2024-11-15T11:40:18-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-01-01 341510544 ROBINSON MEMORIAL HOSPITAL FOUNDATION ROBI 3302972331 6847 N CHESTNUT STREET PO BOX 1204 RAVENNA OH 44266 BRADLEY C BOND CFO, UHHS 3302972331 2024-11-15 1 0 SHAWNA M JANSONS P01222873 3174648600 2023 2024-10-15 13:58:12Z PORTAGE MEDICAL CENTER FOUNDATION JOHN RYAN 6847 N CHESTNUT STREET PO BOX 1204 RAVENNA OH 44266 2669546 0 X WWW.ROBINSONMEMORIAL.ORG X 1985 OH SUPPORT AND ASSIST THE MISSION OF UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER. 29 26 0 26 0 0 638580 324958 0 0 87772 253407 0 0 726352 578365 1091248 287174 0 0 152445 187047 0 0 0 8672 4877 1252365 479098 -526013 99267 5960898 6135795 1487679 1236452 4473219 4899343 SUPPORT AND ASSIST UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER IN ITS EFFORTS TO SERVE THE NEEDS OF PORTAGE COUNTY RESIDENTS AND ITS SURROUNDING COMMUNITIES BY PROVIDING FUNDING FOR ENHANCED OR ADDITIONAL PROGRAMS THAT OTHERWISE MIGHT NOT BE AVAILABLE. 0 0 451582 271174 THE FOUNDATION GRANTS ASSISTANCE TO UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER TO FURTHER ENHANCE THE MEDICAL CENTER'S MISSION AND COMMUNITY BENEFIT. 16000 16000 THE FOUNDATION GRANTS SCHOLARSHIPS TO INDIVIDUALS OF THE COMMUNITY. 467582 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 29 26 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 0 0 0 OH X ROBERT GOEBEL 2168441000 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 BOYKIN ROXIA DIRECTOR/VICE PRESIDENT 2.00 0.00 X X 0 0 0 RIEMENSCHNEIDER DANIEL R CPA DIRECTOR/PRESIDENT (END 05/23) 2.00 4.00 X X 0 0 0 RYAN JOHN DIRECTOR/PRESIDENT 2.00 4.00 X X 0 0 0 STANDARDI ROBERT DIRECTOR/TREASURER/SECRETARY 2.00 0.00 X X 0 0 0 AMBUSKE GAIL DIRECTOR 2.00 0.00 X 0 0 0 BENOIT WILLIAM DIRECTOR 2.00 54.00 X 0 523869 60531 BOND BRADLEY C DIRECTOR 2.00 66.00 X 0 624967 62070 CAN ERROL DIRECTOR 2.00 0.00 X 0 0 0 CONLEY KAREN DIRECTOR 2.00 0.00 X 0 0 0 DIX DAVID DIRECTOR 2.00 0.00 X 0 0 0 FERNER GREGORY E MD DIRECTOR 2.00 0.00 X 0 0 0 FLEMING JAMES DIRECTOR 2.00 0.00 X 0 0 0 FOWLER JEFFREY R DIRECTOR (END 05/23) 2.00 0.00 X 0 0 0 GIULITTO JUDGE JOSEPH DIRECTOR 2.00 0.00 X 0 0 0 GRAY WISE DONNA DIRECTOR 2.00 0.00 X 0 0 0 HAYES JUDGE JERRY L DIRECTOR 2.00 0.00 X 0 0 0 JOHNSON-MALLARD VERSIE DIRECTOR 2.00 0.00 X 0 0 0 LAWLESS-ANDRIC DANA DIRECTOR 2.00 0.00 X 0 0 0 MADONIO CHARLES CHAS DIRECTOR 2.00 0.00 X 0 0 0 MAZANETZ MIKE DIRECTOR 2.00 0.00 X 0 0 0 MEYERS JEFFREY G DIRECTOR (END 11/23) 2.00 0.00 X 0 0 0 MINOTT HOWARD DIRECTOR 2.00 50.00 X 0 178680 20090 POPP ANDREW DIRECTOR 2.00 0.00 X 0 0 0 SLATTERY LORI DIRECTOR 2.00 0.00 X 0 0 0 SMITH RANDALL MD DIRECTOR 2.00 0.00 X 0 0 0 SNODE MARTY DIRECTOR 2.00 0.00 X 0 0 0 SORRICK ROXANNE DIRECTOR 2.00 0.00 X 0 0 0 TSAI RN BRANDY DIRECTOR (END 05/23) 2.00 0.00 X 0 0 0 WALTER JAMES DIRECTOR 2.00 0.00 X 0 0 0 WASHBURN DAN DIRECTOR 2.00 0.00 X 0 0 0 WELLING NORMA DIRECTOR 2.00 0.00 X 0 0 0 WHITE EDDYE RENEE DIRECTOR 2.00 0.00 X 0 0 0 GORDON SHAWN EXECUTIVE DIRECTOR 20.00 30.00 X 0 