Civic Intelligence

Ashtabula County Medical Center

990 • Fiscal year 2015 • EIN 34-0726081

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 10, 2016

Organization ProfileWWW.ACMCHEALTH.ORG

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2420 Lake AvenueAshtabula, OH 44004

(440) 997-2262

Siviq Scores

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

Liabilities / Assets

69th percentile

0.54x

Higher debt load relative to assets than 69% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Liabilities / Revenue

49th percentile

0.49x

Higher debt load relative to revenue than 49% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Net Margin

56th percentile

6.2%

Higher net margin than 56% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Top Officer Pay

78th percentile

$936,946

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

32nd percentile

-1.1%

Faster asset growth than 32% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Revenue Growth

68th percentile

9.1%

Faster revenue growth than 68% of similar nonprofits.

2015 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets69th percentile

Assets

Down

$113,927,164

Down $1,313,573 (-1.1%) from 2014

Net Assets

Up

$52,595,724

Up $1,279,716 (+2.5%) from 2014

Liabilities

Down

$61,331,440

Down $2,593,289 (-4.1%) from 2014

Revenue And Expenses
Liabilities / Revenue49th percentileNet Margin56th percentile

Revenue

Up

$124,844,358

Up $10,432,560 (+9.1%) from 2014

Expenses

Up

$117,045,072

Up $8,370,098 (+7.7%) from 2014

Net Income

Up

$7,799,286

Up $2,062,462 (+36%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth32nd percentile

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

$400M$300M$200M$100M$0Assets 2010: $72,037,415Liabilities 2010: $34,747,560Net Assets 2010: $37,289,8552010Assets 2011: $82,290,893Liabilities 2011: $55,284,537Net Assets 2011: $27,006,3562011Assets 2012: $95,767,852Liabilities 2012: $63,550,074Net Assets 2012: $32,217,7782012Assets 2013: $107,823,161Liabilities 2013: $57,113,142Net Assets 2013: $50,710,0192013Assets 2014: $115,240,737Liabilities 2014: $63,924,729Net Assets 2014: $51,316,0082014Assets 2015: $113,927,164Liabilities 2015: $61,331,440Net Assets 2015: $52,595,7242015Assets 2016: $136,482,719Liabilities 2016: $63,128,741Net Assets 2016: $73,353,9782016Assets 2018: $147,662,470Liabilities 2018: $54,867,025Net Assets 2018: $92,795,4452018Assets 2020: $199,172,517Liabilities 2020: $89,050,209Net Assets 2020: $110,122,3082020Assets 2021: $214,087,858Liabilities 2021: $76,503,362Net Assets 2021: $137,584,4962021Assets 2022: $274,103,659Liabilities 2022: $133,081,867Net Assets 2022: $141,021,7922022Assets 2024: $305,203,035Liabilities 2024: $141,314,477Net Assets 2024: $163,888,5582024

Highlighted filing

2015

Assets$113,927,164
Liabilities$61,331,440
Net Assets$52,595,724
Open 2015 Filing

Operations Trend

Revenue Growth68th percentile

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

$200M$150M$100M$50M$0-$50MExpenses 2010: $88,842,3572010Expenses 2011: $91,937,3132011Expenses 2012: $93,679,6622012Revenue 2013: $102,783,241Expenses 2013: $100,092,137Net Income 2013: $2,691,1042013Revenue 2014: $114,411,798Expenses 2014: $108,674,974Net Income 2014: $5,736,8242014Revenue 2015: $124,844,358Expenses 2015: $117,045,072Net Income 2015: $7,799,2862015Revenue 2016: $154,022,443Expenses 2016: $137,600,850Net Income 2016: $16,421,5932016Revenue 2018: $157,910,147Expenses 2018: $147,087,833Net Income 2018: $10,822,3142018Revenue 2020: $158,791,321Expenses 2020: $160,050,722Net Income 2020: -$1,259,4012020Revenue 2021: $174,056,236Expenses 2021: $168,789,460Net Income 2021: $5,266,7762021Revenue 2022: $178,995,250Expenses 2022: $169,197,613Net Income 2022: $9,797,6372022Revenue 2024: $188,739,601Expenses 2024: $187,968,629Net Income 2024: $770,9722024

Highlighted filing

2015

Revenue$124,844,358
Expenses$117,045,072
Net Income$7,799,286
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 10, 2016
Return Version
2015v2.1
Gross Receipts
$147,447,738
Mission and Program Overview

