Civic Intelligence

Emh Regional Medical Center

EIN 34-0714612 • 501(c)3

Profile

Non-profit community health providing in and outpatient care, including full service emergency room, to the community of elyria, ohio and surrounding areas.

630 East River StreetSuite44035

www.emh-healthcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

62nd percentile

0.40x

Higher debt load relative to assets than 62% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2013

Liabilities / Revenue

54th percentile

0.48x

Higher debt load relative to revenue than 54% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2013

Net Margin

52nd percentile

5.1%

Higher net margin than 52% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2013

Top Officer Pay

77th percentile

$909,276

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2013

Asset Growth

16th percentile

-2.5%

Faster asset growth than 16% of similar nonprofits.

501(c)3 • $100M-$250M 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

Down

$242,905,897

Down $6,302,200 (-2.5%) from 2012

Liabilities

Down

$98,152,238

Down $20,934,216 (-18%) from 2012

Net Assets

Up

$144,753,659

Up $14,632,016 (+11%) from 2012

Revenue

$206,089,890

No earlier filing loaded for comparison.

Expenses

Up

$195,522,141

Up $3,889,024 (+2.0%) from 2012

Net Income

$10,567,749

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $239,835,011Liabilities 2010: $110,643,132Net Assets 2010: $129,191,8792010Assets 2011: $238,076,263Liabilities 2011: $121,860,109Net Assets 2011: $116,216,1542011Assets 2012: $249,208,097Liabilities 2012: $119,086,454Net Assets 2012: $130,121,6432012Assets 2013: $242,905,897Liabilities 2013: $98,152,238Net Assets 2013: $144,753,6592013

Highlighted filing

2013

Assets$242,905,897
Liabilities$98,152,238
Net Assets$144,753,659

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0Expenses 2010: $191,942,3452010Expenses 2011: $193,709,1632011Expenses 2012: $191,633,1172012Revenue 2013: $206,089,890Expenses 2013: $195,522,141Net Income 2013: $10,567,7492013

Highlighted filing

2013

Revenue$206,089,890
Expenses$195,522,141
Net Income$10,567,749

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 17, 2014
Return Version
2013v3.1
Gross Receipts
$206,109,103
Mission and Program Overview

Mission

Non-profit community health providing in and outpatient care, including full service emergency room, to the community of elyria, ohio and surrounding areas.

We are comitted to improving the health of our community through safe, high quality and cost effective care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$100,595,937$93,418,758▼ $7,177,179
Land, Buildings, and Equipment, Net$81,847,776$74,798,474▼ $7,049,302
Accounts Receivable$24,980,169$24,924,423▼ $55,746
Cash and Non-Interest-Bearing Accounts$13,871,038$9,423,094▼ $4,447,944
Inventories for Sale or Use$1,573,211$1,995,256▲ $422,045
Prepaid Expenses and Deferred Charges$813,637$1,193,638▲ $380,001
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
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
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$249,208,097$242,905,897▼ $6,302,200
Other Assets Total$25,526,329$37,152,254▲ $11,625,925
Liabilities
Other Liabilities$56,187,584$39,029,994▼ $17,157,590
Tax Exempt Bond Liabilities$39,053,425$34,849,418▼ $4,204,007
Accounts Payable and Accrued Expenses$23,845,445$24,272,826▲ $427,381
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$119,086,454$98,152,238▼ $20,934,216
Net Assets / Fund Balance
Unrestricted Net Assets$125,373,376$139,695,858▲ $14,322,482
Temporarily Rstr Net Assets$2,366,216$2,583,111▲ $216,895
Permanently Rstr Net Assets$2,382,051$2,474,690▲ $92,639
Total Net Assets Fund Balance$130,121,643$144,753,659▲ $14,632,016
Total Liabilities and Net Assets / Fund Balance$249,208,097$242,905,897▼ $6,302,200

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$44,758,969$122,164,286$166,923,255
Buildings$21,921,779$41,103,128$63,024,907
Other Land Buildings$3,605,169$3,246,383$6,851,552
Land$4,512,557-$4,512,557
Other Assets Org$176,114--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
pond fredboard member(until march 2013)--$502,150$502,150
Grauer JohnMedical Director Case MgtFT$254,644$554$255,198
Zeolla KatherinePharmacy Operations CoordinatoFT$160,407$10,681$171,088
Gibbons TerriPharmacy Operations CoordinatoFT$146,304$16,489$162,793
Halliday DonDirector PharmacyFT$133,960$17,044$151,004

Board Members and Trustees

NameTitle
Hoagland BrianBoard Chair
Sheldon Donald MdPresident &CEO
Beckett Jonathan MBoard Member
Cannaday LeeBoard Member
Elek GregoryBoard Member
Frank RayBoard Member
Ince DebbieBoard Member
Miggins LynnBoard Member
Musson JohnBoard Member
Olesen RobertBoard Member
Prikh Sanjay MdBoard Member
Ramadugu AshokBoard Member
Reidy JoanBoard Member
Ridgda PaulBoard Member
Ryan SpencerBoard Member
Schurmeier JonBoard Member
Waldheger Priscilla MdBoard Member
Yost JuneBoard Member
Yost RobertBoard Member
Flanigan KevinBoard Secretary
Kodsy MaherMedical Director
Gardner FrancisVP General Counsel/board Sec
Lamb WilliamBaord Member
Wray CharlotteVP Clinical Operations
Simone JamesVP Finance/CFO/treasurer
Miller DanielVP Human Resources
Mcdonald DouglasVP Medical Affiars
Cooksey JillVP Nursing/ Chief Nursing