145797 23530 0 1473313 166221 0 0 1 0 0 324958 324958 140485 140485 2204103 2091181 112922 112922 112922 578365 0 0 253407 271174 271174 16000 16000 174936 164440 10496 1429 1343 86 -1924 -1809 -115 12606 11850 756 105 98 7 2376 2233 143 PURCHASED SERVICES 1646 1547 99 PRINTING & POSTAGE 649 610 39 DONOR ENGAGEMENT 101 96 5 479098 467582 11516 0 990015 826268 139588 86072 8321 8321 0 0 4830795 5222955 500 500 5960898 6135795 199890 188163 1287789 1048289 1487679 1236452 X 78947 402772 4394272 4496571 4473219 4899343 5960898 6135795 X 99267 490603 -163746 X 0 0 0 X X 1 ROBINSON HEALTH SYSTEM INC (DBA UH PORTAGE MEDICAL CENTER) 451382538 3 1 271174 0 1 271174 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4394272 147665 218314 -263680 4496571 5030182 506690 -387154 755446 4394272 4349267 559430 433564 312079 5030182 4518057 361117 310618 840525 4349267 3734106 905430 587187 708666 4518057 0.00000 0.27470 0.72530 0 0 8321 8321 0 0 LONG TERM PLEDGES PAYABLE 1048289 1048289 PART V, LINE 4: THE ENDOWMENT FUNDS SUPPORT INDIGENT PROGRAMS, SUCH AS HOME CARE, HOSPICE AND SCHOLARSHIP PROGRAMS FOCUSED ON ENHANCING CAREERS IN HEALTH CARE AND CONTINUING EDUCATION PROGRAMS FOR THE MEDICAL CENTER. 1 ROBINSON HEALTH SYSTEM INC (DBA UH PORTAGE MEDICAL CENTER) 3605 WARRENSVILLE CENTER ROAD SHAKER HEIGHTS OH 44122 461382538 501 (C)(3) 271174 0 GENERAL SUPPORT 1 0 SCHOLARSHIPS 14 16000 PART I, LINE 2: ROBINSON MEMORIAL HOSPITAL FOUNDATION HAS A PROCESS WHERE WE RECEIVE AND REVIEW REQUESTS FOR FUNDING, WHICH INCLUDES OUR SENIOR LEADERS. IN THAT REVIEW PROCESS WE CHECK TO BE SURE THE ORGANIZATION IS MISSION ALIGNED TO ROBINSON MEMORIAL HOSPITAL FOUNDATION AND REVIEW HISTORICAL GIVING. MUCH OF OUR SUPPORT IS REVIEWED BOTH INTERNALLY AND WITH THE EXTERNAL GROUP ON AN ANNUAL BASIS. 0 1 0 0 0 0 0 0 0 BOND BRADLEY C DIRECTOR 0 466871 0 85782 0 72314 0 26400 0 35670 0 687037 0 0 BENOIT WILLIAM DIRECTOR 0 394053 0 76933 0 52883 0 24750 0 35781 0 584400 0 0 MINOTT HOWARD DIRECTOR 0 171358 0 30 0 7292 0 19286 0 804 0 198770 0 0 GORDON SHAWN EXECUTIVE DIRECTOR 0 130447 0 9626 0 5724 0 10251 0 13279 0 169327 0 0 PART I, LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM, INC., A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B ELIGIBLE EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN UNDER CODE 457(F). ANY AMOUNTS ULTIMATELY PAID UNDER THE PLAN TO AN ELIGIBLE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B (III) IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSON IN PART VII: BOND, BRADLEY C. - $67,636 FORM 990, PART VI, SECTION A, LINE 6 ROBINSON HEALTH SYSTEM, INC. IS THE SOLE INSTITUTIONAL MEMBER OF ROBINSON MEMORIAL HOSPITAL FOUNDATION. ADDITIONALLY, THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION ARE INDIVIDUAL MEMBERS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A ROBINSON HEALTH SYSTEM, INC. IS THE SOLE INSTITUTIONAL MEMBER OF ROBINSON MEMORIAL HOSPITAL FOUNDATION. AS THE SOLE INSTITUTIONAL MEMBER, ROBINSON HEALTH SYSTEM, INC., HAS THE RIGHT TO (A) ELECT A MAJORITY OF MEMBERS OF THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION THAT ARE EITHER EX-OFFICIO HOSPITAL DIRECTORS, UH APPOINTEES, OR ELECTED BY ROBINSON HEALTH SYSTEM, INC. AND (B) FILL ANY VACANCY ON THE BOARD OF DIRECTORS TO ENSURE THE MAJORITY AS MENTIONED EARLIER. THE INDIVIDUAL MEMBERS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION HAVE THE RIGHT TO (A) ELECT THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION BY A TWO-THIRDS AFFIRMATIVE VOTE OF THE INDIVIDUAL MEMBERS AND (B) FILL ANY REMAINING VACANCY ON THE BOARD OF DIRECTORS OF ROBINSON MEMORIAL HOSPITAL FOUNDATION BY A TWO-THIRDS AFFIRMATIVE VOTE OF THE INDIVIDUAL MEMBERS. ADDITIONALLY, UNIVERSITY HOSPITALS HEALTH SYSTEM, INC. (UHHS), AS THE MEMBER OF ROBINSON HEALTH SYSTEM, INC., IN ITS DISCRETION HAS THE POWER TO APPOINT AND REMOVE UP TO THREE VOTING DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT THIRD-PARTY PUBLIC ACCOUNTING FIRM. MANAGEMENT REVIEWS THE 990 BEFORE THE COMPLETE COPY IS MADE AVAILABLE TO THE FOUNDATION BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE SYSTEM HAS ADOPTED SIX CONFLICT OF INTEREST POLICIES THAT SET FORTH GUIDELINES RELATED TO TRANSACTIONS WITH DISQUALIFIED PERSONS (AS DEFINED IN APPLICABLE FEDERAL REGULATION). THESE POLICIES APPLY TO ALL EMPLOYEES, EMPLOYED PHYSICIANS AND OTHER LICENSED PRACTITIONERS (EXCLUDING PHYSICIAN TRAINEES), DIRECTORS, OFFICERS, AND RELATED PARTIES TO UH AND ITS WHOLLY-OWNED SUBSIDIARIES. UH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. DESIGNATED INDIVIDUALS, (E.G., UH MANAGEMENT, DIRECTORS, EMPLOYED PHYSICIANS, AND ADVANCED PRACTICE PROFESSIONALS), ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE AND PROVIDE INFORMATION REGARDING ANY INTERESTS THAT MAY BE POTENTIAL CONFLICTS PURSUANT TO THE CONFLICT OF INTEREST POLICIES. THEY ARE REQUIRED TO PROVIDE ANY CHANGES OR NEW DISCLOSURES SHOULD THEY OCCUR. ALL DISCLOSURES AND SUBSEQUENT UPDATES TO DISCLOSURES ARE REVIEWED BY THE UH COMPLIANCE AND ETHICS DEPARTMENT. BOARD-LEVEL AND KEY PERSONNEL CONFLICTS ARE REVIEWED AND APPROVED, IF APPROPRIATE, BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE UH BOARD AND/OR THE UH BOARD. IF A CONFLICT EXISTS WITH A DIRECTOR, CERTAIN RESTRICTIONS MAY BE IMPOSED, SUCH AS EXCUSING THE DIRECTOR FROM THE ROOM DURING DISCUSSION AND/OR VOTING WITH REGARD TO A PROPOSED TRANSACTION. EDUCATION REGARDING CONFLICTS OF INTEREST IS INCLUDED IN THE ANNUAL COMPLIANCE TRAINING THAT INCLUDES ALL DIRECTORS, EMPLOYEES, PHYSICIANS AND LICENSED PRACTITIONERS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY FOR ROBINSON MEMORIAL HOSPITAL FOUNDATION ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON UNCOLLECTIBLE PLEDGES -163,746. 