Form990
Click to see list of attachments
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
AULTMAN HOSPITAL
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2600 SIXTH STREET SW
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CANTON, OH44710
D Employer identification number

34-0714538
E Telephone number

G Gross receipts $ 463,252,489
F Name and address of principal officer:
MARK D WRIGHT
2600 SIXTH STREET SW
CANTON,OH44710
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.AULTMAN.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet6141
K Form of organization:
 
L Year of formation: 1935
M State of legal domicile: OH
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION STATEMENT OF AULTMAN HOSPITAL IS TO "LEAD OUR COMMUNITY TO IMPROVED HEALTH."
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 4,461
6 Total number of volunteers (estimate if necessary) ............. 6 412
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 977,096
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,068,000 3,089,000
9 Program service revenue (Part VIII, line 2g) ......... 448,715,594 451,455,529
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,142 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 19,206,645 8,707,960
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 470,014,381 463,252,489
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 479,167 506,140
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 235,860,641 234,478,830
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 231,240,223 213,258,991
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 467,580,031 448,243,961
19 Revenue less expenses. Subtract line 18 from line 12....... 2,434,350 15,008,528
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 319,858,747 294,605,024
21 Total liabilities (Part X, line 26)............. 65,103,632 64,636,533
22 Net assets or fund balances. Subtract line 21 from line 20..... 254,755,115 229,968,491
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: AULTMAN HOSPITAL'S MISSION IS TO LEAD OUR COMMUNITY TO IMPROVED HEALTH. AULTMAN HOSPITAL HAS BEEN MEETING THE HEALTH CARE NEEDS OF STARK AND SURROUNDING COUNTIES FOR MORE THAN 120 YEARS. AULTMAN CARES FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AULTMAN CONTINUOUSLY INVESTS IN FACILITIES AND TECHNOLOGY TO IMPROVE PATIENT CARE. AULTMAN PROVIDES EDUCATIONAL OPPORTUNITIES FOR STUDENTS IN HIGH SCHOOL, COLLEGE, MEDICAL SCHOOL AND RESIDENCY PROGRAMS. THROUGH OUTREACH EFFORTS INCLUDING THE WORKING ON WELLNESS (WOW) MOBILE HEALTH-FAIR UNIT, AULTMAN OFFERS HEALTH AND WELLNESS EDUCATION FOR OUR COMMUNITY. AULTMAN IS ONE OF THE LOWEST-COST HEALTH CARE PROVIDERS IN NORTHEASTERN OHIO, HELPING LOCAL BUSINESSES STAY FINANCIALLY HEALTHY AND MAINTAIN GOOD JOBS IN OUR COMMUNITY. FOR THE 19TH CONSECUTIVE YEAR, AULTMAN HOSPITAL EARNED THE NATIONAL RESEARCH CORPORATION "CONSUMER CHOICE AWARD" AND WAS NAMED CANTON'S MOST PREFERRED HOSPITAL FOR OVERALL QUALITY AND IMAGE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 325,591,295 including grants of $ 506,040 ) (Revenue $ 394,448,381 )
AULTMAN HOSPITAL IS A NOT-FOR-PROFIT TEACHING HOSPITAL SERVING STARK AND SURROUNDING COUNTIES IN NORTHEAST OHIO. THE HOSPITAL'S MAJOR PROGRAMS INCLUDE WOMEN AND CHILDREN'S SERVICES, EMERGENCY AND TRAUMA SERVICES, HEART SERVICES, CANCER CARE, NEUROSURGERY, ORTHOPEDICS AND CRITICAL-CARE MEDICINE. EACH YEAR, AULTMAN HOSPITAL PROVIDES A SIGNIFICANT AMOUNT OF THE AREA'S TOTAL CARE FOR PATIENTS HAVING NO GOVERNMENT OR PRIVATE HEALTH CARE INSURANCE AND NO SIGIFICANT LEVEL OF INCOME. AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID, AND PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE. IN 2014, AULTMAN HOSPITAL PROVIDED $4,632,781 IN NET CHARITY CARE AND A MEDICAID SHORTFALL OF $29,318,036.
4b (Code:   ) (Expenses $ 23,720,953 including grants of $ 100 ) (Revenue $ 32,540,309 )
SUBACUTE SERVICES: AULTMAN PROVIDES POST-ACUTE SERVICES AT ITS AULTMAN WOODLAWN FACILITY. AULTMAN WOODLAWN INCLUDES A 60-BED UNIT FOR PATIENTS REQUIRING SKILLED NURSING CARE AND A 30-BED UNIT FOR PATIENTS NEEDING REHABILITATION. AULTMAN WOODLAWN FEATURES INDOOR THERAPY ENVIRONMENTS SUCH AS A MOCK KITCHEN, BEDROOM, STORE AND GAS STATION - ALONG WITH AN OUTDOOR COURTYARD FEATURING A HYDROPONIC GARDEN - TO HELP PATIENTS IMPROVE THEIR MOBILITY AND PREPARE FOR DISCHARGE. AULTMAN WOODLAWN ALSO HOUSES AULTMAN'S HOSPICE, PALLIATIVE CARE, HOME HEALTH CARE AND GRIEF SERVICES PROGRAMS.
4c (Code:   ) (Expenses $ 18,338,906 including grants of $ 0 ) (Revenue $ 26,349,233 )
AULTMAN PROVIDES AN ARRAY OF MEDICAL SERVICES AT COMMUNITY CENTERS LOCATED THROUGHOUT STARK AND CARROLL COUNTIES. IMMEDIATE CARE SERVICES ARE AVAILABLE FOR MINOR INJURIES AND ILLNESSES - SEVEN DAYS A WEEK, EVERY DAY OF THE YEAR. SERVICES SUCH AS PHYSICAL AND OCCUPATIONAL THERAPY, CARDIAC REHABILITATION, OUTPATIENT LABORATORY SERVICES, SPORTS MEDICINE PROGRAMS AND DIAGNOSTIC TESTING ARE ALSO AVAILABLE AT THE AULTMAN SATELLITE FACILITIES.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet367,651,154
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................ Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
463
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4,461
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
18
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
OH
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMARK D WRIGHT

2600 SIXTH STREET SW
CANTON,OH44710 (330) 363-6192
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) EDWARD J ROTH III........................................................................
PRESIDENT/CEO-AHF
1.00
.......................54.00
X   X       0 558,133 21,152
(2) JEFFREY MILLER MD........................................................................
CHAIR
1.00
.......................2.00
X   X       0 0 0
(3) BARBARA HAMMONTREE BENNETT........................................................................
VICE CHAIR
1.00
.......................1.00
X   X       0 0 0
(4) WILLIAM WALLACE MD........................................................................
SECRETARY AND TREASURER
4.00
.......................1.00
X   X       0 0 0
(5) CHRISTOPHER E REMARK........................................................................
DIRECTOR/CEO-AH
50.00
.......................5.00
X   X       353,854 0 21,262
(6) ANNE GUNTHER........................................................................
DIRECTOR/CNO
55.00
.......................0.00
X           229,720 0 14,742
(7) BRIAN S BELDEN........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(8) PEGGY CLAYTOR........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(9) NATE J COOKS........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(10) MILAN R DOPIRAK MD........................................................................
DIRECTOR
5.00
.......................50.00
X           0 377,025 16,260
(11) T STEPHEN GREGORY........................................................................
DIRECTOR
1.00
.......................2.00
X           0 0 0
(12) RICK L HAINES........................................................................
DIRECTOR/CEO-AULTCARE
5.00
.......................50.00
X           0 383,592 18,409
(13) DENISE HILL........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(14) JOHN B HUMPHREY JR MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(15) HARRY C MACNEALY........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(16) TIMOTHY O'TOOLE........................................................................
DIRECTOR
2.00
.......................1.00
X           20,000 1,125 0
(17) ROBERT W SABOTA MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 2,550 0
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) LOUIS G SHAHEEN MD........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(19) VICKY STERLING........................................................................
DIRECTOR
1.00
.......................1.00
X           0 0 0
(20) MARK D WRIGHT........................................................................
CFO-AHF
5.00
.......................50.00
    X       0 328,469 20,643
(21) ADAM LUNTZ........................................................................
CFO-AH
54.00
.......................1.00
    X       162,987 0 13,025
(22) ALLISON M OPRANDI MD........................................................................
PHYSICIAN
55.00
.......................0.00
      X     341,163 0 20,643
(23) SUSAN E MERCER........................................................................
VP-MEDICAL EDUCATION
55.00
.......................0.00
      X     283,082 0 18,346
(24) EILEEN F GOOD........................................................................
SENIOR VP-CLINICAL ADVOCACY
55.00
.......................0.00
      X     0 204,553 11,810
(25) ROBERT C MOLNAR........................................................................
VP-PHYSICIAN SERVICES
55.00
.......................0.00
      X     0 189,089 17,722
(26) LORI L MERTES........................................................................
PHYSICIAN/CHIEF QUALITY OFFICER
55.00
.......................0.00
      X     283,991 0 7,800
(27) PRABHCHARAN GILL........................................................................
PHYSICIAN
55.00
.......................0.00
        X   641,159 0 19,614
(28) TIMOTHY E MCDANIEL........................................................................
PHYSICIAN
55.00
.......................0.00
        X   644,042 0 21,152
(29) MICHAEL A KREW........................................................................
PHYSICIAN
55.00
.......................0.00
        X   606,578 0 21,152
(30) NABIL HABIB MD........................................................................
PHYSICIAN
55.00
.......................0.00
        X   365,905 0 18,591
(31) OSAMA MITRI........................................................................
PHYSICIAN
55.00
.......................0.00
        X   414,692 0 20,533
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,347,173 2,044,536 302,856
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet111
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
CANTON AULTMAN EMERGENCY PHYSICIANS INC

