Civic Intelligence

Lodi Community Hospital

990 • Fiscal year 2013 • EIN 34-0718390

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

225 Elyria Street44254

(330) 948-5501

Siviq Scores

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

Liabilities / Assets

52nd percentile

0.27x

Higher debt load relative to assets than 52% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Liabilities / Revenue

42nd percentile

0.18x

Higher debt load relative to revenue than 42% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Net Margin

69th percentile

11%

Higher net margin than 69% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Top Officer Pay

94th percentile

$799,770

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 4.6% of source-year revenue.

2013 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2013

Asset Growth

83rd percentile

17%

Faster asset growth than 83% of similar nonprofits.

2013 filings • 501(c)3 • $10M-$25M 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

$11,413,182

Up $1,695,153 (+17%) from 2012

Net Assets

Up

$8,280,851

Up $1,365,733 (+20%) from 2012

Liabilities

Up

$3,132,331

Up $329,420 (+12%) from 2012

Revenue

$17,320,001

No earlier filing loaded for comparison.

Expenses

Down

$15,479,298

Down $1,618,359 (-9.5%) from 2012

Net Income

$1,840,703

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.

$15M$10M$5.0M$0Assets 2010: $9,968,451Liabilities 2010: $1,578,588Net Assets 2010: $8,389,8632010Assets 2011: $10,258,336Liabilities 2011: $1,653,508Net Assets 2011: $8,604,8282011Assets 2012: $9,718,029Liabilities 2012: $2,802,911Net Assets 2012: $6,915,1182012Assets 2013: $11,413,182Liabilities 2013: $3,132,331Net Assets 2013: $8,280,8512013Assets 2014: $11,712,071Liabilities 2014: $1,880,306Net Assets 2014: $9,831,7652014Assets 2015: $11,116,607Liabilities 2015: $2,043,938Net Assets 2015: $9,072,6692015

Highlighted filing

2013

Assets$11,413,182
Liabilities$3,132,331
Net Assets$8,280,851

Operations Trend

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

$20M$15M$10M$5.0M$0Expenses 2010: $16,271,3922010Expenses 2011: $17,278,9462011Expenses 2012: $17,097,6572012Revenue 2013: $17,320,001Expenses 2013: $15,479,298Net Income 2013: $1,840,7032013Revenue 2014: $17,396,235Expenses 2014: $15,316,767Net Income 2014: $2,079,4682014Revenue 2015: $16,652,860Expenses 2015: $15,090,324Net Income 2015: $1,562,5362015

Highlighted filing

2013

Revenue$17,320,001
Expenses$15,479,298
Net Income$1,840,703
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 17, 2014
Return Version
2013v3.0
Gross Receipts
$17,357,204
Mission and Program Overview

Mission

Lodi community hospital's mission is to improve the health and lives of the people and communities we serve.

To improve the health and lives of the people and communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,386,953$6,770,531▲ $1,383,578
Accounts Receivable$2,331,618$2,235,896▼ $95,722
Cash and Non-Interest-Bearing Accounts$648,572$1,216,076▲ $567,504
Prepaid Expenses and Deferred Charges$156,391$110,798▼ $45,593
Inventories for Sale or Use$51,001$47,159▼ $3,842
Total Assets$9,718,029$11,413,182▲ $1,695,153
Other Assets Total$1,143,494$1,032,722▼ $110,772
Liabilities
Other Liabilities$1,726,625$2,083,667▲ $357,042
Accounts Payable and Accrued Expenses$1,075,366$1,048,664▼ $26,702
Deferred Revenue$920--
Total Liabilities$2,802,911$3,132,331▲ $329,420
Net Assets / Fund Balance
Unrestricted Net Assets$6,135,344$7,575,058▲ $1,439,714
Temporarily Rstr Net Assets$779,774$705,793▼ $73,981
Total Net Assets Fund Balance$6,915,118$8,280,851▲ $1,365,733
Total Liabilities and Net Assets / Fund Balance$9,718,029$11,413,182▲ $1,695,153

