Civic Intelligence

Aultman Hospital

990 • Fiscal year 2013 • EIN 34-0714538

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

2600 Sixth Street SWSuite44710

(330) 363-6352

Siviq Scores

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

Liabilities / Assets

29th percentile

0.20x

Higher debt load relative to assets than 29% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Liabilities / Revenue

13th percentile

0.14x

Higher debt load relative to revenue than 13% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Net Margin

25th percentile

0.5%

Higher net margin than 25% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Top Officer Pay

34th percentile

$661,626

Higher top officer pay than 34% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2013 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2013

Asset Growth

39th percentile

4.6%

Faster asset growth than 39% of similar nonprofits.

2013 filings • 501(c)3 • $250M-$1B 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

Assets

Up

$319,858,747

Up $14,091,287 (+4.6%) from 2012

Net Assets

Up

$254,755,115

Up $8,707,884 (+3.5%) from 2012

Liabilities

Up

$65,103,632

Up $5,383,403 (+9.0%) from 2012

Revenue

$470,014,381

No earlier filing loaded for comparison.

Expenses

Down

$467,580,031

Down $5,060,681 (-1.1%) from 2012

Net Income

$2,434,350

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.

$400M$300M$200M$100M$0Assets 2010: $372,884,164Liabilities 2010: $40,697,018Net Assets 2010: $332,187,1462010Assets 2011: $310,198,352Liabilities 2011: $44,395,791Net Assets 2011: $265,802,5612011Assets 2012: $305,767,460Liabilities 2012: $59,720,229Net Assets 2012: $246,047,2312012Assets 2013: $319,858,747Liabilities 2013: $65,103,632Net Assets 2013: $254,755,1152013Assets 2014: $294,605,024Liabilities 2014: $64,636,533Net Assets 2014: $229,968,4912014

Highlighted filing

2013

Assets$319,858,747
Liabilities$65,103,632
Net Assets$254,755,115

Operations Trend

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

$600M$400M$200M$0Expenses 2010: $430,679,7222010Expenses 2011: $462,053,9642011Expenses 2012: $472,640,7122012Revenue 2013: $470,014,381Expenses 2013: $467,580,031Net Income 2013: $2,434,3502013Revenue 2014: $463,252,489Expenses 2014: $448,243,961Net Income 2014: $15,008,5282014

Highlighted filing

2013

Revenue$470,014,381
Expenses$467,580,031
Net Income$2,434,350
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 17, 2014
Return Version
2013v3.1
Gross Receipts
$470,014,381
Mission and Program Overview

Mission

Aultman hospital's mission is to lead our community to improved health. Aultman hospital has been meeting the health care needs of stark and surrounding counties for more than 120 years. Aultman cares for all patients, regardless of their ability to pay. Aultman continuously invests in facilities and technology to improve patient care. Aultman provides educational opportunities for students in high school, college, medical school and residency programs. Through outreach efforts including the working on wellness (wow) mobile health-fair unit, aultman offers health and wellness education for our community. Aultman is one of the lowest-cost health care providers in northeastern ohio, helping local businesses stay financially healthy and maintain good jobs in our community. For the 19th consecutive year, aultman hospital earned the national research corporation "consumer choice award" and was named canton's most preferred hospital for overall quality and image.

The mission statement of aultman hospital is to "lead our community to improved health."

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$231,079,999$232,191,134▲ $1,111,135
Accounts Receivable$51,662,576$45,769,947▼ $5,892,629
Savings and Temporary Cash Investments$8,549,672$7,729,303▼ $820,369
Prepaid Expenses and Deferred Charges$3,394,084$3,756,270▲ $362,186
Inventories for Sale or Use$2,843,275$2,533,888▼ $309,387
Investments in Publicly Traded Securities$2,117,485$2,110,122▼ $7,363
Investments Program Related$1,810,019$1,739,426▼ $70,593
Other Notes and Loans Receivable, Net$19,854$0▼ $19,854
Cash and Non-Interest-Bearing Accounts$17,165$17,648▲ $483
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$305,767,460$319,858,747▲ $14,091,287
Other Assets Total$4,273,331$24,011,009▲ $19,737,678
Liabilities
Accounts Payable and Accrued Expenses$50,689,104$46,486,783▼ $4,202,321
Unsecured Notes Loans Payable$6,502,508$15,808,711▲ $9,306,203
Other Liabilities$2,528,617$2,808,138▲ $279,521
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$59,720,229$65,103,632▲ $5,383,403
Net Assets / Fund Balance
Unrestricted Net Assets$243,348,183$250,832,006▲ $7,483,823
Temporarily Rstr Net Assets$2,300,247$3,209,995▲ $909,748
Permanently Rstr Net Assets$398,801$713,114▲ $314,313
Total Net Assets Fund Balance$246,047,231$254,755,115▲ $8,707,884
Total Liabilities and Net Assets / Fund Balance$305,767,460$319,858,747▲ $14,091,287

