DUBOIS REGIONAL MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- DUBOIS REGIONAL MEDICAL CENTER (EIN 25-1490707)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201731359349301313
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T11:40:21-07:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251490707 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DuBois Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DUBO | BusinessNameControlTxt |
| Phone | 8143756117 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 447 100 Hospital Avenue | AddressLine1Txt |
| City | DuBois | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Sutika | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 8143756107 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Penn Highlands DuBois | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Sutika | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 447 | AddressLine1Txt |
| City | DuBois | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $273,156,998 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.phhealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | DuBois Regional Medical Center offers residents of West Central Pennsylvania a combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2352 | TotalEmployeeCnt |
| Total Volunteers | 224 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,380,187 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,327,336 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $264,717,923 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $266,409,651 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,329,498 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,494,000 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,433,606 | PYOtherRevenueAmt |
| CY Other Revenue | $1,644,135 | CYOtherRevenueAmt |
| PY Total Revenue | $271,861,214 | PYTotalRevenueAmt |
| CY Total Revenue | $272,875,122 | 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 | $157,041,870 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $140,084,001 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $109,782,078 | PYOtherExpensesAmt |
| CY Other Expenses | $123,517,430 | CYOtherExpensesAmt |
| PY Total Expenses | $266,823,948 | PYTotalExpensesAmt |
| CY Total Expenses | $263,601,431 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,037,266 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,273,691 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $245,188,936 | TotalAssetsBOYAmt |
| Total Assets EOY | $244,952,958 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,903,114 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $73,709,818 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $164,285,822 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $171,243,140 | NetAssetsOrFundBalancesEOYAmt |
| Mission | DuBois Regional Medical Center offers residents of West Central Pennsylvania a rare combination of advanced healthcare in a warm, friendly environment. DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. See Statement of Community Benefit. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $231,795,248 | ExpenseAmt |
| Revenue | $267,998,365 | RevenueAmt |
| Desc | DuBois Regional Medical Center provides a variety of comprehensive inpatient care and outpatient medical services to the residents of West Central Pennsylvania. The facility is licensed for 231 beds. In fiscal year 2014, DRMC serviced 10,113 inpatients with a total of 40,603 inpatient days and provided more than 666,891 outpatients visits. In addition to direct medical services, the hospital also provides other medical programs to the community outreach programs, clinics, support groups, education programs, health fairs and health screenings. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $231,795,248 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 | 195 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2352 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Brian S Kline CFO | PersonNm |
| Phone | 8143756377 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 447 | AddressLine1Txt |
| Address Line2 | 100 Hospital Avenue | AddressLine2Txt |
| City | DuBois | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 |
|---|---|---|---|---|---|---|---|---|
| Nancy J Micks | ||||||||
| Secretary | 3.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sister Mary Ann Bader RSM | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Dr James E Devlin | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Sister Lisa Mary McCartney | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Dr Hazem F El Kassas | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Gene Hoak | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Todd Miller | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Edward S Nasuti | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Sister Margaret Park | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Dr Gregory Roscoe | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Sharon Varischetti | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Anthony Viglione | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| William Young | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Lisa Zocco | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Joyce R Fairman | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Edward Yahner | ||||||||
