,987,043
Investment Income
$35,126
Other Revenue
$598,330
All Other Contributions
$6
Change in Net Assets
$-1,180,996
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$19,169,051
Salaries, Compensation, and Employee Benefits$17,616,306
Grants and Similar Amounts Paid$36,144
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,277,662$4,779,402-$14,057,064
Fees for Services Other$5,176,197$2,666,525-$7,842,722
Other Employee Benefits$1,727,143$889,740-$2,616,883
Occupancy$1,028,741$529,958-$1,558,699
Depreciation Depletion$909,151$468,351-$1,377,502
Payroll Taxes$621,957$320,402-$942,359
All Other Expenses$244,275$125,839-$370,114
Insurance$198,312$102,161-$300,473
Information Technology$191,295$98,546-$289,841
Travel$159,214$82,020-$241,234
Fees for Services Legal$131,992$67,996-$199,988
Advertising$130,881$67,424-$198,305
Office Expenses$129,561$66,743-$196,304
Other Expenses$88,913$45,803-$134,716
Fees for Services Accounting$65,139$33,556-$98,695
Grants to Domestic Orgs$36,144--$36,144
Conferences and Meetings$6,893$3,551-$10,444
Interest$172$89-$261
Total Functional Expenses$24,906,049$11,915,452$0$36,821,501
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Loudonville-perrysville School DistrictLoudonville, OH501c3Community Support$6,021
Holmes County Economic DevelopmentMillersburg, OH501c3Community Support$5,000
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
2018-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jason Justus
Formed
1937
Legal Domicile
Oh
Voting Board Members
16
Independent Board Members
15
Employees
419
Volunteers
53

Preparer

Firm
Blue & Co LLC
Address
9200 WORTHINGTON RD STE 200, WESTERVILLE, OH 43082
Preparer
Nancy Kirchner
Phone
6148852583
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Professional fees: program service expenses 4,004,032. Management and general expenses 2,062,683. Fundraising expenses 0. Total expenses 6,066,715. Purchased services: program service expenses 1,172,165. Management and general expenses 603,842. Fundraising expenses 0. Total expenses 1,776,007.

Form 990, Part XII, Line 2C

The process has not changed from the prior 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, 2017, 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, 2016 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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