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$85,437,171$193,747,009$279,184,180
Buildings$77,847,454$71,090,389$148,937,843
Other Land Buildings$40,507,871$7,887,720$48,395,591
Land$28,398,638-$28,398,638
Leasehold Improvements$0--
Other Assets Org$1,339,990--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$722,589-▼ $4,282-$712,465
2012$696,799-▲ $31,857-$722,589
2011$681,425-▲ $20,946-$696,799
2010$668,598$100▲ $18,235-$681,425
2009$532,238$118,967▲ $22,208-$668,598
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Prabhcharan P Gill MdPhysicianFT$544,357$117,269$661,626
Timothy E Mcdaniel MdPhysicianFT$521,935$131,002$652,937
Michael a Krew MdPhysicianFT$542,278$72,996$615,274
Christopher E RemarkDirector/CEO-ahFT$332,991$48,072$381,063
Allison M Oprandi MdPhysicianFT$310,777$46,499$357,276
Lori L MertesChief Quality Officer/physcnFT$267,500$32,331$299,831
Susan E MercerVP-medical EducationFT$247,717$31,653$279,370
Steven D GrossmanPhysicianFT$234,233$40,622$274,855
Anne M GuntherDirector/CNOFT$222,101$33,776$255,877
William Wallace MdSecretary and Treasurer-$15,000-$15,000
TIMOTHY O'TOOLE MDDirector-$10,525$1,125$11,650
Robert W Sabota MdDirector--$4,800$4,800

Board Members and Trustees

NameTitle
Jeffery Miller MdChair
Edward J Roth IiiCEO and President - Ahf
Barbara Hammontree BennettVice Chair
Brian S BeldenDirector
Denise HillDirector
Harry C MacnealyDirector
John B Humphrey Jr MdDirector
Louis G Shaheen MdDirector
Nate J CooksDirector
Peggy R ClaytonDirector
Rick L HainesDirector
T Stephen GregoryDirector
Milan R Dopirak MdDirector/physician
Mark D WrightChief Financial Officer - Ahf
Eileen F GoodSenior VP-clinical Advocacy
Robert C MolnarVP-physician Services

Highest Paid Contractors

ContractorServicesLocationCompensation
Brewer-garrett CompanyContracting-$12,671,273
Canton Medical Education FoundationPhysician Services-$2,072,705
Pulmonary Physicians INCPhysician Services-$1,171,278
Perinatal PediatricPhysician Services-$1,094,421
W W Grainger INCContracting-$973,846
Revenue and Support

Revenue Composition

Contributions and Grants
$2,068,000
Program Service Revenue
$448,715,594
Investment Income
$24,142
Other Revenue
$19,206,645
All Other Contributions
$2,068,000
Change in Net Assets
$2,434,350

Audited Revenue Reconciliation

Revenue per Audited Statements
$445,632,569
Revenue Not Reported on Financial Statements
$24,381,812
Revenue Not Reported on Form 990
$4,514,158
Other Revenue Adjustments
$24,381,812
Total Revenue per Audited Statements
$450,146,727
Total Revenue per Form 990
$470,014,381
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$235,860,641
Other Expenses$231,240,223
Grants and Similar Amounts Paid$479,167
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$141,274,912$31,011,566-$172,286,478
Other Employee Benefits$34,606,350$7,596,516-$42,202,866
Fees for Services Other$26,194,283$5,749,965-$31,944,248
Payments to Affiliates$19,213,819$4,217,668-$23,431,487
Office Expenses$17,763,199$3,899,239-$21,662,438
Depreciation Depletion$16,994,202$3,730,435-$20,724,637
Payroll Taxes$11,235,252$2,466,275-$13,701,527
Occupancy$9,673,123$2,123,368-$11,796,491
Other Expenses$5,504,678$1,208,344-$6,713,022
Pension Plan Contributions$5,244,871$1,151,313-$6,396,184
Advertising$1,602,143$351,690-$1,953,833
Information Technology$1,442,461$316,638-$1,759,099
All Other Expenses$1,421,568$312,051-$1,733,619
Fees for Services Legal$1,380,467$303,029-$1,683,496
Travel$1,138,109$249,829-$1,387,938
Current Officers, Directors, Trustees, and Key Employees$1,044,341$229,245-$1,273,586
Grants to Domestic Orgs$479,167--$479,167
Conferences and Meetings$149,740$32,870-$182,610
Interest$39,994$8,779-$48,773
Fees for Service Investment Mgmnt Fees$4,790$1,051-$5,841
Fees for Services Accounting$656$144-$800
Total Functional Expenses$402,208,191$65,371,840$0$467,580,031

