Civic Intelligence

Coshocton County Memorial Hospital Association

990 • Fiscal year 2013 • EIN 31-4387577

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 17, 2014

Organization ProfileWWW.CCMH.COM

View Organization Page

1460 Orange Street43812

(740) 623-4144

Siviq Scores

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

Liabilities / Assets

71st percentile

0.57x

Higher debt load relative to assets than 71% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Liabilities / Revenue

43rd percentile

0.36x

Higher debt load relative to revenue than 43% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Net Margin

34th percentile

0.6%

Higher net margin than 34% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Top Officer Pay

76th percentile

$663,241

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2013

Asset Growth

24th percentile

-0.2%

Faster asset growth than 24% of similar nonprofits.

2013 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

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

Source year 2013

Balance Sheet
Liabilities / Assets71st percentile

Assets

Down

$44,190,893

Down $73,315 (-0.2%) from 2012

Net Assets

Up

$18,930,520

Up $841,248 (+4.7%) from 2012

Liabilities

Down

$25,260,373

Down $914,563 (-3.5%) from 2012

Revenue And Expenses
Liabilities / Revenue43rd percentileNet Margin34th percentile

Revenue

$69,421,852

No earlier filing loaded for comparison.

Expenses

Down

$69,006,448

Down $801,567 (-1.1%) from 2012

Net Income

$415,404

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth24th percentile

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

$60M$40M$20M$0Assets 2010: $45,755,141Liabilities 2010: $18,359,235Net Assets 2010: $27,395,9062010Assets 2011: $45,807,944Liabilities 2011: $21,289,313Net Assets 2011: $24,518,6312011Assets 2012: $44,264,208Liabilities 2012: $26,174,936Net Assets 2012: $18,089,2722012Assets 2013: $44,190,893Liabilities 2013: $25,260,373Net Assets 2013: $18,930,5202013Assets 2014: $39,281,053Liabilities 2014: $26,292,734Net Assets 2014: $12,988,3192014Assets 2015: $38,451,722Liabilities 2015: $30,399,386Net Assets 2015: $8,052,3362015

Highlighted filing

2013

Assets$44,190,893
Liabilities$25,260,373
Net Assets$18,930,520
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$80M$60M$40M$20M$0-$20MExpenses 2010: $61,724,4362010Expenses 2011: $62,603,9842011Expenses 2012: $69,808,0152012Revenue 2013: $69,421,852Expenses 2013: $69,006,448Net Income 2013: $415,4042013Revenue 2014: $61,332,463Expenses 2014: $67,274,664Net Income 2014: -$5,942,2012014Revenue 2015: $54,979,271Expenses 2015: $59,996,171Net Income 2015: -$5,016,9002015

Highlighted filing

2013

Revenue$69,421,852
Expenses$69,006,448
Net Income$415,404
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 17, 2014
Return Version
2013v3.0
Gross Receipts
$69,447,667
Mission and Program Overview

Mission

To deliver quality, kindess and respect...every person, every time.

Coshocton county memorial hospital operates in a manner consistent with the requirements of revenue ruling 69-545, through its provision of health care services to the community, regardless of ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$28,726,838$25,543,891▼ $3,182,947
Accounts Receivable$8,887,780$8,761,434▼ $126,346
Investments in Publicly Traded Securities$4,211,578$4,395,524▲ $183,946
Prepaid Expenses and Deferred Charges$249,039$2,395,461▲ $2,146,422
Savings and Temporary Cash Investments$1,059,509$0▼ $1,059,509
Inventories for Sale or Use$659,777$957,311▲ $297,534
Cash and Non-Interest-Bearing Accounts$4,080$0▼ $4,080
Total Assets$44,264,208$44,190,893▼ $73,315
Other Assets Total$465,607$2,137,272▲ $1,671,665
Liabilities
Accounts Payable and Accrued Expenses$9,384,182$11,660,894▲ $2,276,712
Mortgage Notes Payable Secured by Investment Property$10,705,754$6,978,640▼ $3,727,114
Tax Exempt Bond Liabilities$6,085,000$6,620,839▲ $535,839
Total Liabilities$26,174,936$25,260,373▼ $914,563
Net Assets / Fund Balance
Unrestricted Net Assets$17,495,291$18,303,076▲ $807,785
Temporarily Rstr Net Assets$518,981$552,444▲ $33,463
Permanently Rstr Net Assets$75,000$75,000→ $0
Total Net Assets Fund Balance$18,089,272$18,930,520▲ $841,248
Total Liabilities and Net Assets / Fund Balance$44,264,208$44,190,893▼ $73,315

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$16,248,741$23,719,317$39,968,058
Equipment$8,533,718$30,625,392$39,159,110
Land$761,432-$761,432

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$75,000-▲ $378$378$75,000
2012$75,000-▲ $4,296$4,296$75,000
2011$75,000-▲ $5,960$5,960$75,000
2010$75,000-▲ $7,852$7,852$75,000
Compensation and Service Providers
Top Officer Pay76th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Clayton GibsonPhysicianFT$576,216$87,025$663,241
Dr Paul PriorPhysicianFT$394,802$68,593$463,395
Dr Raymond VotypkaPhysicianFT$333,182$86,899$420,081
Dr Mark HoltPhysicianFT$362,778$38,249$401,027
Dr David RosadoPhysicianFT$307,081$58,861$365,942
Robert MillerCEOFT$184,506$18,079$202,585
Scott SilvestriCFOFT$126,076$12,483$138,559