2600 SIXTH ST SW
CANTON,OH44710
PHYSICIAN SERVICES 3,715,232
CANTON MEDICAL EDUCATION FOUNDATION

2600 SIXTH ST SW
CANTON,OH44710
PHYSICIAN SERVICES 2,002,995
MILLIGAN PUSATERI CO LPA

4684 DOUGLAS CIR NW
CANTON,OH44735
LEGAL 1,150,689
PULMONARY PHYSICIANS INC

2600 TUSCARAWAS ST W STE 100
CANTON,OH44708
PHYSICIAN SERVICES 1,022,664
BREWER-GARRETT COMPANY

6800 EASTLAND RD
MIDDLEBURG HEIGHTS,OH44130
CONTRACTING 1,009,270
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet217
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
3,089,000
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 3,089,000
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 621110 337,142,737 337,142,737    
b PREMIUM REVENUE 621110 103,681,999 103,681,999    
c PHARMACY REVENUE 446110 5,478,525 5,478,525    
d MEDICARE EHR 621110 4,717,295 4,717,295    
e MEDICAID EHR 621110 434,973 434,973    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 451,455,529
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet        
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 1,921,828  
b Less: rental expenses 0  
c Rental income or (loss) 1,921,828  
d Net rental income or (loss).......MediumBullet 1,921,828     1,921,828
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a FOOD SERVICE 722210 2,697,258     2,697,258
b GIFT SHOP 453220 780,252     780,252
c LAB INCOME 621500 779,479   779,479  
d All other revenue .... 2,529,143 1,882,394 197,617 449,132
e Total. Add lines 11a–11d ...... MediumBullet 6,786,132
12 Total revenue. See Instructions......MediumBullet 463,252,489 453,337,923 977,096 5,848,470
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 506,140 506,140
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ....    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 1,770,616 1,451,905 318,711  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 167,539,936 137,382,748 30,157,188  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 6,678,990 5,476,772 1,202,218  
9 Other employee benefits ....... 44,951,437 36,860,178 8,091,259  
10 Payroll taxes ........... 13,537,851 11,101,038 2,436,813  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,432,870 1,994,953 437,917  
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 5,969 4,895 1,074  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 33,364,607 27,358,977 6,005,630  
12 Advertising and promotion .... 1,821,610 1,493,720 327,890  
13 Office expenses ....... 11,569,190 9,486,736 2,082,454  
14 Information technology ...... 1,759,282 1,442,611 316,671  
15 Royalties ..        
16 Occupancy ........... 11,850,289 9,717,237 2,133,052  
17 Travel ............ 1,386,755 1,137,139 249,616  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 320,869 263,113 57,756  
20 Interest ........... 220,636 180,922 39,714  
21 Payments to affiliates ....... 24,676,200 20,234,484 4,441,716  
22 Depreciation, depletion, and amortization ..... 21,192,908 17,378,185 3,814,723  
23 Insurance .............. 3,130,742 2,567,208 563,534  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 88,280,530 72,390,035 15,890,495  
b HOSPITAL FRANCHISE FEE 7,140,237 5,854,994 1,285,243  
c EDUCATION 2,244,295 1,840,322 403,973  
d RECRUITMENT 805,713 660,685 145,028  
e All other expenses 1,056,289 866,157 190,132  
25 Total functional expenses. Add lines 1 through 24e 448,243,961 367,651,154 80,592,807 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 17,648 1 17,888
2 Savings and temporary cash investments ......... 7,729,303 2 2,112,638
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 45,769,947 4 48,864,721
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7 28,341
8 Inventories for sale or use .............. 2,533,888 8 2,822,929
9 Prepaid expenses and deferred charges .......... 3,756,270 9 3,280,941
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 519,451,316
b Less: accumulated depreciation ..... 10b 293,874,643 232,191,134 10c 225,576,673
11 Investments—publicly traded securities .......... 2,110,122 11 1,954,754
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..... 1,739,426 13 1,752,781
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 24,011,009 15 8,193,358
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 319,858,747 16 294,605,024
Liabilities 17 Accounts payable and accrued expenses ......... 46,486,783 17 44,929,101
18 Grants payable .................   18  
19 Deferred revenue ................   19 2,935,600
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 15,808,711 24 16,740,000
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 2,808,138 25 31,832
26 Total liabilities. Add lines 17 through 25......... 65,103,632 26 64,636,533
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 250,832,006 27 224,809,965
28 Temporarily restricted net assets ........... 3,209,995 28 4,653,526
29 Permanently restricted net assets ........... 713,114 29 505,000
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 254,755,115 33 229,968,491
34 Total liabilities and net assets/fund balances ........ 319,858,747 34 294,605,024
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
463,252,489
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
448,243,961
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
15,008,528
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
254,755,115
5
Net unrealized gains (losses) on investments ...............
5
184
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-39,795,336
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
229,968,491
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 712,855 722,589 696,799 681,425 668,598
b Contributions ........         100
c Net investment earnings, gains, and losses 12,313 -4,282 31,857 20,946 18,235
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
         
f Administrative expenses .... 5,842 5,842 6,067 5,572 5,508
g End of year balance ...... 719,326 712,465 722,589 696,799 681,425
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   29,655,134 29,655,134
b Buildings ................   156,407,766 75,462,493 80,945,273
c Leasehold improvements ............        
d Equipment ................   309,838,920 209,754,901 100,084,019
e Other .................   23,549,496 8,657,249 14,892,247
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 225,576,673
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
INTEREST RATE SWAP 31,832








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 31,832
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE CHAPLAINCY PROGRAM.
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 STATEMENT 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.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    9,580,191 4,947,410 4,632,781 1.030 %
b Medicaid (from Worksheet 3,
column a) ....
    70,656,591 41,338,555 29,318,036 6.540 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    80,236,782 46,285,965 33,950,817 7.570 %
Other Benefits
    518,820 61,096 457,724 0.100 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    9,717,455 128,195 9,589,260 2.140 %
g Subsidized health services
(from Worksheet 6) ..
    87,351,869 74,946,957 12,404,912 2.770 %
h Research (from Worksheet 7)     565,336 1,156,939 -591,603 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    430,142   430,142 0.100 %
j Total. Other Benefits ..     98,583,622 76,293,187 22,290,435 5.110 %
k Total. Add lines 7d and 7j .     178,820,404 122,579,152 56,241,252 12.680 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     81,456   81,456 0.020 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy     689,979   689,979 0.150 %
8 Workforce development            
9 Other            
10 Total     771,435   771,435 0.170 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,762,524
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
3,439,471
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
92,444,997
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
95,826,303
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-3,381,306
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC
 