| Trustee | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Sally Moran | ||||||||
| Trustee | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Todd Stoltz | ||||||||
| Chairman | 5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Melanie Hatch | ||||||||
| Vice Chairman | 3 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Richard Pfingstler | ||||||||
| Treasurer | 3 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Brian Kline | ||||||||
| Vice Presdient | 40 | Yes (X) | $284,154 | $0 | $29,930 | |||
| Robert McKee | ||||||||
| Vice President | 40 | Yes (X) | $256,886 | $0 | $37,868 | |||
| Janice Hamscher | ||||||||
| Vice President | 40 | Yes (X) | $263,025 | $0 | $36,557 | |||
| Steven M Fontaine | ||||||||
| COO Penn Highlands Healthcare | 40 | 40 | Yes (X) | $0 | $406,308 | $39,549 | ||
| Raymond A Graeca | ||||||||
| President Penn Highlands Healthcare | 0 | 40 | Yes (X) | $0 | $692,297 | $111,549 | ||
| John Sutika | ||||||||
| President | 40 | Yes (X) | $401,107 | $0 | $59,641 | |||
| Travis Millinder | ||||||||
| VP COO Physician Network | 40 | Yes (X) | $238,127 | $0 | $10,719 | |||
| Russell Cameron | ||||||||
| VP Chief Medical Officer | 40 | 0 | Yes (X) | $493,907 | $0 | $42,557 | ||
| Richard Latuska | ||||||||
| Physician | 40 | $892,304 | $0 | $28,231 | Yes (X) | |||
| Mohamed Hassan | ||||||||
| Physician | 40 | $957,975 | $0 | $27,755 | Yes (X) | |||
| Sandeep Bansal | ||||||||
| Physician | 40 | 0 | $821,728 | $0 | $26,892 | Yes (X) | ||
| Grae Schuster | ||||||||
| Physician | 40 | $860,587 | $0 | $11,973 | Yes (X) | |||
| Raj Kaushik | ||||||||
| Physician | 40 | $686,667 | $0 | $16,708 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,156,467 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,098,605 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $479,929 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 211 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Associated Clinical Labs | ||||||
| 1526 Peach Street | Erie | PA | 16501 | Lab Services | $1,577,773 | |
| Allied Resources Medical Staffing | ||||||
| 135 Dowlin Forge Road | Exton | PA | 19341 | Staffing Services | $1,370,592 | |
| Apogee Medical Management | ||||||
| 15059 N Scottsdale Road | Scottsdale | AZ | 85254 | Healthcare Staffing | $1,342,651 | Suite 600 |
| Secure Healthcare Information Management | ||||||
| 1605 N Cedar Crest Blvd | Allentown | PA | 18104 | Healthcare Billing | $910,138 | |
| Synergy Surgicalists | ||||||
| 678 Simmons Lane | Bozeman | MT | 59715 | Medical Staffing | $2,160,436 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $28,755 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $1,298,581 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,327,336 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Ancillary OP and Physician | 622000 | $465,204,868 | $465,204,868 | $0 | $0 |
| R&B Ancillary IP | 622000 | $188,716,761 | $188,716,761 | $0 | $0 |
| Other Program Revenue | 622000 | $11,614,152 | $11,614,152 | $0 | $0 |
| Contractual Adjustments | 622000 | -$399,126,130 | -$399,126,130 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $266,409,651 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,549,421 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,549,421 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $832,060 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $832,060 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $832,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $832,060 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $223,333 | SecuritiesAmt |
| Other | $3,122 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $281,876 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$58,543 | SecuritiesAmt |
| Other | $3,122 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$55,421 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$55,421 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Other Income | 622000 | $2,476,718 | $2,476,718 | $0 | $0 |
| Earnings from Affiliates | 622000 | -$2,047,617 | -$2,047,617 | $0 | $0 |
| Restricted Operating Revenue | 622000 | $382,974 | $382,974 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $812,075 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $272,875,122 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $267,998,365 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,549,421 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,097,313 | TotalAmt |
| Program Services | $869,847 | ProgramServicesAmt |
| Management And General | $1,227,466 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,919,032 | TotalAmt |
| Program Services | $101,224,537 | ProgramServicesAmt |
| Management And General | $12,694,495 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,134,879 | TotalAmt |
| Program Services | $2,758,694 | ProgramServicesAmt |