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$467,580,031
Total Expenses per Audited Statements$448,564,748
Expenses per Audited Statements$443,198,219
Expenses Not Reported on Financial Statements$24,381,812
Other Expense Adjustments$24,381,812
Expenses Not Reported on Form 990$5,366,529
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
34-1476938-501(c)(3)Support$96,667
34-1595372-501(c)(3)Support$55,000
34-0898576-501(c)(3)Support$49,400
34-0909974-501(c)(3)Support$40,000
34-1369388-501(c)(3)Support$39,459
34-6001829-City of MassillSupport$36,250
31-4441082-501(c)(3)Support$20,000
34-0714392-501(c)(3)Support$19,667
34-6609771-501(c)(3)Support$15,000
34-0129930-501(c)(3)Support$11,174
13-4254191-501(c)(3)Support$5,500
34-1681952-501(c)(3)Support$5,250
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Tiffany Good-witmerFamily Mbr to Eileen GoodWagesNo$202,069
Victoria HainesFamily Mbr to Rick HainesWagesNo$135,391
Elizabeth GoodFamily Mbr to Eileen GoodWagesNo$101,971
Doreen GoodFamily Mbr to Eileen GoodWagesNo$78,008

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Current Portion of Long-term Debt$2,789,250
Interest Rate Swap$18,888
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
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Part VI, Section A, Line 11B

A detail review of the form 990 is performed by an independent cpa firm. Aultman health foundation's finance department carefully reviews and analyzes the tax return. The department reconciles the general ledger amounts to the appropriate schedules on the form 990 and compares those amounts to the audited financial statements. An independent cpa firm also reviews form 990. In addition, the finance department does a comparative analysis to the prior year return. The analysis and reconciliation schedules along with a complete copy of the 990 are provided to the chief financial officer for review and approval. A complete copy of the 990 is then made available to the board of directors through a secured internet portal prior to the filing date.

Part VI, Section B, Line 12C

Aultman hospital's board of directors has a conflict of interest policy. As a result of this policy, each year board memebers, officers, and senior staff complete a form disclosing any conflicts of interest they may have. The compliance officer reviews these disclosure forms and informs the board chairman, and other appropriate officers, of notable conflicts, if any. Those with conflicts are asked to recuse themselves from discussions relating to the conflict.

Part VI, Section B, Line 15A and 15B

Aultman hospital uses the following reference materials for the development of executive compensation: ohio hospital association (oha), mercer integrated health network, including survey data for both hospitals and health plans, and sullivan cotter and associates (sca). Additional sources of salary survey data are available for use where appropriate including compdatasurveys.com, salary.com, and champs. In these cases, the survey is referenced where applicable. Executive performance, wage recommendations and bonus payments are reviewed by the ceo prior to review and approval by the compensation committee of the aultman health foundation board of directors. The ceo's compensation is also reviewed and approved by the compensation committee. The compensation committee of the aultman health foundation board of directors has engaged sullivan cotter & associates, inc., an independent compensation consulting firm for review of executive compensation practices. Aultman hospital uses the following reference materials for the development of physician compensation: medical group management associates (mgma), american medical group association (amga), hospital and healthcare compensation service (hhcs) and sullivan cotter and associates (sca). In addition to salary surveys, aultman hospital also retains an independent consulting firm for physicians compensation services. All physician compensation recommendations are sent to the ceo, vp of physician services, coo, and cno for final approval.