Highest Paid Contractors

ContractorServicesLocationCompensation
Owens And MinorMedical Services-$4,270,006
Medtronic USAMedical Services-$3,637,920
Zimmer-usaMedical Services-$2,506,220
Siemens Medical SolutionsMedical Services-$2,238,299
Siemens Medical SolutionsMedical Services-$1,881,442
Revenue and Support

Revenue Composition

Contributions and Grants
$440,476
Program Service Revenue
$194,862,989
Investment Income
$7,093,775
Other Revenue
$3,692,650
All Other Contributions
$285,976
Change in Net Assets
$10,567,749
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$102,515,266
Salaries, Compensation, and Employee Benefits$92,731,875
Grants and Similar Amounts Paid$275,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$65,474,291$7,274,921-$72,749,212
Office Expenses$36,071,286$4,007,921-$40,079,207
Fees for Services Management$15,375,214$1,708,357-$17,083,571
Other Employee Benefits$13,209,026$1,467,670-$14,676,696
Fees for Services Other$12,518,949$1,272,893-$13,791,842
Depreciation Depletion$11,303,155$1,255,906-$12,559,061
Payroll Taxes$4,775,370$530,597-$5,305,967
Occupancy$2,317,455$1,767,741-$4,085,196
Insurance$2,365,882--$2,365,882
Interest$1,524,475$169,386-$1,693,861
Information Technology$1,020,926$113,436-$1,134,362
Other Expenses$1,008,834$119,523-$1,008,834
All Other Expenses$413,340$230,933-$644,273
Grants to Domestic Orgs$275,000--$275,000
Travel$206,346$22,927-$229,273
Fees for Services Legal-$225,940-$225,940
Fees for Services Accounting-$112,805-$112,805
Advertising$54,310--$54,310
Total Functional Expenses$174,616,023$20,906,118$0$195,522,141
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
34-1957404-501(c)(3)Promote Health in Community$250,000
34-1492733-501(c)(3)Promote Health in Community$25,000
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

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
Pension Liability$20,393,414
Self Insurance Reserve$11,008,820
Estimated 3rd Party Payable$4,320,359
Interest Rate Swap$3,307,401

Bond Issues

BondIssuerIssuedIssue PricePurpose
A34-07146122008-07-31$36,730,000Refunding of series 2005 bond issu

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$36,627,156$0$0$36,625

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 7A

Comprehensive healthcare of ohio, inc. Is the sole member and has the authority to elect the governing body of emh regional medical center.

Form 990, Part VI, Line 7B

Certain decisions, but not all decisions, of the governing body of emh regional medical center are subject to the approval of the sole member, comprehensive health care of ohio, inc. Examples of decisions of the governing body of the emh regional medical center which are subject to that approval of the member are annual operating budgets, capital expenditure budgets, long range planning documents, capital expenditures incurring debt which would require mortgage of any parts of the asstes of emh regional medical center and amendment to the governing documents of emh regional medical center.

Form 990, Part VI, Line 11B

The 990 is reviewed by the ceo, cfo and in-house general counsel prior to filing.

Form 990, Part VI, Line 12C

Each year, all directors are presented with an attestation document which state the essence of the conflict of interest policy. Each director is required to complete the document and sign it, verifying that he or she is aware of the policy and declaring any potential conflicts of interest which such director may have, or which may have deloped since the prior year's attestation. The chair of the board, or designee, meets with any director who has indicated a potential conflict of interest in order to fully explore the nature of the potential or existing conflict, with the potential that such concflict might preclude further service of that director. All annual attestations are maintainted by the ceo of the organization. The conflict of interest policy covers board members, officers and key employees.

Form 990, Part VI, Lines 15A & 15B

The process for determining compensation for the ceo and other top management officials includes an external analysis completed by towers perrin, a nationally known benefits and compensation consultant. Towers perrin gathers market research data from three published and reliable healthcare compensation surveys. This analysis utilizes national pay data and takes into consideration the size of the healthcare organization, the respective job title, and time in job. The analysis is completed annually. It includes recommendations on positioning the ceo and other top management staff within the appropriate pay range as well as possible pay range adjustments and base salary increase percentages for the current year. Recommendations are approved by a subcommittee of the board of directors prior to implementation. This process was last conducted in 2012.

Form 990, Part VI, Line 19

The organization has not, to this point, made its governing documents, other than the original articles of incorporation and any amendments thereto, available to the public. The organizations conflict of interest polciyy is available to all employees and directors on the organization's intranet site, and has been a part of the organization's written policy handbook long in advance of the development of the intranet site. Financial statements are not generally available to the public other than financial information which appears on the form 990 and other public filings required by law. Form 990, part xi, line 9 pension adjustment $13,134,021 fund balance restricted $92,639 transfers to affiliates ($15,705,481) rounding $6 ----------------- total ($2,478,815)

Filing and Contact Details

Filer

EIN
34-0714612
In Care Of
% DAVE COOK COO
Phone
4403297605

Signing Officer

Name
Dave Cook
Title
VP, General Counsel
Signed
2014-11-17

Organization Details

Principal Officer
Donald Sheldon
Formed
1907
Legal Domicile
Oh
Voting Board Members
21
Independent Board Members
20
Employees
2,122
Volunteers
302

Preparer

Preparer
James L Ziesche
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D

Other program servvices - additional medical services at emh are comprehensive and include: radiology/imgaing, laboratory, wound care, prediatric after-hours care, sports medicine/ rehabilitation, outpatient infusion, orthopedics, diabetes education, healthy women/healthy families, medical health, home care, occupational medicine, sleep studies, social work and emergency services. Form 990, part vi, line 6 the member with rights to govern emh regional medical center is comprehensive health care of ohio, inc. It is the sole member.

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