Civic Intelligence

Pomerene Health Foundation LLC

EIN 47-5317369 • 501(c)3 • Millersburg, OH

Pub. 78 Eligible

Profile

The pomerene health foundation will manage and coordinate fundraising campaigns, deferred-giving programs, and similar activities designed for the financial and volunteer support of the hospital. In addition, the foundation will actively participate in consortia, preferred provider organizations and similar activities and develop innovative healthcare delivery strategies in which to participate on behalf of the hospital.

981 Wooster RdMillersburg, OH 44654-1094

www.pomerenehospital.org

Siviq Scores

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

Liabilities / Assets

20th percentile

0.00x

Higher debt load relative to assets than 20% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

26th percentile

0.01x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

8th percentile

-41%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$403,434

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 599.5% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

44th percentile

1.5%

Faster asset growth than 44% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

83rd percentile

51%

Faster revenue growth than 83% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets20th percentile

Assets

Up

$2,263,376

Up $33,597 (+1.5%) from 2023

Liabilities

Down

$354

Down $1,306,524 (-100%) from 2023

Net Assets

Up

$2,263,022

Up $1,340,121 (+145%) from 2023

Operations
Liabilities / Revenue26th percentileNet Margin8th percentile

Revenue

Up

$67,297

Up $22,628 (+51%) from 2023

Expenses

Down

$95,095

Down $21,957 (-19%) from 2023

Net Income

Up

-$27,798

Up $44,585 (+62%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth44th percentile

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

$3.0M$2.0M$1.0M$0Assets 2019: $1,070,346Liabilities 2019: $113,003Net Assets 2019: $957,3432019Assets 2020: $1,386,019Liabilities 2020: $371,553Net Assets 2020: $1,014,4662020Assets 2021: $1,420,676Liabilities 2021: $368,219Net Assets 2021: $1,052,4572021Assets 2022: $1,281,864Liabilities 2022: $371,552Net Assets 2022: $910,3122022Assets 2023: $2,229,779Liabilities 2023: $1,306,878Net Assets 2023: $922,9012023Assets 2024: $2,263,376Liabilities 2024: $354Net Assets 2024: $2,263,0222024

Highlighted filing

2024

Assets$2,263,376
Liabilities$354
Net Assets$2,263,022
Open 2024 Filing

Operations Trend

Revenue Growth83rd percentile

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

$200K$100K$0-$100KRevenue 2019: $135,613Expenses 2019: $68,929Net Income 2019: $66,6842019Revenue 2020: $119,780Expenses 2020: $62,657Net Income 2020: $57,1232020Revenue 2021: $94,870Expenses 2021: $56,879Net Income 2021: $37,9912021Revenue 2022: $64,306Expenses 2022: $80,001Net Income 2022: -$15,6952022Revenue 2023: $44,669Expenses 2023: $117,052Net Income 2023: -$72,3832023Revenue 2024: $67,297Expenses 2024: $95,095Net Income 2024: -$27,7982024

Highlighted filing

2024

Revenue$67,297
Expenses$95,095
Net Income-$27,798
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,263,376
Liabilities
$354
Net assets
$2,263,022
Revenue
$67,297
Expenses
$95,095
Net income
-$27,798
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.26$0.00$2.26$0.07$0.10$0.03
2023Detailed filing. Detailed filing data is available for this year.$2.23$1.31$0.92$0.04$0.12$0.07
2022Detailed filing. Detailed filing data is available for this year.$1.28$0.37$0.91$0.06$0.08$0.02
2021Detailed filing. Detailed filing data is available for this year.$1.42$0.37$1.05$0.09$0.06$0.04
2020Detailed filing. Detailed filing data is available for this year.$1.39$0.37$1.01$0.12$0.06$0.06
2019Summary only. Only limited summary data is available for this year.$1.07$0.11$0.96$0.14$0.07$0.07
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 21, 2025
Return Version
2024v5.2
Gross Receipts
$68,423
Mission and Program Overview

