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Nonprofiteer
← THE CITY HOSPITAL ASSOCIATION

Form 990 for tax year 2022

Filed by THE CITY HOSPITAL ASSOCIATION.

Totals

Total revenue
$82,373,399
Total expenses
$71,992,041
Contributions and grants received
$1,611,368
Grants paid
$29,698
Program service revenue
$80,323,382
Investment income
$14,785
Other revenue
$423,864
Total assets, end of year
$136,017,841
Total liabilities, end of year
$11,274,512
Net assets or fund balances, end of year
$124,743,329
Program services expenses (Part IX)
$54,050,654
Management and general expenses
$17,941,387
Fundraising expenses
$0
Program service expenses (Part III)
$54,050,654

Program services were 75.1% 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)

    $1,611,368

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $80,323,382 · related or exempt $80,323,382

  • 3 · Investment income

    total $14,785 · excluded $14,785

  • 11a · Other revenue: CAFETERIA/VENDING

    total $196,109 · excluded $196,109

  • 11b · Other revenue: OTHER OPERATING REV.

    total $156,415 · excluded $156,415

  • 11c · Other revenue: REBATES/REFUNDS

    total $49,524 · excluded $49,524

  • 11d · All other revenue

    total $21,816 · excluded $21,816

  • 11e · Other revenue, total

    $423,864

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $29,698 · program services $29,698

  • 5 · Compensation of officers, directors and key employees

    total $1,696,788 · program services $1,018,073 · management and general $678,715

  • 7 · Other salaries and wages

    total $24,020,712 · program services $14,412,427 · management and general $9,608,285

  • 8 · Pension plan contributions

    total $244,415 · program services $244,415

  • 9 · Other employee benefits

    total $4,645,985 · program services $4,645,985

  • 10 · Payroll taxes

    total $2,033,518 · program services $1,484,468 · management and general $549,050

  • 11a · Fees: management

    total $4,340,960 · management and general $4,340,960

  • 11b · Fees: legal

    total $435,615 · management and general $435,615

  • 11c · Fees: accounting

    total $66,893 · management and general $66,893

  • 11g · Fees: other

    total $11,064,463 · program services $10,353,060 · management and general $711,403

  • 12 · Advertising and promotion

    total $125,785 · program services $108,175 · management and general $17,610

  • 13 · Office expenses

    total $240,194 · program services $162,742 · management and general $77,452

  • 16 · Occupancy

    total $1,616,867 · program services $1,616,867

  • 17 · Travel

    total $124,377 · program services $106,964 · management and general $17,413

  • 19 · Conferences, conventions and meetings

    total $36,999 · program services $36,999

  • 20 · Interest

    total -$1,349,920 · program services -$1,349,920

  • 22 · Depreciation, depletion and amortization

    total $1,916,739 · program services $1,916,739

  • 23 · Insurance

    total $1,166,422 · program services $1,166,422

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $7,974,044 · program services $7,974,044

  • 24b · Other expenses: BILLABLE SUPPLIES

    total $6,823,900 · program services $6,141,510 · management and general $682,390

  • 24c · Other expenses: TAXES AND LICENSES

    total $2,241,652 · program services $2,241,652

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $1,495,131 · program services $897,079 · management and general $598,052

  • 24e · All other expenses

    total $1,000,804 · program services $843,255 · management and general $157,549

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,186,258 · end of year $10,050,694

  • 4 · Accounts receivable

    beginning of year $9,555,659 · end of year $11,033,568

  • 8 · Inventories for sale or use

    beginning of year $867,516 · end of year $795,891

  • 9 · Prepaid expenses and deferred charges

    beginning of year $487,421 · end of year $283,541

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

    $28,296,408

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

    $15,653,236

  • 10c · Land, buildings and equipment, net

    beginning of year $9,612,172 · end of year $12,643,172

  • 11 · Investments: publicly traded securities

    beginning of year $2,075,111 · end of year $2,096,380

  • 14 · Intangible assets

    beginning of year $932,555 · end of year $829,889

  • 15 · Other assets

    beginning of year $96,406,402 · end of year $98,284,706

  • 17 · Accounts payable and accrued expenses

    beginning of year $12,515,134 · end of year $3,634,001

  • 19 · Deferred revenue

    end of year $89

  • 25 · Other liabilities

    beginning of year $5,245,989 · end of year $7,640,422

  • 27 · Net assets without donor restrictions

    beginning of year $114,361,971 · end of year $124,743,329

Mission and programs · 2022

Mission

THE ORGANIZATION PROVIDES HIGH QUALITY, COMPASSIONATE HEALTH CARE SERVICES WITHIN THE AVAILABLE RESOURCES. HEALTHCARE SERVICES WILL BE PROVIDED TO PREVENT ILLNESS, RELIEVE SUFFERING, AID IN HEALTH RESTORATION AND TO PROMOTE WELLNESS. THE ORGANIZATION PROVIDES SERVICES TO ANY PERSON, WITHOUT DISCRIMINATION.

