FULTON COUNTY MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- FULTON COUNTY MEDICAL CENTER (EIN 23-1401561)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-07
- IRS object ID
- 202441289349302019
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-07T11:07:17-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 312 WALNUT STREET SUITE 3000 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231401561 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GREG LEIS | InCareOfNm |
| Business Name Control | FULT | BusinessNameControlTxt |
| Phone | 7174853155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCHARD ROAD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG LEIS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7174853155 | PhoneNum |
| Signature | 2024-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | NICHOLAS | PersonFirstNm |
| Person Last | MEZZA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Aaron Hershberger | PreparerPersonNm |
| PTIN | P00961884 | PTIN |
| Phone | 5136218300 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT ALEXANDER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCHARD ROAD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $54,205,362 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FCMCPA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO CONTINUOUSLY IMPROVE THE HEALTH OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 479 | TotalEmployeeCnt |
| Total Volunteers | 64 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,929,007 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,191,351 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $57,618,004 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $52,472,974 | CYProgramServiceRevenueAmt |
| PY Investment Income | $98,918 | PYInvestmentIncomeAmt |
| CY Investment Income | $541,037 | CYInvestmentIncomeAmt |
| PY Other Revenue | $626,060 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $62,271,989 | PYTotalRevenueAmt |
| CY Total Revenue | $54,205,362 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $337,304 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $360,868 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,765,277 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,796,102 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,511,404 | PYOtherExpensesAmt |
| CY Other Expenses | $25,249,976 | CYOtherExpensesAmt |
| PY Total Expenses | $61,613,985 | PYTotalExpensesAmt |
| CY Total Expenses | $58,406,946 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $658,004 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,201,584 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $68,374,976 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,870,809 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $56,436,207 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $54,733,716 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,938,769 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,137,093 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CONTINUOUSLY IMPROVE THE HEALTH OF OUR COMMUNITY. WE PERFORM THIS MISSION BY PROVIDING DIAGNOSTIC AND THERAPEUTIC SERVICES IN OUR ACUTE CARE HOSPITAL, MAINTAINING HEALTH AND PROVIDING A HIGHER QUALITY OF LIFE IN OUR COMMNUNITY BY OPERATING A NURSING HOME AND A HOME CARE PROGRAM, OFFERING ACCESS TO CARE THROUGH A MULTI-SPECIALTY CLINIC, WORKING WITH OTHER PROVIDERS AND AGENCIES TO PROMOTE WELLNESS IN OUR COMMUNITY, AND PROVIDING SERVICES REGARDLESS OF THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $46,694,348 | ExpenseAmt |
| Grant | $360,868 | GrantAmt |
| Revenue | $52,472,974 | RevenueAmt |
| Desc | FULTON COUNTY MEDICAL CENTER (FCMC) PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, SKILLED NURSING, AND HOME HEALTH SERVICES TO ALL WHO NEED THEM, REGARDLESS OF ABILITY TO PAY. EMERGENCY SERVICES ARE PROVIDED 24/7, 365 DAYS A YEAR WITHOUT INQUIRY INTO FINANCIAL MEANS OR INSURANCE STATUS. ELECTIVE SERVICES ARE PROVIDED WITH FINANCIAL ASSISTANCE OFFERED BASED UPON A STANDARD, AFTER AN OBJECTIVE APPLICATION WITH SUFFICIENT SUPPORTING DOCUMENTATION HAS BEEN EVALUATED. DISCOUNTS AND ALLOWANCES OFFERED UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM TOTALED $41,369 BASED ON COST OF CHARGES FOREGONE DURING THE FISCAL YEAR ENDED JUNE 30, 2023. THE AMOUNT OF THE DISCOUNT IS DETERMINED BY THE TYPE OF SERVICE RECEIVED SUCH AS INPATIENT, OUTPATIENT, ETC. INTEREST-FREE PAYMENT PLANS ARE MADE AVAILABLE FOR PATIENTS WHO CANNOT PAY IN FULL AT THE TIME OF SERVICE. DURING FISCAL YEAR 2023: 1. July 8, 2022 - Healthcare Receivable Solutions, Inc. (HRSI) is set up on campus to help Medicaid-eligible patients fill out their applications. This is a free service FCMC is offering to Our Community To Help Complete The Medicaid Application. 2. July 14, 2022 - FCMC board approves community health needs assessment through 2025. 3. August 3, 2022 - FCMC resumes PAD program - After a long pause during COVID, FCMC has started up the pulmonary peripheral arterial disease (P.A.D.) Program. PAD Results from Plaque Buildup (Atherosclerosis) In the Arteries Making Them Thicker and Narrower. 