| Management And General | $376,185 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,967,185 | TotalAmt |
| Program Services | $11,411,123 | ProgramServicesAmt |
| Management And General | $1,556,062 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,965,592 | TotalAmt |
| Program Services | $7,009,721 | ProgramServicesAmt |
| Management And General | $955,871 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,704,090 | TotalAmt |
| Program Services | $9,419,599 | ProgramServicesAmt |
| Management And General | $1,284,491 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,220 | TotalAmt |
| Management And General | $197,220 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520 | TotalAmt |
| Management And General | $520 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,745,689 | TotalAmt |
| Program Services | $16,496,206 | ProgramServicesAmt |
| Management And General | $2,249,483 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $905 | TotalAmt |
| Program Services | $796 | ProgramServicesAmt |
| Management And General | $109 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,324 | TotalAmt |
| Program Services | $821,325 | ProgramServicesAmt |
| Management And General | $111,999 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,337,848 | TotalAmt |
| Program Services | $4,697,306 | ProgramServicesAmt |
| Management And General | $640,542 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,314,075 | TotalAmt |
| Program Services | $3,796,386 | ProgramServicesAmt |
| Management And General | $517,689 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,498 | TotalAmt |
| Program Services | $393,798 | ProgramServicesAmt |
| Management And General | $53,700 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,687 | TotalAmt |
| Program Services | $431,805 | ProgramServicesAmt |
| Management And General | $58,882 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,403,095 | TotalAmt |
| Program Services | $1,234,724 | ProgramServicesAmt |
| Management And General | $168,371 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,807,941 | TotalAmt |
| Program Services | $13,030,988 | ProgramServicesAmt |
| Management And General | $1,776,953 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,903,438 | TotalAmt |
| Program Services | $2,555,025 | ProgramServicesAmt |
| Management And General | $348,413 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $40,914,950 | $36,005,156 | $4,909,794 | $0 |
| Bad Debt | $6,537,368 | $5,752,884 | $784,484 | $0 |
| Maintenance Contracts | $2,392,833 | $2,105,693 | $287,140 | $0 |
| Purchased Services | $11,244,010 | $9,894,729 | $1,349,281 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,141,939 | TotalAmt |
| Program Services | $1,884,906 | ProgramServicesAmt |
| Management And General | $257,033 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,601,431 | TotalAmt |
| Program Services | $231,795,248 | ProgramServicesAmt |
| Management And General | $31,806,183 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,180,501 | BOYAmt |
| EOY | $39,568,281 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,103,440 | BOYAmt |
| EOY | $27,556,988 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,088,738 | BOYAmt |
| EOY | $3,536,024 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $243,554,263 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $152,784,128 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,591,573 | BOYAmt |
| EOY | $90,770,135 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,843,755 | BOYAmt |
| EOY | $58,258,320 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,380,929 | BOYAmt |
| EOY | $25,263,210 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,188,936 | BOYAmt |
| EOY | $244,952,958 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,298,619 | BOYAmt |
| EOY | $25,333,306 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,121,623 | BOYAmt |
| EOY | $2,255,759 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,764,193 | BOYAmt |
| EOY | $42,542,107 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,350,208 | BOYAmt |
| EOY | $1,967,001 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,368,471 | BOYAmt |
| EOY | $1,611,645 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,903,114 | BOYAmt |
| EOY | $73,709,818 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,468,517 | BOYAmt |
| EOY | $169,710,949 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,817,305 | BOYAmt |
| EOY | $1,532,191 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,285,822 | BOYAmt |
| EOY | $171,243,140 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,188,936 | BOYAmt |
| EOY | $244,952,958 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $9,273,691 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | -$2,316,373 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $48,784 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $34 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $48,818 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $48,750 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $34 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $48,784 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,469 | BeginningYearBalanceAmt |