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,319,701$4,862,330-
Land$98,793--
Equipment$1,352,037$4,095,050-
Other Assets Org$1,252--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$779,774$8,901▲ $81,322$164,204$705,793
2012$683,304$34,659▲ $70,646$-8,835$779,774
2011$336,802$343,021▲ $3,481-$683,304
2010$132,986$200,000▲ $3,816-$336,802
2009$148,776--$15,790$132,986
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Thomas WhelanPresident Community/specialty HospFT$125,078$49,608$174,686

Board Members and Trustees

NameTitle
Alan PapaPresident, COO, Director
Bret TreierDirector
Harold YoungDirector
James RiceDirector
John BakerDirector
Marlene BarkheimerDirector
Mary Beth C CarrollDirector
Robert Kamienski MdDirector
Theresa CarterDirector
Thomas Stover MdDirector
Todd Breaux MdDirector
William FrantzDirector
Sonia AlemagnoDirector Beg 4/12/13
Deborah L GorbachAsst Treasurer
Craig M BabbittSecretary
Sue MccarthyTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Simonson Construction Service INCConstruction Services-$1,353,222
Epmg Of Ohio INC PaEr Physicians-$663,498
Respiratory Support ServicesCardiopulmonary Services-$388,233
Alliance Healthcare ServicesMri Services-$185,625
AramarkLinen Services-$112,494
Revenue and Support

Revenue Composition

Contributions and Grants
$22,000
Program Service Revenue
$17,280,092
Investment Income
$581
Other Revenue
$17,328
All Other Contributions
$10,000
Change in Net Assets
$1,840,703

Audited Revenue Reconciliation

Revenue per Audited Statements
$17,357,204
Revenue Not Reported on Financial Statements
$-37,203
Revenue Not Reported on Form 990
$-2,584,566
Other Revenue Adjustments
$-37,203
Total Revenue per Audited Statements
$14,772,638
Total Revenue per Form 990
$17,320,001
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$8,110,652
Salaries, Compensation, and Employee Benefits$7,363,998
Grants and Similar Amounts Paid$4,648
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,094,746$870,200-$5,964,946
Fees for Services Other$1,963,422$362,154-$2,325,576
Occupancy$701,964$116,775-$818,739
Other Employee Benefits$669,919$117,835-$787,754
Depreciation Depletion$317,227$300,315-$617,542
Office Expenses$334,874$188,749-$523,623
Payroll Taxes$324,936$40,861-$365,797
Other Expenses$602,264$291,265-$291,265
Current Officers, Directors, Trustees, and Key Employees$174,686--$174,686
Information Technology$76,268$12,688-$88,956
Advertising$84,925--$84,925
Pension Plan Contributions$60,715$10,100-$70,815
Insurance$49,291$8,200-$57,491
Fees for Services Accounting-$40,189-$40,189
Travel$18,122$14,116-$32,238
All Other Expenses$4,478$27,193-$31,671
Interest$7,378$1,227-$8,605
Conferences and Meetings-$5,176-$5,176
Grants to Domestic Individuals$3,500--$3,500
Grants to Domestic Orgs$1,148--$1,148
Fees for Services Lobbying-$441-$441
Total Functional Expenses$12,696,240$2,783,058$0$15,479,298

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$15,479,298
Total Expenses per Audited Statements$15,138,312
Expenses per Audited Statements$15,101,109
Expenses Not Reported on Financial Statements$378,189
Other Expense Adjustments$378,189
Expenses Not Reported on Form 990$37,203
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payable to Affiliates$1,334,593
Estimated Medicare Settlement Due$432,645
Asset Retirement Obligation$188,026
Accrued Self Insurance Claims Payable$128,403
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, Section A, Line 6

Lodi community hospital has one member, akron general medical center. Akron general medical center is organized in ohio as a non-profit organization and is recognized as exempt from federal income tax under irc 501(c)(3). Akron general medical center is not a private foundation.

Form 990, Part VI, Section A, Line 7A

Akron general medical center is the sole member of lodi community hospital. Akron general health system is the sole member of akron general medical center. The organization follows the practice under which lodi community hospital current board suggests candidates for openings on its board, that are then reviewed for approval by akron general health system's board.