ONCOLOGY SERVICES 64.770 %   35.230 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 AULTMAN HOSPITAL
2600 SIXTH ST SW
CANTON,OH44708
HTTP://WWW.AULTMAN.ORG
X X   X   X X   MAIN HOSPITAL A
2 AULTMAN WOODLAWN
2821 WOODLAWN AVE NW
CANTON,OH44708
HTTP://WWW.AULTMAN.ORG
X               SKILLED NURSING REHABILITATION CTR HOME CARE & HOSPICE A
3 AULTMAN WEST
2051 WALES AVE NW
MASSILLON,OH44646
HTTP://WWW.AULTMAN.ORG
X X             IMMEDIATE CARE, DIAGNOSTICS, THERAPY AND SURGERY A
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): HTTP://WWW.AULTMAN.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: AULTMAN HOSPITAL, - FACILITY 2: AULTMAN WOODLAWN, - FACILITY 3: AULTMAN WEST
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.AULTMAN.ORG
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.AULTMAN.ORG
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.AULTMAN.ORG
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA AULTMAN HOSPITAL USED THE STARK COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY COMMITTEE. THE CHNA ADVISORY COMMITTEE IS MADE UP OF A VARIETY OF HEALTH AND SOCIAL SERVICES AGENCIES AND VOLUNTEERS IN THE COMMUNITY. THE FOLLOWING AGENCIES HAVE BEEN INVOLVED IN THE COMMITTEE: ACCESS HEALTH STARK COUNTY; AFFINITY MEDICAL CENTER; ALLIANCE COMMUNITY HOSPITAL; ALLIANCE CITY HEALTH DEPARTMENT; AULTMAN HEALTH FOUNDATION; CANTON CITY HEALTH DEPARTMENT; CANTON COMMUNITY CLINIC; MERCY MEDICAL CENTER; PRESCRIPTION ASSISTANCE NETWORK OF STARK COUNTY; STARK COUNTY FAMILY COUNCIL; STARK COUNTY HEALTH DEPARTMENT; STARK COUNTY JOBS & FAMILY SERVICES; STARK COUNTY MEDICAL SOCIETY; STARK COUNTY MENTAL HEALTH & RECOVERY BOARD; UNITED WAY OF GREATER STARK COUNTY; AND WESTERN STARK CLINIC. TO COLLECT INFORMATION FROM THE CHNA ADVISORY COMMITTEE AULTMAN HOSPITAL PARTICIPATED IN TWO HEALTH IMPROVEMENT SUMMITS. DURING THE FIRST SUMMIT NEARLY 70 HEALTH AND SOCIAL SERVICE AGENCIES AND COMMUNITY VOLUNTEERS CAME TOGETHER TO REVIEW THE NEWLY RELEASED 2011 STARK COUNTY HEALTH NEEDS ASSESSMENT REPORT. THE REPORT INCLUDES SURVEY DATA COLLECTED FROM COMMUNITY RESIDENTS THROUGH A RANDOMIZED TELEPHONE POLL, SECONDARY HEALTH INDICATORS DATA AND YOUTH DATA OBTAINED FROM A SURVEY ADMINISTERED THROUGH STARK COUNTY SCHOOLS. THE DATA WAS ANALYZED AND FIVE LEADING HEALTH ISSUES WERE IDENTIFIED. PARTICIPANTS WERE ASKED TO DISCUSS THE RESULTS AND VOTE ON THREE HEALTH ISSUES FOR THE COMMUNITY TO ADDRESS. USING THE CONNECTING POINT VOTING SYSTEM, THE RESULTS WERE AVAILABLE IMMEDIATELY FOR VIEW. THE PARTICIPANTS WERE THEN ASKED TO BREAK INTO GROUPS AND BRAINSTORM IDEAS FOR ADDRESSING EACH HEALTH NEED. THESE IDEAS WERE USED TO CONSTRUCT A FRAMEWORK FOR A HEALTH IMPROVEMENT PLAN. PARTICIPANTS WERE ASKED TO CONTINUE THEIR COMMITMENT TO THIS PROCESS OVER THE NEXT FOUR MONTHS TO FURTHER DEVELOP THE PLAN. DURING THE SECOND SUMMIT OVER 60 COMMUNITY LEADERS FROM PUBLIC HEALTH, HEALTH CARE ORGANIZATIONS, FOUNDATIONS, AND OTHER GOVERNMENTAL AND SOCIAL SERVICES ORGANIZATION ATTENDED. THE SUMMIT WAS ORGANIZED TO BRING TOGETHER COMMUNITY ORGANIZATIONS THROUGHOUT STARK COUNTY WHOSE EFFORTS AND INITIATIVES ADDRESS ONE OR MORE OF THE THREE HEALTH PRIORITIES. THE ATTENDEES WERE ENCOURAGED TO COMMIT TO IMPLEMENTING GOALS AND STRATEGIES IN THE HEALTH IMPROVEMENT PLAN AND ASSIST IN EVALUATION EFFORTS. THE PURPOSE OF THE SUMMIT WAS ALSO TO MOTIVATE ATTENDEES TO MAKE SUSTAINABLE CHANGES AND TO SHOWCASE THE COUNTY'S COLLABORATION TO MAKE STARK COUNTY A HEALTHIER COMMUNITY.STARK COUNTY CHNA ADVISORY COMMITTEE ORIGINAL COMMITTEE MEMBERS: LES ABLE, COMMUNITY VOLUNTEER, RETIRED, STARK COUNTY MENTAL HEALTH BOARD JIM ADAMS, HEALTH COMMISSIONER, CANTON CITY HEALTH DEPARTMENT SHARON ANDREANI, DIRECTOR OF NURSING, ALLIANCE CITY HEALTH DEPARTMENT BARB BLEVINS, DIRECTOR, ACCESS HEALTH STARK COUNTY EMILY CANIFORD, DIRECTOR OF ADMINISTRATION AND SUPPORT SERVICES, STARK COUNTY HEALTH DEPARTMENT KAY CONLEY, COMMITTEE CHAIR, GRANTS COORDINATOR, STARK COUNTY HEALTH DEPARTMENT LYNNE DRAGOMIER, VP PUBLIC RELATIONS AND MARKETING, MERCY MEDICAL CENTER GARY FEAGLES, EXECUTIVE DIRECTOR, WESTERN STARK CLINIC BILL FRANKS, HEALTH COMMISSIONER, STARK COUNTY HEALTH DEPARTMENT DANA HALE, RN, BSN, CANTON CITY HEALTH DEPARTMENT WENDY HUNTER-VAUGHN, MANAGER OF PROGRAMS/EVALUATIONS, MENTAL HEALTH AND RECOVERY SERVICES BOARD OF STARK COUNTY BILL JAMES, DIRECTOR OF INDUSTRIAL ENGINEERING, ALLIANCE COMMUNITY HOSPITAL CAROL LICHTENWALTER, DIRECTOR, STARK COUNTY FAMILY COUNCIL KEVIN METZ, EXECUTIVE DIRECTOR, STARK COUNTY MEDICAL SOCIETY KRISTEN MIDAY, FINANCIAL ANALYST, AULTMAN HEALTH FOUNDATION MICHELLE MILLER, PROJECT LEADER OF RESEARCH AND DEVELOPMENT, ALLIANCE COMMUNITY HOSPITAL LIZ PRUITT, VP OF OPERATIONS, AFFINITY MEDICAL CENTER KELLY RICHENDOLLAR, HEALTH EDUCATOR, STARK COUNTY HEALTH DEPARTMENT CAROL RISALITI, EXECUTIVE DIRECTOR, PRESCRIPTION ASSISTANCE NETWORK OF STARK COUNTY LORIE TRAVAGLINO, DIRECTOR, UNITED WAY OF GREATER STARK COUNTY.
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:- AFFINITY MEDICAL CENTER- ALLIANCE COMMUNITY HOSPITAL- CANTON COMMUNITY CLINIC- MERCY MEDICAL CENTER- WESTERN STARK CLINIC
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA AND CHNA IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING URL:HTTP://WWW.AULTMAN.ORG/AULTMAN-HOSPITAL-INFORMATION/ABOUTUS/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 11: AS A RESULT OF THE CHNA AND SUBSEQUENT ANALYSIS, THE FOLLOWING WERE IDENTIFIED AS THE PRIORITY AREAS IN WHICH THE HOSPITAL WILL FOCUS: ACCESS TO HEALTH CARE, OBESITY AND LACK OF HEALTHY LIFESTYLE CHOICES, LARGE NEED FOR MENTAL HEALTH SERVICESACCESS TO HEALTH CARE - CURRENT PROGRAMS AND SERVICES THAT ADDRESS THIS NEED: AH OFFERS SEVERAL SERVICES TO COMBAT LACK OF ACCESS TO HEALTH INSURANCE AND HEALTH CARE: THREE OUTPATIENT CENTERS, STAFFED BY RESIDENT PHYSICIANS AND TEACHING ATTENDING PHYSICIANS, THAT PROVIDE FAMILY MEDICINE, INTERNAL MEDICINE AND OBSTETRICS SERVICES TO UNDERINSURED AND UNINSURED MEMBERS OF THE COMMUNITY. MORE THAN 40,000 PATIENT VISITS ARE MADE TO THE OUTPATIENT CENTERS EACH YEAR. THE WOW PROGRAM, WHICH VISITS SCHOOLS, COMMUNITY CENTERS, CHURCHES, SENIOR CENTERS AND BLOCK PARTIES TO PROVIDE FREE SCREENINGS AND HEALTH EDUCATION. SCREENINGS SUCH AS BLOOD PRESSURE CHECKS, HEIGHT, WEIGHT AND BODY MASS INDEX/PERCENTAGE OF BODY FAT ARE PROVIDED. IN 2012, THE WOW VAN REACHED MORE THAN 20,000 PEOPLE. THE AULTMAN CANCER CENTER'S ANNUAL CANCER SCREENING DAY PROVIDES A VARIETY OF FREE SCREENINGS TO HELP UNDERINSURED PEOPLE IN OUR COMMUNITY. AT THE APRIL 2012 CANCER SCREENING DAY, 161 PATIENTS WERE SCREENED. MOST OF THE PARTICIPANTS RECEIVED MULTIPLE SCREENINGS, FOR A TOTAL OF 353 SCREENINGS THROUGHOUT THE EVENT. THE CENTER ALSO OFFERED A BREAST SCREENING DAY IN 2012 TO UNDERSERVED WOMEN IN THE CARROLLTON, OHIO AREA. THE AULTMAN INFUSION THERAPY DEPARTMENT BEGAN A MEDICATION REIMBURSEMENT PROGRAM FOR UNINSURED PATIENTS IN 2007. LED BY AN ONCOLOGY-CERTIFIED REGISTERED NURSE, THE PROGRAM WAS SUCCESSFUL IN RECOVERING $450,000 IN DRUG COSTS IN 2012 FROM VARIOUS ASSISTANCE PROGRAMS. FREE HEALTH TALK PRESENTATIONS PROVIDE COMMUNITY MEMBERS WITH GENERAL HEALTH INFORMATION AND THE OPPORTUNITY TO INTERACT WITH LOCAL HEALTH CARE PROFESSIONALS. TOPICS RANGE FROM MANAGING DIABETES TO HEART ATTACK SIGNS TO CANCER PREVENTION. THE AH PATIENT OUTREACH DEPARTMENT OFFERS CHARITY CARE ASSISTANCE TO THE UNINSURED OR UNDERINSURED, ALONG WITH PROVIDING PATIENT RIGHTS NOTIFICATION TO ALL MEDICARE BENEFICIARIES IN THE HOSPITAL. PATIENTS RECEIVE FINANCIAL COUNSELING, ASSISTANCE IN APPLYING FOR MEDICAID AND THE