2025-11-10T09:36:27-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2024-01-01 341392784 ASHTABULA COUNTY MEDICAL CENTER FOUNDATION ASHT 4409972262 2420 LAKE AVENUE ASHTABULA OH 44004 LEONARD STEPP PRESIDENT & CEO 4409972262 2025-11-08 1 1 JENNIFER COLEMAN P00743188 3304972000 2024 2025-03-06 01:10:19Z ARMC FOUNDATION LEONARD STEPP 2420 LAKE AVENUE ASHTABULA OH 44004 6177616 0 X WWW.ARMCHEALTH.ORG/FOUNDATION X 1983 OH RAISE AND ADMINISTER CHARITABLE GIFTS THAT SUPPORT THE MISSION OF ASHTABULA COUNTY MEDICAL CENTER. 16 13 0 28 0 0 2400135 1128665 0 0 224336 162349 34085 51786 2658556 1342800 0 3758454 0 0 0 0 0 0 0 275557 375772 275557 4134226 2382999 -2791426 9118315 4808710 519726 594297 8598589 4214413 X SEE SCHEDULE OTHE ACMC FOUNDATION IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION ESTABLISHED TO RAISE, RECEIVE AND ADMINISTER CHARITABLE GIFTS IN SUPPORT OF ASHTABULA COUNTY MEDICAL CENTER. TO DO THIS, THE FOUNDATION HOLDS SPECIAL EVENTS, CULTIVATES AND SOLICITS INDIVIDUAL DONORS AND CORPORATE DONORS, AND SECURES GRANT FUNDING; AND ALIGNS ITS WORK WITH THE INITIATIVES AND PRIORITIES OF ACMC. 0 0 3975418 3758454 0 ASHTABULA COUNTY MEDICAL CENTER, DOING BUSINESS AS ASHTABULA REGIONAL MEDICAL CENTER (ARMC), IS A NON-PROFIT COMMUNITY HOSPITAL, THE ONLY FULL-SERVICE HOSPITAL IN ASHTABULA COUNTY, AND IS THE COUNTY'S LARGEST EMPLOYER. THE ARMC FOUNDATION HELPS TO ENSURE THAT THE HIGH-QUALITY CARE ALL PATIENTS DESERVE IS AVAILABLE WHEN THE COMMUNITY NEEDS IT.ARMC FOUNDATION SUPPORTS THE HOSPITAL BY FUNDING CAPITAL AND EQUIPMENT PURCHASES, FACILITY RENOVATIONS, STAFF SUPPORT AND EDUCATION AND OTHER PROGRAM SUPPORT. WITH MORE THAN A DOZEN DESIGNATED-USE AND UNRESTRICTED FUNDS, ARMC FOUNDATION ADMINISTERS CONTRIBUTIONS THAT ALIGN WITH DONORS' INTERESTS AND THE PRIORITIES AND NEEDS OF ARMC. (CONTINUED ON SCHEDULE 0)EXAMPLES OF RECENT CAPITAL SUPPORT INCLUDE: 115,000 SQ FT PATIENT CARE TOWER, RENOVATIONS TO THE WOMEN'S IMAGING SUITE AND THE OUTPATIENT CANCER CENTER. EQUIPMENT PURCHASES INCLUDE: DA VINCI ROBOTIC SURGICAL SYSTEM, PEDIATRIC COLONOSCOPE, STRYKER CART, IV POLES FOR CANCER CENTER AND VISION SCREENER FOR PEDIATRICS. ADDITIONAL SUPPORT WAS PROVIDED TO OFFER COMPLIMENTARY VALET PARKING FOR PATIENTS AND GUESTS DURING CONSTRUCTION OF PATIENT CARE TOWER. 3975418 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 13 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X LEONARD STEPP PRESIDENT & CEO 4409972262 2420 LAKE AVENUE ASHTABULA OH 44004 DANIEL B KEATON MD CHIEF OF STAFF (END 12/31/24) 0.30 60.00 X 0 319175 32651 LEONARD STEPP JR SECRETARY/TREASURER 0.60 40.00 X X 0 0 0 TINA STASIEWSKI INTERIM EXECUTIVE DIRECTOR 0.30 40.00 X X 0 120063 4426 SANDI