Mission

To provide the best possible medical care through all phases of life to those seeking help. The ashtabula county medical center health care team is committed to preserving the human rights and dignity of those who receive our care and those who provide it.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$44,859,887$42,846,005▼ $2,013,882
Land, Buildings, and Equipment, Net$24,191,164$23,103,143▼ $1,088,021
Accounts Receivable$16,685,910$20,604,042▲ $3,918,132
Cash and Non-Interest-Bearing Accounts$15,458,758$12,773,146▼ $2,685,612
Investments Other Securities$2,916,029$2,741,373▼ $174,656
Savings and Temporary Cash Investments$409,104$1,847,539▲ $1,438,435
Prepaid Expenses and Deferred Charges$1,201,053$1,525,391▲ $324,338
Inventories for Sale or Use$977,390$1,079,385▲ $101,995
Receivables From Officers Etc$96,704$41,358▼ $55,346
Total Assets$115,240,737$113,927,164▼ $1,313,573
Other Assets Total$8,444,738$7,365,782▼ $1,078,956
Liabilities
Other Liabilities$49,392,021$46,941,242▼ $2,450,779
Accounts Payable and Accrued Expenses$14,263,681$14,178,580▼ $85,101
Deferred Revenue$269,027$211,618▼ $57,409
Total Liabilities$63,924,729$61,331,440▼ $2,593,289
Net Assets / Fund Balance
Unrestricted Net Assets$51,301,033$52,580,749▲ $1,279,716
Temporarily Rstr Net Assets$14,975$14,975→ $0
Total Net Assets Fund Balance$51,316,008$52,595,724▲ $1,279,716
Total Liabilities and Net Assets / Fund Balance$115,240,737$113,927,164▼ $1,313,573

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$11,304,168$55,677,577$66,981,745
Buildings$7,770,829$21,482,757$29,253,586
Leasehold Improvements$1,400,971$2,353,144$3,754,115
Land$1,900,567-$1,900,567
Other Land Buildings$726,608-$726,608
Other Assets Org$147,319--
Compensation and Service Providers
Top Officer Pay78th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Alexander Taich MdPhysicianFT$925,477$11,469$936,946
Ashok Kondru MdPhysicianFT$900,874$16,083$916,957
Lee Laney MdPhysicianFT$582,722$241,670$824,392
Suk K Choi MdPhysicianFT$627,022$15,813$642,835
Michael J Papsidero MdPhysicianFT$583,979$18,241$602,220
Jude Cauwenbergh DoBoard Member/chief of StaffFT$224,071$12,684$236,755
Daniel Keaton MdBoard Member/vice-chief of StaffFT$159,180$28,433$187,613

Board Members and Trustees

NameTitle
Susan Stocker PhdChairperson
Michael HabowskiPresident/CEO
Nancy KisterVice-chairperson
Bill DingledineBoard Member
Elena MarquettiBoard Member
Jim TimonereBoard Member
Marlene SartiniBoard Member
Peg CarloBoard Member
Rev Vernon PaloBoard Member
Jason HergenroederBoard Member/CCF Representive
Joshua MillerBoard Member/CCF Representive
Kelly HancockBoard Member/CCF Representive
Ken FrameChief Nursing Officer
Joe GiangolaSecretary/treasurer
Don KepnerVP Finance/CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Cleveland Clinic FoundationAdministrative & Clinical ServicesPO BOX 931760, Cleveland, OH 44193$5,894,852
Anesthesia Consultants EftMedical5168 STANSBURG ROAD, Solon, OH 44139$2,200,584
Aramark CorpCafeteria And Dietary Services24863 NETWORK PLACE, Chicago, IL 60673$1,690,080
Amicon Medical Group INCMedical51 MEADOW LANE SUITE A, Northfield, OH 44067$1,097,329
Medic Management Group INCPhysician Billing275 SPRINGSIDE DRIVE SUITE 100, Akron, OH 44333$1,092,147
Revenue and Support

Revenue Composition

Contributions and Grants
$7,076,771
Program Service Revenue
$110,488,865
Investment Income
$1,243,942
Other Revenue
$6,034,780
All Other Contributions
$76,771
Change in Net Assets
$7,799,286
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$67,156,156
Other Expenses$49,738,916
Grants and Similar Amounts Paid$150,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$42,579,663$9,346,755-$51,926,418
Other Employee Benefits$5,527,102$1,213,267-$6,740,369
All Other Expenses$5,059,387$1,110,597-$6,169,984
Depreciation Depletion$3,542,389$777,598-$4,319,987
Payroll Taxes$2,949,275$647,402-$3,596,677
Other Expenses$2,817,206$618,411-$3,435,617
Pension Plan Contributions$2,530,975$555,580-$3,086,555
Current Officers, Directors, Trustees, and Key Employees$1,481,032$325,105-$1,806,137
Occupancy$1,478,869$324,630-$1,803,499
Insurance$1,204,252$264,348-$1,468,600
Grants to Domestic Orgs$150,000--$150,000
Fees for Services Accounting$83,642$18,360-$102,002
Travel$76,174$16,721-$92,895
Interest$18,741$4,114-$22,855
Fees for Services Legal$7,704$1,691-$9,395
Total Functional Expenses$96,003,958$21,041,114$0$117,045,072
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ashtabula Regional Home Health ServicesAshtabula, OH501(c)(3)To Support the Mission of the Ashtabula Regional Home Health Services$150,000
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jenine EnglishFamily Member of Peg Carlo, Acmc TrusteeEmployment Agreement With AcmcNo$80,748
Brittany CoachFamily Member of Peg Carlo, Acmc TrusteeEmployment Agreement With AcmcNo$65,354
Penny PalfyFamily Member of Susan Stocker, Ph.d., Acmc TrusteeEmployment Agreement With AcmcNo$53,189
Jennifer CauwenberghFamily Member of Jude Cauwenbergh, D.o., Acmc TrusteeEmployment Agreement With AcmcNo$31,499
Kimberly GiangolaFamily Member of Joseph Giangola, Acmc TrusteeEmployment Agreement With AcmcNo$24,771