STATE-FUNDED HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AS WELL AS GUIDANCE ON AULTMAN'S OWN FINANCIAL ASSISTANCE PROGRAM (FAP). THE DEPART. PROCESSED MORE THAN 15,000 CHARITY CARE APPLICATIONS IN 2012 AND DELIVERED NEARLY 17,000 PATIENTS' RIGHTS DOCUMENTS TO MEDICARE PATIENTS. AH PROVIDES HIGH-QUALITY HEALTH CARE PROGRAMS AND SERVICES TO ANYONE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. AH IS DEDICATED TO YOUR HEALTH, OFFERING EVERYTHING FROM MEDICAL CARE DISCOUNTS TO EDUCATIONAL PROGRAMS. AULTCARE OFFERS INDIVIDUAL AULTONE, EMPLOYER GROUP, AND PRIMETIME HEALTH PLAN MEDICARE ADVANTAGE PLANS. NETWORK PROVIDERS SPAN THE SPECTRUM OF HEALTH CARE SPECIALTIES TO MEET THE NEEDS OF ENROLLEES AND KEEP CARE LOCALLY BASED. CARE COORDINATION SERVICES ARE OFFERED WHEN IT IS NECESSARY FOR MEMBERS TO SEEK AND RECEIVE CARE OUTSIDE OF THE AULTCARE OR PRIMETIME HEALTH PLANS' NETWORK OF PROVIDERS. TELE-MONITORING SERVICES ARE OFFERED FOR HEART FAILURE AND DIABETES CHRONIC STATES. EMPLOYER GROUPS MAY CHOOSE TO ADD ON WELLNESS PROGRAMS DESIGNED SPECIFICALLY TO THE NEEDS OF THE GROUP WITH ONSITE HEALTH COACHING AND EDUCATION PROVIDED BY LICENSED PROFESSIONAL STAFF. TRANSITION PROGRAMS PROVIDE MEMBERS WHO ARE CONFINED IN AN ACUTE CARE SETTINGS EASE IN THEIR MOVING FROM THE ACUTE PHASE OF THEIR CARE TO THE NEXT LEVEL WITHIN THE HEALTH CARE CONTINUUM WITH THE GOAL OF REDUCING READMISSION. THE WEBSITE (WWW.AULTMAN.ORG) IS A COMMUNITY RESOURCE FOR HEALTH AND WELLNESS INFORMATION; HOSPITAL SERVICES AND A CALENDAR OF EVENTS; AN ONLINE PHYSICIAN DIRECTORY AND MORE. AH ALSO HAS A RELATIONSHIP WITH A HEALTH INFORMATION CONTENT PROVIDER CALLED EMMI. EMMI IS AN ANIMATED, WEB BASED EDUCATIONAL PRODUCT WITH AN EXTENSIVE LIBRARY OF SPECIFIC PROGRAMS DESIGNED TO HELP VIEWERS LEARN ABOUT THEIR MEDICAL CONDITION, WELLNESS, DIAGNOSTIC AND SURGICAL PROCEDURES. EMMI PROGRAMS CAN BE VIEWED IN THE HOME AT THE VIEWER'S OWN PACE. THE VIEWER MAY ALSO SHARE PROGRAMS WITH FRIENDS AND FAMILY. THESE PROGRAMS OFFER CURRENT, ACCURATE, SOUND AND UNBIASED MEDICAL INFORMATION. THEY ARE DESIGNED TO NOT ONLY EDUCATE THE VIEWER, BUT TO PROVIDE A BASE ON WHICH THE VIEWER CAN BUILD THEIR KNOWLEDGE AND BE AN INFORMED CONSUMER OF HEALTH CARE SERVICES.OBESITY AND LACK OF HEALTHY LIFESTYLE CHOICES - CURRENT PROGRAMS AND SERVICES THAT ADDRESS THIS NEED: AH SERVICES AND INITIATIVES TO TARGET OBESITY AND UNHEALTHY LIFESTYLE CHOICES INCLUDED: THE HEALTH VISION 2020 INITIATIVE, AIMED AT MAKING STARK COUNTY HEALTHIER BY THE YEAR 2020. THE AULTMAN HEALTH VISION 2020 COMMITTEE TARGETED TOBACCO USE AND OBESITY 2012, OFFERING FREE EDUCATIONAL PROGRAMS, HEALTH SCREENINGS AND THE "GIVE IT UP!" TOBACCO CESSATION PROGRAM TO EQUIP LOCAL RESIDENTS WITH THE TOOLS THEY NEED TO MAKE HEALTHIER LIFESTYLE CHOICES. AULTMAN WEIGHT MANAGEMENT (AWM) PROGRAMS TO HELP CLIENTS LOSE WEIGHT AND IMPROVE THEIR HEALTH. AH OFFERS THREE MEDICALLY SUPERVISED WEIGHT-LOSS PROGRAMS FOR ADULTS; ALONG WITH THE FUN 2B FIT FAMILY-CENTERED PROGRAM FOR CHILDREN 8-15 AND THEIR PARENTS. AWM RELOCATED IN 2012 FROM AN OFFICE BUILDING TO AN AH FACILITY PACKED WITH FITNESS EQUIPMENT, TO MAKE THE EXERCISE COMPONENT OF THE PROGRAM MORE CONVENIENT FOR CLIENTS. NOW, CLIENTS CAN ATTEND THEIR WEEKLY MEETINGS AND EXERCISE AT THE SAME FACILITY. FREE COMMUNITY HEALTH TALK PRESENTATIONS THAT PROVIDE ATTENDEES WITH INFORMATION ON HOW TO EAT HEALTHIER, EXERCISE AND IMPROVE THEIR HEALTH. PRIMETIME PROGRAM THAT HELPS COMMUNITY MEMBERS 50 AND OLDER STAY ACTIVE BY OFFERING A VARIETY OF EXERCISE CLASSES, ALONG WITH GOLF AND BOWLING LEAGUES. THE PRIMETIME PROGRAM EXPANDED TO THE AULTMAN ORRVILLE HOSPITAL LOCATION IN 2012, TO MEET THE NEEDS OF ORRVILLE AND WAYNE COUNTY RESIDENTS. THE CANTON PROJECT, A VEGAN DIET SUPPORT GROUP, LED BY AN AULTMAN CARDIAC REHAB NURSE AND CARDIOLOGIST. THE MONTHLY SUPPORT GROUP IS FREE TO ATTEND, AND ABOUT 100 PEOPLE ARE ON THE SUPPORT GROUP ROSTER. THE GROUP OFFERS INFORMATION AND ENCOURAGEMENT TO PEOPLE ON VEGAN OR PLANT-BASED DIETS. ACTIVITIES RANGE FROM FOOD LABEL-READING SESSIONS TO POT-LUCK SUPPERS TO TIPS ON HOW TO ORDER AT RESTAURANTS. THE CARDIOLOGIST ALSO ATTENDS REGULARLY TO SHARE THE LATEST MEDICAL RESEARCH WITH THE GROUP. THE SHARON LANE HEALTH INFORMATION CENTER, LOCATED AT AH, WHICH OFFERS MANY RESOURCES FOR HEALTHY LIFESTYLES INCLUDING A FULL LENDING LIBRARY, VIDEOS, COOKBOOKS, LITERATURE AND ANATOMICAL MODELS. HEALTH EDUCATION SPECIALISTS ARE ON HAND TO HELP VISITORS WITH CUSTOMIZED RESEARCH. THE WORKING ON WELLNESS (WOW) VAN, WHICH PROVIDES FREE HEALTH SCREENINGS AND EDUCATION THROUGHOUT THE COMMUNITY. THE WOW VAN VISITS AREA SCHOOLS, COMMUNITY/OUTREACH CENTERS, CHURCHES, SENIOR CENTERS; BLOCK PARTIES, ETC. TO PROVIDE AGE-APPROPRIATE HEALTH INFORMATION. IN 2012, THE WOW PROGRAM PROMOTED HEALTHY EATING TO LOCAL SCHOOL CHILDREN BY PROVIDING COLORFUL MYPLATE PLACEMATS TO TEACH KIDS ABOUT FOOD GROUPS AND CREATING "SMART" PLATES OF FOOD. THE WOW VAN ALSO PROVIDES NONINVASIVE HEALTH SCREENINGS INCLUDING BLOOD PRESSURE CHECKS, HEIGHT, WEIGHT AND BODY MASS INDEX/PERCENTAGE OF BODY FAT ARE PROVIDED. EDUCATIONAL PROGRAMS INCLUDING OUTPATIENT COUNSELING WITH A DIETITIAN AND A DIABETES MANAGEMENT PROGRAM, LED BY CERTIFIED DIABETES EDUCATORS. THE AULTMAN AMBASSADOR PROGRAM IS AN INITIATIVE TO REDUCE OBESITY AMONG HIGH SCHOOL STUDENTS, BY WORKING INTENSIVELY WITH A SPECIFIC HIGH SCHOOL OVER SEVERAL YEARS. IN OUR MODEL, AH PARTNERS WITH CARDIOVASCULAR CONSULTANTS (HEART SURGEONS), AN AREA COLLEGE/ UNIVERSITY AND A LOCAL HIGH SCHOOL. OBESITY IS REDUCED THROUGH ACTIVITIES IN BOTH THE SCHOOL AND COMMUNITY. RIGHT NOW, WE ARE ACTIVE IN LOUISVILLE HIGH SCHOOL WITH MALONE UNIVERSITY AS OUR COLLEGIATE PARTNER. A COLLABORATIVE WELLNESS COUNCIL CONSISTING OF AH EMPLOYEES; MALONE FACULTY; AND LOUISVILLE HIGH SCHOOL ADMINISTRATORS, TEACHERS, PARENTS AND STUDENTS HELPS TO DECIDE THE SPECIFIC ACTIONS THAT WE TAKE. THE WELLNESS COUNCIL MEETS MONTHLY DURING THE SCHOOL YEAR.NEED FOR ADDITIONAL MENTAL HEALTH SERVICES - CURRENT PROGRAMS AND SERVICES THAT ADDRESS THIS NEED: AH OFFERS A VARIETY OF SERVICES TO HELP PATIENTS WITH MENTAL HEALTH ISSUES INCLUDING: AN INPATIENT PSYCHIATRIC UNIT THAT PROVIDES GROUP AND FAMILY THERAPY, MEDICATION ADJUSTMENTS, ART THERAPY, SOCIAL SERVICES AND DISCHARGE PLANNING. THE UNIT FEATURES 24/7 NURSING CARE AND SECURITY COVERAGE. THE OUTPATIENT PARTIAL HOSPITALIZATION PROGRAM AND INTENSIVE OUTPATIENT PROGRAM THAT PROVIDE SHORT-TERM, DAILY PROGRAMMING FOR PATIENTS WITHOUT HAVING TO STAY OVERNIGHT IN THE HOSPITAL. THE AULTMAN BEHAVIORAL HEALTH CENTER, WHICH OPENED IN 2012, OFFERS OUTPATIENT GROUP THERAPY, INDIVIDUAL MENTAL HEALTH ASSESSMENTS, MEDICATION MANAGEMENT AND MORE.SEE IMPLEMENTATION PLAN FOR FURTHER INFORMATION.
GROUP A-FACILITY 1 -- AULTMAN HOSPITAL PART V, SECTION B, LINE 22D: A SLIDING SCALE IS USED TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY.
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 5: SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 6A: SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 2 -- AULTMAN WOODLAWN PART V, SECTION B, LINE 22D: SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 3 -- AULTMAN WEST PART V, SECTION B, LINE 5: SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 3 -- AULTMAN WEST PART V, SECTION B, LINE 6A: SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
GROUP A-FACILITY 3 -- AULTMAN WEST PART V, SECTION B, LINE 22D: SEE GROUP A - FACILITY 1 -- AULTMAN HOSPITAL DISCLOSURE
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address Type of Facility (describe)
1 AULTMAN NORTH