KANICKI CHAIRPERSON 0.30 0.00 X 0 0 0 DR CATHERINE BISHOP VICE CHAIRPERSON/PHYSICIAN 0.30 40.00 X 0 166075 20173 JENNIFER BARTONE BOARD MEMBER 0.30 0.00 X 0 0 0 BRET CIMORELL ESQ BOARD MEMBER 0.30 0.00 X 0 0 0 MICHAEL FEDLER BOARD MEMBER 0.30 0.00 X 0 0 0 TODD A GRAY ESQ BOARD MEMBER 0.30 0.00 X 0 0 0 CHERYL KATAVICH PA-C BOARD MEMBER 0.30 0.00 X 0 119724 13044 CATHY MAYLISH BOARD MEMBER 0.30 0.00 X 0 0 0 PAUL MECHLING DVM BOARD MEMBER 0.30 0.00 X 0 0 0 LISA NEWSOME BOARD MEMBER 0.30 0.00 X 0 0 0 RICHARD TRICE BOARD MEMBER 0.30 40.00 X 0 222894 38385 JAMES MAYER JR BOARD MEMBER 0.30 0.00 X 0 0 0 DONALD CHAPLIN BOARD MEMBER 0.30 0.00 X 0 0 0 AMY PRICE EXECUTIVE DIRECTOR 40.00 0.00 X X 0 45472 1364 ALANNA DAMES VP FINANCE/CFO 0.60 40.00 X 0 0 0 0 993403 110043 0 0 1 0 VIP VALET PARKING 2075 EAST 14TH ST CLEVELAND OH 44115 VALET PARKING 126323 1 41442 1087223 11262 1128665 206004 206004 4770337 4813992 -43655 -43655 -43655 11518 41442 19304 -7786 -7786 1200 1520 -320 -320 OTHER INCOME 900099 59892 59892 59892 1342800 0 0 214135 3758454 3758454 149131 149131 1500 1500 8177 8177 8931 8931 50409 50409 19780 19780 79 79 MISCELLANEOUS 130190 130190 EQUIPMENT MAINTENANCE 7128 7128 DUES AND SUBSCRIPTIONS 447 447 4134226 3975418 158808 0 54608 35354 1485563 0 4756 5309 7573388 4768047 9118315 4808710 2390 56216 517336 538081 519726 594297 X 7269903 3564383 1328686 650030 8598589 4214413 9118315 4808710 X -2791426 77212 -1669962 X 0 1 X 1 0 X X 1 ASHTABULA COUNTY MEDICAL CENTER 340726081 3 1 3758454 0 1 3758454 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 959768 66122 6298 1019592 874022 91481 5735 959768 1027977 77810 98075 322636 7204 874022 956162 71815 1027977 871622 84540 956162 0.00000 1.00000 0.00000 1 0 0 DUE TO AFFILIATES 538081 538081 X 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 CONSOLIDATED FINANCIAL STATEMENTS 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. GOLF CLASSIC OUTING 34740 27657 7083 800 3938 3145 5953 SAWRUK GOLF OUTING 18220 13785 4435 4435 1033 52960 41442 11518 800 3938 7580 6986 19304 -7786 1 ASHTABULA COUNTY MEDICAL CENTER 2420 LAKE AVENUE ASHTABULA OH 44004 340726081 501(C)(3) 3758454 0 PATIENT TOWER CONTRIBUTIONS 1 0 PART I, LINE 2: COMMON CONTROL BETWEEN ASHTABULA COUNTY MEDICAL CENTER FOUNDATION AND THE ASHTABULA COUNTY MEDICAL CENTER ENSURES PROPER USE OF DISTRIBUTED FUNDS. 