ECH LEGACY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ECH LEGACY INC (EIN 25-0461835)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349304803
- Schema version
- 2016v3.0
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T10:55:29-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNETT CARBIS TOOTHMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5700 CORPORATE DRIVE STE 650 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250461835 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLWOOD CITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELLW | BusinessNameControlTxt |
| Phone | 7247526819 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 724 PERSHING STREET | AddressLine1Txt |
| City | ELLWOOD CITY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16117 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM MATTHEWS | PersonNm |
| Person Title | ACTING CEO/CFO | PersonTitleTxt |
| Phone | 7247526819 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY J PETRELL CPA | PreparerPersonNm |
| PTIN | P00138808 | PTIN |
| Phone | 4126356270 | PhoneNum |
| Preparation | 2018-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM MATTHEWS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 724 PERSHING STREET | AddressLine1Txt |
| City | ELLWOOD CITY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,645,846 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THEELLWOODCITYHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE ELLWOOD CITY HOSPITAL IS AN ACUTE CARE GENERAL HOSPITAL CONSISTING OF 52 ACUTE CARE AND SWING BEDS AND 10 BEHAVIORAL HEALTH BEDS. THE HOSPITAL PROVIDES INPATIENT, PATIENT, HOME HEALTH CARE AND EMERGENCY ROOM SERVICES TO THE TRI-COUNTY AREA OF LAWRENCE, BUTLER, AND BEAVER COUNTIES. THE OBJECTIVES OF THIS CORPORATION SHALL BE TO MAINTAIN, SUPPORT, AND MANAGE, WITHIN A 100 MILE RADIUS OF THE BORO OF ELLWOOD CITY, PA, A GENERAL HOSPITAL, HOME HEALTH SERVICES, PHARMACY SERVICES, PHYSICAL THERAPY SERVICES AND WELLNESS SERVICES, FOR DIAGNOSTIC AND TREATMENT SERVICES TO ALL PATIENTS THROUGHOUT THE RANGE FROM PREVENTIVE SERVICES THROUGH REHABILITATION WITHOUT REGARD TO RAVE, ANCESTRY, RELIGION, OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 408 | TotalEmployeeCnt |
| Total Volunteers | 66 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,546,780 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,815,930 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,449,190 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,843,671 | CYProgramServiceRevenueAmt |
| PY Investment Income | $34,581 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,536 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,030,789 | PYOtherRevenueAmt |
| CY Other Revenue | $437,737 | CYOtherRevenueAmt |
| PY Total Revenue | $30,061,340 | PYTotalRevenueAmt |
| CY Total Revenue | $30,107,874 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,783,333 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,449,431 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,785,677 | PYOtherExpensesAmt |
| CY Other Expenses | $12,125,218 | CYOtherExpensesAmt |
| PY Total Expenses | $29,569,010 | PYTotalExpensesAmt |
| CY Total Expenses | $29,574,649 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $492,330 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $533,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,909,862 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,258,551 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,377,091 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,594,373 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,532,771 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,664,178 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE OBJECTIVES OF THIS CORPORATION SHALL BE TO MAINTAIN, SUPPORT, AND MANAGE, WITHIN A 100-MILE RADIUS OF THE BOROUGH OF ELLWOOD CITY, PA, A GENERAL HOSPITAL, EMERGENCY SERVICES, HOME HEALTH SERVICES, PHARMACY SERVICES, PHYSICAL THERAPY SERVICES AND WELLNESS SERVICES, FOR DIAGNOSTIC AND TREATMENT SERVICES TO ALL PATIENTS THROUGH OUT THE RANGE FROM PREVENTIVE SERVICES THROUGH REHABILITATION WITHOUT REGARD TO RACE, ANCESTRY, RELIGION OR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,754,547 | ExpenseAmt |
| Revenue | $21,559,757 | RevenueAmt |
| Desc | FROM JULY 1, 2016 TO JUNE 30, 2017, THE HOSPITAL PROVIDED INPATIENT SERVICES TO 1,323 PATIENTS ACCUMULATING 8,332 DAYS OF PATIENT CARE. IN ADDITION TO INPATIENT AND SWING BED CARE, THE HOSPITAL PROVIDES 24-HOUR EMERGENCY ROOM SERVICES. DURING THE FISCAL YEAR, THE HOSPITAL HAD EMERGENCY VISITS OF 11,889. THE ELLWOOD CITY HOME HEALTH AGENCY PROGRAM HAD VISITS OF 19,160. DURING THE FISCAL YEAR, SERVICES ARE PROVIDED TO ALL PATIENTS WITHOUT REGARD TO RAVE, COLOR, NATIONAL ORIGIN, ANCESTRY, AGE, RELIGIOUS CREED, OR HANDICAP. THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHAGRES FOR-GONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. DURING THE FISCAL YEAR, THE HOSPITAL PROVIDED UNCOMPENSATED AND CHARITY CARE IN THE AMOUNT OF $1,242,000. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, SERVICES ARE PROVIDED UNDER THE MEDICAID PROGRAM TO FINANCIALLY NEEDY PATIENTS. THE HOSPITAL ALSO CO-SPONSORS THE ELLWOOD CITY MEALS ON WHEELS PROGRAM BY PROVIDING THE PREPARATION OF FOODS FOR ALL MEALS SERVED. THE ELLWOOD CITY HOSPITAL AND THE ELLWOOD CITY HOSPITAL AUXILIARY ALSO PROVIDE A TECH ALERT SYSTEM FOR THE ELDERLY, YEARLY (AS WELL AS THROUGHOUT THE YEAR) INFORMATIONAL FAIRS, SUCH AS PRENATAL CLASSES, SIBLING CLASSES, BABYSITTING CLASSES, NATIONAL SAFETY BELT/SAFETY WEEK, BREAST CANCER AWARENESS WEEK, PROSTATE SCREENINGS, AND GENERAL HEALTH SCREENINGS TO NAME A FEW. THE HOSPITAL AND AUXILIARY ALSO PARTICIPATE WITH VARIOUS LOCAL, CIVIC, AND SCHOOL GROUPS TO PROVIDE OUTREACH SERVICES TO THE TRI-COUNTY AREA. SUCH PROGRAMS INCLUDE KINDERGARTEN TOURS OF THE HOSPITAL, A VOLUNTEER PROGRAM, AND USE OF THE HOSPITAL AS A CLINICAL SITE FOR AREA NURSING STUDENTS. THE HOSPITAL ALSO ENCOURAGES ITS EMPLOYEES TO BECOME INVOLVED WITH VOLUNTEER SERVICES SUCH AS THE UNITED WAY, THE RED CROSS ANNUAL BLOOD DRIVE, AND VARIOUS COMMUNITY PROJECTS. THE ELLWOOD CITY HOSPITAL, IN CORPORATION WITH HIGHMARK BLUE CROSS BLUE SHIELD, OFFERS A LOW COST COVERAGE PROGRAM CALLED SPECIAL CARE AND THE CARING PROGRAM SPECIAL CARE IS DESIGNED FOR INDIVIDUALS AND FAMILIES WITH LOW INCOMES WHO ARE INELIGIBLE FOR GOVERNMENT ASSISTANCE AND THE CARING PROGRAM IS FOR CHILDREN OF LOW INCOME FAMILIES. | Desc |
| Total Program Service Expenses | $21,754,547 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 108 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 408 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM MATTHEWS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7247526819 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 724 PERSHING STREET | AddressLine1Txt |
| City | ELLWOOD CITY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16117 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN IZZO | ||||||||
| PRESIDENT/CEO (7/1/16-5/6/17) | 56.00 | 4.00 | Yes (X) | Yes (X) | $223,280 | $0 | $16,884 | |
| CHRISTY SPOA | ||||||||
| CHAIRMAN | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GUS FORNATARO | ||||||||
| TREASURER | 2.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALAN DAMBACH | ||||||||
| SECRETARY | 2.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BEVERLY ANNARUMO | ||||||||
| PRESIDENT/CEO (5/7/17-6/30/17) | 56.00 | 4.00 | Yes (X) | Yes (X) | $79,976 | $0 | $1,261 | |
| CLYDE BARTLEY | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GERALD CROWLEY | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SHARIEE DECOOMAN | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARY ANN DIBIAGIO | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| PETRA NOUR | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARK SCHNURER | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ARTHUR SMILEK | ||||||||
| MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK TOMASZEWSKI | ||||||||
| MEMBER | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER M LITTLE | ||||||||
| CFO | 44.00 | 6.00 | Yes (X) | $214,056 | $0 | $20,275 | ||
| KRISTI B GARMA | ||||||||
| DIRECTOR OF REHAB SVCS/BUS | 25.00 | 25.00 | $104,520 | $0 | $3,083 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $621,832 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $41,503 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HORIZON HEALTH | |||||
| PO BOX 840839 | DALLAS | TX | 75284 | BEHAVIORAL HEALTH MANAGEMENT | $687,500 |
| PHARMACY SYSTEMS INC | |||||
| 5050 BRADENTON AVE | DUBLIN | OH | 43017 | MEDICAL SERVICES | $533,445 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 60673 | WOUND CARE SERVICES | $254,608 |
| ALLEGHENY HEALTH NETWORK EMERGENCY GROUP | |||||
| PO BOX 19011 | BELFAST | ME | 04915 | EMERGENCY ROOM PHYSICIAN | $250,000 |
| LABCORP OF AMERICA | |||||
| 231 MAPLE AVE | BURLINGTON | NC | 27216 | LABORATORY TESTING | $152,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,340 | MembershipDuesAmt |
| Fundraising | $1,245 | FundraisingAmt |
| Related Organizations | $8,784,500 | RelatedOrganizationsAmt |
| Government Grants | $18,903 | GovernmentGrantsAmt |
| All Other Contributions | $9,942 | AllOtherContributionsAmt |
| Total Contributions | $8,815,930 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SERVICES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $20,843,671 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,843,671 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,843,671 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,124 | TotalRevenueColumnAmt |
| Exclusion | $18,124 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $166,356 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $495,096 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$328,740 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$328,740 | TotalRevenueColumnAmt |
| Exclusion | -$328,740 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,588 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,588 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,588 | TotalRevenueColumnAmt |
| Exclusion | -$7,588 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $19,700 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,245 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,420 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,280 | TotalRevenueColumnAmt |
| Exclusion | $11,280 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $48,657 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $26,868 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,789 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,789 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 900099 | $541,430 | $541,430 |
| MEALS ON WHEELS/CAFETERIA | 900099 | $191,978 | $191,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $733,408 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,107,874 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,598,868 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$306,924 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,732 | TotalAmt |
| Management And General | $555,732 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,020,638 | TotalAmt |
| Program Services | $11,261,772 | ProgramServicesAmt |
| Management And General | $2,758,866 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,663 | TotalAmt |
| Program Services | $251,499 | ProgramServicesAmt |
| Management And General | $73,164 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,529,973 | TotalAmt |
| Program Services | $1,214,950 | ProgramServicesAmt |
| Management And General | $315,023 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,018,425 | TotalAmt |
| Program Services | $788,919 | ProgramServicesAmt |
| Management And General | $229,506 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,336,290 | TotalAmt |
| Management And General | $1,336,290 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,690 | TotalAmt |
| Management And General | $56,690 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,406 | TotalAmt |
| Program Services | $908 | ProgramServicesAmt |
| Management And General | $20,498 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,361,907 | TotalAmt |
| Program Services | $2,361,274 | ProgramServicesAmt |
| Management And General | $633 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,424 | TotalAmt |
| Program Services | $1,949 | ProgramServicesAmt |
| Management And General | $662,475 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,598 | TotalAmt |
| Program Services | $53,950 | ProgramServicesAmt |
| Management And General | $36,648 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,020 | TotalAmt |
| Program Services | $249 | ProgramServicesAmt |
| Management And General | $2,771 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,013 | TotalAmt |
| Program Services | $9,484 | ProgramServicesAmt |
| Management And General | $147,529 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,417 | TotalAmt |
| Management And General | $1,106,417 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,184 | TotalAmt |
| Management And General | $437,184 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED SERVICE HOSP | $4,591,100 | $4,591,100 | |
| REPAIRS & MAINTENANCE | $948,448 | $948,448 | |
| BLOOD BANK/OUTSIDE TEST | $269,677 | $269,677 | |
| OTHER | $74,651 | $368 | $74,283 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,393 | TotalAmt |
| Management And General | $6,393 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,574,649 | TotalAmt |
| Program Services | $21,754,547 | ProgramServicesAmt |
| Management And General | $7,820,102 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,611 | BOYAmt |
| EOY | $641,383 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,521,009 | BOYAmt |
| EOY | $2,601,869 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,237 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $563,903 | BOYAmt |
| EOY | $495,615 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,721,084 | BOYAmt |
| EOY | $2,879,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,969,238 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,353,127 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,656,008 | BOYAmt |
| EOY | $6,616,111 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,136 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,417,874 | BOYAmt |
| EOY | $24,024,022 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,909,862 | BOYAmt |
| EOY | $37,258,551 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,299,306 | BOYAmt |
| EOY | $4,661,330 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,657,805 | BOYAmt |
| EOY | $4,311,823 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,419,980 | BOYAmt |
| EOY | $10,621,220 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,377,091 | BOYAmt |
| EOY | $19,594,373 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,284,668 | BOYAmt |
| EOY | $16,339,927 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,156 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,234,947 | BOYAmt |
| EOY | $1,324,251 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,532,771 | BOYAmt |
| EOY | $17,664,178 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,909,862 | BOYAmt |
| EOY | $37,258,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $533,225 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $94,497 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,496,315 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,076 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,076 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ELLWOOD CITY HOSPITAL HOLDS MEMBERSHIP IN THE HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) AND THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA (HCWP) WHICH ENGAGE IN LOBBYING AS PART OF THEIR MISSION TO REPRESENT THE INTEREST OF HOSPITALS AT BOTH THE FEDERAL AND STATE LEVELS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,546 | OtherCostOrOtherBasisAmt |
| Book Value | $54,546 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,068,925 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,111,998 | DepreciationAmt |
| Book Value | $2,956,927 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,934,858 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,825,462 | DepreciationAmt |
| Book Value | $3,109,396 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $910,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $415,667 | DepreciationAmt |
| Book Value | $495,242 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,616,111 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN FOUNDATION ASSETS | $23,255,644 |
| DUE FROM SUBSIDIARIES AND FOUNDATION | $18,938 |
| MALPRACTICE INSURANCE RECOVERY | $272,931 |
| INVESTMENT IN ELLWOOD CITY HEALTH ORG., INC. | $201,437 |
| INVESTMENT IN CHART | $71,000 |
| INVESTMENT IN VANTAGE | $204,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,024,022 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $10,175,887 |
| MALPRACTICE INSURANCE CLAIMS | $272,931 |
| TOSHIBA CAPITAL LEASE | $172,402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,621,220 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,592,983 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $495,096 | OtherRevenueAmt |
| Revenue Not Reported | $495,096 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,097,887 | RevenueSubtotalAmt |
| Other Revenues Not Included | $9,987 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $9,987 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,107,874 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,062,754 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $495,096 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $495,096 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,567,658 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $6,991 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $6,991 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,574,649 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION HAS ADOPTED THE STANDARD FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED WITH REVENUE 495,096. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 9,987. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED WITH REVENUE 495,096. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | AUXILIARY INCOME 6,991. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $20,945 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,245 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $19,700 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $5,400 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,520 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $500 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $20,945 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,245 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $19,700 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,400 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,520 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $500 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,420 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $11,280 | NetIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation If No | TEST | ExplanationIfNoTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,165 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $169,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,890,772 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,953,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,937,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,059,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,953,164 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,106,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $443,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,624 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $374,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $443,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,624 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $374,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,503,650 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,022,788 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,480,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08380 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,241,842 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,549,447 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,549,447 | CostOfCareReimbursedByMedcrAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| 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 | ELLWOOD CITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 724 PERSHING STREET | AddressLine1Txt |
| City | ELLWOOD CITY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.THEELLWOODCITYHOSPITAL.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLWOOD CITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.THEELLWOODCITYHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.THEELLWOODCITYHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.THEELLWOODCITYHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.THEELLWOODCITYHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ELLWOOD CITY HOSPITAL | PART V, SECTION B, LINE 5: THE PRIMARY INTERVIEW DATA INCLUDED OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL AND INCLUDED THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES. ARNETT CARBIS TOOTHMAN, AN INDEPENDENT ACCOUNTING FIRM, WORKED TOGETHER WITH THE ELLWOOD CITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTE TO DEVELOP A BROAD LIST OF COMMUNITY LEADERS TO INTERVIEW. THESE COMMUNITY MEMBERS WERE SELECTED BASED ON THEIR INVOLVEMENT WITHIN THE COMMUNITY AND BECAUSE THEY PROVIDED DISTINCTIVE BACKGROUNDS AND A VARIETY OF PERSPECTIVES ON THE STATE OF THE COMMUNITY AND HEALTH CARE. INTERVIEWS WERE CONDUCTED WITH A NUMBER OF DIRECTORS AND STAFF MEMBERS FROM COMMUNITY HEALTH CENTERS, MEMBERS FROM SOCIAL SERVICES ORGANIZATIONS, EDUCATIONAL LEADERS, RELIGIOUS GROUPS, AND ELECTED OFFICIALS. THE SELECTED PARTICIPANTS GIVE AN OVERARCHING VIEWPOINT OF THE COMMUNITY AND THROUGH THESE INTERVIEWS THE HEALTH NEEDS FROM THE PERSPECTIVE OF THE COMMUNITY WERE IDENTIFIED. |
| ELLWOOD CITY HOSPITAL | PART V, SECTION B, LINE 11: THE ELLWOOD CITY HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY THE ADOPTION AND EXECUTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES EACH COMMUNITY HEALTH NEED. THE HOSPITAL PARTICIPATED IN THE DEVELOPMENT OF A COMMUNITY-WIDE PLAN AND IMPLEMENTED THE STRATEGY BY PRIORITIZING THE COMMUNITY HEALTH NEEDS AND THE SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET THE HEALTH NEEDS. IN ADDITION, A BUDGET WAS ADOPTED FOR THE SERVICES THAT WOULD BE PROVIDED BY THE HOSPITAL TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. A NEED THAT IS NOT BEING ADDRESSED IS DRUG AND ALCOHOL ABUSE. THE HOSPITAL DOES NOT HAVE A DRUG AND ALCOHOL INPATIENT UNIT AND DOES NOT HAVE THE RESOURCES THAT WOULD BE REQUIRED TO EFFECT THE CHANGES THAT ARE NEEDED TO ADEQUATELY ADDRESS THE LACK OF DRUG AND ALCOHOL ABUSE CARE IN ITS SERVICE ARE. HOWEVER, THIS NEED IS BEING ADDRESSED BY NUMEROUS PROGRAMS AND INITIATIVES OPERATED BY OTHER COMMUNITY PARTNERS WITHIN LAWRENCE COUNTY AND SURROUNDING AREAS. THE HOSPITAL SUPPORTED BRINGING IN A NEW SUBOXONE DRUG ADDICTION TREATMENT CENTER TO THE COMMUNITY. THE HOSPITAL WILL CONTINUE TO EVALUATE AND INTENDS TO ADDRESS IN A FUTURE PLAN. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ELLWOOD CITY HOSPITAL BEHAVIORAL HEALTH | ||||
| 724 PERSHING STREET | ELLWOOD CITY | PA | 16117 | AN INPATIENT GERIATRIC BEHAVIORAL HEALTH UNIT THAT OPERATES AS A COST CENTER |
| 2 - ELLWOOD CITY HOSPITAL HOME HEALTH AGENCY | ||||
| 402 BEATTY STREET | ELLWOOD CITY | PA | 16117 | A HOME HEALTH AGENCY THAT OPERATES AS A COST CENTER WITHIN THE HOSPITAL |
| 3 - ZELIENOPLE DIAGNOSTIC CENTER | ||||
| 241 NORTH PERRY HIGHWAY UNIT 1 | HARMONY | PA | 16037 | AN OUTPATIENT DIAGNOSTIC CENTER THAT OPERATES AS A COST CENTER |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE AMOUNTS DERIVED FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WERE CALCULATED USING THE HOSPITAL'S OWN INTERNAL REPORTING SYSTEM IN ACCESSING TOTAL CHARGES FOR EACH CATEGORY WHERE APPLICABLE. THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS. COSTS FOR EACH OF THE AREAS WERE DERIVED USING WORKSHEET 2 FROM SCHEDULE H INSTRUCTIONS, "RATIO OF PATIENT CARE COST-TO-CHARGES." |
| PART III, LINE 4: | THE BAD DEBT EXPENSE AT COST WAS DETERMINED BASED ON THE HOSPITAL'S REPORTED BAD DEBT EXPENSE AT GROSS AND MULTIPLIED BY THE "RATIO OF PATIENT CARE COST-TO-CHARGES" FROM WORKSHEET 2 FROM SCHEDULE H INSTRUCTIONS. THE HOSPITAL'S FINANCIAL STATEMENTS STATE THAT MANAGEMENT ALSO PROVIDED FOR BAD DEBTS, WHICH PRIMARILY RELATE TO PATIENT RECEIVABLES FROM INDIVIDUALS, WHICH IT DETERMINES ARE UNCOLLECTABLE. THE HOSPITAL'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT FURTHER DESCRIBES BAD DEBT EXPENSE. BAD DEBT EXPENSE IS ACCOUNTED FOR BY ESTIMATING ON A MONTHLY BASIS THE AMOUNT OF BAD DEBT EXPENSE BASED ON HISTORICAL REIMBURSEMENT FOR OUTSTANDING ACCOUNTS RECEIVABLE BALANCES BY PAYOR AND TAKING INTO ACCOUNT THE AGING OF SUCH RECEIVABLES ALONG WITH ACTUAL ACCOUNTS WRITTEN OFF. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS OF CARE WERE DERIVED FROM THE MEDICARE COST REPORT WITH REIMBURSEMENT BASED ON THE PROSPECTIVE PAYMENT SYSTEM. OVERHEAD COSTS WERE ALLOCATED BASED ON STATISTICAL ALLOCATIONS TO THE HOSPITAL'S ANCILLARY DEPARTMENTS AFTER DEPARTMENTAL RECLASSES AND ADJUSTMENTS. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION POLICY DOES CONTAIN PROVISIONS ON THE COLLECTIONS PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE WILL REMAIN A QUALIFYING PATIENT FOR SIX MONTHS FOLLOWING INITIAL QUALIFICATION. THESE PATIENTS ARE TRACKED AND EVALUATED ON ANY SUBSEQUENT STAY THAT MAY OR MAY NOT OCCUR IN THE FOLLOWING SIX MONTHS. THE COLLECTION POLICY ALSO COVERS THOSE PATIENTS WHO ARE UNINSURED AND THE PROCESS IN WHICH THEY CAN RECEIVE FINANCIAL ASSISTANCE IN THE FORM OF DISCOUNTS AND/OR PAYMENT ARRANGEMENTS. IF ACCOUNTS ARE NOT PAID IN FULL OR PAYMENT ARRANGEMENTS ARE NOT FOLLOWED, THEN FOLLOW-UP LETTERS ARE INITIATED AS A FRIENDLY REMINDER. IF THE ACCOUNT BECOMES DELINQUENT, THE ACCOUNT IS CONSIDERED FOR REFERRAL TO BAD DEBT. |
| PART VI, LINE 2: | THE ORGANIZATION ASSESSED THE HEALTH CARE NEEDS FOR THE COMMUNITIES IT SERVES BY PERFORMING A COMPREHENSIVE PROCESS THAT INCLUDED A COMBINATION OF COMMUNITY FEEDBACK, HOSPITAL STAFF REPRESENTATION, CONTRIBUTING SOCIAL AGENCY LEADERS AND GOVERNMENTAL OFFICIALS, AND SELECTED PRIMARY AND SECONDARY SOURCES OF DATA TO DISTINGUISH AREAS FOR IMPROVEMENT. THE PRIMARY INTERVIEW DATA INCLUDED OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL AND INCLUDED THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES. CONVENTIONAL HEALTH GUIDES AS WELL AS DEMOGRAPHIC, ECONOMIC, SOCIAL, AND ENVIRONMENTAL FACTORS WERE EVALUATED, THE DATA WAS UTILIZED TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE SERVICE AREA, TO HELP PRIORITIES, AND TO PROVIDE RECOMMENDATIONS TO THE HOSPITAL ON THE WAYS TO MEET THE COMMUNITY HEALTH NEEDS. |
| PART VI, LINE 3: | THROUGH THE COMBINATION OF THE HOSPITAL'S PATIENT CREDIT AND COLLECTION POLICY AND THE COMMUNITY CARE GUIDELINES POLICY, GUARANTORS ARE INFORMED AND EDUCATED ABOUT THEIR AVAILABILITY FOR ASSISTANCE PROGRAMS OR CHARITY CARE. THERE ARE PHYSICAL POSTINGS IN THE HOSPITAL FOR PATIENTS TO READ. ALSO WRITTEN ON PATIENT STATEMENTS ARE INSTRUCTIONS REGARDING HOW TO APPLY FOR ASSISTANCE OR CHARITY CARE. ALSO, THE HOSPITAL FINANCIAL ASSISTANCE FORMS ARE ON ITS WEBSITE. THE UNINSURED ARE INFORMED OF THE AVAILABILITY OF A MEDICAL ASSISTANCE APPLICATION AND A CHARITY CARE APPLICATION IF THEY ARE NOT EXPECTING TO QUALIFY FOR MEDICAL ASSISTANCE. |
| PART VI, LINE 4: | ELLWOOD CITY HOSPITAL IS LOCATED IN RURAL WESTERN PENNSYLVANIA SERVING PRIMARILY LAWRENCE, BUTLER, AND BEAVER COUNTIES. THE LOCAL COMMUNITY USED TO BE A THRIVING STEEL INDUSTRY AREA AND NOW CONSISTS OF AN AGING POPULATION. APPROXIMATELY 56% OF THE HOSPITAL'S PATIENTS ARE MEDICARE RECIPIENTS AND 11% ARE UNINSURED OR MEDICAID RECIPIENTS. |
| PART VI, LINE 5: | THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF BUSINESS PEOPLE WHO RESIDE IN THE PRIMARY SERVICE AREA WITH AN INTEREST IN THE CONTINUATION OF THE HOSPITAL IN PROVIDING MEDICAL SERVICES TO THE POPULATION. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL DEPARTMENTS. THE HOSPITAL IS ALSO PURSUING ARRANGEMENTS WITH OTHER HOSPITALS FOR ADDITIONAL PHYSICIAN STAFF TO PROVIDE HEALTH SERVICES. RESERVE CAPITAL FUNDS ALONG WITH CONTINUING OPERATIONS ARE BEING USED TO IMPROVE PATIENT CARE THROUGH THE PURCHASE OF UPDATED MEDICAL EQUIPMENT. SERVICES ARE PROVIDED TO ALL PATIENTS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, ANCESTRY, AGE, RELIGIOUS CREED, OR HANDICAP. SERVICES ARE PROVIDED UNDER THE MEDICAID PROGRAM TO FINANCIALLY NEEDY PATIENTS. THE HOSPITAL ALSO CO-SPONSORS THE ELLWOOD CITY MEALS ON WHEELS PROGRAM BY PROVIDING THE PREPARATION OF FOODS FOR ALL MEALS SERVED. THE ELLWOOD CITY HOSPITAL AND ELLWOOD CITY HOSPITAL AUXILIARY ALSO PROVIDE A TECH ALERT SYSTEM FOR THE ELDERLY, YEARLY (AS WELL AS THROUGHOUT THE YEAR) INFORMATIONAL FAIRS, SUCH AS NATIONAL SAFETY BELT/SAFETY WEEK, BREAST CANCER AWARENESS WEEK, PROSTATE SCREENINGS, AND GENERAL HEALTH SCREENINGS TO NAME A FEW. THE HOSPITAL AND AUXILIARY ALSO PARTICIPATE WITH VARIOUS LOCAL, CIVIC, AND SCHOOL GROUPS TO PROVIDE OUTREACH SERVICES TO THE TRI-COUNTY AREA. SUCH PROGRAMS INCLUDED KINDERGARTEN TOURS OF THE HOSPITAL, A VOLUNTEER PROGRAM, AND THE USE OF THE HOSPITAL AS A CLINICAL SITE FOR AREA NURSING STUDENTS. THE HOSPITAL ALSO ENCOURAGES ITS EMPLOYEES TO BECOME INVOLVED WITH VOLUNTEER SERVICES SUCH AS THE UNITED WAY, THE RED CROSS ANNUAL BLOOD DRIVE AND VARIOUS COMMUNITY PROJECTS. THE ELLWOOD CITY HOSPITAL, IN COOPERATION WITH HIGHMARK BLUE CROSS BLUE SHIELD, OFFERS A LOW COST COVERAGE PROGRAM CALLED SPECIAL CARE AND THE CARING PROGRAM. SPECIAL CARE IS DESIGNATED FOR INDIVIDUALS AND FAMILIES WITH LOW INCOMES WHO ARE INELIGIBLE FOR GOVERNMENT ASSISTANCE AND THE CARING PROGRAM IS FOR CHILDREN OF LOW-INCOME FAMILIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROLYN IZZO | ||||||||||||||
| PRESIDENT/CEO (7/1/16-5/6/17) | $215,837 | $0 | $7,443 | $0 | $0 | $0 | $2,558 | $0 | $14,326 | $0 | $240,164 | $0 | $0 | $0 |
| CHRISTOPHER M LITTLE | ||||||||||||||
| CFO | $210,825 | $0 | $3,231 | $0 | $0 | $0 | $5,406 | $0 | $14,869 | $0 | $234,331 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ELLWOOD CITY HOSPITAL FOUNDATION IS THE SOLE MEMBER OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ELLWOOD CITY HOSPITAL FOUNDATION'S BYLAWS STATE THAT THE FOUNDATION AS SOLE MEMBER OF THE HOSPITAL SHALL ELECT ALL OF THE HOSPITAL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITAL'S BOARD OF TRUSTEES WILL ALWAYS BE COMPRISED OF AT LEAST ONE MEMBER FROM THE ELLWOOD CITY HOSPITAL FOUNDATION'S BOARD OF TRUSTEES. AS A RESULT, THE HOSPITAL BOARD MAY NOT TAKE CERTAIN ACTIONS WITHOUT APPROVAL OF THE FOUNDATION SUCH AS: APPROVAL OF THE HOSPITAL'S BUDGET, MAKING STRATEGIC PLANNING DECISIONS, AUTHORIZING OR ENGAGING IN MARKETING OR COMMUNITY EDUCATION PROGRAMS, AND RESOURCE ALLOCATION. IN ADDITION, THE FOUNDATION WILL ENGAGE IN ALL FUNDRAISING ACTIVITIES ON BEHALF OF THE HOSPITAL AND HOLD, SUBJECT TO BOARD OR DONOR RESTRICTIONS, THE HOSPITAL'S INVESTMENT AND ENDOWMENT FUNDS AND MAKE INVESTMENT DECISIONS REGARDING THESE FUNDS. THEREFORE, THE FOUNDATION WILL EXERCISE A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF THE HOSPITAL |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ELLWOOD CITY HOSPITAL PREPARES ITS FORM 990 IN DRAFT FORM. IT IS REVIEWED BY MANAGEMENT OF THE ORGANIZATION FOR FINAL APPROVAL. MANAGEMENT THEN DISTRIBUTES THE COMPLETED FORM 990 AND ACCOMPANYING SCHEDULES TO ALL MEMBERS OF THE BOARD FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ELLWOOD CITY HOSPITAL ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO FILL OUT A CONFLICT OF INTEREST FORM DURING BOARD MEETINGS. IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ELLWOOD CITY HOSPITAL'S BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THEIR ORGANIZATION'S TOP MANAGEMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | AT THE TIME, THE ELLWOOD CITY HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC SINCE IT IS NOT REQUIRED TO DO SO UNDER CURRENT LAWS. |
| FORM 990, PART XI, LINE 9: | LIABILITY FOR PENSION BENEFITS 1,691,025. PERMANENTLY RESTRICTED CHANGE IN NET REALIZED GAIN/LOSS -5,195. LOSS FROM SUBSIDIARY OPERATIONS -1,488,467. CHANGE IN FOUNDATION VALUE -5,693,678. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLWOOD CITY HOSPITAL GIFT SHOP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 724 PERSHING STREET | AddressLine1Txt |
| City | ELLWOOD CITY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251010071 | EIN |
| Primary Activities | GIFT SHOP AND FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Total Income | $46,185 | TotalIncomeAmt |
| End Of Year Assets | $16,150 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLWOOD CITY HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLWOOD CITY HOSPITAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 724 PERSHING STREET | AddressLine1Txt |
| City | ELLWOOD CITY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 274160006 | EIN |
| Primary Activities | FOUNDATION | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLWOOD CITY HEALTH ORGANIZATION INC | ||||||||||||
| 724 PERSHING STREET | ELLWOOD CITY | PA | 16117 | 251801004 | HEALTHCARE | PA | ELLWOOD CITY HOSPITAL | C | -$1,442,297 | $364,296 | 1.00000 | Yes (1) |
| APPLE OCCUPATIONAL HEALTH SERVICES INC | ||||||||||||
| 724 PERSHING STREET | ELLWOOD CITY | PA | 16117 | 251801003 | HEALTHCARE | PA | ELLWOOD CITY HEALTH ORGANIZATION INC | C | 0 | |||
| OUTREACH CARE GROUP INC | ||||||||||||
| 724 PERSHING STREET | ELLWOOD CITY | PA | 16117 | 251801005 | HEALTHCARE | PA | ELLWOOD CITY HEALTH ORGANIZATION INC | C | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| ELLWOOD CITY HEALTH ORGANIZATION INC | |
| C | $40,000 |
| ELLWOOD CITY HEALTH ORGANIZATION INC | |
| B | $1,539,689 |
Comments