6100 WHIPPLE AVE NW
NORTH CANTON,OH44720
IMMEDIATE CARE, DIAGNOSTICS THERAPY AND SURGERY
2 AULTMAN CENTER FOR DIALYSIS
2912 W TUSCARAWAS ST
CANTON,OH44710
DIALYSIS CENTER
3 AULTMAN CENTER FOR PAIN MANAGEMENT
2302 FULTON DR NW
CANTON,OH44718
GENERAL MEDICAL & SURGICAL
4 HOME MEDICAL SUPPLY EQUIPMENT
5200 TUSCARAWAS ST
CANTON,OH44708
MEDICAL SUPPLY CO
5 AULTWORKS
4650 HILLS DALES RD NW
CANTON,OH44708
BWC CERTIFIED TREATMENT FACILITY
6 AULTMAN CARROLTOWN
1020 TRUMP RD
CARROLTOWN,OH44615
IMMEDIATE CARE, DIAGNOSTICS THERAPY AND SURGERY
7 AULTMAN TUSCARAWAS
2615 TUSCARAWAS ST W
CANTON,OH44708
THERAPY CLINIC
8 AULTMAN WEIGHT MANAGEMENT
2615 TUSCARAWAS ST W
CANTON,OH44708
WEIGHT MANAGEMENT PROGRAM
9 AULTMAN FAMILY MEDICINE CENTER
4319 HILLS DALES RD NW
CANTON,OH44708
OUTPATIENT PHYSICIAN CLINIC
10 AULTMAN FAMILY MEDICINE CENTER
8320 WAYNESBURG DR SE
WAYNESBURG,OH44688
OUTPATIENT PHYSICIAN CLINIC
11 AULTMAN FAMILY MEDICINE CENTER
2600 7TH STREET SW
CANTON,OH44710
OUTPATIENT PHYSICIAN CLINIC
12 AULTMAN LOUISVILLE
1925 WILLIAMSBURG WAY
LOUISVILLE,OH44641
THERAPY CLINIC
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PERCENT OF ASSISTANCE PROVIDED IS DETERMINED ON A SLIDING SCALE AS FOLLOWS: 0% TO 100% OF FPG RECEIVES 100% DISCOUNT, 101% TO 150% OF FPG IS DISCOUNTED 90%, 151% TO 200% IS DISCOUNTED 80%, 201% TO 250% IS DISCOUNTED 65%, 251% TO 300% IS DISCOUNTED 55%, 301% TO 350% IS DISCOUNTED 40%, 351% TO 400% IS DISCOUNTED 35%, AND 401% AND ABOVE IS DISCOUNTED 30%.
PART I, LINE 7: THE ORGANIZATION USED THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2 OF SCHEDULE H.
PART I, LINE 6A AULTMAN HEALTH FOUNDATION, THE PARENT COMPANY, PUBLISHES ANNUALLY ITS ANNUAL REPORT WHICH INCLUDES ALL RELATED ORGANIZATIONS' PROGRAMS AND SERVICES DESIGNED TO LEAD THE COMMUNITY TO IMPROVED HEALTH AND PROMOTE HEALTHY LIFESTYLES. THIS REPORT IS AVAILABLE ON AULTMAN'S WEBSITE.
PART III, LINE 2: BAD DEBT EXPENSE REPORTED IS CALCULATED BY TAKING THE PROVISION FOR DOUBTFUL PATIENT ACCOUNTS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND THEN MULTIPLYING THIS AMOUNT BY THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2.
PART III, LINE 3: METHODOLOGY FOR BAD DEBT RELATED TO CHARITY CARE ACCORDING TO AULTMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), ALL MEDICALLY NECESSARY SELF-PAY PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ELIGIBILITY CRITERIA IS BASED ON THE FEDERAL POVERTY GUIDELINES AND ARE UPDATED ANNUALLY BASED ON THE UPDATES PUBLISHED BY THE UNITED STATES OF HEALTH AND HUMAN SERVICES. THE FAP DISCOUNT IS BASED ON INCOME AND FAMILY SIZE. SELF-PAY BALANCES WILL RECEIVE A MINIMUM OF 30% DISCOUNT AND UP TO 100% AS LONG AS THE NECESSARY FINANCIAL ASSISTANCE APPLICATION IS COMPLETE. PATIENTS MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY.TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT POTENTIALLY COULD HAVE BEEN ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY THE ORGANIZATION LOOKED AT ALL BAD DEBT BALANCES THAT WERE SELF-PAY. FROM THIS POPULATION THE ORGANIZATION IDENTIFIED THOSE SELF-PAY BALANCES THAT DID NOT RECEIVE ANY FORM OF FAP OR HCAP DISCOUNT. BECAUSE ALL SELF-PAY PATIENTS RECEIVE AT LEAST A MINIMUM OF 30% REGARDLESS OF INCOME, THE ASSUMPTION WAS MADE THAT IF THE ACCOUNT HAD NO DISCOUNT THE PROPER PAPER WORK WAS NOT TURNED IN TO DETERMINE ELIGIBILITY CRITERIA. FROM THIS REMAINING POPULATION THE ESTIMATED DISCOUNT AT COST THAT WOULD HAVE BEEN PROVIDED IF DOCUMENTATION HAD BEEN RECEIVED WAS CALCULATED BY APPLYING THE ACTUAL FAP DISTRIBUTION OF PATIENTS WHO RECEIVED DISCOUNTS IN 2014 AND THEN MULTIPLYING THIS AMOUNT BY THE COST TO CHARGE RATIO CALCULATED IN WORKSHEET 2. TO BE CONSIDERED FOR FINANCIAL ASSISTANCE, THE PATIENT MUST COOPERATE WITH THE FACILITY TO PROVIDE THE INFORMATION AND DOCUMENTATION NECESSARY TO APPLY FOR OTHER EXISTING FINANCIAL RESOURCES THAT MAY BE AVAILABLE TO PAY FOR HIS OR HER HEATH CARE, SUCH AS MEDICAID.
PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. PREMIUM RECEIVABLES ARE CARRIED AT ORIGINAL BILLED AMOUNT LESS AN ESTIMATE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. PREMIUM RECEIVABLES ARE CONSIDERED PAST DUE TO THE EXTENT THAT THERE IS NO RELATED UNEARNED PREMIUM.ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE FOUNDATION HAS DETERMINED, BASED ON AN ASSESSMENT AT THE CONSOLIDATED ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO PATIENT REVENUE IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.
PART III, LINE 8: THE HOSPITAL DOES HAVE A SHORTFALL WITH THEIR MEDICARE PATIENTS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS MEDICARE COST REPORT.
PART III, LINE 9B: THE COLLECTIONS DEPARTMENT WILL ATTEMPT TO CONTACT THE PATIENT; BY PHONE, LETTER OR A COMBINATION OF THE TWO, TO SETTLE A DEBT WITH PAYMENT IN FULL OR MONTHLY INSTALLMENTS. IF IT HAS BEEN DETERMINED AN ACCOUNT IS APPROVED FOR HCAP THE ACCOUNT IS REMOVED FROM BAD DEBT AND THE ADJUSTMENT IS APPLIED. ALSO, IF AN ACCOUNT IS APPROVED FOR FAP, THE ACCOUNT IS REMOVED FROM BAD DEBT AND THE ADJUSTMENT IS APPLIED. AFTER THE GUIDELINE ADJUSTMENT HAS BEEN MADE THE REMAINING BALANCE IS SENT BACK TO RESUME COLLECTIONS. ONCE IT HAS BEEN DETERMINED THAT INTERNAL COLLECTION EFFORTS WILL CEASE, THE COLLECTOR WILL REQUEST THE ACCOUNT TO BE CANCELLED. THESE ACCOUNTS WILL THEN BE REFERRED TO A SECONDARY OUTSIDE COLLECTION AGENCY.
PART V, FACILITY INFORMATION AULTMAN HOSPITAL INCLUDES ONE DURABLE MEDICAL EQUIPMENT COMPANY, ONE PAIN MANAGEMENT CENTER, ONE SKILLED NURSING FACILITY, ONE HOME CARE, ONE HOSPICE, TWO BUREAU OF WORKMAN'S COMPENSATION CERTIFIED TREATMENT FACILITIES, ONE DIALYSIS CENTER, TWO FAMILY PRACTICES, ONE WEIGHT MANAGEMENT FACILITY, SIX THERAPY CLINICS, THREE DIAGNOSTIC CENTERS, TWO SAME DAY SURGERY CENTERS, ONE INPATIENT SURGERY CENTER, AND THREE IMMEDIATE CARE CENTERS.
PART VI, LINE 2: NEEDS ASSESSMENT AULTMAN HOSPITAL ASSESSES THE COMMUNITY'S HEALTH CARE NEEDS A VARIETY OF WAYS. WE STUDY PROTOCOL VOLUME AND PATIENT SATISFACTION SURVEYS. WE DOCUMENT THE MEDICAL CONDITIONS THOUSANDS OF COMMUNITY MEMBERS AND MEDICAL STAFF MEMBERS INQUIRE ABOUT IN OUR SHARON LANE HEALTH CENTER HEALTH LIBRARY. WE TRACK ATTENDANCE AT THE MORE THAN 100 "HEALTH TALK" PRESENTATIONS HELD EACH YEAR TO DETERMINE WHAT TOPICS ARE OF MOST INTEREST TO THE COMMUNITY. BETWEEN 2011 - 2013, AULTMAN COLLABORATED WITH AREA HOSPITALS AND HEALTH CARE FACILITIES TO CONDUCT A COMMUNITY HEALTH SURVEY. THE GOAL WAS TO GAUGE THE HEALTH STATUS AND HEALTH HABITS OF STARK COUNTY RESIDENTS - AND IDENTIFY AREAS WHERE AULTMAN CAN IMPROVE THE HEALTH OF OUR COMMUNITY. FIFTEEN QUESTIONS WERE INCLUDED ON THE POLL OF 1,067 STARK COUNTY HOUSEHOLDS. THE SURVEY SHOWED ACCESS TO HEALTH INSURANCE COVERAGE AND HEALTH CARE AS THE TOP PRIORITY; ALONG WITH OBESITY AND LACK OF HEALTHY LIFESTYLE CHOICE; OTHER AREAS OF CONCERN WERE PRESCRIPTION DRUG MISUSE, LARGER NEED FOR MENTAL HEALTH SERVICES, AND GREATER ACCESS TO DENTAL CARE.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE APPLICATION AND GUIDELINES ARE PROVIDED ON THE BACK OF EVERY PATIENT STATEMENT. AT THE TIME OF REGISTRATION PATIENTS ARE ASKED TO FILL OUT THE HOSPITAL CARE ASSURANCE PROGRAM APPLICATION WHICH INCLUDES CONTACT INFORMATION FOR QUESTIONS AND ASSISTANCE IN COMPLETING THE FORM. SIGNS AND APPLICATIONS ARE POSTED AT ALL POINTS OF ADMISSIONS INFORMING PATIENTS OF THE FREE CARE PROGRAMS WHICH ARE AVAILABLE. IN 2010, THE APPLICATION WAS ADDED TO THE INTERNET FOR EASY PATIENT ACCESS. AULTMAN'S OUTREACH DEPARTMENT ASSISTS SELF-PAY INPATIENTS WITH THE INITIAL MEDICAID APPLICATION PROCESS AND OTHER CHARITY CARE PROGRAMS UNDER WHICH THEY ARE ELIGIBLE FOR ASSISTANCE. PATIENTS WHO ARE UNABLE TO BE SCREENED DURING THEIR ADMISSION OR OUTPATIENT VISIT ARE SENT AN APPLICATION, UPON REQUEST, AFTER THEY HAVE BEEN DISCHARGED. IMPROVEMENT PROCESSES FOR 2011 INCLUDED FORMAL PATIENT OUTREACH STAFF TRAINING IN HCAP PROGRAM REQUIREMENTS AND CUSTOMER SERVICE SKILLS.