5805 EUCLID INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 814962989 SUPPORT HOSPITAL OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 ELYRIA MEDICAL CENTER FOUNDATION 630 EAST RIVER STREET ELYRIA OH 44035 611579760 SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I EMH REGIONAL MEDICAL CENTER 0 FUND FOR CURES UK LTD 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 GRANT FUNDING UK N/A N/A UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 KETTERING MOHICAN AREA MEDICAL CENTER INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 340823455 INACTIVE OH 501(C)(3) SAMARITAN REGIONAL HEALTH SYSTEM 0 LAKE HOSPITAL FOUNDATION INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 341425872 SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I LAKE HOSPITAL SYSTEM INC 0 LHS LEGACY 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 862916134 MANAGEMENT OH 501(C)(3) LINE 12C, III-FI LAKE HOSPITAL SYSTEM INC 0 PARMA HOSPITAL HEALTH CARE FOUNDATION 7007 POWERS BLVD PARMA OH 44129 341626664 SUPPORT HOSPITAL OH 501(C)(3) LINE 12A, I PARMA COMMUNITY MEDICAL CENTER 0 SAMARITAN HOSPITAL FOUNDATION 663 EAST MAIN STREET ASHLAND OH 44805 341783215 SUPPORT HOSPITAL OH 501(C)(3) LINE 12C, III-FI SAMARITAN REGIONAL MEDICAL CENTER 0 THE AUXILLARY OF LAKE HOSPITAL SYSTEM INC 7590 AUBURN ROAD CONCORD TOWNSHIP OH 44077 341605226 PATIENT NEEDS AND PHYSICIAN EQUIPMENT OH 501(C)(3) LINE 3 LAKE HOSPITAL SYSTEM INC 0 COMPREHENSIVE HEALTH CARE OF OHIO INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 341492733 HEALTHCARE OH 501(C)(3) LINE 12B, II UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 EMH REGIONAL MEDICAL CENTER 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 340714612 HEALTHCARE OH 501(C)(3) LINE 3 COMPREHENSIVE HEALTHCARE OF OHIO INC 0 LAKE HOSPITAL SYSTEM INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 341425870 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 PARMA COMMUNITY GENERAL HOSPITAL 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 340827442 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 PRIMEHEALTH INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 341778204 HEALTHCARE OH 501(C)(3) LINE 3 LAKE HOSPITAL SYSTEM INC 0 ROBINSON HEALTH SYSTEM INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 461382538 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 SAMARITAN REGIONAL HEALTH SYSTEM 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 340714535 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UH REGIONAL HOSPITALS 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 341924226 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER INC 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 264827222 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 341567805 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 340714550 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UNIVERSITY HOSPITALS COORDINATED CARE ORGANIZATION 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 900794903 HEALTHCARE OH 501(C)(3) LINE 10 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER 3605 WARRENSVILLE CENTER ROAD-MSC 9 SHAKER HEIGHTS OH 44122 340714461 HEALTHCARE OH 501(C)(3) LINE 3 UNIVERSITY HOSPITALS HEALTH SYSTEM INC 0 UNIVERSITY HOSPITALS HEALTH SYSTEM - 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