| Contributions | $1,253 | ContributionsAmt |
| Investment Earnings Or Losses | $28 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $48,750 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,013 | BeginningYearBalanceAmt |
| Contributions | $6,401 | ContributionsAmt |
| Investment Earnings Or Losses | $55 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $47,469 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,372 | BeginningYearBalanceAmt |
| Contributions | $2,545 | ContributionsAmt |
| Investment Earnings Or Losses | $96 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $41,013 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,851,646 | OtherCostOrOtherBasisAmt |
| Book Value | $3,851,646 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $61,459,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,739,150 | DepreciationAmt |
| Book Value | $25,720,170 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $81,319,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,735,327 | DepreciationAmt |
| Book Value | $7,583,716 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $96,924,254 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,309,651 | DepreciationAmt |
| Book Value | $53,614,603 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $90,770,135 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Pension Plan | $2,255,759 |
| Deferred Financing | $553,665 |
| Goodwill | $565,826 |
| Inventory for Use | $4,091,601 |
| Miscellaneous Receivables | $8,818,324 |
| Other Assets | $1,700,921 |
| Investment in Affiliates | $7,277,114 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,263,210 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Third Party Rate Adj & Compliance Adj | Desc |
| Amt | $1,611,645 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,611,645 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 | FormAndLineReferenceDesc |
| Explanation | Endowment funds will be used to purchases of capital items used in patient care. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Penn Highlands DuBois Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $38,437 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $0 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $38,437 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $3,749 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $1,923 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,456 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,554 | OtherDirectExpensesEvent1Amt |
| Food And Beverage Other Events | $0 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Gross Receipts Total | $38,437 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $0 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $38,437 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $3,749 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $0 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,923 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,456 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $0 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,554 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,682 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $28,755 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $1,720,880 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,720,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.007 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,207,815 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,836,867 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,370,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.031 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $37,928,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,836,867 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,091,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.038 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $478,821 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $478,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.002 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $761,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $761,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.003 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $368,332 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $368,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,608,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,608,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.006 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $39,537,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,836,867 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,700,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.044 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,739,157 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $71,936,295 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $76,982,951 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,046,656 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Kidney Care Services LLC | |||