PART VI, LINE 4: COMMUNITY INFORMATION AULTMAN'S SERVICE AREA INCLUDES STARK, WAYNE, HOLMES, CARROLL AND TUSCARAWAS COUNTIES. THE CORE MARKET FOR AULTMAN HOSPITAL IS STARK COUNTY. THE U.S. CENSUS BUREAU ESTIMATED THE 2014 POPULATION OF OUR FIVE COUNTY AREAS TO BE OVER 656,146. THERE ARE TEN REGISTERED HOSPITALS IN THE FIVE COUNTY AREAS. TWO OF THESE ARE AULTMAN FACILITIES. AULTMAN PROVIDED CARE FOR 22% OF THE TOTAL 331,238 MEDICAID CASES IN THE PRIMARY SERVICE AREA FOR 2014. OF THE 67,297 SELF-PAY CASES IN OUR PRIMARY SERVICE AREA AULTMAN PROVIDED CARE FOR 27%.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH AH'S BOARD OF DIRECTORS HAS 13 NON-EMPLOYED MEMBERS. A TOTAL OF 15 OF THE 18 VOTING BOARD MEMBERS RESIDE IN THE CORE MARKET AREA. THE REMAINING PORTION RESIDES IN THE TERTIARY MARKET.COMMUNITY PHYSICIANS REQUESTING AND ULTIMATELY QUALIFYING FOR MEDICAL STAFF PRIVILEGES WOULD BE GRANTED PRIVILEGES IN THEIR RESPECTIVE MEDICAL DEPARTMENTS. AULTMAN HAS MORE THAN 535 PHYSICIANS ON ACTIVE STAFF IN MORE THAN 40 MEDICAL SPECIALTIES. TEAM MEMBERS ARE FILLED WITH A STRONG SENSE OF CORPORATE RESPONSIBILITY, ACTIVELY SUPPORTING ORGANIZATIONS RANGING FROM UNITED WAY TO THE AKRON-CANTON REGIONAL FOODBANK. EDUCATIONAL PROGRAMS INCLUDE MORE THAN 100 FREE HEALTH TALK PRESENTATIONS EACH YEAR, FEATURING LOCAL PHYSICIANS AND HEALTH CARE PROFESSIONALS. THE SHARON LANE HEALTH INFORMATION CENTER OFFERS A COMPREHENSIVE COLLECTION OF HEALTH CARE AND CONSUMER-HEALTH MATERIALS RANGING FROM BOOKS AND DVDS AVAILABLE FOR LENDING TO ANATOMICAL MODELS. THE CENTER IS OPEN TO PATIENTS AND THEIR FAMILY MEMBERS, STUDENTS, PHYSICIANS AND THE GENERAL PUBLIC. ADDITIONAL RESOURCES INCLUDE AN ILLUSTRATED HEALTH ENCYCLOPEDIA, SYMPTOM CHECKER, VIDEOS, RISK ASSESSMENTS AND A WELLNESS CENTER ON THE AULTMAN WEBSITE.AULTMAN OFFERS THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT FROM CANTON TO COLUMBUS, PROVIDING SPECIALIZED CARE FOR MOTHERS WITH HIGH-RISK PREGNANCIES AND PREMATURE BABIES, UNDER ONE ROOF. AULTMAN ALSO PROVIDES A LEVEL II TRAUMA PROGRAM, VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS' COMMITTEE ON TRAUMA, THE ONLY LEVEL II CENTER FOR ADULT AND PEDIATRIC PATIENTS IN ITS FIVE-COUNTY SERVICE AREA.IN 2014, AULTMAN HEALTH FOUNDATION CONTRIBUTED TO THE BETTERMENT OF THE STARK COUNTY COMMUNITY WITH THE FOLLOWING ACTIVITIES. CANCER SCREENING DAYA TOTAL OF 261 FREE BREAST, CERVICAL, COLON, LUNG, PROSTATE, HEAD/NECK, SKIN AND ORAL CANCER SCREENINGS WERE PERFORMED AT THE ANNUAL CANCER SCREENING DAY EVENT. ATTENDEES ALSO TOOK ADVANTAGE OF WORKING ON WELLNESS (WOW) CONSULTATIONS - INCLUDING BLOOD PRESSURE SCREENING, BMI TESTING AND NUTRITION TIPS - AND LEARNED ABOUT AULTMAN'S "GIVE IT UP!" SMOKING CESSATION PROGRAM.ANNUAL WALK EVENTSAULTMAN TEAM MEMBERS AND THEIR LOVED ONES ARE FIXTURES AT ANNUAL FUNDRAISING WALKS TO BENEFIT THE JUVENILE DIABETES RESEARCH FOUNDATION, THE AMERICAN CANCER SOCIETY AND THE AMERICAN HEART ASSOCIATION.SAFETY FIRSTAGAIN IN 2014, AULTMAN TEAM MEMBERS SPREAD A MESSAGE OF BICYCLE SAFETY TO LOCAL FIRST-GRADE STUDENTS THROUGH THE SAFETY FIRST PROGRAM. AULTMAN HEALTH FOUNDATION EMPLOYEES VISITED 85 SCHOOLS AND EDUCATED 5,567 STUDENTS - WHILE AULTMAN ORRVILLE TEAM MEMBERS VISITED FIVE SCHOOLS AND TAUGHT 384 STUDENTS.SENIOR DAY AT THE PRO FOOTBALL HALL OF FAMEAULTMAN WAS WELL-REPRESENTED WITH 25 DEPARTMENTS AT THE 2014 SENIOR DAY AT THE PRO FOOTBALL HALL OF FAME. NEARLY 1,500 LOCAL SENIORS ATTENDED THE EVENT, WHICH ALSO INCLUDED EDUCATIONAL PRESENTATIONS ON HEALTHY EATING AND HEART DISEASE.HARVEST FOR HUNGERAULTMAN HEALTH FOUNDATION PARTICIPATED IN THE 2014 HARVEST FOR HUNGER CAMPAIGN TO BENEFIT THE AKRON-CANTON REGIONAL FOODBANK. AULTMAN EMPLOYEES COLLECTED 10,764 POUNDS OF FOOD AND MORE THAN $16,200 IN MONETARY DONATIONS.UNITED WAYAULTMAN'S ANNUAL FUNDRAISER TO BENEFIT UNITED WAY OF GREATER STARK COUNTY GENERATED NEARLY $470,000. MORE THAN 150 AULTMAN MANAGERS AND EXECUTIVES, ALONG WITH EMPLOYEES IN THE AULTMAN EXPLORING LEADERS DEVELOPMENT PROGRAM, PARTICIPATED IN THE ANNUAL UNITED WAY DAY OF CARING. THE VOLUNTEERS TACKLED PAINTING AND OTHER IMPROVEMENT PROJECTS FOR LOCAL NONPROFIT ORGANIZATIONS.WORKING ON WELLNESSTHE WOW TEAM PARTICIPATED IN 363 EVENTS IN 2014. WOW NURSES PROVIDED HEALTH SCREENINGS FOR 2,610 COMMUNITY MEMBERS, AND NEARLY 1,000 PEOPLE RECEIVED REFERRALS FOR HEALTH CARE RESOURCES. THE WOW TEAM ALSO PROVIDED 14,804 PEOPLE WITH HEALTH EDUCATION TO ENCOURAGE COMMUNITY MEMBERS TO BE ACTIVE PARTICIPANTS IN HEALTH AND WELLNESS.ADDITIONAL COMMUNITY BENEFITIN ADDITION TO PROVIDING CARE FOR PATIENTS WITH NO INSURANCE, AULTMAN ALSO SERVES THOUSANDS OF PATIENTS COVERED BY PROGRAMS SUCH AS MEDICAID. PAYMENTS FROM THESE FEDERALLY FUNDED PROGRAMS DO NOT ALWAYS COVER THE TOTAL COST OF SERVICE. THROUGH ITS RESIDENT TEACHING PROGRAMS, AULTMAN DELIVERS A SIGNIFICANT LEVEL OF QUALITY OUTPATIENT AND INPATIENT HEALTH CARE TO INSURED, UNDERINSURED AND UNINSURED INDIVIDUALS IN OUR MARKET. FOR MEMBERS OF THE AMISH COMMUNITY, AULTMAN OFFERS FREE TRANSPORTATION TO AND FROM DOCTORS' APPOINTMENTS AND AULTMAN HOSPITAL. AN AMISH HOUSE IS ALSO LOCATED ADJACENT TO THE AULTMAN CAMPUS, GIVING VISITORS A FREE PLACE TO STAY WHEN LOVED ONES ARE HOSPITALIZED.
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number
34-0714538
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) UNIVERSITY OF MOUNT UNION
1972 CLARK AVE
ALLIANCE,OH44601
34-0714687 501(C)(3) 115,000       SUPPORT
(2) STARK DEVELOPMENT BOARD INC
116 CLEVELAND AVE
CANTON,OH44702
34-1476938 501(C)(3) 96,666       SUPPORT
(3) CITY OF MASSILLON
100 LINCOLN WAY E
MASSILLON,OH44646
34-6001829 CITY OF MASSILLON 50,000       SUPPORT
(4) PRO FOOTBALL HALL OF FAME
2121 GEORGE HALAS DR NW
CANTON,OH44708
34-0898576 501(C)(3) 45,035       SUPPORT
(5) GOODWILL IND OF GREATER CLEVELAND AND EAST CENTRAL OHIO INC
408 NINTH ST SW
CANTON,OH44707
34-0909974 501(C)(3) 40,000       SUPPORT
(6) CANTON SYMPHONY ORCHESTRA
1001 MARKET AVE N
CANTON,OH44702
34-6533119 501(C)(3) 25,000       SUPPORT
(7) CANTON CITY HEALTH DEPARTMENT
218 S CLEVELAND AVE
CANTON,OH44702
34-6000504 CITY OF CANTON 24,000       SUPPORT
(8) WALSH UNIVERSITY
2020 EAST MAPLE
N CANTON,OH44720
34-0868798 501(C)(3) 20,750       SUPPORT
(9) OHIO FOUNDATION OF INDEPENDENT COLLEGES
250 E BROAD ST STE 1700
COLUMBUS,OH43215
31-4441082 501(C)(3) 20,000       SUPPORT
(10) STARK EDUCATION PARTNERSHIP
400 MARKET AVE N SUITE B
CANTON,OH44702
34-1625250 501(C)(3) 15,000       SUPPORT
(11) AKRON CANTON FOOD BANK
350 OPPORTUNITY PKWY
AKRON,OH44307
34-1369388 501(C)(3) 10,764       SUPPORT
(12) PIZZA OVEN
4368 DRESSLER RD STE 204
CANTON,OH44718
34-1616310   5,700       SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
11
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: AULTMAN HOSPITAL RECEIVES MYRAID REQUESTS FOR SUPPORT FROM COMMUNITY ORGANIZATIONS EACH YEAR. A MULTIDISCIPLINARY COMMITTEE MEETS REGUARLY TO REVIEW SPONSORSHIP REQUESTS. THE AULTMAN FOUNDATION PARTNERS WITH LOCAL NONPROFIT ORGANIZATIONS TO SUPPORT PROJECTS THAT PROMOTE WELLNESS, HEALTH EDUCATION AND HUMAN SERVICES IN OUR COMMUNITY. SINCE 2007, MORE THAN 150 DIFFERENT AGENCIES HAVE RECEIVED GRANT FUNDING FROM THE AULTMAN FOUNDATION IN EXCESS OF $1.65 MILLION.
Schedule I (Form 990) 2014