Form 990, Part VI, Section A, Line 7B

Akron general medical center is the sole member of lodi community hospital. Akron general health system is the sole member of akron general medical center. Akron general health system's responsibilities include providing long term planning, establishing system policies and procedures, financial management, and assisting organizations within the system in carrying out thier exempt programs. Generally, akron general health system limits its power of approval over decisions made by the board of lodi community hospital to those concerning membership of that board and that organization's annual budget.

Form 990, Part VI, Section B, Line 11

Lodi community hospital is a member of the akron general health system. Lodi community hospital prepares its form 990 internally. The return is subject to financial review by the chief financial officer of akron general health system, the vice president of accounting and finance of akron general health system, and reviewed for compliance with the reporting requirements of form 990 by the director of corporate tax for akron general health system.

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

Lodi community hospital is a member of the akron general health system (system). Akron general health system is the parent organization of the system and as such it determines certain policies and procedures applicable to all member organizations. In the case of conflict of interest reporting, akron general health system not only determines the policy and the procedure, it carries out the procedure for all system organizations. A conflict of interest questionnaire is distributed to all board members, management personnel, employed physicians and any other personnel that have been designated by management. The distribution covers all system organizations. All responses that indicate a perceived conflict of interest are turned over to the governance committee (the committee) of akron general health system for review. The committee makes a determination as to whether the perceived conflict is likely to be an actual conflict, the materiality of any actual conflicts and the extent of safeguards required for any actual conflicts. Safeguards include, but are not limited to, requiring, in the case of a board member, that the person recuse himself or herself from any discussions or voting that may be affected by the conflict, requiring the person to disengage from the conduct creating the conflict or requiring the person to resign from the position affected by the conflict. This process is conducted by akron general health system's legal services department annually. The conflict of interest letter puts the recipient on notice that he or she is under an ongoing duty to report any potential conflicts that may arise subsequent to this formal process. Subsequent event reporting is monitored by akron general health system's legal services department. Any subsequent reported items are subject to the aforementioned review process by akron general health system's governance committee.

Form 990, Part VI, Section B, Line 15

The reporting organization is a member of the akron general health system. The exempt purpose of the system parent, akron general health system (aghs), is to support the members of that system. One of the support services that aghs provides is determining the compensation of the top management personnel of the reporting organization. Aghs follows a process for determining compensation of the organization's ceo and other top management personnel that is modeled after the requirements found in internal revenue code section 4958 for establishing the presumption of reasonable compensation. Therefore, the process calls for recommendations - developed by an independent compensation consultant, based on comparable market data from published surveys and the forms 990 of comparable organizations - that are within the range of the compensation of similarly situated persons at similarly situated organizations. These recommendations are reviewed by a committee of the reporting organization's board of directors. The committee is comprised of independent persons and the deliberations are documented, contemporaneously, in the committee's minutes. The compensation for all top management was reviewed for reasonableness using this process in 2012.

Form 990, Part VI, Section C, Line 19

Currently, lodi community hospital does not make its governing documents, conflict of interest policy, or its financial statements generally available to the public. Lodi community hsopital does make these documents available on a case by case basis.

Filing and Contact Details

Filer

EIN
34-0718390
Phone
3309485501

Signing Officer

Name
Sue J Mccarthy
Title
Treasurer
Phone
3309485501
Signed
2014-11-17

Organization Details

Principal Officer
Thomas Whelan
Formed
1920
Legal Domicile
Oh
Voting Board Members
13
Independent Board Members
9
Employees
165
Volunteers
40
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Physician professional fees: program service expenses 678,062. Management and general expenses 2,500. Fundraising expenses 0. Total expenses 680,562. Other professional fees: program service expenses 911,271. Management and general expenses 0. Fundraising expenses 0. Total expenses 911,271. Billing & collection fees: program service expenses 53,231. Management and general expenses 50,889. Fundraising expenses 0. Total expenses 104,120. Licenses & registration: program service expenses 53,850. Management and general expenses 54,299. Fundraising expenses 0. Total expenses 108,149. Security services: program service expenses 0. Management and general expenses 11,315. Fundraising expenses 0. Total expenses 11,315. Courier: program service expenses 0. Management and general expenses 54,122. Fundraising expenses 0. Total expenses 54,122. Transcription: program service expenses 46,506. Management and general expenses 0. Fundraising expenses 0. Total expenses 46,506. Miscellaneous: program service expenses 220,502. Management and general expenses 189,029. Fundraising expenses 0. Total expenses 409,531.