4. August 9, 2022 - Birgitta Sheeder, MHS, pa-c joins FFP. 5. August 11, 2022 - FCMC resumes the pulmonary rehab therapy program after a long pause during COVID-19; FCMC re-started its pulmonary rehab Vascular Therapy program. The program is helpful for those who experience lung problems such as COPD, Emphysema, chronic bronchitis, pulmonary hypertension, pulmonary fibrosis before and after lung transplant, and lung cancer and surgery. 6. September 12, 2022 - The Healthy Sportsman health fair is set for Sunday, September 25, 2022. 7. November 21, 2022 - The Fulton County Medical Center Board of Directors held their annual public State of the Company meeting on Monday, November 21. 8. December 27, 2022 - Fulton County Medical Center Surgical Services welcomes Kilmore Eye Associates Ophthalmologist John W. Pratt, M.D. Dr. Pratt stepped in after long-time ophthalmologist Dr. Facchina's departure. 9. January 3, 2023 - FCMC Community Health & Wellness Center re-opened its doors at its newest location on the FCMC campus. 10. February 9, 2023 - the FCMC Wound Center Services held educational sessions on diabetic foot care at the McConnellsburg, Hustontown, and Warfordsburg Senior Centers. 11. May 2, 2023 - After three years, the FCMC is finally mask-free. Fulton County is currently classified as having a low county transmission rate. 12. May 25, 2023 - FCMC conducts a code yellow drill with Keystone Healthcare Coalition, sponsoring a 16-hour course on Hospital Emergency Response Training (HERT) for mass casualty incidents. 13. June 5, 2023 - FCMC Specialty Services, welcomes Dr. Stanton Sollenberger, DO. Dr. Sollenberger is a neurologist, well-known in the Fulton/Franklin County area. 14. June 2, 2023 - Philip Caterbone, D.O., has returned to FCMC Fulton Family Practice. 15. June 9, 2023 - FCMC holds its annual kick-off to the summer health fair geared toward kids. FCMC OPERATES A 67-BED HOSPITAL-BASED SKILLED NURSING FACILITY. THE NURSING HOME OFFERS QUALITY CARE IN A FRIENDLY, HOME ENVIRONMENT. THE HOSPITAL BASED NURSING HOME OFFERS DIRECT AVAILABILITY TO SERVICES SUCH AS LAB, X-RAY, EKG, RESPIRATORY THERAPY, REHAB SERVICES, AND 24-HOUR PHYSICIAN AVAILABILITY FOR EMERGENCIES. TODAY, FCMC LONG-TERM CARE IS VERY MUCH A VITAL PART OF THE ORGANIZATION. THIS IS THE ONLY NURSING HOME IN FULTON COUNTY. HEALTHCARE HAS DRAMATICALLY CHANGED SINCE 1970 WHEN THE LONG-TERM CARE UNIT WAS BUILT, HOWEVER, THE QUALITY OF CARE, COUPLED WITH THE FAMILY-LIKE ATMOSPHERE, HAS REMAINED UNCHANGED. IF THE FACILITY DID NOT EXIST, FAMILIES WOULD HAVE TO TRAVEL OVER MOUNTAINOUS TERRAIN TO RECEIVE LONGTERM CARE SERVICES. WHILE THE FACILITY ACCEPTS ALL MAJOR INSURANCES, PRIVATE PAY, MEDICARE, AND MEDICAID, THE MAJORITY OF THE PATIENTS (APPROXIMATELY 70%) HAVE MEDICAL ASSISTANCE. | Desc |
| Total Program Service Expenses | $46,694,348 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 479 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG LEIS | PersonNm |
| Phone | 7174853155 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCHARD ROAD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| Dr Douglas Stern | ||||||||
| ER PHYSICIAN | 40.0 | 0.0 | Yes (X) | $901,654 | $0 | $20,659 | ||
| Tung Nguyen | ||||||||
| ER PHYSICIAN | 40.0 | 0.0 | $666,034 | $0 | $35,000 | Yes (X) | ||
| Jeffrey Mandak | ||||||||
| CARDIOLOGIST | 40.0 | 0.0 | $583,238 | $0 | $41,947 | Yes (X) | ||
| Nicole Debolt | ||||||||
| PHYSICIAN/SURGEON | 40.0 | 0.0 | $361,921 | $0 | $35,394 | Yes (X) | ||
| Michael Donahoe | ||||||||
| CARDIOLOGIST | 40.0 | 0.0 | $323,281 | $0 | $39,986 | Yes (X) | ||
| Paul Orange | ||||||||
| Primary Care Doctor | 40.0 | 0.0 | $260,279 | $0 | $26,452 | Yes (X) | ||
| Mr Michael Makosky | ||||||||
| CHIEF EXECUTIVE OFFICER | 38.0 | 2.0 | Yes (X) | $235,241 | $0 | $34,387 | ||
| Ms Kimberly Slee | ||||||||
| CHIEF OPERATING OFFICER | 38.0 | 2.0 | Yes (X) | $189,433 | $0 | $36,685 | ||
| Mr Greg Leis | ||||||||
| CHIEF FINANCIAL OFFICER | 38.0 | 2.0 | Yes (X) | $172,702 | $0 | $20,499 | ||
| MR SCOTT ALEXANDER | ||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MR KEVIN BEEM | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MRS SANDY CROUSE | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DR FRANK D'AMELIO | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MRS LISA DANIELS | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MRS TINA GRESS | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MR DAVID MCDONALD | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MR MARK MELLOTT | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MR DONALD SHEEHAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DR DOUG STERN | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MRS DEB TOOTHMAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MR RODNEY WALTERS | ||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MRS MARY WRIGHT | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,693,783 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $291,009 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Qualivis | |||||
| PO Box 123847 Dept 3487 | DALLAS | TX | 75312 | Contracted Emp Labor | $1,314,154 |
| Dr John Quinlan | |||||
| 201 A South Centre Street | PHILLIPSBURG | PA | 16866 | ER Doctor | $558,431 |
| Pinnacle Health Hospitals | |||||
| 409 S Second Street PO Box 8700 | HARRISBURG | PA | 17015 | Orthopedic Doctor | $384,000 |
| Dr Steven Um | |||||
| 112 Silver Birch Road | HOLIDAYSBURG | PA | 16648 | ER Doctor | $239,625 |
| LW Consulting | |||||
| 5925 Stevenson Avenue Suite G | HARRISBURG | PA | 17112 | Contracted Emp Labor | $207,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $541,725 | RelatedOrganizationsAmt |
| Government Grants | $199,675 | GovernmentGrantsAmt |
| All Other Contributions | $449,951 | AllOtherContributionsAmt |
| Total Contributions | $1,191,351 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $48,214,336 | $48,214,336 |
| 340B REVENUE | 621110 | $3,121,079 | $3,121,079 |
| Other Operating Revenue | 621110 | $1,137,559 | $1,137,559 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $52,472,974 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $540,626 | TotalRevenueColumnAmt |
| Exclusion | $540,626 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $411 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $411 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411 | TotalRevenueColumnAmt |
| Exclusion | $411 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,205,362 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,472,974 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $541,037 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,868 | TotalAmt |
| Program Services | $360,868 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,257 | TotalAmt |
| Program Services | $1,244,185 | ProgramServicesAmt |
| Management And General | $367,072 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,068,391 | TotalAmt |
| Program Services | $19,357,377 | ProgramServicesAmt |
| Management And General | $5,711,014 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,572 | TotalAmt |
| Program Services | $98,509 | ProgramServicesAmt |
| Management And General | $29,063 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,988,882 | TotalAmt |
| Program Services | $4,624,511 | ProgramServicesAmt |
| Management And General | $1,364,371 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,082 | TotalAmt |
| Management And General | $317,082 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,723 | TotalAmt |
| Management And General | $220,723 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,189,745 | TotalAmt |
| Program Services | $7,275,923 | ProgramServicesAmt |
| Management And General | $1,913,822 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,758 | TotalAmt |
| Program Services | $166,866 | ProgramServicesAmt |
| Management And General | $43,892 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,574 | TotalAmt |
| Program Services | $336,154 | ProgramServicesAmt |
| Management And General | $88,420 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,817 | TotalAmt |
| Program Services | $216,793 | ProgramServicesAmt |
| Management And General | $57,024 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,589 | TotalAmt |
| Program Services | $579,231 | ProgramServicesAmt |
| Management And General | $152,358 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,439 | TotalAmt |
| Program Services | $85,064 | ProgramServicesAmt |
| Management And General | $22,375 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,796 | TotalAmt |
| Program Services | $33,092 | ProgramServicesAmt |
| Management And General | $8,704 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,062,756 | TotalAmt |
| Program Services | $2,062,756 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,341,450 | TotalAmt |
| Program Services | $3,341,450 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,558 | TotalAmt |
| Program Services | $523,784 | ProgramServicesAmt |
| Management And General | $137,774 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $1,525,915 | $1,525,915 | |
| MEDICAL SUPPLIES | $2,569,735 | $2,034,572 | $535,163 |
| PHARMACEUTICALS | $2,757,015 | $2,182,849 | $574,166 |
| LICENSES | $331,672 | $262,599 | $69,073 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,352 | TotalAmt |
| Program Services | $381,850 | ProgramServicesAmt |
| Management And General | $100,502 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,406,946 | TotalAmt |
| Program Services | $46,694,348 | ProgramServicesAmt |
| Management And General | $11,712,598 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,670,865 | BOYAmt |
| EOY | $2,897,919 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $782,403 | BOYAmt |
| EOY | $379,011 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,661,658 | BOYAmt |
| EOY | $8,509,022 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,046 | BOYAmt |
| EOY | $523,372 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,661 | BOYAmt |
| EOY | $1,077,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,962,645 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,293,414 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,865,578 | BOYAmt |
| EOY | $27,669,231 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,577,290 | BOYAmt |
| EOY | $11,743,179 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,197,475 | BOYAmt |
| EOY | $12,071,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,374,976 | BOYAmt |
| EOY | $64,870,809 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,805,985 | BOYAmt |
| EOY | $6,400,363 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,847 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,167,282 | BOYAmt |
| EOY | $43,249,987 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,207 | BOYAmt |
| EOY | $1,290,294 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,740,886 | BOYAmt |
| EOY | $3,793,072 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,436,207 | BOYAmt |
| EOY | $54,733,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,898,953 | BOYAmt |
| EOY | $9,040,713 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,039,816 | BOYAmt |
| EOY | $1,096,380 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,938,769 | BOYAmt |
| EOY | $10,137,093 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,374,976 | BOYAmt |
| EOY | $64,870,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,201,584 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $736,904 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,663,004 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $556,178 | OtherCostOrOtherBasisAmt |
| Book Value | $556,178 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,730,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,599,799 | DepreciationAmt |
| Book Value | $13,131,159 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,015,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,382,150 | DepreciationAmt |
| Book Value | $11,633,401 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,659,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,311,465 | DepreciationAmt |
| Book Value | $2,348,493 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,669,231 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| EST THIRD PARTY PAYOR SETTLE | $1,655,874 |
| DUE FROM AFFILIATES | $100,000 |
| UNDER BOND INDENTURE | $6,910,785 |
| INTEREST IN PERPETUAL TRUST | $1,096,380 |
| INEVSTMENT IN CHART | $1,002,513 |
| PENSION ASSET | $1,231,088 |
| RIGHT OF USE ASSET | $74,473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,071,113 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| EST AMOUNTS DUE THIRD PARTIES | $3,723,104 |
| LEASE LIABILITY | $69,968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,793,072 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DISCLOSURE NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 0 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,369 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,369 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,362,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,233,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,128,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,403,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,233,857 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,169,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $120,802 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,284,898 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,353,502 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,405,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,384,599 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,705 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,809,527 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,618,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,259,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03980 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,525,916 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $24,415 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,960,883 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,333,207 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,372,324 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | N/A | PrimaryActivitiesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCHARD ROAD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.FCMCPA.ORG HP-418362-L | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON COUNTY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.FCMCPA.ORG/COMMUNITY-RESOURCES | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.FCMCPA.ORG/COMMUNITY-RESOURCES | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.FCMCPA/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | THE CURRENT CHNA WAS CONDUCTED WITH THE ASSISTANCE OF FORVIS, LLP. INTERVIEWS WITH THIRTY KEY INFORMANTS WERE CONDUCTED IN 2021. THE INTERVIEW PARTICIPANTS WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS, OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS AND REPRESENT A BROAD ASPECT OF THE COMMUNITY. A REPRESENTATIVE FROM FULTON COUNTY FAMILY PARTNERSHIP ASSISTED REPRESENTATIVES FROM FULTON COUNTY MEDICAL CENTER IN CONTACTING AND SCHEDULING ALL INDIVIDUALS SELECTED FOR INTERVIEWS. THEIR KNOWLEDGE OF THE COMMUNITY, AND THE PERSONAL RELATIONSHIPS THEY HELD WITH THE POTENTIAL INTERVIEWEES ADDED VALIDITY TO THE DATA COLLECTION PROCESS. IF THE RESPECTIVE KEY INFORMANT AGREED TO BE INTERVIEWED, AN INTERVIEW WAS SCHEDULED WITH FORVIS. |
| SCHEDULE H, PART V, SECTION B, LINE 6B | THE FULTON COUNTY MEDICAL CENTER (FCMC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED WITH COLLABORATION FROM FULTON COUNTY FAMILY PARTNERSHIP (FCFP). |
| SCHEDULE H, PART V, SECTION B, LINE 7D | FCMC PUBLICLY REPORTED THE CHNA AT THE FULTON COUNTY PARTNERSHIP MEETING THAT MEETS MONTHLY. IT IS COMPRISED OF MEMBERS OF THE HEALTH AND HUMAN SERVICES COMMUNITIES OF FRANKLIN, FULTON & BEDFORD COUNTIES. THE CHNA WAS PRINTED OUT AND CIRCULATED THROUGH THE PARTNER MEETING, THE LOCAL NEWSPAPER COVERED A STORY ON ITS RELEASE AND GAVE THE INFORMATION AS TO HOW TO ACCESS IT ON OUR WEBSITE AT WWW.FCMCPA.ORG. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | PRIORITY 1: BEHAVIORAL HEALTH Leader: FCFP Goal 1: Increase awareness of available services Strategies: - Ensure that MH resources are updated and shared across the community - Ensure that SUD providers are marketed and increase awareness of resources - Increase education, prevention, and outreach efforts related to substance use disorder/opioid used disorder (SUD/OUD) in Fulton County Goal 2: Improve treatment, support and care coordination Strategies: - Implement SBIRT and integrate MOUD into FCMC and TSCHC in Fulton County. - Establish Community Navigators in local programs and connect to consumers in the community - Increase access and utilization of recovery-oriented systems of care to support individuals with substance use disorder/opioid use disorder (SUD/OUD) in Fulton County Goal 3: Minimize barriers (including stigma) to accessing available services Strategies: - Support the nationwide annual Walk the Walk to sustain and increase awareness across all counties served - Increase access and utilization of substance use disorder/opioid use disorder (SUD/OUD) treatment in Fulton County - Increasing awareness of CRS - Recovery supports - family supports (resources, how do I access services), recovery-oriented events - Support initiatives to recruit MH staff in the community Goal 4: Work collaboratively to address youth risk behaviors as identified in the PAYS data Strategies: Support the action plan that is created to support the needs of the three county schools as identified in the PAYS PRIORITY 2: HOUSING Leader: FCFP Goal 1: Disseminate resources out to the community to increase knowledge Strategies: - Resource campaign (social media, newspapers, etc.) - General classes surrounding lending, borrowing, & home buying - Get connected with the Homeless Support Coordinator within the schools Goal 2: Provide educational resources surrounding housing and budgeting - Establish Community Navigators in local programs and connect to consumers in the community - Re-envision Housing Committee Goal 3: Evaluate local housing needs Strategies: - CCA conducting housing needs assessment - FCMC conducting market analysis to see if it's feasible to add senior housing Goal 4: Housing strategies to mitigate homelessness Strategies: - Explore options for short term housing units PRIORITY 3: ACCESS TO CARE Leader: FCMC Goal 1: Grow patient volumes at FCMC by adding providers and enhancing the breadth of services offered in Fulton Specialty Services. Strategies: - Expand cardiology services by increasing practitioners - Re-envision of Pulmonology Services - Expand and improve the menu of the telemedicine services across the Continuum of Care - Grow the surgical services line by increasing our breadth of services and maximizing current surgical capacity in order to increase the volume of patients we are able to care for locally Goal 2: Improve treatment, support and care coordination Strategies: - Implement SBIRT and integrate MOUD into FCMC and TSHC in Fulton County - Maintain population health management program and support reaching the transformational goals under the PARHM (PA Rural Health Model) - Grow the surgical services line by increasing our breadth of services and maximizing current surgical capacity in order to increase the volume of patients we are able to care for local PRIORITY 4: HEALTHY BEHAVIORS Leader: FCMC Goal 1: Continue to develop programs to educate the community on chronic conditions Strategies: - Provide ongoing education at community diabetes forums offered by Diabetes Educator; Looking at expanded current classes offered for diabetes - Managing preventative health through EMR - Re-engaging the community post COVID-19 on screenings - Women's health outreach for insured and underinsured populations Goal 2: Community outreach and engagement Strategies: - Explore opportunities with local food access points (food basket) for healthy recipes - Develop community outreach programs that enhance the reputation of the hospital and provide goodwill - Education about and access to vaccines Goal 3: Add to the Wellness Center to enhance classes and populations served Strategies: - Increase number of participants in exercise classes - Nutritional education in the Wellness Center to include healthy cooking classes and smart shopping - Increase Wellness Center hours of operation - Add exercise classes focusing on kids, seniors, and young adults - Occupy new Wellness Center by 2022 Goal 4: Healthy outreach activities for the community as a whole Strategies: - Re-implement education and outreach activities for the community through screenings and health fairs - Implement Wellness Work Days NEEDS NOT ADDRESSED FCMC is focusing on areas within their scope of service. They are addressing Access to care and healthy behaviors. Additionally, some community needs fall out of the scope of expertise and resources of Fulton County Medical Center. Therefore, they have partnered with the Fulton County Family Partnership to support their efforts in the other priority areas. Transportation and Poverty are not directly being focused on through committee work groups at this time. |
| SCHEDULE H, PART V, SECTION B, LINE 16B & 16C | www.fcmcpa.org/financial-assistance |
| SCHEDULE H, PART V, SECTION B, LINE 16J | The CHNA and implementation strategy is reviewed monthly at the Fulton County Family Partnership meetings. It is also reviewed bi-monthly at the FCMC Board Finance Committee meetings through the FCMC Community Benefit Director, as well as, posted on their website and their members. https://fcfpinc.org/ Billing statements include a notice about the availability of financial assistance and how to obtain information. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON CO MEDICAL CENTER NURSING HOME | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCHARD ROAD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | HOSPITAL-BASED LT CARE FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | PATIENTS WITH NO HEALTH INSURANCE, PRIVATE OR EMPLOYER-SPONSORED INSURANCE, OR VIA GOVERNMENTAL PROGRAMS, ARE AUTOMATICALLY ELIGIBLE FOR A FINANCIAL ASSISTANCE DISCOUNT IN THE FOLLOWING AMOUNTS: INPATIENT SERVICES - 30% OUTPATIENT SERVICES - 40% HOME HEALTH SERVICES - 20% SWING BED SERVICES - 30% ADDITIONAL FINANCIAL ASSISTANCE MAY BE MADE AVAILABLE TO THE PATIENT BASED ON A SLIDING FEE SCALE, IN ACCORDANCE WITH FINANCIAL NEED, AS DETERMINED BY REFERENCING FEDERAL POVERTY LEVELS (FPL) IN EFFECT AT THE TIME OF THE DETERMINATION. IN GENERAL, PEOPLE WHOSE HOUSEHOLD INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. FAMILIES OR INDIVIDUALS WITH HIGHER INCOMES MAY QUALIFY ON A CASE-BY-CASE BASIS. |
| SCHEDULE H, PART I, LINE 6A | FULTON COUNTY MEDICAL CENTER'S (FCMC) 990 FILING IS AVAILABLE TO THE PUBLIC UPON REQUEST. A SUMMARY OF FCMC'S COMMUNITY BENEFIT IS DESCRIBED IN FCMC'S ANNUAL REPORT. THE ANNUAL REPORT IS AVAILABLE TO THE PUBLIC DURING THE ANNUAL MEETING, AT THE HOSPITAL, AS WELL AS ON THE HOSPITAL WEBSITE. |
| SCHEDULE H, PART I, LINE 7 | Charity care was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the cost-to-charge ratio derived from worksheet 2. Community health improvement services, line 7e are reported from the community benefit's annual board report. Line 7g was determined using the Medicare cost report. |
| SCHEDULE H, PART I, LINE 7F | The amount of bad debt expense removed from the denominator of the calculations was $1,525,916. |
| SCHEDULE H, PART I, LINE 7G | Subsidized health services included in the fiscal year: emergency room and home health. |
| SCHEDULE H, PART III, LINE 2 | Prior to any account being classified as bad debt, all payments are applied including contractual allowances and discounts, and every effort is made with the patient in an attempt to collect the outstanding balance. Accounts placed in collection for a year with no payment being received within 120 days are written off to bad debt. If a payment is received on an amount previously written off to bad debt, the amount would reduce bad debt expense. |
| SCHEDULE H, PART III, LINE 3 | FCMC does not refuse service to patients that generate bad debt. The estimated amount of organization's bad debt expense attributable to patients eligible under the organization's charity care policy is calculated based on an estimate of charity care accounts compared to total bad debt accounts. |
| SCHEDULE H, PART III, LINE 4 | The allowance for doubtful accounts is based on historical losses and an analysis of currently outstanding amounts for its major payer sources. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients and residents who have third-party coverage, the medical center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectable deductibles and copayments on accounts for which the Third-party payer has not yet paid). For receivables associated with Self-pay patients and residents (which includes both patients and residents without insurance and patients with deductible and payment balances due for which third-party coverage exists for part of the bill), the medical center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients and residents are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| SCHEDULE H, PART III, LINE 8 | Medicare services are provided to the elderly which are considered to be a charitable class. As such, we believe the shortfall should be considered as a community benefit. |
| SCHEDULE H, PART III, LINE 9B | PATIENTS APPLYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE, OR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FREE OR DISCOUNTED CARE WILL BE PROCESSED AS SUCH BEFORE COLLECTION EFFORTS START. ONCE A DETERMINATION IS MADE ON ELIGIBILITY, ANY PERSONAL PORTION DUE IS SUBJECT TO THE SAME COLLECTION POLICY AS OTHER ACCOUNTS. IF THE PATIENT DOES NOT HAVE A THIRD PARTY INSURANCE COVERAGE, THEY WILL BE INFORMED OF THE FREE CARE PROGRAM. ELIGIBILITY WILL BE DETERMINED USING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES INCOME POVERTY GUIDELINES CATEGORY B WITH NO SLIDING SCALE. PATIENTS/GUARANTORS WHO HAVE NOT MET ARRANGEMENTS TO PAY OFF THEIR ACCOUNTS WITHIN THE ALLOTTED TIME WILL BE FORWARDED TO THE HOSPITAL'S COLLECTION AGENCY. ALL ACCOUNTS WILL BE REVIEWED BY THE FINANCIAL ADVOCATE PRIOR TO AGENCY REFERRAL. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: FCMC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 IN ORDER TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY SERVED BY FCMC. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE FCMC POSTS INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND DISCOUNTS AT THE ADMISSIONS AREAS, EMERGENCY ROOM WAITING AREAS, AND FINANCIAL ADVOCATE'S office as well as online at https://fcmcpa.org/financial-assistance . FCMC also posted information on financial assistance on social media and outdoor advertising. THE INFORMATION IS INCLUDED IN THE INPATIENT AND OUTPATIENT SURGERY PATIENT PACKETS. THE FINANCIAL ADVOCATE DISCUSSES WITH THE PATIENT THE AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. IN ADDITION, PATIENT INVOICES FOR FCMC INCLUDE A NUMBER TO CALL FOR HELP IN APPLYING FOR FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE APPLICATION IS ON THE BACK OF THE PATIENT INVOICE AS WELL. WHEN COLLECTION TELEPHONE CALLS ARE MADE TO PATIENTS WITH OUTSTANDING BALANCES THEY ARE REMINDED OF OUR FINANCIAL ASSISTANCE PROGRAM. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: Fulton County, Pennsylvania's estimated 2023 population is 14,469 with a growth rate of -0.2% in the past year according to the most recent United States census data. Fulton County, Pennsylvania is the 64th largest county in Pennsylvania. The 2010 population was 14,845 and has seen a growth of -2.53% since that time. The FCMC is a critical access hospital with over 50% of its revenues received from the Medicare and Medicaid programs. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: FCMC's board is comprised of citizens from the communities and service areas that benefit from FCMC's services. FCMC is the only hospital and skilled nursing home in this rural service area. In addition FCMC offers home health services and a specialty services clinic where physician specialists from other geographical areas see patients. This allows residents of the surrounding areas to receive medical care from medical professionals close to home. Patients who come to the emergency room are not denied treatment based on the ability to pay. FCMC offers financial assistance discounts and charity care for those patients who have limited or no means to pay their medical bill. To meet the needs of our community, the hospital extends privileges to licensed medical staff. FCMC held several health fairs and events. The annual kick of your drug free summer had over 250 in attendance. The fair held on the Medical Center campus was well attended. Nearly twenty vendors set up for services for children mostly from the Fulton County Partnership's membership. There were demonstrations, education, healthy eating tips, and physical activities. The sheriff's office also provides a drug collection booth to turn in out dated, unwanted narcotics. Many events still on-hold due to Covid restrictions. FCMC also co-sponsored a pink out game in the southern end of the county to promote breast cancer awareness. The event was attended by hundreds as it was a game between two county schools. $4500 was raised at the event for a local teacher battling breast cancer. As a critical access hospital and rural healthcare provider, FCMC provides an opportunity to assist in the education of future health care workers. Lake Erie College of Osteopathic Medicine (LECOM) medical students rotate to FCMC as part of their education as well as vocational technical students. In limited capacity due to Covid precautions, high school students have the opportunity to volunteer within the facility or job shadow a professional at the hospital. FCMC Health and Wellness Center Re-opened April 5, 2021 after being shut down since November 2020 due to Covid restrictions. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON COUNTY MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCH RD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 510674514 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $360,868 | CashGrantAmt |
| Purpose Of Grant | financial support to affiliate | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE ORGANIZATION'S ONLY DONATION WAS TO THE FULTON COUNTY MEDICAL CENTER FOUNDATION, A RELATED ORGANIZATION. THROUGH THIS RELATIONSHIP, THE ORGANIZATION IS ABLE TO OBTAIN INFORMATION ON HOW THE FUNDS ARE SPENT AND IS ABLE TO MAKE SURE THE FUNDS ARE SPENT PROPERLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mr Michael Makosky | ||||||||||||