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1EDWARD J ROTH IIIPRESIDENT/CEO-AHF (i)
(ii)
0
...............................
533,990
0
...............................
0
0
...............................
24,143
0
...............................
7,800
0
...............................
13,352
0
...............................
579,285
0
...............................
0
2CHRISTOPHER E REMARKDIRECTOR/CEO-AH (i)
(ii)
335,505
...............................
0
0
...............................
0
18,349
...............................
0
7,800
...............................
0
13,462
...............................
0
375,116
...............................
0
0
...............................
0
3ANNE GUNTHERDIRECTOR/CNO (i)
(ii)
208,109
...............................
0
3,000
...............................
0
18,611
...............................
0
6,252
...............................
0
8,490
...............................
0
244,462
...............................
0
0
...............................
0
4MILAN R DOPIRAK MDDIRECTOR (i)
(ii)
0
...............................
292,931
0
...............................
65,908
0
...............................
18,186
0
...............................
7,800
0
...............................
8,460
0
...............................
393,285
0
...............................
0
5RICK L HAINESDIRECTOR/CEO-AULTCARE (i)
(ii)
0
...............................
363,538
0
...............................
0
0
...............................
20,054
0
...............................
7,800
0
...............................
10,609
0
...............................
402,001
0
...............................
0
6MARK D WRIGHTCFO-AHF (i)
(ii)
0
...............................
307,168
0
...............................
3,000
0
...............................
18,301
0
...............................
7,800
0
...............................
12,843
0
...............................
349,112
0
...............................
0
7ADAM LUNTZCFO-AH (i)
(ii)
141,799
...............................
0
3,000
...............................
0
18,188
...............................
0
4,461
...............................
0
8,564
...............................
0
176,012
...............................
0
0
...............................
0
8ALLISON M OPRANDI MDPHYSICIAN (i)
(ii)
318,877
...............................
0
3,000
...............................
0
19,286
...............................
0
7,800
...............................
0
12,843
...............................
0
361,806
...............................
0
0
...............................
0
9SUSAN E MERCERVP-MEDICAL EDUCATION (i)
(ii)
257,604
...............................
0
3,000
...............................
0
22,478
...............................
0
7,800
...............................
0
10,546
...............................
0
301,428
...............................
0
0
...............................
0
10EILEEN F GOODSENIOR VP-CLINICAL ADVOCACY (i)
(ii)
0
...............................
173,915
0
...............................
3,000
0
...............................
27,638
0
...............................
5,490
0
...............................
6,320
0
...............................
216,363
0
...............................
0
11ROBERT C MOLNARVP-PHYSICIAN SERVICES (i)
(ii)
0
...............................
167,766
0
...............................
3,000
0
...............................
18,323
0
...............................
5,238
0
...............................
12,484
0
...............................
206,811
0
...............................
0
12LORI L MERTESPHYSICIAN/CHIEF QUALITY OFFICER (i)
(ii)
262,877
...............................
0
3,000
...............................
0
18,114
...............................
0
7,800
...............................
0
0
...............................
0
291,791
...............................
0
0
...............................
0
13PRABHCHARAN GILLPHYSICIAN (i)
(ii)
552,686
...............................
0
50,000
...............................
0
38,473
...............................
0
7,800
...............................
0
11,814
...............................
0
660,773
...............................
0
0
...............................
0
14TIMOTHY E MCDANIELPHYSICIAN (i)
(ii)
525,651
...............................
0
55,000
...............................
0
63,391
...............................
0
7,800
...............................
0
13,352
...............................
0
665,194
...............................
0
0
...............................
0
15MICHAEL A KREWPHYSICIAN (i)
(ii)
552,505
...............................
0
50,000
...............................
0
4,073
...............................
0
7,800
...............................
0
13,352
...............................
0
627,730
...............................
0
0
...............................
0
16NABIL HABIB MDPHYSICIAN (i)
(ii)
363,338
...............................
0
0
...............................
0
2,567
...............................
0
7,800
...............................
0
10,791
...............................
0
384,496
...............................
0
0
...............................
0
17OSAMA MITRIPHYSICIAN (i)
(ii)
275,941
...............................
0
109,285
...............................
0
29,466
...............................
0
7,800
...............................
0
12,733
...............................
0
435,225
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A ALL EMPLOYEES ARE ELIGIBLE TO RECEIVE REIMBURSEMENT FOR HEALTH CLUB COSTS UP TO $120 ANNUALLY AS PART OF THE ORGANIZATION'S EFFORT TO PROMOTE HEALTHY LIFESTYLES. THIS AMOUNT WAS INCLUDED AS TAXABLE COMPENSATION FOR ALL EMPLOYEES THAT RECEIVED THE BENEFIT.
PART I, LINE 3 SEE SCHEDULE O FOR EXPLANATION OF EXECUTIVE COMPENSATION REVIEW.
PART I, LINE 4B EDWARD J. ROTH III, CHRISTOPHER E. REMARK, RICK L. HAINES, EILEEN F. GOOD, AND MARK D. WRIGHT ARE PARTICIPANTS IN THE ORGANIZATION'S 457(F) PLAN.
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) DOREEN GOOD
 