Activities or mission (Part I)

TO CHAMPION THE QUALITY OF LIFE AND PROVIDE EXCELLENT CARE FOR ALL THAT WE SERVE; BASED SOLELY ON OUR BELIEF IN THE SACRED VALUE OF HUMAN LIFE.

  • THE ORGANIZATION PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF THE ORGANIZATION, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO AFFORD ESSENTIAL MEDICAL SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THE ORGANIZATION'S COMMITMENT TO SERVE ALL MEMBERS OF THE ORGANIZATION'S COMMUNITY WITH FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COSTS, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HAVE BEEN CONSIDERED WHERE THE NEED AND AN INDIVIDUAL'S INABILITY TO PAY EXIST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. THE ORGANIZATION PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, THE ORGANIZATION CONSIDERS THESE AMOUNTS AS UNCOMPENSATED CARE IN MEETING ITS MISSION IN THE ENTIRE COMMUNITY. THE ORGANIZATION IS LOCATED IN EAST LIVERPOOL, OHIO AND SERVICES THE SURROUNDING COMMUNITIES; STAFFING 120 BEDS FOR ACUTE CARE, INTENSIVE CARE AND SKILLED NURSING IN THE MEDICALLY UNDESERVED AREA. DURING 2022, THE ORGANIZATION PROVIDED NUMEROUS BENEFITS TO THE SURROUNDING COMMUNITY, INCLUDING FINANCIAL SUPPORT THROUGH THE COMMUNITY BENEFIT INITIATIVE PROGRAM. COMMUNITY EDUCATION AND WELLNESS PROGRAMS - THE ORGANIZATION OFFERED THE FOLLOWING TO THE COMMUNITY FREE OR AT A NOMINAL CHARGE: HEALTH FAIRS, CPR CLASSES, CHILDBIRTH CLASSES, GARFIELD ELEMENTARY WELLNESS PROGRAM, COVER THE UNINSURED, PROGRAM HEARTSAVER FIRST AID CLASSES, ADVANCE CARDIAC LIFE SUPPORT, HEALTHCARE PROVIDER RECERTIFICATION, BREAST FEEDING SUPPORT, PASTORAL OUTREACH PROGRAMS, DIABETES EDUCATION, SMOKING CESSATION CLASSES, BASICS IN BABYSITTING CLASSES, AUTISM SUPPORT GROUP, CONDUCTED HOSPITAL TOURS FOR AREA SCHOOLS AND COMMUNITY GROUPS, SERVED AS AN OBSERVATION SITE FOR THE HIGH SCHOOL FOR HEALTH PROFESSIONS DEVELOPED BY THE PUBLIC SCHOOLS, HOSTED SEVERAL SHADOW STUDENTS FROM AREA SCHOOLS, SERVED AS HOST SITE FOR OHIO HIGHER EDUCATION TELECOMMUNICATION SYSTEM, OPERATED A PHYSICIAN REFERRAL LINE FREE TO THE COMMUNITY, HOSTED PROGRAMS FOR STUDENT NURSES AND RADIOLOGY TECHNICIANS IN TRAINING, PROVIDED FOOD TO NEEDY FAMILIES FOR THANKSGIVING, AND GIFTS TO NEEDY CHILDREN FOR CHRISTMAS TO THE SALVATION ARMY DAY OF CARING, DAY OF GIVING PROGRAM - MONEY AND FOOD DRIVE.

    Expenses $54,050,654 · Grants $29,698 · Revenue $80,323,382

  • THE PODIATRY PROGRAM STARTED JULY 2018. THERE ARE FOURTEEN STUDENTS IN THEIR FIRST YEAR, TWELVE STUDENTS IN THEIR SECOND YEAR AND TWELVE STUDENTS IN THEIR THIRD YEAR FOR THE 2022-2023 YEAR. THE AMOUNT OF EXPENSES AND REVENUE FOR THIS PROGRAM WAS NOT OBTAINABLE FOR THIS FISCAL YEAR.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gretchen Nickell Do

