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Nonprofiteer
← ASHTABULA COUNTY MEDICAL CENTER

Form 990 for tax year 2022

Filed by ASHTABULA COUNTY MEDICAL CENTER.

Totals

Total revenue
$178,995,250
Total expenses
$169,197,613
Contributions and grants received
$8,183,656
Grants paid
$0
Program service revenue
$166,339,593
Investment income
$3,811,641
Other revenue
$660,360
Total assets, end of year
$274,103,659
Total liabilities, end of year
$133,081,867
Net assets or fund balances, end of year
$141,021,792
Program services expenses (Part IX)
$123,857,421
Management and general expenses
$45,340,192
Fundraising expenses
$0
Program service expenses (Part III)
$123,857,421

Program services were 73.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $7,712,621

  • 1f · All other contributions, gifts and grants

    $471,035

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $155,236,132 · related or exempt $155,236,132

  • 2b · Program service revenue: MISC OPERATING REVENUE

    total $10,438,260 · related or exempt $10,438,260

  • 2c · Program service revenue: REBATES AND REFUNDS

    total $665,201 · related or exempt $665,201

  • 3 · Investment income

    total $3,434,478 · excluded $3,434,478

  • 6a · Gross rents

    real property $516,951

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $516,951

  • 6d · Net rental income or loss

    total $516,951 · excluded $516,951

  • 7a · Gross sales of assets other than inventory

    securities $113,314,285 · other assets $15,480

  • 7b · Less cost or other basis and sales expenses

    securities $112,952,602 · other assets $0

  • 7c · Gain or loss

    securities $361,683 · other assets $15,480

  • 7d · Net gain or loss

    total $377,163 · excluded $377,163

  • 11a · Other revenue: PREMIER FITNESS

    total $143,409 · unrelated business $143,409

  • 11e · Other revenue, total

    $143,409

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $3,233,930 · management and general $3,233,930

  • 7 · Other salaries and wages

    total $62,064,308 · program services $50,472,940 · management and general $11,591,368

  • 8 · Pension plan contributions

    total $3,364,407 · management and general $3,364,407

  • 9 · Other employee benefits

    total $11,494,557 · program services $11,524,070 · management and general -$29,513

  • 10 · Payroll taxes

    total $4,176,809 · program services $4,176,809

  • 11a · Fees: management

    total $195 · management and general $195

  • 11b · Fees: legal

    total $503,021 · management and general $503,021

  • 11c · Fees: accounting

    total $84,396 · management and general $84,396

  • 11f · Fees: investment management

    total $52,877 · management and general $52,877

  • 11g · Fees: other

    total $22,035,938 · program services $16,752,745 · management and general $5,283,193

  • 12 · Advertising and promotion

    total $218,869 · program services $1,401 · management and general $217,468

  • 13 · Office expenses

    total $178,185 · program services $120,049 · management and general $58,136

  • 16 · Occupancy

    total $2,073,128 · program services $22,756 · management and general $2,050,372

  • 17 · Travel

    total $45,861 · program services $29,616 · management and general $16,245

  • 20 · Interest

    total -$71,044 · program services -$71,044

  • 22 · Depreciation, depletion and amortization

    total $4,261,118 · program services $3,293,675 · management and general $967,443

  • 23 · Insurance

    total $855,092 · program services $200,001 · management and general $655,091

  • 24a · Other expenses: SUPPLIES

    total $34,491,030 · program services $33,496,342 · management and general $994,688

  • 24b · Other expenses: BAD DEBT EXPENSE

    total $9,366,382 · program services $133,482 · management and general $9,232,900

  • 24c · Other expenses: EQUIPMENT REPAIRS AND M

    total $4,950,397 · program services $2,432,578 · management and general $2,517,819

  • 24d · Other expenses: LICENSES AND PERMITS

    total $4,114,671 · program services $106,129 · management and general $4,008,542

  • 24e · All other expenses

    total $1,703,486 · program services $1,165,872 · management and general $537,614

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $25,487,736 · end of year $12,228,545

  • 2 · Savings and temporary cash investments

    beginning of year $1,991,210 · end of year $75,356,243

  • 4 · Accounts receivable

    beginning of year $18,526,431 · end of year $19,748,514

  • 8 · Inventories for sale or use

    beginning of year $2,924,681 · end of year $2,086,091

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,650,901 · end of year $3,858,931

  • 10a · Land, buildings and equipment: cost or other basis

    $122,818,930

  • 10b · Land, buildings and equipment: accumulated depreciation

    $80,297,749

  • 10c · Land, buildings and equipment, net

    beginning of year $29,585,831 · end of year $42,521,181

  • 11 · Investments: publicly traded securities

    beginning of year $116,252,937 · end of year $104,320,168

  • 12 · Investments: other securities

    beginning of year $4,102,006 · end of year $3,542,452

  • 15 · Other assets

    beginning of year $11,566,125 · end of year $10,441,534

  • 17 · Accounts payable and accrued expenses

    beginning of year $23,885,861 · end of year $23,354,523

  • 20 · Tax-exempt bond liabilities

    end of year $73,895,938

  • 23 · Secured mortgages and notes payable

    end of year $903,270

  • 25 · Other liabilities

    beginning of year $52,617,501 · end of year $34,928,136

  • 27 · Net assets without donor restrictions

    beginning of year $137,570,194 · end of year $141,007,490

  • 28 · Net assets with donor restrictions

    beginning of year $14,302 · end of year $14,302

Mission and programs · 2022

Mission

ASHTABULA COUNTY MEDICAL CENTER PROVIDES QUALITY HEALTHCARE TO POSITIVELY IMPACT THE HEALTH OF OUR COMMUNITY.