0 0 0 0 0 0 0 0 0 DANIEL B KEATON MD CHIEF OF STAFF (END 12/31/24) 0 318761 0 0 0 414 0 8184 0 24467 0 351826 0 0 RICHARD TRICE BOARD MEMBER 0 211739 0 10000 0 1155 0 8609 0 29776 0 261279 0 0 DR CATHERINE BISHOP VICE CHAIRPERSON/PHYSICIAN 0 164887 0 0 0 1188 0 6696 0 13477 0 186248 0 0 FORM 990, PART III, LINE 4A EXAMPLES OF RECENT CAPITAL SUPPORT INCLUDE: 115,000 SQ FT PATIENT CARE TOWER, RENOVATIONS TO THE WOMEN'S IMAGING SUITE AND THE OUTPATIENT CANCER CENTER. EQUIPMENT PURCHASES INCLUDE: DA VINCI ROBOTIC SURGICAL SYSTEM, PEDIATRIC COLONOSCOPE, STRYKER CART, IV POLES FOR CANCER CENTER AND VISION SCREENER FOR PEDIATRICS. ADDITIONAL SUPPORT WAS PROVIDED TO OFFER COMPLIMENTARY VALET PARKING FOR PATIENTS AND GUESTS DURING CONSTRUCTION OF PATIENT CARE TOWER. FORM 990, PART VI, SECTION A, LINE 3 THE CLEVELAND CLINIC FOUNDATION HOLDS AND EXERCISES A MANAGEMENT AGREEMENT WITH THE ACMC HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 6 ASHTABULA COUNTY MEDICAL CENTER (ACMC) IS THE SOLE MEMBER OF THE FOUNDATION. ACMC APPROVES THE APPOINTING OF FOUNDATION TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A SEE FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION FORM 990, PART VI, SECTION A, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 REPORT IS PUBLISHED TO THE WEBSITE OF THE BOARD OF DIRECTORS OF THE ASHTABULA COUNTY MEDICAL CENTER, THE FOUNDATION'S SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND KEY EMPLOYEE SHALL ANNUALLY SIGN A STATEMENT, WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IF A PERSON COVERED BY THE CONFLICT OF INTEREST POLICY BELIEVES HE OR SHE HAS A POTENTIAL CONFLICT OF INTEREST, THAT PERSON IS TO DISCLOSE THE CONFLICT TO THE BOARD. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE DISCLOSING PERSON MAY MAKE A PRESENTATION REGARDING THE PROPOSED TRANSACTION/POTENTIAL CONFLICT OF INTEREST AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 NO COMPENSATION IS PAID BY ACMC FOUNDATION. FOR RELATED TAX-EXEMPT ORGANIZATIONS, 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 OF ASHTABULA COUNTY MEDICAL CENTER TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUESTS ARE SENT TO THE CEO FOR DISTRIBUTION. FORM 990, PART XI, LINE 9: RESTATEMENT OF 2023 NET ASSETS -1,669,962. FORM 990, PART VII, SECTION A: THE FOLLOWING OFFICERS WORKING FULL-TIME FOR ACMC ARE EMPLOYED BY THE CLEVELAND CLINIC AND ARE COMPENSATED THROUGH EMPLOYMENT AGREEMENTS WITH THE CLEVELAND CLINIC: AMANDA CLARK, CNO, ALANNA DAMES, VP FINANCE/CFO, AND LEONARD STEPP, PRESIDENT/CEO. ASHTABULA COUNTY MEDICAL CENTER 2420 LAKE AVENUE ASHTABULA OH 44004 340726081 OPERATION OF HOSPITAL OH 501(C)(3) LINE 3 N/A 0 GLENBEIGH 2863 STATE ROUTE 45 ROCK CREEK OH 44084 341789783 OPERATE AND MAINTAIN A HOSPITAL AND OUTPATIENT CENTERS OH 501(C)(3) LINE 3 ASHTABULA COUNTY MEDICAL CENTER 0 ASHTABULA REGIONAL HOME HEALTH SERVICES 2131 LAKE AVENUE SUITE 2 ASHTABULA OH 44004 341143158 HOME HEALTH SERVICES OH 501(C)(3) LINE 11 ASHTABULA COUNTY MEDICAL CENTER 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0