| Dialysis Services | 0.74 | 0 | 0.26 |
| Kidney Care Services DuBois | |||
| Dialysis Services | 0.69 | 0 | 0.31 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DuBois Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hospital Avenue | AddressLine1Txt |
| City | DuBois | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.phhealthcare.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 | DuBois Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.phhealthcare.org | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.phhealthcare.org | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 200 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (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.phhealthcare.org | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.phhealthcare.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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-DuBois Regional Medical Center | Penn Highlands Healthcare hired the firm of Tripp Umbach to facilitate the preparation of the CHNA and collaborated with hospitals and outside organization in the surrounding region during the CHNA process including Alcohol and drug abuse services, Alcoholics Anonymous, Free Clinic of DuBois, Police departments, Chamber of Commerce, EMS services just to name a few. The process included public commentary, secondary data collection and analysis, stakeholder interviews, hand-distributed surveys, and a community health forum/retreat. The hospital worked with leaders within the healthcare systems as well as with several members outside of the system from various organizations and backgrounds. This list is included in the CHNA report. |
| Schedule H, Part V, Section B, Line 6a-DuBois Regional Medical Center | Penn Highlands Elk, Penn Highlands Brookville, and Penn Highlands Clearfield which are all hospitals in the Penn Highlands healthcare system. |
| Schedule H, Part V, Section B, Line 6b-DuBois Regional Medical Center | Penn Highlands Brookville, Penn Highlands Elk, and Penn Highlands Clearfield. Penn Highlands Healthcare also partnered with various local organizations in a collaborative manner during 2016 in order to carry out the intended goals and outcomes of our previous CHNA strategy. |
| Schedule H, Part V, Section B, Line 11-DuBois Regional Medical Center | The Hospital's CHNA gives a very detailed overview of the methods and activities that went into developing a strategic plan for accessing the needs of the community and choosing what the most important and attainable goals would be. These needs are presented in the CHNA with a detailed explanation of the issues, how this information was gathered, including primary and secondary data, what the goals are to deal with this issue and the next steps to attain these goals. The report addresses the top five health needs of the community and focuses on those issues. |
| Schedule H, Part V, Section B, Line 22d-DuBois Regional Medical Center | The discounts available to individuals under the policy will be at least equal to the average discount given to individuals with certain insurance plans. This minimum discount is calculated by determining what is called the amounts generally billed (AGB). The AGB establishes the limit as to what can be charged to an individual that qualifies for financial assistance. PHH/PHPN has chosen to use the look back method which reflects the average payment over a recent 12 month period of payments made to PHH/PHPN by Medicare and all private insurers. This AGB and if necessary the related discounts given to individuals will be updated at least annually. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | A discount of 40% is extended to uninsured patients not qualifying for charity care. A 60% discount is applied for patients with non-covered pharmacy expenses. |
| Schedule H, Part I, Line 7 | Actual amounts are used to calculate these figures. |
| Schedule H, Part III, Section A, Line 4 | Bad debt is estimated based on applying pre-established percentages to each payor balance in the organizations accounts receivable. Self-pay balance percentages are applied based on the accounts receivable aging. The percentages are based on historical bad debt information and assistance from the organization's financial auditors. |
| Schedule H, Part III, Section B, Line 8 | Medicare total revenue received and allowable costs are calculated using various lines from the Medicare cost report. To include professional component revenue, internal reports are used. The professional cost is calculated using the non-allowable physician costs from the cost report multiplied by the percentage of Medicare PCs to total PCs. |
| Schedule H, Part III, Section C, Line 9b | The hospital offers free and discounted charity care to those patients who qualify. A patient with family income at or below 200% of Schedule A of the poverty guidelines, or below this level due to medical indigency, is eligible to receive free medical services. Discounted services are offered to patients with a family income between 201% and 300% of Schedule A of the poverty guidelines. |
