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← ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING

Form 990 for tax year 2023

Filed by ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING.

Totals

Total revenue
$526,873
Total expenses
$810,418
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$526,873
Investment income
$0
Other revenue
$0
Total assets, end of year
$5,125,347
Total liabilities, end of year
$303,706
Net assets or fund balances, end of year
$4,821,641
Program services expenses (Part IX)
$688,856
Management and general expenses
$121,562
Fundraising expenses
$0
Program service expenses (Part III)
$688,856

Program services were 85.0% 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.

  • 2a · Program service revenue: RENTAL INCOME FROM AFFILIATES

    total $526,873 · related or exempt $526,873

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $9,618 · program services $8,175 · management and general $1,443 · fundraising $0

  • 13 · Office expenses

    total $13,109 · program services $11,143 · management and general $1,966

  • 16 · Occupancy

    total $405,275 · program services $344,484 · management and general $60,791

  • 22 · Depreciation, depletion and amortization

    total $382,416 · program services $325,054 · management and general $57,362

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

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

    $8,152,911

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

    $3,027,564

  • 10c · Land, buildings and equipment, net

    beginning of year $5,507,764 · end of year $5,125,347

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $346,228 · end of year $303,706

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $5,161,536 · end of year $4,821,641

Mission and programs · 2023

Mission

PROVIDING RENTAL OF OFFICE SPACE TO PHYSICIANS, HEALTH CARE ORGANIZATIONS AND TO MERCY HEALTH - ALLEN HOSPITAL LLC (AMC), AN AFFILIATED 501(C)(3) ORGANIZATION. THE RENTAL OF OFFICE SPACE ASSISTS AMC IN PROVIDING IMPROVED MEDICAL AND SURGICAL CARE TO THE COMMUNITY.

Activities or mission (Part I)

ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING OPERATES AND RENTS OFFICE AND TREATMENT SPACE TO MERCY HEALTH - ALLEN HOSPITAL LLC (AMC), AN AFFILIATED NOT-FOR PROFIT IRC SECTION 501(C)(3) HOSPITAL, TO PHYSICIANS ON THE MEDICAL STAFF OF AMC, AND TO OTHER HEALTH ORGANIZATIONS, THEREBY HELPING TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THE CITIZENS OF CENTRAL LORAIN COUNTY.

  • ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING OPERATES AND RENTS OFFICE AND TREATMENT SPACE TO MERCY HEALTH - ALLEN HOSPITAL LLC (AMC), AN AFFILIATED NOT-FOR-PROFIT IRC SECTION 501(C)(3) HOSPITAL, TO PHYSICIANS ON THE MEDICAL STAFF OF AMC, AND TO OTHER HEALTH ORGANIZATIONS, THEREBY HELPING TO PROVIDE ACCESS TO HEALTHCARE SERVICES TO THE CITIZENS OF CENTRAL LORAIN COUNTY.

    Expenses $688,856 · Revenue $526,873

As filed on the 2023 return.

Listed in Part VII

  • barbara THOMAS

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • JOHN LUELLEN MD

    President Lorain & Youngstown Market

    Total calculated
    $1,341,655
    From this org
    $0
    From related orgs
    $1,091,086
    Other
    $250,569
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $596,309 related
    Bonus
    $0 + $186,523 related
    Other
    $0 + $308,254 related
    Deferred
    $0 + $216,196 related
    Nontaxable benefits
    $0 + $34,373 related
    Filer's total
    $0 + $1,341,655 related

  • TRACY GREEN

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • VICTOR LEANDRY

    CHAIR

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • CHRISTOPHER HAAS MD

    Board Member; Physician

    Total calculated
    $602,167
    From this org
    $0
    From related orgs
    $572,661
    Other
    $29,506
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $530,468 related
    Bonus
    $0 + $22,237 related
    Other
    $0 + $19,956 related
    Deferred
    $0 + $3,150 related
    Nontaxable benefits
    $0 + $26,356 related
    Filer's total
    $0 + $602,167 related

  • CINDY ANDREWS

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Connie CARR

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Darryl TUCKER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • DONALD KLINE

    Board Member & BSMH COO

    Total calculated
    $1,835,712
    From this org
    $0
    From related orgs
    $1,792,599
    Other
    $43,113
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $959,157 related
    Bonus
    $0 + $276,738 related
    Other
    $0 + $556,704 related
    Deferred
    $0 + $7,224 related
    Nontaxable benefits
    $0 + $35,889 related
    Filer's total
    $0 + $1,835,712 related

  • MICHAEL FERRER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Parris Smith

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • RANDALL FORTIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Richard White MD

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Robert THOMAS MD

    Board Member

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • SR CAROLE ANNE GRISWOLD HM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Martin Tursky

    COO Lorain & Youngstown Market

    Total calculated
    $598,092
    From this org
    $0
    From related orgs
    $525,125
    Other
    $72,967
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $354,721 related
    Bonus
    $0 + $106,464 related
    Other
    $0 + $63,940 related
    Deferred
    $0 + $44,847 related
    Nontaxable benefits
    $0 + $28,120 related
    Filer's total
    $0 + $598,092 related

  • Michelle Crawford

    CFO Lorain & Youngstown Market

    Total calculated
    $425,949
    From this org
    $0
    From related orgs
    $374,625
    Other
    $51,324
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,982 related
    Bonus
    $0 + $66,982 related
    Other
    $0 + $35,661 related
    Deferred
    $0 + $31,248 related
    Nontaxable benefits
    $0 + $20,076 related
    Filer's total
    $0 + $425,949 related

  • EDWIN OLEY

    Former BOARD MEMBER, PRESIDENT/CEO LORAIN REGION

    Total calculated
    $270,240
    From this org
    $0
    From related orgs
    $269,950
    Other
    $290
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $269,950 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $290 related
    Filer's total
    $0 + $270,240 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE COMPENSATION OF THE PRESIDENT IS DETERMINED BY BON SECOURS MERCY HEALTH, INC., A RELATED TAX-EXEMPT ORGANIZATION. BON SECOURS MERCY HEALTH, INC. UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE PRESIDENT'S Compensation.
Schedule J, Part I, Line 4a Severance or change-of-control payment
Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Edwin Oley, $260,872.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Donald Kline $206,000; Michelle Crawford, $3,507; John Luellen, MD, $85,402; Martin Tursky, $6,428.
Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP
The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible in taxable compensation for listed participating individuals in the reporting year were as follows: Donald Kline $0.

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
16 October 2024
IRS schema version
2023v5.1
Source object
202412909349301901

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