Mission

The pomerene health foundation will manage and coordinate fundraising campaigns, deferred-giving programs, and similar activities designed for the financial and volunteer support of the hospital. In addition, the foundation will actively participate in consortia, preferred provider organizations and similar activities and develop innovative healthcare delivery strategies in which to participate on behalf of the hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,448,084$1,391,780▼ $56,304
Investments Other Securities$746,605$832,599▲ $85,994
Cash and Non-Interest-Bearing Accounts$34,941$38,997▲ $4,056
Savings and Temporary Cash Investments$149$0▼ $149
Total Assets$2,229,779$2,263,376▲ $33,597
Liabilities
Accounts Payable and Accrued Expenses$1,306,878$354▼ $1,306,524
Total Liabilities$1,306,878$354▼ $1,306,524
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$176,296$1,423,669▲ $1,247,373
Net Assets With Donor Restrictions$746,605$839,353▲ $92,748
Total Net Assets Fund Balance$922,901$2,263,022▲ $1,340,121
Total Liabilities and Net Assets / Fund Balance$2,229,779$2,263,376▲ $33,597

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,391,780$320,374$1,712,154
Equipment$0$10,702$10,702
Other Securities$832,599--
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleOtherTotal
Tracy SmithSecretary$124,197$124,197
Jason RohrTreasurer Partial Term$68,680$68,680

Board Members and Trustees

NameTitle
Jason JustusChair/president
Tia CernavaVice President
Revenue and Support

Revenue Composition

Contributions and Grants
$66,797
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$500
All Other Contributions
$66,797
Change in Net Assets
$-27,798
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$91,095
Total Fundraising Expense$91,095
Grants and Similar Amounts Paid$4,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion--$56,304$56,304
Other Expenses--$34,791$34,791
Grants to Domestic Individuals$4,000--$4,000
Total Functional Expenses$4,000$0$91,095$95,095
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$1,626
Fundraising Direct Expenses$1,126
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
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
No
Other officer compensation reviewed
No
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

“The sole member of the foundation is pomerene hospital.”

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

“The foundation's directors are elected by the sole member at the annual meeting of the member.”

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

“The governance decisions of the foundation are reserved to the sole member, pomerene hospital, and approval by the board of directors.”

Form 990, Part VI, Section B, Line 11B

“The process of reviewing the form 990 entails a detailed review by the organization's accounting department. The governing body receives an electronic copy of the form 990 including requested schedules, as ultimately filed with the irs, for review and approval prior to filing with the irs.”

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

“Upon appointment, and thereafter, annually, through signed acknowledgment of the conflict of interest agreement, or at the time when an actual or potential conflict of interest may arise, each covered person must identify and disclose at any meeting all material facts and details relating to the actual or potential conflict of interest so that the disinterested pomerene decision makers are able to make an objective, business determination, consistent with pomerene's mission and purpose. Any covered person with an actual or potential conflict of interest must not vote or use his/her personal influence with respect to any vote or action taken by pomerene decision makers voting on the proposed matter, contract, transaction, or business arrangement.”

Form 990, Part VI, Section C, Line 19

“The documents are made available upon request.”

Filing and Contact Details

Filer

Filer Name
Pomerene Health Foundation LLC
EIN
47-5317369
Phone
3306741015
Address
981 WOOSTER RD, MILLERSBURG, OH 44654-1094

Signing Officer

Name
Tia Cernava
Title
Chief Financial Officer
Phone
3306741015
Signed
2025-10-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tia Cernava
Formed
2017
Legal Domicile
Oh
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
56

Preparer

Firm
Blue & Co LLC
Address
9200 WORTHINGTON RD STE 200, WESTERVILLE, OH 43082
Preparer
Emilie M Knieriem CPA
Phone
6148852583
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Transfer from hospital 1,281,878.”

FORM 990 PART XII, LINE 2C:

“The finance manager, staff accountant, and financial analyst provide requested data to the auditors. The auditor's findings are reviewed and presented to the cfo for approval. The process has not changed from the prior year.”

Financial Statement Notes

PART X, LINE 2:

“Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability if an uncertain position has been taken that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by these entities and has concluded that as of december 31, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. The organization is required to file federal form 990 return of organization exempt from income tax, which is an information return only. The organization is subject to routine audits by taxing jurisdictions. However, as of the date the consolidated financial statements were available to be issued, there were no audits for any tax periods in progress. These income tax returns are generally open to examination by the relevant taxing authorities for a period of three years from the later of the date the return was filed or its due date (including approved extensions). The organization has filed its applicable federal income tax returns for periods through december 31, 2023. These income tax returns are generally open to examination by the relevant taxing authorities for a period of three years from the later of the date the return was filed or its due date (including approved extensions).”