| Schedule H, Part VI, Line 2 | The hospital collects data on an ongoing basis regarding patients who travel to outlying areas for services not offered by DRMC. Based on this data, services are added and improved upon in order to serve the needs of the community as effectively and efficiently as possible. DRMC routinely sends patient satisfaction surveys to those receiving medical services. These surveys allow patients to offer suggestions regarding how the hospital could better serve them as patients and the community as a whole. DRMC offers a variety of education programs that allow employees to interact on a one-on-one basis with the residents of the community as a whole. In addition, the medical staff of the hospital consistently participates in research and continuing medical education. This knowledge allows the hospital to remain updated on the latest medical news and techniques in order to offer patients the highest and most innovative levels of care. DRMC hired an outside firm to assist with conduction a Community Health Needs Assessment. The contractor gathered secondary data in Clearfield and surrounding counties, conducted various focus groups with key audiences and users of healthcare and social services to identify areas for perspective improvement within the community. The contractor has developed a master plan of initiatives for DRMC which has been posted on the hospital's website. |
| Schedule H, Part VI, Line 3 | DRMC posts a Notice of Charity Care at all points of registration, including all employed physician practices. The notice includes a statement as to the availability of charity care and how to apply. DRMC employs a Financial Counselor who meets individually with all inpatients admitted to the facility who indicate no health care coverage. The Financial Counselor interviews the patient, and, if appropriate, discusses and educates the patient relative to Medical Assistance, Blue Chip and the hospital's charity program. The Financial Counselor competes and assists the patients with the necessary applications and follow-thru with the physician and the assigned County Board of Assistance casework. The Financial Counselor also contacts other patients with large dollar account balances to discuss and educate the patient's need for financial assistance. Additionally, DRMC employs a credit collections staff who also contacts, educates and offers assistance to other patients with financial need to help with health care costs. |
| Schedule H, Part VI, Line 4 | DRMC's 221 licensed beds are house in two facilities in DuBois, a small town in West Central Pennsylvania. The combined tradition of providing high quality, compassionate care began with its predecessors, DuBois Hospital and Maple Avenue Hospital in 1897. In 1985, the two organizations joined to create DuBois Regional Medical Center, and, since then, the medical center has grown for the benefit of the entire community. DRMC west houses acute inpatient care and a full range of ancillary services. DRMC East is the sight of the Behavioral Health unit. In addition, DRMC offers access to primary and specialty care health centers in several communities. As on of the largest private employers in Clearfield County, DRMC is a significant part of the area's economy. We take pride in the role we play in shaping the quality of life for residents of the communities we serve. We also believe that the population we serve is both very proud and grateful to have DRMC as their primary health care provider. |
| Schedule H, Part VI, Line 5 | DuBois Regional Medical Center offers residents of West Central Pennsylvania the combination of advanced healthcare in a warm, friendly environment. Widely recognized as one of the leading health centers of its kind in the Commonwealth, DRMC is an oasis of clinical and technical excellence, with a focus on patient-centered care. Our combined vision is to be positioned as the premier provider of comprehensive, quality services to our broad region. Providing inpatient and outpatient hospital care represents the largest portion of these services. DRMC's mission in maintaining these services is accomplished by providing assess to healthcare services for all, including individuals who are unable to pay for such services. DRMC has a tradition of serving the poor and under-priviledged of the area by providing care programs and services to enhance their quality of life. Beyond the inpatient and outpatient hospital care, there are many other ways in which DRMC and our employees serve our community every day. In addition to giving to organizations, they provide information on health and safety to the community. They provide direct patient care on a volunteer basis at the local DuBois Free Clinic. The clinic was established for low-income people who could not afford health insurance. The success and reputation of DRMC is a direct result of the dedicated efforts of our Board of Directors, Administration, Physicians and Staff. With the continued support of the DRMC family and the communities we serve, DRMC will remain a valuable resource to our area. |