FORM 990, PART XI, LINE 9:

Change in interest in foundation net assets -73,980. Grant funding for capital 8,384. Transfer to/from affiliates -409,374.

Financial Statement Notes

PART X, LINE 2:

.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Management fee -375,574. Expenses recorded in revenue -2,615. Bad debt -2,206,377.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

RENTAL EXPENSES -37,203.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

RENTAL EXPENSES 37,203.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Management fee 375,574. Expenses recorded in revenue 2,615.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt13109819
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1520101
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IRS990/Form990PartVIISectionAGrp/PersonNm0ALAN PAPA
IRS990/Form990PartVIISectionAGrp/PersonNm1THOMAS STOVER MD
IRS990/Form990PartVIISectionAGrp/PersonNm2ROBERT KAMIENSKI MD
IRS990/Form990PartVIISectionAGrp/PersonNm3TODD BREAUX MD
IRS990/Form990PartVIISectionAGrp/PersonNm4WILLIAM FRANTZ
IRS990/Form990PartVIISectionAGrp/PersonNm5MARY BETH C CARROLL
IRS990/Form990PartVIISectionAGrp/PersonNm6SONIA ALEMAGNO
IRS990/Form990PartVIISectionAGrp/PersonNm7THERESA CARTER
IRS990/Form990PartVIISectionAGrp/PersonNm8BRET TREIER
IRS990/Form990PartVIISectionAGrp/PersonNm9JOHN BAKER
IRS990/Form990PartVIISectionAGrp/PersonNm10MARLENE BARKHEIMER
IRS990/Form990PartVIISectionAGrp/PersonNm11JAMES RICE
IRS990/Form990PartVIISectionAGrp/PersonNm12HAROLD YOUNG
IRS990/Form990PartVIISectionAGrp/PersonNm13CRAIG M BABBITT
IRS990/Form990PartVIISectionAGrp/PersonNm14DEBORAH L GORBACH
IRS990/Form990PartVIISectionAGrp/PersonNm15SUE MCCARTHY
IRS990/Form990PartVIISectionAGrp/PersonNm16THOMAS WHELAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT, COO, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR BEG 4/12/13
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt14ASST TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt15TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt16PRESIDENT COMMUNITY/SPECIALTY HOSP
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IRS990/InterestGrp/ProgramServicesAmt07378
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IRS990/MissionDesc0LODI COMMUNITY HOSPITAL'S MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE.
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IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1MEDICARE/MEDICAID PAYM
IRS990/ProgramServiceRevenueGrp/Desc2COMMUNITY HEALTH/EDUCA
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt12618019
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt12618019
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt26730
IRS990/ProgSrvcAccomActy2Grp/Desc0LODI COMMUNITY HOSPITAL OFFERS A VARIETY OF OUTPATIENT SERVICES. OUTPATIENT SERVICES OFFERED TO PATIENTS INCLUDE RADIOLOGY, PHYSICAL THERAPY, CARDIAC, SURGERY, MAMMOGRAPHY, SLEEP CENTER, LAB SERVICES AND EMERGENCY SERVICES.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt010100328
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt013746952
IRS990/ProgSrvcAccomActy3Grp/Desc0LODI COMMUNITY HOSPITAL OFFERS COMMUNITY HEALTH AND EDUCATIONAL SERVICES TO THE LOCAL AND SURROUNDING COMMUNITIES.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt04945
IRS990/ProgSrvcAccomActy3Grp/GrantAmt04648
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt06730
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IRS990/PYGrantsAndSimilarPaidAmt04268
IRS990/PYInvestmentIncomeAmt0215
IRS990/PYOtherExpensesAmt09198385
IRS990/PYOtherRevenueAmt0116193

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Peer Organizations

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