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PENN STATE HEALTH HAMPDEN MEDICAL CENTER: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PENN STATE HEALTH HAMPDEN MEDICAL CENTER (EIN 85-1608328)
Tax period
2020-06-18 to 2020-06-30
Filed
2021-05-17
IRS object ID
202101379349204675
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-17T17:47:16-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-06-18TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN851608328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PENN STATE HEALTH HAMPDEN MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPENNBusinessNameControlTxt
Phone7175318477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CRYSTAL A DRIVE MC CA210AddressLine1Txt
CityHERSHEYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULA TINCHPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone8002431455PhoneNum
Signature2021-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAULAPersonFirstNm
Person LastTINCHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRUSSLEE ARMSTRONGPreparerPersonNm
PTINP00288383PTIN
Phone2155614200PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.PENNSTATEHEALTH.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$0GrossReceiptsAmt
Total Revenue$0TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$0ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposePENN STATE HEALTH HAMPDEN MEDICAL CENTER ('PSHHMC') WAS FORMED TO PROMOTE HEALTH THROUGH THE DEVELOPMENT AND OPERATION OF AN ACUTE CARE HOSPITAL AND THE PROVISION OF HEALTH CARE SERVICES IN HAMPDEN TOWNSHIP, PENNSYLVANIA.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPSHHMC WAS FORMED TO PROMOTE HEALTH THROUGH THE DEVELOPMENT AND OPERATION OF AN ACUTE CARE HOSPITAL AND THE PROVISION OF HEALTH CARE SERVICES IN HAMPDEN TOWNSHIP, PENNSYLVANIA.ACTIVITIES:PSHHMC WILL OPERATE A NEW 300,000-SQUARE-FOOT, THREE-STORY ACUTE CARE COMMUNITY HOSPITAL LOCATED ON PROPERTY ALONGSIDE INTERSTATE 81 IN HAMPDEN TOWNSHIP, PROVIDING CONVENIENT ACCESS TO CARE TO PENNSYLVANIA RESIDENTS OF CUMBERLAND COUNTY AND PERRY COUNTY (WHICH HAS NO HOSPITAL). CONSTRUCTION OF THE HOSPITAL COMMENCED IN EARLY 2019 AND IT IS SLATED TO OPEN IN SUMMER 2021. THE NEW, 108-BED FACILITY WILL INCLUDE AN EMERGENCY DEPARTMENT, MEDICAL AND SURGICAL FACILITIES, PHYSICIAN OFFICES, SPECIALTY SERVICES AND IMAGING AND LABORATORY FACILITIES. THE HOSPITAL WILL FEATURE A 12-BED OBSERVATION UNIT, SIX OPERATING ROOMS, TWO CATHETERIZATION LABS, FOUR LABOR AND DELIVERY ROOMS, AND A WOMAN'S CLINIC OFFERING MAMMOGRAPHY SERVICES AND RADIATION ONCOLOGY SERVICES.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEPHEN MASSINI
DIRECTOR/CHAIR0.00$0$0$0
PAULA TINCH
DIRECTOR/TREASURER0.00$0$0$0
JUDITH HLAFCSAK
DIRECTOR0.00$0$0$0
DONALD MCKENNA
PRESIDENT0.00$0$0$0
ANNEMARIE BOYAN
SECRETARY0.00$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN MASSINIPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 UNIVERSITY DRIVEAddressLine1Txt
CityHERSHEYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17033ZIPCd
FieldValueIRS element (for citing)
Phone8002431455PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Other Employee Paid Over100k0OtherEmployeePaidOver100kCnt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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