    CMO/DIRECTOR

    Total calculated
    $628,324
    From this org
    $0
    From related orgs
    $596,314
    Other
    $32,010
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $250,314 related
    Bonus
    $0 + $346,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $32,010 related
    Filer's total
    $0 + $628,324 related
  • Keith Richardson

    CEO (REGIONAL)/SECRETARY (END 2/22)

    Total calculated
    $90,828
    From this org
    $86,886
    From related orgs
    $0
    Other
    $3,942
    Hours/week
    40 + 1 related
  • Gregory Bricker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David Hamilton

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • Tammie McIntosh

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mark Mangano

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Robert O'Hara

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Krista McFadden

    CEO (AS OF 7/22)

    Total calculated
    $158,853
    From this org
    $158,542
    From related orgs
    $0
    Other
    $311
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $148,542
    Bonus
    $10,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $311
    Filer's total
    $158,853
  • Derek Harshaw

    HOSPITALIST

    Total calculated
    $378,291
    From this org
    $360,087
    From related orgs
    $0
    Other
    $18,204
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $360,087
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $18,204
    Filer's total
    $378,291
  • Matt Murray

    DIRECTOR

    Total calculated
    $33
    From this org
    $0
    From related orgs
    $0
    Other
    $33
    Hours/week
    1
  • Sara Pease

    FNP-BC

    Total calculated
    $87,651
    From this org
    $87,651
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Denise Taylor

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Dawn Gerz

    CNO

    Total calculated
    $184,376
    From this org
    $180,880
    From related orgs
    $0
    Other
    $3,496
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,880
    Bonus
    $5,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $3,496
    Filer's total
    $184,376
  • Donald Bevers

    CFO (REGIONAL) (END 1/22)

    Total calculated
    $31,980
    From this org
    $30,499
    From related orgs
    $0
    Other
    $1,481
    Hours/week
    40 + 1 related
  • Kavitha Bhatia

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Steve Aleman

    CFO

    Total calculated
    $0
    Hours/week
    1 + 8 related
  • Abraham Joel Richlin

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Jamie McKenzie

    CFO (REGIONAL)

    Total calculated
    $136,488
    From this org
    $108,779
    From related orgs
    $0
    Other
    $27,709
    Hours/week
    40
  • William Smith

    DIRECTOR OF PHARMACY

    Total calculated
    $176,884
    From this org
    $149,303
    From related orgs
    $0
    Other
    $27,581
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,303
    Bonus
    $2,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $27,581
    Filer's total
    $176,884
  • Jeffrey Hanselman

    PHARMACIST

    Total calculated
    $139,917
    From this org
    $123,465
    From related orgs
    $0
    Other
    $16,452
    Hours/week
    40
  • Nicholas Petruska

    PHARMACIST

    Total calculated
    $147,827
    From this org
    $129,480
    From related orgs
    $0
    Other
    $18,347
    Hours/week
    40
  • Michael Daley

    PHARMACIST

    Total calculated
    $149,977
    From this org
    $122,591
    From related orgs
    $0
    Other
    $27,386
    Hours/week
    40
  • Jesse Shilot

    PHARMACIST

    Total calculated
    $142,270
    From this org
    $125,887
    From related orgs
    $0
    Other
    $16,383
    Hours/week
    40

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

  • 1a · Travel for companions
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
CITY HOSPITAL ASSOCIATION ALLOWS COMPANION TRAVEL BY EXECUTIVES ONLY WHEN IT SERVES A JUSTIFIED BUSINESS PURPOSE. IF IT IS LATER DETERMINED THAT THERE WAS NOT A JUSTIFIED BUSINESS PURPOSE, THIS WILL RESULT IN TAXABLE COMPENSATION TO THE EXECUTIVE IN QUESTION. CITY HOSPITAL ASSOCIATION PROVIDES A MEMBERSHIP TO AN AREA SOCIAL CLUB IN ORDER FOR EXECUTIVES TO CONDUCT HOSPITAL BUSINESS. ANY PERSONAL USE BY THE EXECUTIVES IS INCLUDED IN THAT EXECUTIVE'S TAXABLE WAGES.
PART I, LINE 3
A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT, INC. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED.
PART I, LINE 7
BONUS PAYMENTS ARE DISCRETIONARY IN NATURE

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SIGNATURE PAMPA MEDICAL GROUP

    C · PHYSICIAN SERVICES · TX

  • LANDMARK PHYSICIAN SERVICES

    C · PHYSICIAN SERVICES · DE

  • LANDMARK PHYSICIAN ASSOCIATES PC

    C · INACTIVE · DE

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202313199349331406

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