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$96,704$41,358▼ $55,346
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension Liability$16,803,317
Investment From Cleveland Clinic Foundation$15,000,000
Reserve for Self-insurance Liabilities$9,264,223
Deferred Compensation$2,449,218
Distribution Payable to the Cleveland Clinic Foundation$1,377,500
Third-party Payables$1,328,800
Capital Leases$718,184
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The cleveland clinic foundation holds and exercises a management agreement with acmc.”

Form 990, Part VI, Section B, Line 11

“The form 990 report is published to the board of directors' website.”

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

“All officers, trustees, and key employees are required to annually review and sign a conflict of interest policy acknowledgement form.”

Form 990, Part VI, Section B, Line 15

“Salaries are reviewed approximately every two years. Salaries are compared to local, regional, and national market rates and in conjunction with the ceo and cfo to determine compensation. When openings for key positions become available, the hr department examines the market rates to determine a starting salary. Every year the typical salary has a 2% merit rate increase.”

Form 990, Part VI, Section C, Line 19

“All requests are sent to the ceo for distribution.”

Form 990, Part VII, Section A

“The following officers working full-time for acmc are employed by the cleveland clinic and are compensated through employment agreements with the cleveland clinic: michael habowski, president/ceo; don kepner, vp finance/cfo; ken frame, chief nursing officer.”

Filing and Contact Details

Filer

Filer Name
Ashtabula County Medical Center
EIN
34-0726081
Phone
4409972262
Address
2420 LAKE AVENUE, ASHTABULA, OH 44004

Signing Officer

Name
Don Kepner
Title
VP Finance/CFO
Phone
4409972262
Signed
2016-11-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Habowski
Formed
1902
Legal Domicile
Oh
Voting Board Members
15
Independent Board Members
10
Employees
1,299
Volunteers
150

Preparer

Firm
Cliftonlarsonallen Llp
Address
388 S MAIN STREET SUITE 403, AKRON, OH 44311
Preparer
Lisa Hilling
Phone
3303760100
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Equity income in affliate -174,656. Distribution to cleveland clinic foundation -1,377,500. Effect of recognition provision at measurement date of pension obligation -2,086,139.”

Federal Elections

“Section 1.263(a)-1(f) de minimis safe harbor election ashtabula county medical center 2420 lake avenue ashtabula, oh 44004 employer identification number: 34-0726081 for the year ending december 31, 2015 ashtabula county medical center is making the de minimis safe harbor election under reg. Sec. 1.263(a)-1(f).”

Financial Statement Notes

PART X, LINE 2:

“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.”

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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/ActivityOrMissionDesc0TO PROVIDE THE BEST POSSIBLE MEDICAL CARE THROUGH ALL PHASES OF LIFE TO THOSE SEEKING HELP. THE ASHTABULA COUNTY MEDICAL CENTER HEALTH CARE TEAM IS COMMITTED TO PRESERVING THE HUMAN RIGHTS AND DIGNITY OF THOSE WHO RECEIVE OUR CARE AND THOSE WHO PROVIDE IT.
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IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
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Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$113,927,164
Liabilities
$61,331,440
Net assets
$52,595,724
Revenue
$124,844,358
Expenses
$117,045,072
Net income
$7,799,286
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$305$141$164$189$188$0.77
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$274$133$141$179$169$9.80
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$214$76.5$138$174$169$5.27
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$199$89.1$110$159$160$1.26
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$148$54.9$92.8$158$147$10.8
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$136$63.1$73.4$154$138$16.4
2015Detailed filing. Detailed filing data is available for this year.$114$61.3$52.6$125$117$7.80
2014Detailed filing. Detailed filing data is available for this year.$115$63.9$51.3$114$109$5.74
2013Detailed filing. Detailed filing data is available for this year.$108$57.1$50.7$103$100$2.69
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$95.8$63.6$32.2$93.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$82.3$55.3$27.0$91.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$72.0$34.7$37.3$88.8