Aultman Hospital

“Aultman hospital (ah) has a single member, aultman health foundation (ahf). Ahf has a right to participate in ah's goverance and approve significant decisions of the ah board of directors.”

“Ah's sole member, ahf, has the right to elect the chief executive officer of ah, who shall be the president of ah and an ex-officio voting member of the board of directors of ah. Ahf also elects its own members, from which it nominates members for the ah board of directors. Ah directors shall be members of the ahf board of directors. Ahf also has the power to ratify ah's board of directors' selection or removal of officers.”

“Ah's sole member, ahf, 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 ah and an ex-officio voting member of the board of directors of ah; ratification of the election and removal of officers, except for vice presidents; and the election of the ahf directors, from which it nominates directors for ah's board.”

“A detail review of the form 990 is performed by an independent cpa firm. Ahf'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. 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.”

“The 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 office 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.”

“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.”

“Ah makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“Edward j. Roth iii, christopher e. Remark, anne gunther, rick l. Haines and milan r. Dopirak md are paid employees of ahf or a related organization. Timothy o' toole performs medical directorship duties for the organization and receives compensation.”

“Intercompany transfers -37,268,299. Reclassification of net assets -2,527,037.”

“Section 1.263(a)-1(f) de minimis safe harbor election aultman hospital 2600 sixth street sw canton, oh 44710 employer identification number: 34-0714538 for the year ending december 31, 2014 aultman hospital is making the de minimis safe harbor election under reg. Sec. 1.263(a)-1(f).”