| CHIEF EXECUTIVE OFFICER | $200,551 | $0 | $34,000 | $0 | $690 | $0 | $12,993 | $0 | $21,394 | $0 | $269,628 | $0 |
| Mr Greg Leis | ||||||||||||
| CHIEF FINANCIAL OFFICER | $169,159 | $0 | $2,870 | $0 | $673 | $0 | $3,588 | $0 | $16,911 | $0 | $193,201 | $0 |
| Ms Kimberly Slee | ||||||||||||
| CHIEF OPERATING OFFICER | $184,564 | $0 | $3,225 | $0 | $1,644 | $0 | $10,684 | $0 | $26,001 | $0 | $226,118 | $0 |
| Dr Douglas Stern | ||||||||||||
| ER PHYSICIAN | $876,201 | $0 | $22,000 | $0 | $3,453 | $0 | $14,000 | $0 | $6,659 | $0 | $922,313 | $0 |
| Jeffrey Mandak | ||||||||||||
| CARDIOLOGIST | $551,516 | $0 | $0 | $0 | $31,722 | $0 | $14,000 | $0 | $27,947 | $0 | $625,185 | $0 |
| Michael Donahoe | ||||||||||||
| CARDIOLOGIST | $323,281 | $0 | $0 | $0 | $0 | $0 | $14,000 | $0 | $25,986 | $0 | $363,267 | $0 |
| Nicole Debolt | ||||||||||||
| PHYSICIAN/SURGEON | $361,501 | $0 | $0 | $0 | $420 | $0 | $14,000 | $0 | $21,394 | $0 | $397,315 | $0 |
| Tung Nguyen | ||||||||||||
| ER PHYSICIAN | $647,084 | $0 | $3,450 | $0 | $15,500 | $0 | $14,000 | $0 | $21,000 | $0 | $701,034 | $0 |
| Paul Orange | ||||||||||||
| Primary Care Doctor | $260,116 | $0 | $0 | $0 | $163 | $0 | $14,000 | $0 | $12,452 | $0 | $286,731 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | CERTAIN OFFICERS ARE ELIGIBLE FOR BONUS PAYMENTS BASED ON PERFORMANCE FACTORS. THE OFFICERS ARE EVALUATED BY THE PRESIDENT/CEO AND/OR THE BOARD IN DETERMINING BONUS PAYMENTS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| FULTON COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY | ||||||||
| A | 232299855 | 36024LAL3 | 2016-05-15 | $25,690,000 | REFUND SERIES 2006 & 2009 BONDS | false | false | false |
| FULTON COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY | ||||||||
| B | 232299855 | 36024LAN9 | 2016-09-15 | $21,590,000 | FINANCE CONTRUCTION CAM BUILDING | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,815,000 | $0 | $25,690,000 | $1,892,997 | $1,018,950 | $0 | $629,579 | $0 | $0 | $0 | $0 | $0 | 2016 | false | Yes (true) | Yes (true) | Yes (true) |
| B | $0 | $0 | $21,590,000 | $2,017,237 | $1,079,500 | $0 | $731,093 | $0 | $0 | $0 | $0 | $0 | 2018 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990 FULTON COUNTY MEDICAL CENTER HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY THE CFO AND PRESENTED TO THE FINANCE COMMITTEE. THE RETURN IS ALSO PROVIDED TO THE FULL GOVERNING FULTON COUNTY MEDICAL CENTER BOARD BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE A CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF A DIRECTOR MUST BE DISCLOSED TO THE BOARD. THE FORMS ARE REVIEWED BY THE PRESIDENT/CEO. WHEN ANY INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTOR IS NOT TO VOTE OR USE PERSONAL INFLUENCE ON THE MATTER, AND IS NOT COUNTED IN THE QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS OF BOARD MEMBERS. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET. IT IS THE OBLIGATION OF EACH BOARD MEMBER TO ACT IN THE BEST INTEREST OF THE MEDICAL CENTER. ALL BOARD INFORMATION IS CONFIDENTIAL, AND IS NOT TO BE USED OR DISCUSSED OTHER THAN FOR APPROPRIATE MEDICAL CENTER BUSINESS. FAILURE OF A DIRECTOR TO MAINTAIN THE CONFIDENTIALITY OF BOARD INFORMATION IS GROUNDS FOR REMOVAL. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | PROCESS FOR DETERMINING COMPENSATION THE BOARD OF DIRECTORS SERVES AS A COMPENSATION COMMITTEE AND REVIEWS AND ADJUSTS THE COMPENSATION OF THE PRESIDENT/CEO BASED ON EVALUATIONS AND COMPARABLE DATA. THE HUMAN RESOURCES DEPARTMENT EITHER WITH THE HELP OF AN OUTSIDE COMPENSATION CONSULTANT OR INDEPENDENTLY OR BOTH, GATHERS COMPARABLE DATA AND PROVIDES INFORMATION TO THE BOARD OF DIRECTORS WHEN IT IS REQUESTED. THE CFO RECEIVES COST OF LIVING ADJUSTMENTS AS APPROVED THROUGH THE BUDGET FULTON COUNTY MEDICAL CENTER PROCESS BY THE BOARD OF DIRECTORS EACH YEAR. THE PRESIDENT/CEO, IN COLLABORATION WITH THE HR DEPARTMENT, REVIEWS AND ADJUSTS THE COMPENSATION OF THE CFO BASED ON PERFORMANCE AND COMPARABILITY DATA. IF NEEDED, THE HR DEPARTMENT CONDUCTS A SURVEY TO GATHER COMPARABILITY DATA AND GIVES THIS INFORMATION TO THE PRESIDENT/CEO WHEN IT IS REQUESTED. THIS INFORMATION IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATIONAL PURPOSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE DOCUMENTS ARE ALSO AVAILABLE AT THE ANNUAL MEETING WHICH IS OPEN TO THE GENERAL PUBLIC. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES PENSION LIABILITY ADJUSTMENT $1,918,780 VALUATION GAIN 56,564 NET PERIODIC PENSION BENEFIT COST (312,340) TOTAL $1,663,004 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:9189745 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON COUNTY MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 PEACH ORCHARD ROAD | AddressLine1Txt |
| City | MCCONNELLSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510674514 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FCMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FULTON COUNTY MEDICAL CENTER FOUNDATION | ||
| B | $360,868 | CASH VALUE |
| FULTON COUNTY MEDICAL CENTER FOUNDATION | ||
| C | $541,725 | CASH VALUE |
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