Raw XML AppendixShowing 400 of 427 raw XML fields

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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IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt010702
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0832599
IRS990ScheduleD/OtherSecuritiesGrp/Desc0DONOR RESTRICTED INVESTMENTS
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATION RETURN ONLY. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). THE ORGANIZATION HAS FILED ITS APPLICABLE FEDERAL INCOME TAX RETURNS FOR PERIODS THROUGH DECEMBER 31, 2023. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01391780
IRS990ScheduleD/TotalBookValueSecuritiesAmt0832599
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt027360
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt112515
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0318912
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1200992
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt010350
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt16537
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt034100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt121679
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt012712
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt17380
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JASON JUSTUS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1TIA CERNAVA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIR/PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0403434
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1249103
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A RELATED ORGANIZATION (POMERENE HOSPITAL) DETERMINES THE CEO'S COMPENSATION BY USING THE FOLLOWING METHODS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION COMMITTEE -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOLE MEMBER OF THE FOUNDATION IS POMERENE HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION'S DIRECTORS ARE ELECTED BY THE SOLE MEMBER AT THE ANNUAL MEETING OF THE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNANCE DECISIONS OF THE FOUNDATION ARE RESERVED TO THE SOLE MEMBER, POMERENE HOSPITAL, AND APPROVAL BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4UPON APPOINTMENT, AND THEREAFTER, ANNUALLY, THROUGH SIGNED ACKNOWLEDGMENT OF THE CONFLICT OF INTEREST AGREEMENT, OR AT THE TIME WHEN AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY ARISE, EACH COVERED PERSON MUST IDENTIFY AND DISCLOSE AT ANY MEETING ALL MATERIAL FACTS AND DETAILS RELATING TO THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO THAT THE DISINTERESTED POMERENE DECISION MAKERS ARE ABLE TO MAKE AN OBJECTIVE, BUSINESS DETERMINATION, CONSISTENT WITH POMERENE'S MISSION AND PURPOSE. ANY COVERED PERSON WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MUST NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE WITH RESPECT TO ANY VOTE OR ACTION TAKEN BY POMERENE DECISION MAKERS VOTING ON THE PROPOSED MATTER, CONTRACT, TRANSACTION, OR BUSINESS ARRANGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6TRANSFER FROM HOSPITAL 1,281,878.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE FINANCE MANAGER, STAFF ACCOUNTANT, AND FINANCIAL ANALYST PROVIDE REQUESTED DATA TO THE AUDITORS. THE AUDITOR'S FINDINGS ARE REVIEWED AND PRESENTED TO THE CFO FOR APPROVAL. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990 PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0POMERENE HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0POMERENE HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1HEALTH PROFESSIONALS OF HOLMES COUNTY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0311518658
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1300329769
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1PHYSICIAN SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0981 WOOSTSER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt1981 WOOSTSER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MILLERSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1MILLERSBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1OH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd044654
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd144654
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02229779
IRS990/TotalAssetsEOYAmt02263376
IRS990/TotalAssetsGrp/BOYAmt02229779
IRS990/TotalAssetsGrp/EOYAmt02263376
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt066797
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt091095
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt04000
IRS990/TotalFunctionalExpensesGrp/TotalAmt095095
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01306878
IRS990/TotalLiabilitiesEOYAmt0354
IRS990/TotalLiabilitiesGrp/BOYAmt01306878
IRS990/TotalLiabilitiesGrp/EOYAmt0354
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0922901
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02263022
IRS990/TotalOtherCompensationAmt084530
IRS990/TotalProgramServiceExpensesAmt04000
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0500
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt067297
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt056
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02229779
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02263376
IRS990/TotReportableCompRltdOrgAmt0760884
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0981 WOOSTER RD
IRS990/USAddress/CityNm0MILLERSBURG
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd0446541094
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0WWW.POMERENEHOSPITAL.ORG
IRS990/WhistleblowerPolicyInd01
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ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01

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