Part VI, Section C, Line 19

Aultman hospital makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

EIN
34-0714538
In Care Of
% MARK WRIGHT
Phone
3303636352

Signing Officer

Name
Mark Wright
Title
CFO
Phone
3303636352
Signed
2014-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Wright
Formed
1935
Legal Domicile
Oh
Voting Board Members
18
Independent Board Members
11
Employees
4,538
Volunteers
536

Preparer

Preparer
Joyce A Dulworth
Phone
3303636352
Supplemental Narrative

Additional Explanations

Governing Body and Management

Aultman hospital is a subsidiary of aultman health foundation (ahf). Part vi, section a, line 1a in 2013, aultman hospital engaged in a restructuring of the board of directors in order to increase the ratio of physicians serving on the board of directors with the goal that having a greater concentration of physician board members will contribute to increased efficiency and focus on the mission of aultman hospital to lead our community to improved health. Part vi, section a, line 1b edward j roth iii, christopher e remark, anne gunther, rick l haines and milan r dopirak md are paid employees of a related organization. William wallace and timothy o'toole perform medical directorship duties for the organization and receive compensation. Part vi, section a, line 6 aultman hospital has a single member, aultman health foundation. Aultman health foundation has a right to participate in aultman hospital's governance and approve significant decisions of the aultman hospital board of directors. Part vi, section a, line 7(a) aultman hospital's sole member, aultman health foundation, has the right to elect the chief executive officer of aultman hospital, who shall be the president of aultman hospital and an ex-officio voting member of the board of directors of aultman hospital. Aultman health foundation also elects its own board members, from which it nominates members for the aultman hospital board of directors. Aultman hospital directors shall be members of the aultman health foundation board of directors. Aultman health foundation also has the power to ratify aultman hospital's board of directors' selection or removal of officers. Part vi, section a, line 7(b) aultman hospital's sole member, aultman health foundation, has the following approval rights, whether reserved to it or subject to approval by it: approval of the annual budget, bylaws, articles of incorporation, borrowing, lending, all mergers and acquisitions, and executive compensation; election of a chief executive officer, who serves as the president of aultman hospital and an ex-officio voting member of aultman hospital's board of directors; ratification of the election and removal of officers, except for vice presidents; and the election of the aultman health foundation directors, from which it nominates directors for aultman hospital's board.

Statement of Revenue Other Revenue Detail

Medicare ehr 4,097,147 medicaid ehr 652,460 the shoppes 1,384,740 fitness and sports medicine 395,528 answering service 298,472 flowers 240,294 parking 163,056 insurance refund 3,333,338 miscellaneous 2,980,157 part ix statement of functional expense line 11g other fees for services professional fees - physician 19,385,345 professional fees - non physicians 1,008,307 service contracts 4,080,605 purchased tests 1,570,483 purchased services 2,631,084 other 3,268,424 line 24e recruitment 627,164 membership fees 265,895 collections expense 95,168 fees 362,827 miscellaneous 382,565 reconciliation of net assets part xi line 9 interfund transfers on separately reported subsidiary 7,995,609 reclassification of net assets (1,704,000)

Financial Statement Notes

Part V, Line 4

The intended use for aultman hospital's endowment is to support the chaplaincy program. Asc 740 footnote accounting for uncertainty in income taxes from audited consolidated financial statements when tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. In accordance with the income taxes topic of the financial accounting standards board (fasb) accounting standards codification, the benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the more-likely-than-not recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely of being realized upon settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is recorded as a liability for unrecognized tax benefits along with any associated interest and penalties that would be payable to the taxing authorities upon examination.

Reconciliation

Part xi line 2d separately reported subsidiary revenue $4,532,233 line 4b bad debt expense $21,048,474 insurance reclass $3,333,338 total $24,381,812 part xii line 2d separately reported subsidiary expense $5,366,529 line 4b bad debt expense $21,048,474 insurance reclass $3,333,338 total $24,381,812

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IRS990/Desc0AULTMAN HOSPITAL IS A NOT-FOR-PROFIT TEACHING HOSPITAL SERVING STARK AND SURROUNDING COUNTIES IN NORTHEAST OHIO. THE HOSPITAL'S MAJOR PROGRAMS INCLUDE WOMEN AND CHILDREN'S SERVICES, EMERGENCY AND TRAUMA SERVICES, HEART SERVICES, CANCER CARE, NEUROSURGERY AND ORTHOPEDICS AND CRITICAL-CARE MEDICINE. EACH YEAR, AULTMAN HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF THE AREA'S TOTAL CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID.
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