Board Members and Trustees

NameTitle
Max CrownChairperson
Jim BrownPast President
Diane JonesVice Chairperson
Amy HassemanMember
Dr Tammy AlversonMember
Jason GivenMember
Matt PerryMember
Sharon PolandMember
Stacy GuilliamsMember
Jason BradfordSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Coshocton Anesthesia AssocAnesthesia Services-$800,802
OmctcPhysician Services-$383,535
Preferred Associates Of PathologyPhysician Services-$182,493
-Pathology Services-$148,526
-Physician Services-$108,199
Revenue and Support

Revenue Composition

Contributions and Grants
$67,989
Program Service Revenue
$65,086,419
Investment Income
$313,099
Other Revenue
$3,954,345
All Other Contributions
$67,989
Change in Net Assets
$415,404
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$34,904,438
Salaries, Compensation, and Employee Benefits$34,102,010
Total Fundraising Expense$29,815
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$21,079,356$3,431,523-$24,510,879
Fees for Services Other$8,546,007$1,391,211-$9,937,218
Office Expenses$6,533,967$1,033,854$29,815$7,597,636
Other Employee Benefits$6,330,678$1,030,576-$7,361,254
Depreciation Depletion$3,325,118$541,298-$3,866,416
Payroll Taxes$1,528,757$248,867-$1,777,624
Occupancy$1,222,598$199,028-$1,421,626
Insurance$902,917$146,986-$1,049,903
Information Technology$828,605$134,889-$963,494
Other Expenses$675,711$110,000-$785,711
Interest$418,506$68,129-$486,635
Pension Plan Contributions$388,938$63,315-$452,253
Fees for Services Legal$355,999$57,953-$413,952
Advertising$185,276$30,161-$215,437
Travel$183,042$29,797-$212,839
Fees for Services Accounting$107,199$17,451-$124,650
Total Functional Expenses$59,345,546$9,631,087$29,815$69,006,448
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$44,785
Fundraising Direct Expenses$25,815
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$44,785$44,785$45$44,740
Total Events$44,785$44,785$25,815$18,970
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Matt PerryServed on Board and Is CEO of GenesisThe Hospital Has a Management Contract With GenesisNo-
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 11

“Review of form 990 is done by the cfo.”

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

“The policies are viewed annually by the board. Each board member signs a conflict of interest policy and confidentiality policy as well as participating in conflict management education. The executive secretary obtains all signed copies by the board members. Any conflicts that arise during the year are directed to the board chairperson.”

Form 990, Part VI, Section B, Line 15

“The ceo's compensation is determined by a write up from management performance international (mpi). The other compensation is determined by salary surveys by mpi and data from the ohio hospital association (oha). The human resource director and ceo review those determinations.”

Form 990, Part VI, Section C, Line 19

“The organization does not make these documents available to the public.”

Filing and Contact Details

Filer

EIN
31-4387577
Phone
7406234144

Signing Officer

Name
Scott Silvestri
Title
CFO
Phone
7406234144
Signed
2014-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Scott Silvestri
Formed
1946
Legal Domicile
Oh
Voting Board Members
10
Independent Board Members
9
Employees
615
Volunteers
65

Preparer

Preparer
Nancy Kirchner
Phone
6148852583
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Medical professional fees: program service expenses 8,546,007. Management and general expenses 1,391,211. Fundraising expenses 0. Total expenses 9,937,218.”

FORM 990, PART XI, LINE 9:

“Other -65,246. Amount attributed to non-controlling interest 16,389. Change in temporarily restricted net assets 68,367. Fundraising expenses 25,815.”

Form 990, Part XI, Line 2C

“No change from prior year.”

Financial Statement Notes

PART V, LINE 4:

“The intended purpose of the endowmwnt is to provide unrestricted income.”

PART X, LINE 2:

“Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken 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, 2013 and 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. The entities are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”

Raw XML AppendixShowing 400 of 903 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/OccupancyGrp/ProgramServicesAmt01222598
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt01033854
IRS990/OfficeExpensesGrp/ProgramServicesAmt06533967
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IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt021079356
IRS990/OtherSalariesAndWagesGrp/TotalAmt024510879
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IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0248867
IRS990/PayrollTaxesGrp/ProgramServicesAmt01528757
IRS990/PayrollTaxesGrp/TotalAmt01777624
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt063315
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0388938
IRS990/PensionPlanContributionsGrp/TotalAmt0452253
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt075000
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt075000
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0249039
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt02395461
IRS990/PrincipalOfficerNm0SCOTT SILVESTRI
IRS990/ProfessionalFundraisingInd00
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IRS990/ProgramServiceRevenueGrp/Desc0PATIENT SERVICE REVENUE
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt065086419
IRS990/ProgSrvcAccomActy2Grp/Desc0LABORATOY- 282,532 CHARGES BILLED IN 2013
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt02907000
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt017688000
IRS990/ProgSrvcAccomActy3Grp/Desc0EMERGENCY DEPARTMENT- 23,913 VISITS IN 2013
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt02420000
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt08911000

Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$44,190,893
Liabilities
$25,260,373
Net assets
$18,930,520
Revenue
$69,421,852
Expenses
$69,006,448
Net income
$415,404
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$38.5$30.4$8.05$55.0$60.0$5.02
2014Detailed filing. Detailed filing data is available for this year.$39.3$26.3$13.0$61.3$67.3$5.94
2013Detailed filing. Detailed filing data is available for this year.$44.2$25.3$18.9$69.4$69.0$0.42
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$44.3$26.2$18.1$69.8
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$45.8$21.3$24.5$62.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$45.8$18.4$27.4$61.7
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2013 filings • 501(c)3 • $50M-$100M nonprofits