FAMILY MEMBER TO EILEEN GOOD 8,075 WAGES   No
(2) ELIZABETH GOOD
 
FAMILY MEMBER TO EILEEN GOOD 94,755 WAGES   No
(3) TIFFANY GOOD-WITMER
 
FAMILY MEMBER TO EILEEN GOOD 189,010 WAGES   No
(4) VICTORIA HAINES
 
FAMILY MEMBER TO RICK HAINES 184,256 WAGES   No
(5) TIMOTHY O'TOOLE
 
BOARD MEMBER AND OFFICER/OWNER CANTON AULTMAN EMERGENCY PHYSICIANS 3,715,232 TIMOTHY O'TOOLE IS A BOARD MEMBER AND ONE OF THE OFFICERS AND OWNERS OF CANTON AULTMAN EMERGENCY PHYSICIANS, WHICH PROVIDES SERVICES TO AULTMAN HOSPITAL.   No
(6) JEFFREY MILLER MD
 
BOARD MEMBER AND OFFICER/OWNER PULMONARY PHYSICIANS INC 1,022,664 JEFFREY MILLER, MD IS A BOARD MEMBER AND ONE OF THE OFFICERS AND OWNERS OF PULMONARY PHYSICIANS INC, WHICH PROVIDES SERVICES TO AULTMAN HOSPITAL.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 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.
FORM 990, PART VI, SECTION A, LINE 7A 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.
FORM 990, PART VI, SECTION A, LINE 7B 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.
FORM 990, PART VI, SECTION B, LINE 11 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.
FORM 990, PART VI, SECTION B, LINE 12C 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.
FORM 990, PART VI, SECTION B, LINE 15 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.
FORM 990, PART VI, SECTION C, LINE 19 AH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VI, SECTION A, LINE 1B 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.
FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -37,268,299. RECLASSIFICATION OF NET ASSETS -2,527,037.
FEDERAL ELECTIONS 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).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
AULTMAN HOSPITAL
 
Employer identification number

34-0714538
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) THE AULTMAN FOUNDATION
2600 SIXTH ST SW

CANTON,OH44710
20-8090459
FUNDRAISING OH 501(C)(3) LINE 7 AULTMAN HEALTH FOUNDATION
 
 
No
(2) ORRVILLE HOSPITAL FOUNDATION
832 S MAIN ST

ORRVILLE,OH44667
34-0733138
HOSPITAL OH 501(C)(3) LINE 3 AULTMAN HEALTH FOUNDATION
 
 
No
(3) AULTMAN COLLEGE OF NURSING AND HEALTH
2600 SIXTH ST SW

CANTON,OH44710
20-1359433
COLLEGE OH 501(C)(3) LINE 2 AULTMAN HOSPITAL
 
Yes
 
(4) AULTMAN NORTH CANTON MEDICAL GROUP
2600 SIXTH ST SW

CANTON,OH44710
34-1088530
HEALTHCARE OH 501(C)(3) LINE 9 AULTMAN HEALTH FOUNDATION
 
 
No
(5) TUSCARAWAS VALLEY REGIONAL CANCER CENTER
300 MEDICAL PARK DRIVE

DOVER,OH44622
31-1689698
MEDICAL SERVICE OH 501(C)(3) LINE 3 N/A
 
No
(6) AULTMAN HEALTH FOUNDATION
2600 SIXTH STREET SW

CANTON,OH44710
34-1445390
SUPPORT ORG OH 501(C)(3) LINE 11B, II N/A
 
No


For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) WEST TUSCARAWAS PROPERTY MANAGEMENT LLC

2600 SIXTH ST SW
CANTON,OH44710
20-0090246
PROPERTY MGMT OH N/A
                 
(2) AULTMAN ONCOLOGY CENTER OF EXCELLENCE LLC

2600 SIXTH ST SW
CANTON,OH44710
45-4215510
HEALTCARE OH AULTMAN HOSPITAL
 
RELATED 91,999 96,131   No   Yes   64.770 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MCKINLEY ASSURANCE SPC

PO BOX 1051
GEORGE TOWN,GRAND CAYMANS  
CJ
98-0468384
PORTFOLIO CJ N/A
C         No
(2) AULTCARE CORPORATION

2600 SIXTH ST SW
CANTON,OH44710
34-1488123
PREF. PROVIDER ORG. OH N/A
C         No
(3) AULTCARE HOLDING COMPANY

2600 SIXTH ST SW
CANTON,OH44710
47-1165287
HOLDING COMPANY OH N/A
C         No
(4) NORTH CENTRAL MEDICAL RESOURCES INC

2600 SIXTH ST SW
CANTON,OH44710
34-1610344
MEDICAL EQUIPMENT RENTAL OH N/A
C         No
(5) OHIO SPECIALTY PHYSICIANS CORPORATION

2600 SIXTH ST SW
CANTON,OH44710
34-1853300
HEALTH SERVICES OH N/A
C         No
(6) OHIO HOSPITAL BASED PHYSICIANS CORP

2600 SIXTH ST SW
CANTON,OH44710
34-1871647
HEALTH SERVICES OH N/A
C         No
(7) OHIO PHYSICIANS PROFESSIONAL CORP

2600 SIXTH ST SW
CANTON,OH44710
31-1509887
HEALTH SERVICES OH N/A
C         No
(8) AULTMAN MSO

2600 SIXTH ST SW
CANTON,OH44710
31-1509904
ADMIN SERVICES OH N/A
C         No
(9) AULTCARE HEALTH INSURING CORPORATION

2600 SIXTH ST SW
CANTON,OH44710
46-3305099
INSURANCE OH N/A
C         No
(10) AULTCARE INSURANCE COMPANY

2600 SIXTH ST SW
CANTON,OH44710
34-1624818
INSURANCE OH N/A
C         No
(11) AULTRA ADMINISTRATIVE GROUP

2600 SIXTH ST SW
CANTON,OH44710
20-4951704
ADMIN SERVICES OH N/A
C         No
(12) AULTCOMP MCO INC

2600 SIXTH ST SW
CANTON,OH44710
27-4379962
HEALTH SERVICES OH N/A
C         No
(13) WAYNE HEALTH SERVICES & SUPPLIES

2600 SIXTH ST SW
CANTON,OH44710
34-1501390
MEDICAL SUPPLIES OH N/A
C         No
(14) AULTMAN MEDICAL GROUP

2600 SIXTH ST SW
CANTON,OH44710
45-3166014
HEALTH SERVICES OH N/A
C         No
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) AULTMAN COLLEGE OF NURSING AND HEALTH

A 348,773 ACTUAL COST
(2) AULTMAN COLLEGE OF NURSING AND HEALTH

O 3,848,893 ACTUAL COST
(3) AULTMAN COLLEGE OF NURSING AND HEALTH

P 1,849,220 ACTUAL COST
(4) AULTMAN COLLEGE OF NURSING AND HEALTH

Q 5,044,890 ACTUAL COST
(5) AULTMAN COLLEGE OF NURSING AND HEALTH

S 1,370,000 ACTUAL COST

Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


Software ID:  
Software Version: