CHAMBERSBURG HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CHAMBERSBURG HOSPITAL (EIN 23-0465970)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-02
- IRS object ID
- 201801229349300225
- Schema version
- 2016v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-02T10:15:42-04:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 520783935 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH ELLIOTT KEARNS & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 BROOKWOOD AVE STE 101 | AddressLine1Txt |
| City | CARLISLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17015 | 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 | 230465970 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CHAMBERSBURG HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAM | BusinessNameControlTxt |
| Phone | 7172673000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 NORTH SEVENTH STREET | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIMBERLY M RZOMP | PersonNm |
| Person Title | TREASURER/VP & CFO | PersonTitleTxt |
| Phone | 7172673000 | PhoneNum |
| Signature | 2018-04-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY P HALL CPA | PreparerPersonNm |
| PTIN | P00156653 | PTIN |
| Phone | 7172439104 | PhoneNum |
| Preparation | 2018-04-23 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | F292BA449C1BF8BBA7F8F0BF46EB3EDD96736C0F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D5D70B8B0EFB409D4D4AE5283BD76078BF919D50 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIMBERLY M RZOMP | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 NORTH SEVENTH STREET | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $386,854,101 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUMMITHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1904 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | THE CHAMBERSBURG HOSPITAL IS A REGIONAL NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH-CENTRAL PENNSYLVANIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2232 | TotalEmployeeCnt |
| Total Volunteers | 446 | TotalVolunteersCnt |
| Total Gross UBI | $3,684,365 | TotalGrossUBIAmt |
| PY Contributions Grants | $476,752 | PYContributionsGrantsAmt |
| CY Contributions Grants | $407,913 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $311,879,655 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $340,184,627 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,909,999 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,499,191 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,650,157 | PYOtherRevenueAmt |
| CY Other Revenue | $5,709,276 | CYOtherRevenueAmt |
| PY Total Revenue | $321,916,563 | PYTotalRevenueAmt |
| CY Total Revenue | $367,801,007 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,465,051 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,392,959 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $162,259,941 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $170,752,338 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,832,863 | PYOtherExpensesAmt |
| CY Other Expenses | $128,403,101 | CYOtherExpensesAmt |
| PY Total Expenses | $280,557,855 | PYTotalExpensesAmt |
| CY Total Expenses | $301,548,398 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,358,708 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $66,252,609 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $497,598,929 | TotalAssetsBOYAmt |
| Total Assets EOY | $513,333,407 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $304,732,353 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $246,915,813 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $192,866,576 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $266,417,594 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE CHAMBERSBURG HOSPITAL IS A REGIONAL NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH-CENTRAL PENNSYLVANIA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $223,625,659 | ExpenseAmt |
| Revenue | $340,184,627 | RevenueAmt |
| Desc | THE CHAMBERSBURG HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY PATIENT'S ABILITY TO PAY. HEALTH CARE SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY AND OUTPATIENT CARE. ALL MANAGEMENT AND GENERAL EXPENSES ARE CONSIDERED PROGRAM RELATED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,392,959 | ExpenseAmt |
| Grant | $2,392,959 | GrantAmt |
| Desc | GRANTS TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY TO DEVELOP OR EXPAND HEALTH CARE PROGRAMS TO EDUCATE THE COMMUNITY ABOUT HEALTH CARE ISSUES. CHAMBERSBURG HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS TO ENHANCE, PROMOTE, AND OFFER COMMUNITY PROGRAMS FOR THE HEALTH AND WELL BEING OF RESIDENTS IN SOUTH CENTRAL PENNSYLVANIA. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $226,018,618 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | 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 | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 163 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2232 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBERLY M RZOMP VPCFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7172677107 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 NORTH SEVENTH STREET | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHERYL PLUMMER | |||||||||
| CHAIR | 0.16 | 0.88 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUZANNE MILLER TRINH | |||||||||
| VICE-CHAIR | 0.16 | 0.24 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENISE B BARROWS CPA | |||||||||
| SECRETARY | 0.08 | 0.33 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KIMBERLY M RZOMP | |||||||||
| TREASURER/VP | 26.00 | 15.11 | Yes (X) | Yes (X) | $301,488 | $162,340 | $71,429 | ||
| PATRICK O'DONNELL | |||||||||
| PRESIDENT | 24.16 | 18.45 | Yes (X) | Yes (X) | $482,631 | $321,754 | $240,408 | ||
| JOANNE COCHRAN | |||||||||
| DIRECTOR | 0.16 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR JOSHUA DUNKLEBARGER | |||||||||
| DIRECTOR | 0.16 | 0.17 | Yes (X) | $0 | $0 | $0 | |||
| DR W DAVID KENT | |||||||||
| DIRECTOR | 0.16 | 0.13 | Yes (X) | $0 | $0 | $0 | |||
| DR CHRISTINE MOLLOY | |||||||||
| DIRECTOR | 0.32 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR ROBERT PYATT | |||||||||
| DIRECTOR | 0.11 | 0.56 | Yes (X) | $0 | $0 | $0 | |||
| JEFF REEDER | |||||||||
| DIRECTOR | 0.05 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| L MICHAEL ROSS | |||||||||
| DIRECTOR | 0.38 | 0.15 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL STARR | |||||||||
| DIRECTOR | 0.11 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN VANHORN | |||||||||
| DIRECTOR | 0.14 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS ANDERSON MD | |||||||||
| VP MED AFFAI | 32.00 | 8.00 | $388,272 | $97,068 | $53,937 | Yes (X) | |||
| CATHY PUHL | |||||||||
| VP HUMAN RES | 40.00 | 0.00 | $228,948 | $0 | $46,126 | Yes (X) | |||
| JOHN MASSIMILLA | |||||||||
| COO & VP ADM | 40.00 | 0.00 | $337,535 | $0 | $72,786 | Yes (X) | |||
| BARBARA ROSSINI | |||||||||
| VP COMMUNITY | 30.00 | 10.00 | $199,560 | $66,520 | $43,512 | Yes (X) | |||
| SHERRI STAHL | |||||||||
| SR VP HOSPIT | 32.00 | 8.00 | $338,487 | $84,621 | $65,091 | Yes (X) | |||
| MICHELE ZEIGLER | |||||||||
| VP INFORMATI | 28.00 | 12.00 | $222,637 | $95,417 | $53,263 | Yes (X) | |||
| DAVID K GRANT | |||||||||
| VP OF PATIEN | 40.00 | 0.00 | $206,566 | $0 | $53,905 | Yes (X) | |||
| EVANS T PRIESTON | |||||||||
| ASST. DIR OF | 40.00 | 0.00 | $172,729 | $0 | $46,347 | Yes (X) | |||
| CAROLYN GEORGE | |||||||||
| VP CORPORATE | 40.00 | 0.00 | $189,182 | $0 | $46,519 | Yes (X) | |||
| ELYSE FISLER | |||||||||
| VP OF PATIEN | 40.00 | 0.00 | $195,208 | $0 | $43,771 | Yes (X) | |||
| BRUCE KEHR | |||||||||
| VP FOR SUPPL | 40.00 | 0.00 | $178,878 | $0 | $71,950 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,442,121 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $827,720 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $909,044 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 196 | 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 |
|---|---|---|---|---|---|
| SUMMIT PHYSICIAN SERVICES | |||||
| 601 NORLAND AVENUE SUITE 201 | CHAMBERSBURG | PA | 17201 | PROF MED SERVIC | $8,798,989 |
| CUMBERLAND VALLEY EMER ASSOCIATES | |||||
| 112 NORTH SEVENTH STREET | CHAMBERSBURG | PA | 17201 | PROF MED SERVIC | $7,464,856 |
| FASTAFF INC | |||||
| PO BOX 911452 | DENVER | CO | 80291 | TEMP EMPL SVCS | $2,501,294 |
| GE HEALTHCARE IITS USA CORP | |||||
| 40 IDX DRIVE | SOUTH BURLINGTON | VT | 05403 | SERVICE/LIC FEE | $1,955,007 |
| KEYSTONE RURAL HEALTH CENTER | |||||
| 22 ST PAUL DRIVE SUITE 200 | CHAMBERSBURG | PA | 17201 | PROF MED SERVIC | $1,693,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $407,913 | AllOtherContributionsAmt |
| Total Contributions | $407,913 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $340,184,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $340,184,627 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $340,184,627 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,397,647 | TotalRevenueColumnAmt |
| Exclusion | $4,397,647 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $586,559 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $712,550 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$125,991 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$125,991 | TotalRevenueColumnAmt |
| Exclusion | -$125,991 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $35,425,903 | SecuritiesAmt |
| Other | $16,185 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,340,544 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,085,359 | SecuritiesAmt |
| Other | $16,185 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,101,544 | TotalRevenueColumnAmt |
| Exclusion | $17,101,544 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| UNRELATED BUSINESS INCOME | 621990 | $1,870,181 | $1,870,181 | |
| COURIER AND LAB SERVICES | 621500 | $1,571,815 | $1,571,815 | |
| PURCHASE DISCOUNTS/RECYCLING | 621990 | $1,000,067 | $1,000,067 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,393,204 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $655,908 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $242,369 | UnrelatedBusinessRevenueAmt |
| Exclusion | $494,927 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,835,267 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $367,801,007 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $341,840,602 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,684,365 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,868,127 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,392,959 | TotalAmt |
| Program Services | $2,392,959 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,025,079 | TotalAmt |
| Management And General | $3,025,079 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,588,079 | TotalAmt |
| Program Services | $90,985,473 | ProgramServicesAmt |
| Management And General | $27,602,606 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,736,511 | TotalAmt |
| Program Services | $14,333,123 | ProgramServicesAmt |
| Management And General | $4,403,388 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,052,204 | TotalAmt |
| Program Services | $16,664,777 | ProgramServicesAmt |
| Management And General | $5,387,427 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,350,465 | TotalAmt |
| Program Services | $6,272,034 | ProgramServicesAmt |
| Management And General | $2,078,431 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,806 | TotalAmt |
| Management And General | $301,806 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,972 | TotalAmt |
| Management And General | $57,972 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,670,775 | TotalAmt |
| Program Services | $7,408,390 | ProgramServicesAmt |
| Management And General | $10,262,385 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,104,007 | TotalAmt |
| Program Services | $433,079 | ProgramServicesAmt |
| Management And General | $670,928 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,282,054 | TotalAmt |
| Program Services | $3,721,134 | ProgramServicesAmt |
| Management And General | $2,560,920 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,333,619 | TotalAmt |
| Program Services | $1,031,867 | ProgramServicesAmt |
| Management And General | $3,301,752 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,138 | TotalAmt |
| Program Services | $37,488 | ProgramServicesAmt |
| Management And General | $210,650 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,347 | TotalAmt |
| Program Services | $42,231 | ProgramServicesAmt |
| Management And General | $110,116 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,635,458 | TotalAmt |
| Program Services | $4,534,008 | ProgramServicesAmt |
| Management And General | $2,101,450 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,266,776 | TotalAmt |
| Program Services | $10,431,789 | ProgramServicesAmt |
| Management And General | $4,834,987 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,032,141 | TotalAmt |
| Program Services | $1,388,562 | ProgramServicesAmt |
| Management And General | $643,579 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $45,011,535 | $41,423,712 | $3,587,823 |
| PHYSICIAN CONTRACTUAL PAY | $24,678,806 | $24,678,806 | |
| MISCELLANEOUS EXPENSE | $4,331,707 | $181,625 | $4,150,082 |
| DUES | $295,960 | $57,561 | $238,399 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,548,398 | TotalAmt |
| Program Services | $226,018,618 | ProgramServicesAmt |
| Management And General | $75,529,780 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,170 | BOYAmt |
| EOY | $6,345 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,338,404 | BOYAmt |
| EOY | $25,190,088 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,673,039 | BOYAmt |
| EOY | $29,866,843 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,260,040 | BOYAmt |
| EOY | $3,914,004 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,403,820 | BOYAmt |
| EOY | $2,796,343 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,202,352 | BOYAmt |
| EOY | $5,289,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $379,978,296 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $245,197,685 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,626,669 | BOYAmt |
| EOY | $134,780,611 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,654,223 | BOYAmt |
| EOY | $72,548,027 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,516,751 | BOYAmt |
| EOY | $206,769,045 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,014,793 | BOYAmt |
| EOY | $959,319 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,902,668 | BOYAmt |
| EOY | $31,213,153 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,598,929 | BOYAmt |
| EOY | $513,333,407 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,741,724 | BOYAmt |
| EOY | $27,285,967 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,477,483 | BOYAmt |
| EOY | $115,676,426 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,586,237 | BOYAmt |
| EOY | $13,935,001 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,926,909 | BOYAmt |
| EOY | $90,018,419 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,732,353 | BOYAmt |
| EOY | $246,915,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,402,862 | BOYAmt |
| EOY | $256,211,926 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,468 | BOYAmt |
| EOY | $186,255 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,332,246 | BOYAmt |
| EOY | $10,019,413 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,866,576 | BOYAmt |
| EOY | $266,417,594 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,598,929 | BOYAmt |
| EOY | $513,333,407 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $66,252,609 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,515,043 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $8,813,452 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,885,357 | BeginningYearBalanceAmt |
| Contributions | $40,038 | ContributionsAmt |
| Investment Earnings Or Losses | $247,551 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$41,918 | OtherExpendituresAmt |
| Administrative Expenses | -$20,425 | AdministrativeExpensesAmt |
| End Year Balance | $2,110,603 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,875,978 | BeginningYearBalanceAmt |
| Contributions | $16,187 | ContributionsAmt |
| Investment Earnings Or Losses | -$34,780 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$20,110 | OtherExpendituresAmt |
| Administrative Expenses | -$18,751 | AdministrativeExpensesAmt |
| End Year Balance | $1,885,357 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,875,978 | BeginningYearBalanceAmt |
| Contributions | $54,280 | ContributionsAmt |
| Investment Earnings Or Losses | $43,996 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$14,532 | OtherExpendituresAmt |
| Administrative Expenses | -$16,911 | AdministrativeExpensesAmt |
| End Year Balance | $1,942,811 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,564,587 | BeginningYearBalanceAmt |
| Contributions | $125,693 | ContributionsAmt |
| Investment Earnings Or Losses | $218,390 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$17,048 | OtherExpendituresAmt |
| Administrative Expenses | -$15,644 | AdministrativeExpensesAmt |
| End Year Balance | $1,875,978 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,234,952 | BeginningYearBalanceAmt |
| Contributions | $202,502 | ContributionsAmt |
| Investment Earnings Or Losses | $158,035 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$30,902 | OtherExpendituresAmt |
| End Year Balance | $1,564,587 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.62860 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.37140 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,285,655 | OtherCostOrOtherBasisAmt |
| Book Value | $6,285,655 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,618,255 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $181,228,240 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,119,123 | DepreciationAmt |
| Book Value | $104,727,372 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,966,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,432,454 | DepreciationAmt |
| Book Value | $534,283 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $178,879,409 | OtherCostOrOtherBasisAmt |
| Depreciation | $155,646,108 | DepreciationAmt |
| Book Value | $23,233,301 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $134,780,611 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| FIXED INCOME SECURITIES | $124,659,106 | F |
| REAL ASSETS | $64,893,521 | F |
| CASH AND MONEY FUNDS | $16,282,019 | F |
| PARTNERSHIPS | $856,998 | F |
| UNCONDITIONAL PROMISES TO GIVE | $77,000 | C |
| OTHER INVESTMENTS | $401 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $206,769,045 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESTRICTED CASH | $17,490,000 |
| THIRD-PARTY TRUSTS | $9,235,579 |
| OTHER RECEIVABLES | $4,487,574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $31,213,153 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION OBLIGATION | $41,703,399 |
| INTEREST RATE SWAP AGREEMENTS | $26,292,311 |
| ADVANCES FROM THIRD-PARTY PAYORS | $10,478,424 |
| PAYABLE UNDER THIRD-PARTY AGREEMENTS | $6,161,740 |
| DEFERRED COMPENSATION | $3,086,293 |
| ACCRUED WORKERS' COMP | $1,227,830 |
| ACCRUED LIABILITY INSURANCE | $1,068,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $90,018,419 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $377,271,688 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,515,043 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $10,985,724 | OtherRevenueAmt |
| Revenue Not Reported | $9,470,681 | RevenueNotReportedAmt |
| Revenue Subtotal | $367,801,007 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $367,801,007 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $303,720,670 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,172,272 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,172,272 | ExpensesNotReportedAmt |
| Expenses Subtotal | $301,548,398 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $301,548,398 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | ENDOWMENT FUNDS ARE TO BE USED FOR THE DEVELOPMENT OR EXPANSION OF COMMUNITY HEALTHCARE INITIATIVE AND PROGRAMS. FUNDS ARE ALSO USED TO EDUCATE THE COMMUNITY ABOUT HEALTHCARE ISSUES. |
| SCHEDULE D, PAGE 3, PART X | WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WUOLD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEETS ALONG WITH ANY ASSOICATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENTS OF OPERATIONS. AT JUNE 30, 2017 AND 2016, THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN NET VALUE OF DERIVATIVES 11,223,570 EXPENSES NETTED AGAINST REVENUES -237,846 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | CHANGES IN PENSION LIABILITY -28,410,597 TRANSFERS TO PARENT, NET 2,046,566 TRANSFERS TO AFFILIATED ORGANIZATIONS, NET 28,774,149 EXPENSES NETTED AGAINST REVENUES -237,846 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICAN AND CARRIBEAN | RegionTxt |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $22,032,645 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $22,032,645 | SubtotalSpentAmt |
| Total Spent | $22,032,645 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICAN AND CARRIBEAN 0 22,032,645 | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $3,374,197 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,374,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,892,959 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,892,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05650 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,849 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,849 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,287,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,287,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06790 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 28 | ActivitiesOrProgramsCnt |
| Persons Served | 15976 | PersonsServedCnt |
| Total Community Benefit Expns | $215,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $199,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 1078 | PersonsServedCnt |
| Total Community Benefit Expns | $187,984 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $187,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,677,973 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,677,973 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $150,263 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $150,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,828,526 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,828,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 40 | ActivitiesOrProgramsCnt |
| Persons Served | 17054 | PersonsServedCnt |
| Total Community Benefit Expns | $7,060,287 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,044,624 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 40 | ActivitiesOrProgramsCnt |
| Persons Served | 17054 | PersonsServedCnt |
| Total Community Benefit Expns | $27,347,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,331,629 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09150 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,147 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,147 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,147 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,217,254 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $52,314,308 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $84,080,412 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$31,766,104 | MedicareSurplusOrShortfallAmt |
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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | 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 | THE CHAMBERSBURG HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 NORTH SEVENTH STREET | AddressLine1Txt |
| City | CHAMBERSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | THE CHAMBERSBURG HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | 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.SUMMITHEALTH.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.HEALTHYFRANKLINCOUNTY.ORG/C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.SUMMITHEALTH.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SUMMITHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SUMMITHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SUMMITHEALTH.ORG | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Other Actions | Yes (X) | OtherActionsInd |
| 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 |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 5 | THE HEALTHY FRANKLIN COUNTY WEB SITE WAS LUANCHED IN THE FALL OF 2015 TO PROVIDE A RICH PLATFORM FOR DATA AND INFORMATION REGARDING THE HEALTH OF OUR COMMUNITIES. ORIGINALLY POPULATED WITH DATA FROM COUNTY HEALTH RANKINGS, PA DOH, THE CDC DATA WAREHOUSE, AND OTHER STATE AND LCOAL ENTITIES, THIS SITE IS NOW UPDATED ANNUALLY WITH SECONDARY DATA, WHICH IS PARTICULARLY VALUABLE IN YEARS WHEN A CHNA IS NOT CONDUCTED. |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 6A | WAYNESBORO HOSPITAL |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 6B | HEALTHY FRANKLIN COUNTY |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 7D | ON JUNE 9, 2016, SUMMIT HEALTH AND HEALTHY FRANKLIN COUNTY FACILITATED A COMMUNITY HEALTH SUMMIT ON THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT. 121 INDIVIDUALS ATTENDED THE HEALTH SUMMIT, REPRESENTING HEALTHCARE ORGANIZATIONS, COMMUNITY ORGANIZATIONS, EDUCATION INSTITUTIONS, LOCAL GOVERNMENT, AND COMMUNITY REPRESENTATIVES. |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 11 | A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED. |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 16J | INFORMATION AND APPLICATION CAN BE FOUND ON THE BACK OF A PATIENT BILLING STATEMENT. |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 19E | THE HOSPITAL DOES NOT PURSUE ANY COLLECTION ATTEMPTS OR SELL ANY DEBT BEFORE DETERMINING A PATIENTS ELIGIBILITY FOR THE FAP. |
| FACILITY 1, THE CHAMBERSBURG HOSPITAL - PART V, LINE 20E | FINANCIAL COUNSELORS CALL AND SEND LETTERS TO SELF-PAY PATIENTS OR PATIENTS WITH HIGH DEDUCTIBLE PLANS THAT RECEIVE EMERGENCY DEPARTMENT, SURGICAL OR I/P SERVICES. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | IF A FAMILY HAS LIQUID ASSETS AVAILABLE, THEY ARE EXPECTED TO CONTRIBUTE TO THE COST OF THEIR CARE USING THOSE FUNDS. HOWEVER, THEY ARE NOT REQUIRED TO SPEND DOWN ALL OF THEIR LIQUID ASSETS IN ORDER TO BE ELIGIBLE FOR A DISCOUNT. PATIENTS MAY RETAIN SIX MONTHS OF LIVING EXPENSES FROM THEIR LIQUID ASSETS. SIX MONTHS OF LIVING EXPENSES IS ESTIMATED TO BE ONE HALF OF 300% OF FPG. AT THAT POINT, THEY RECEIVE A DISCOUNT ON THEIR MEDICAL BILL. |
| PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION | THE INFORMATION WAS OBTAINED USING THE COST METHODS USED IN PREPARING THE MEDICARE COST REPORTS. |
| PART II - COMMUNITY BUILDING ACTIVITIES | CHAMBERSBURG HOSPITAL WORKS TO STRENGTHEN OUR COMMUNITY THROUGH HEALTH EDUCATION EFFORTS FOR CHILDREN AND ADULTS, HEALTH FAIRS PROVIDING HEALTH SCREENINGS, EDUCATING COMMUNITY GROUPS ON SPECIFIC HEALTH TOPICS, FUNDING HEALTH PROGRAMS BY LOCAL NONPROFIT ORGANIZATIONS THROUGH THE SUMMIT ENDOWMENT PROGRAM, PROVIDING CAPACITY-BUILDING WORKSHOPS AND ASSISTANCE THROUGH SUMMIT ENDOWMENT, PARTICIPATING IN MANY LOCAL CIVIC ORGANIZATIONS, SPONSORING EVENTS HELD BY LOCAL CHARITABLE ORGANIZATIONS, AND SUPPORTING WORKFORCE DEVELOPMENT INITIATIVES THROUGH SUMMIT HEALTH'S SCHOOL LIASON PROGRAMS. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS 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. THE COST TO CHARGE RATIO WAS USED TO CALCULATE THE COST OF BAD DEBT EXPENSE. THIS RATIO IS CALCULATED AS FOLLOWS: (NET PATIENT REVENUE DIVIDED BY THE TOTAL OPERATING REVENUE MULTIPLIED BY THE TOTAL OPERATING EXPENSE) DIVIDED BY THE GROSS PATIENT REVENUE. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE HOSPITAL PROVIDES CREDIT IN THE NORMAL COURSE OF ITS BUSINESS TO PATIENTS. PATIENT RECEIVABLES ARE BASED ON THE OUTSTANDING PATIENT BALANCE AFTER ANY CONTRACTUAL REIMBURSEMENTS ARE APPLIED AND ARE GENERALLY DUE 30 DAYS AFTER BILLED. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD- PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS 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. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE SHORTFALL FOR MEDICARE IS NOT INCLUDED IN THE CHAMBERSBURG HOSPITAL'S COMMUNITY BENEFIT REPORTING. A COST TO CHARGE RATIO WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COST. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | ALL PATIENTS ARE SUBJECT TO THE DEBT COLLECTION POLICY REGARDLESS OF THEIR ABILITY TO PAY. |
| PART VI, LINE 2 - NEEDS ASSESSMENT | THE HEALTHY FRANKLIN COUNTY WEB SITE WAS LAUNCHED IN THE FALL OF 2015 TO PROVIDE A RICH PLATFORM FOR DATA AND INFORMATION REGARDING THE HEALTH OF OUR COMMUNITIES. ORIGINALLY POPULATED WITH DATA FROM COUNTY HEALTH RANKING, PA DOH, THE CDC DATA WAREHOUSE, AND OTHER STATE AND LOCAL ENTITIES, THIS SITE IS NOW UPDATED ANNUALLY WITH SECONDARY DATA, WHICH IS PARTICULARLY VALUABLE WHEN A CHNA IS NOT CONDUCTED. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS ARE MADE AWARE OF THE CHARITY PROGRAM AND OTHER BILLING ASSISTANCE SERVICES AT REGISTRATION, DURING EMERGENCY ROOM VISITS, AND NOTICES PLACED IN SERVICE AREAS. BILLING STATEMENTS ALSO INFORM PATIENTS OF CHARITY CARE AND OTHER BILLING ASSISTANCE PROGRAMS. AVAILABILITY OF CHARITY PROGRAMS IS ALSO LISTED ON OUR WEBSITE. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | THE PRIMARY SERVICE AREA IS FRANKLIN COUNTY, PA AND SURRONDING COMMUNITIES, WHICH INCLUDES 23 MUNICIPALITIES 800 SQUARE MILES, AND A POPULATION OF 170,000 PEOPLE. ABOUT 94% OF FRANKLIN COUNTY'S POPULATION IDENTIFIES AS WHITE. THERE ARE SIGNIFICANT BLACK AND LATINO POPULATIONS IN THE COUNTY, EACH COMPRISING 5% OF THE POPULATION. FOR 93% OF FRANKLIN COUNTY'S POPULATION, ENGLISH IS THE ONLY LANGUAGE SPOKEN AT HOME. FOR THE 7% WHO SPEAK ANOTHER LANGUAGE AT HOME, MOST ALSO REPORT SPEAKING ENGLISH "VERY WELL." |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE SUMMIT HEALTH ANNUAL REPORT DOCUMENTS A WIDE RANGE OF COMMUNITY HEALTH PROGRAMS AND INITIATIVES, INFORMATION REGARDING THE GRANTS PROVIDED VIA SUMMIT ENDOWMENT, AND AN OVERVIEW OF HEALTHY FRANKLIN COUNTY. (SEE AT WWW.SUMMITHEALTH.ORG) |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | THE HOSPITAL IS PART OF SUMMIT HEALTH, A REGIONAL NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS THAT ARE SERVED BY THE ORGANIZATION'S COMMUNITY HEALTH DEPARTMENT. THE DERPARTMENT'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, DETECTION AND PREVENTION PROGRAMS INCLUDING HEALTH FAIRS, SCREENINGS, AND SEMINARS. THIS MISSION IS COMPLETED ON BEHALF OF CHAMBERSBURG HOSPITAL AND ALL OTEHR SUMMIT AFFILIATES. PART OF THIS MISSION IS COMPLETED THROUGH COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS INCLUDING THE PA DEPARTMENT OF HEALTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SOUTH CENTRAL COMMUNITY ACTION PROG | |||||||
| 153 N STRATTON STREET | GETTYSBURG | PA | 17235 | 232020123 | 3 | $36,037 | FOOD DONATIONS |
| WAYNESBORO COMMUNITY & HUMAN SERVIC | |||||||
| 123 WALNUT STREET | WAYNESBORO | PA | 17268 | 251366504 | 3 | $75,000 | NURSE PROGRAM |
| SUMMIT PHYSICIAN SERVICES | |||||||
| 112 NORTH 7TH STREET | CHAMBERSBURG | PA | 17201 | 251716306 | 3 | $29,846 | HOME MONITORING |
| SUMMIT PHYSICIAN SERVICES | |||||||
| 112 NORTH 7TH STREET | CHAMBERSBURG | PA | 17201 | 251716306 | 3 | $102,960 | COMMUNITY OUTREACH |
| NOAH'S HOUSE RECOVERY HOMES | |||||||
| 635 S 4TH STREET | CHAMBERSBURG | PA | 17201 | 812810826 | 3 | $8,000 | RECOVERY AND SUPPORT |
| SHIPPENSBURG COMMUNITY RESOURCE CO | |||||||
| 130 S PENN STREET | SHIPPENSBURG | PA | 17257 | 232046093 | 3 | $8,000 | FOOD DONATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ALL FUNDING DECISIONS ARE MADE BY THE SUMMIT ENDOWMENT COMMITTEE, A COMMITTEE OF THE SUMMIT HEALTH BOARD. THE ENDOWMENT MANAGER PROCESSES GRANT APPLICATIONS, ASSISTS GRANTEES IN DEVELOPING SOUND PROGRAM EVALUATION METHODOLOGIES, RECEIVES AND SUMMARIZES PERIODIC REPORTS, AND VISITS PROGRAM SITES, REPORTING ALL ACTIVITIES TO THE SUMMIT ENDOWMENT COMMITTEE. AS WELL, ENDWOMENT COMMITTEE MEETING MINUTES ARE SHARED WITH WAYNESBORO HOSPITAL'S, CHAMBERSBURG HOSPITAL'S, AND SUMMIT HEALTH'S BOARD OF DIRECTORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIMBERLY M RZOMP | ||||||||||||
| TREASURER/VP & CFO | $230,905 | $124,334 | $52,721 | $28,388 | $17,862 | $9,618 | $33,195 | $17,874 | $13,234 | $7,126 | $347,917 | $187,340 |
| PATRICK O'DONNELL | ||||||||||||
| PRESIDENT | $343,433 | $228,955 | $113,526 | $75,684 | $25,672 | $17,115 | $116,718 | $77,812 | $27,527 | $18,351 | $626,876 | $417,917 |
| THOMAS ANDERSON MD | ||||||||||||
| VP MED AFFAIRS/CMO | $296,380 | $74,095 | $66,460 | $16,615 | $25,432 | $6,358 | $28,807 | $7,202 | $14,342 | $3,586 | $431,421 | $107,856 |
| CATHY PUHL | ||||||||||||
| VP HUMAN RESOURCES | $167,141 | $38,763 | $23,044 | $25,557 | $20,569 | $275,074 | ||||||
| JOHN MASSIMILLA | ||||||||||||
| COO & VP ADMIN. | $250,244 | $57,218 | $30,073 | $53,580 | $19,206 | $410,321 | ||||||
| BARBARA ROSSINI | ||||||||||||
| VP COMMUNITY RELATIO | $149,624 | $49,875 | $34,558 | $11,519 | $15,378 | $5,126 | $15,694 | $5,231 | $16,940 | $5,647 | $232,194 | $77,398 |
| SHERRI STAHL | ||||||||||||
| SR VP HOSPITAL SERVI | $255,304 | $63,826 | $57,094 | $14,273 | $26,089 | $6,522 | $36,709 | $9,177 | $15,364 | $3,841 | $390,560 | $97,639 |
| MICHELE ZEIGLER | ||||||||||||
| VP INFORMATION SERVI | $165,946 | $71,120 | $37,377 | $16,019 | $19,314 | $8,278 | $31,697 | $13,584 | $5,587 | $2,395 | $259,921 | $111,396 |
| DAVID K GRANT | ||||||||||||
| VP OF PATIENT SERVIC | $201,106 | $5,000 | $460 | $32,909 | $20,996 | $260,471 | ||||||
| EVANS T PRIESTON | ||||||||||||
| ASST. DIR OF PHARM | $163,909 | $5,000 | $3,820 | $27,190 | $19,157 | $219,076 | ||||||
| CAROLYN GEORGE | ||||||||||||
| VP CORPORATE FINANCE | $177,648 | $10,844 | $690 | $25,623 | $20,896 | $235,701 | ||||||
| ELYSE FISLER | ||||||||||||
| VP OF PATIENT SERVIC | $183,156 | $11,752 | $300 | $22,835 | $20,936 | $238,979 | ||||||
| BRUCE KEHR | ||||||||||||
| VP FOR SUPPLY CHAIN | $145,269 | $32,322 | $1,287 | $49,474 | $22,476 | $250,828 | ||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | THE ORGANIZATION REIMBURSES THE COO FOR DUES ASSOCIATED WITH A SOCIAL CLUB. THE OFFICER RECEIVES AN ALLOWANCE THAT CAN BE CONSIDERED A DISCRETIONARY SPENDING ACCOUNT. THE MONIES ARE IN LIEU OF AN AUTOMOBILE ALLOWANCE, TO PURCHASE ADDITIONAL LIFE INSURANCE, ETC. THESE MONIES ARE INCLUDED IN COMPENSATION AS REPORTED IN THE COMPENSATION OF OFFICERS TABLE. A RESULTS FITNESS CLUB MEMBERSHIP IS AVAILABLE FREE OF CHARGE FOR ANY OFFICER AND ACTIVE BOARD MEMBER. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | KIMBERLY M. RZOMP 0 11,700 0 PATRICK O'DONNELL 0 10,800 0 THOMAS ANDERSON, MD 0 14,400 0 CATHY PUHL 0 10,728 0 JOHN MASSIMILLA 0 15,590 0 BARBARA ROSSINI 0 9,416 0 SHERRI STAHL 0 14,400 0 MICHELE ZEIGLER 0 10,277 0 |
| SCHEDULE J, PAGE 1, PART I, LINE 7 | INCENTIVE COMPENSATION IS BASED ON PRE-DETERMINED, MEASURABLE GOALS APPROVED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE. THE MEASURABLE GOALS ARE BASED ON QUALITY, COMMUNITY ACCESS TO CARE, PATIENT SAFETY, AND LEADERSHIP. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| FCIDA REVENUE BONDS SERIES 2010 | ||||||||
| A | 230458500 | 353273AQ8 | 2010-07-28 | $350,000 | NEW BUILDING AND REFINANCE 1998 BONDS | false | false | false |
| FCIDA REVENUE BOND SERIES 2010 | ||||||||
| B | 230458500 | 353273AZ8 | 2010-07-28 | $1,255,000 | NEW BUILDING AND REFINANCE 1998 BONDS | false | false | false |
| FCIDA REVENUE BONDS SERIES 2010 | ||||||||
| C | 230458500 | 353273AR6 | 2010-07-28 | $685,000 | NEW BUILDING AND REFINANCE 1998 BONDS | false | false | false |
| FCIDA REVENUE BONDS SERIES 2010 | ||||||||
| D | 230458500 | 353273BA2 | 2010-07-28 | $1,000,000 | NEW BUILDING AND REFINANCE 1998 BONDS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $350,000 | $29,796 | $42,236 | $3,049 | $270,886 | false | Yes (true) | Yes (true) | Yes (true) |
| B | $1,255,000 | $106,839 | $151,445 | $10,932 | $971,321 | false | Yes (true) | Yes (true) | Yes (true) |
| C | $685,000 | $58,315 | $82,661 | $5,967 | $530,163 | false | Yes (true) | Yes (true) | Yes (true) |
| D | $1,000,000 | $85,131 | $120,673 | $8,711 | $773,961 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | false | false |
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | false | false |
| C | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | false | false |
| D | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | false | false | false |
| B | false | false | false | false | false | false | false | false | false |
| C | false | false | false | false | false | false | false | false | false |
| D | false | false | false | false | false | false | false | false | false |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
| D | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 6 | SUMMIT HEALTH, A 501(C)(3) ENTITY, IS A MEMBER OF THIS ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | SUMMIT HEALTH, A 501(C)(3) ENTITY, ELECTS THE GOVERNING BODY OF THIS ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7B | SUMMIT HEALTH, A 501(C)(3) ENTITY, HAS CERTAIN RESERVE POWERS OVER THIS ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | MEMBERS ARE ASKED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION IS DISCUSSED WITH AN INDEPENDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THE COMMITTEE IN SETTING THE COMPENSATION FOR THESE INDIVIDUALS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION IS DISCUSSED WITH AN INDEPENDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THE COMMITTEE IN SETTING THE COMPENSATION FOR THESE INDIVIDUALS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE HELD IN THE FINANCE DEPARTMENT OF THE CHAMBERSBURG HOSPITAL. HOSPITAL BYLAWS AND ALL POLICIES AND PROCEDURES ARE FOUND ON THE CHAMBERSBURG HOSPITAL INTRANET. |
| FORM 990, PART XI, LINE 9 | PENSION LIABILITY ADJUSTMENT 28,410,597 CHANGE IN VALUE OF DERIVATIVES 11,223,570 TRANSFERS TO AFFILIATES -30,820,715 TOTAL 8,813,452 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SUMMIT HEALTH | ||||||||||
| 112 NORTH SEVENTH STREET | CHAMBERSBURG | PA | 17201 | 251515371 | HEALTHCARE | PA | 501C3 | 7 | SUMMIT HEA | false |
| WAYNESBORO HOSPITAL | ||||||||||
| 501 EAST MAIN STREET | WAYNESBORO | PA | 17268 | 231360854 | HEALTHCARE | PA | 501C3 | 3 | SUMMIT HEA | false |
| CHAMBERSBURG HEALTH SERVICES | ||||||||||
| 785 5TH AVENUE SUITE 5 | CHAMBERSBURG | PA | 17201 | 251515376 | HEALTHCARE | PA | 501C3 | 12A | SUMMIT HEA | false |
| SUMMIT PHYSICIAN SERVICES | ||||||||||
| 785 5TH AVENUE SUITE 3 | CHAMBERSBURG | PA | 17201 | 251716306 | HEALTHCARE | PA | 501C3 | 3 | SUMMIT HEA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUMMIT SURGERY CENTER LP | ||||||||||||
| 785 5TH AVENUE SUITE 3 | CHAMBERSBURG | PA | 17201 | 251845303 | PHYSICIAN | PA | NA | $16,953 | $33,872 | false | false | 0.00650 |
| SURGERY CENTER ASSOCIATES LLC | ||||||||||||
| 785 5TH AVENUE SUITE 3 | CHAMBERSBURG | PA | 17201 | 251845304 | PHYSICIAN | PA | NA | $339 | $520 | false | Yes (true) | 0.01000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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