Activities or mission (Part I)

FULL-SERVICE ACUTE CARE HOSPITAL.

  • ASHTABULA COUNTY MEDICAL CENTER (ACMC) IS A PRIVATE, NOT-FOR-PROFIT, COMMUNITY-ORIENTED MEDICAL CENTER THAT PROVIDES THE BEST POSSIBLE MEDICAL CARE THROUGH ALL PHASES OF LIFE TO THOSE SEEKING HELP. IN 2022 WE MET OUR MISSION OF MEETING OUR COMMUNITY'S HEALTH CARE NEEDS AS EVIDENCED BY APPROXIMATELY 28,374 EMERGENCY DEPARTMENT VISITS, 4,382 INPATIENT DISCHARGES, 8,677 SURGICAL PROCEDURES (INCLUDING ENDOSCOPY), 0 BIRTHS, 69,705 RADIOLOGY PROCEDURES, AND 271,085 OUTPATIENT PROVIDER ENCOUNTERS.

    Expenses $123,857,421 · Revenue $166,339,593

As filed on the 2022 return.

Listed in Part VII

  • Nancy Kister

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Craig Sernik

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Roger Corlett

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Michael Habowski

    PRESIDENT/CEO

    Total calculated
    $0
    Hours/week
    40 + 0.3 related
  • Peg Carlo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Bill Dingledine

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Joe Giangola

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Rev Vernon Palo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Marlene Sartini

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • David Pontius

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Jim Timonere

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Richard Parker MD

    BOARD MEMBER/CCF REPRESENT

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Kelly Hancock

    BOARD MEMBER/CCF REPRESENT

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Jason Hergenroeder

    BOARD MEMBER/CCF REPRESENT

    Total calculated
    $0
    Hours/week
    0.3 + 0.3 related
  • Alexander Taich MD

    CHIEF OF STAFF

    Total calculated
    $1,423,834
    From this org
    $1,370,829
    From related orgs
    $0
    Other
    $53,005
    Hours/week
    60 + 0.3 related

    Schedule J breakdown matched by us

    Base
    $1,370,649
    Bonus
    $0
    Other
    $180
    Deferred
    $12,200
    Nontaxable benefits
    $40,805
    Filer's total
    $1,423,834
  • Evangelos J Bibidakis

    VICE CHIEF OF STAFF

    Total calculated
    $631,609
    From this org
    $581,541
    From related orgs
    $0
    Other
    $50,068
    Hours/week
    60 + 0.3 related

    Schedule J breakdown matched by us

    Base
    $556,805
    Bonus
    $23,962
    Other
    $774
    Deferred
    $12,113
    Nontaxable benefits
    $37,955
    Filer's total
    $631,609
  • Don Kepner

    VP FINANCE/CFO (LEFT 6/3/2

    Total calculated
    $0
    Hours/week
    40 + 0.6 related
  • Jacquelyn Difiore

    CNO (LEFT 1/31/22)

    Total calculated
    $0
    Hours/week
    40 + 0.6 related
  • Amanda Clark

    CNO (STARTING 5/1/22)

    Total calculated
    $0
    Hours/week
    40 + 0.6 related
  • Nathaniel S Franley MD

    PHYSICIAN

    Total calculated
    $811,619
    From this org
    $776,780
    From related orgs
    $0
    Other
    $34,839
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $744,660
    Bonus
    $31,956
    Other
    $164
    Deferred
    $12,200
    Nontaxable benefits
    $22,639
    Filer's total
    $811,619
  • John Lee

    PHYSICIAN

    Total calculated
    $832,775
    From this org
    $820,363
    From related orgs
    $0
    Other
    $12,412
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $715,819
    Bonus
    $103,356
    Other
    $1,188
    Deferred
    $12,200
    Nontaxable benefits
    $212
    Filer's total
    $832,775
  • Shinoj Pattali Jayavalsan MD

    PHYSICIAN

    Total calculated
    $1,119,425
    From this org
    $1,075,994
    From related orgs
    $0
    Other
    $43,431
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $627,501
    Bonus
    $448,313
    Other
    $180
    Deferred
    $12,200
    Nontaxable benefits
    $31,231
    Filer's total
    $1,119,425
  • Pazhaniaandi Tirounilacandin MD

    PHYSICIAN

    Total calculated
    $784,722
    From this org
    $734,778
    From related orgs
    $0
    Other
    $49,944
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $632,257
    Bonus
    $102,341
    Other
    $180
    Deferred
    $12,200
    Nontaxable benefits
    $37,744
    Filer's total
    $784,722
  • Sathish V Adigopula

    PHYSICIAN

    Total calculated
    $784,093
    From this org
    $732,188
    From related orgs
    $0
    Other
    $51,905
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $652,945
    Bonus
    $79,063
    Other
    $180
    Deferred
    $12,200
    Nontaxable benefits
    $39,705
    Filer's total
    $784,093

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
SALARIES ARE REVIEWED APPROXIMATELY EVERY TWO YEARS. SALARIES ARE COMPARED TO LOCAL, REGIONAL, AND NATIONAL MARKET RATES AND IN CONJUNCTION WITH THE CEO AND CFO TO DETERMINE COMPENSATION. WHEN OPENINGS FOR KEY POSITIONS BECOME AVAILABLE, THE HUMAN RESOURCES DEPARTMENT EXAMINES THE MARKET RATES TO DETERMINE A STARTING SALARY.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202343199349302644

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