| Schedule H, Part VI, Line 7 | Pennsylvania |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Raymond A Graeca | ||||||||||||||
| President Penn Highlands Healthcare | $0 | $559,163 | $0 | $115,150 | $0 | $17,984 | $0 | $94,474 | $0 | $17,075 | $0 | $803,846 | $0 | |
| John Sutika | ||||||||||||||
| President | $330,506 | $0 | $50,589 | $0 | $20,012 | $0 | $43,651 | $0 | $15,991 | $0 | $460,749 | $0 | $0 | $0 |
| Steven M Fontaine | ||||||||||||||
| COO Penn Highlands Healthcare | $0 | $333,546 | $0 | $62,836 | $0 | $9,925 | $0 | $21,642 | $0 | $17,908 | $0 | $445,857 | $0 | |
| Brian Kline | ||||||||||||||
| Vice Presdient | $254,892 | $0 | $29,262 | $0 | $0 | $0 | $22,985 | $0 | $6,945 | $0 | $314,084 | $0 | $0 | |
| Janice Hamscher | ||||||||||||||
| Vice President | $233,093 | $0 | $29,932 | $0 | $0 | $0 | $20,589 | $0 | $15,969 | $0 | $299,583 | $0 | $0 | |
| Travis Millinder | ||||||||||||||
| VP COO Physician Network | $214,385 | $0 | $23,742 | $0 | $0 | $0 | $19,319 | $0 | $15,996 | $0 | $273,442 | $0 | $0 | $0 |
| Russell Cameron | ||||||||||||||
| VP Chief Medical Officer | $398,404 | $0 | $90,901 | $0 | $4,602 | $0 | $28,600 | $0 | $13,958 | $0 | $536,465 | $0 | $0 | $0 |
| Richard Latuska | ||||||||||||||
| Physician | $612,400 | $0 | $279,904 | $0 | $0 | $0 | $10,600 | $0 | $17,631 | $0 | $920,535 | $0 | $0 | $0 |
| Mohamed Hassan | ||||||||||||||
| Physician | $556,000 | $0 | $401,975 | $0 | $0 | $0 | $10,600 | $0 | $17,155 | $0 | $985,730 | $0 | $0 | $0 |
| Grae Schuster | ||||||||||||||
| Physician | $565,642 | $0 | $294,945 | $0 | $0 | $0 | $0 | $0 | $11,973 | $0 | $872,560 | $0 | $0 | |
| Raj Kaushik | ||||||||||||||
| Physician | $675,000 | $0 | $0 | $0 | $11,667 | $0 | $3,115 | $0 | $13,593 | $0 | $703,375 | $0 | $0 | $0 |
| Sandeep Bansal | ||||||||||||||
| Physician | $489,275 | $0 | $332,453 | $0 | $0 | $0 | $10,600 | $0 | $16,292 | $0 | $848,620 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4 | Raymond Graeca - $18,000, John Sutika - $18,000, Steve Fontaine - $16,686, Brian Kline - $12,745, Janice Hamscher - $11,655, Travis Millinder - $10,719, Russell Cameron - $18,000 |
| Schedule J, Part I, Line 6 | Members of the management team are eligible for an incentive bonus each year based on predetermined criteria. Such criteria includes multiple factors such as meeting strategic and other performance metrics including growth of services, new services, customer satisfaction, financial performance, quality improvements, among others goals. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (18 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Michelle Sutika Bennett | |||
| Relative of officers | $128,514 | Compensation | 0 |
| Steven Graeca | |||
| Relative of Board Member | $528,813 | Compensation | 0 |
| Linda McKee | |||
| Relative of Officer | $26,318 | Compensation | 0 |
| Kristie Yount | |||
| Relative of Board Member | $90,138 | Compensation | 0 |
| Douglas Dale | |||
| Relative of Board Member | $36,693 | Compensation | 0 |
| Andrew Sutika | |||
| Relative of Board Member | $109,733 | Compensation | 0 |
| Lauren Dale Hospodar | |||
| Relative of Board Member | $55,647 | Compensation | 0 |
| Megan Devlin Bussard | |||
| Relative of Board Member | $109,566 | Compensation | 0 |
| Tricia Brigger | |||
| Relative of Board Member | $81,510 | Compensation | 0 |
| Ann Curtis | |||
| Relative of Board Member | $30,175 | Compensation | 0 |
| Julianne Hassan | |||
| Relative of Board Member | $66,649 | Compensation | 0 |
| Mark Stoltz | |||
| Relative of Board Member | $59,589 | Compensation | 0 |
| Cody Millinder | |||
| Relative of Board Member | $45,080 | Compensation | 0 |
| Kylee Millinder | |||
| Relative of Board Member | $39,878 | Compensation | 0 |
| Oncology Hematology Associates | |||
| Owned by a Board Member | $658,798 | Medical Services | 0 |
| William Nasuti | |||
| Relative of a Board Member | $32,674 | Compensation | 0 |
| Dr Gregory Roscoe | |||
| Board Member | $100,270 | Lease of Office Space from Trustee | 0 |
| Dr James Devlin | |||
| Trustee | $50,855 | Stipends and Medical Director Payments | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV | FormAndLineReferenceDesc |
| Explanation | Dr. C. Marchioli and Dr. H. El Kassas are owners of Oncology Hematology Associates of Northern Pennsylvania, PC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 7a | Effective October 1, 2011, Penn Highlands Healthcare became the other of DRMC. It holds certain reserved powers over DRMC, including the power to elect the directors of DRMC (other than ex-officio directors) from a panel of individuals submitted to PHH by DRMC's board and nominated by PHH's Governance/Nominating Committee. The Sisters of Mercy have a right to nominate up to three of its sisters to sit on the DRMC board of Directors (subject to certain restrictions). PHH also have the power to remove directors. |
| Form 990, Part VI, Section B, Line 11b | DRMC will be submitting the Form 990 to meet the May 15th deadline for filing. The complete Form 990 will be provided to the finance committee and board of directors at the May 2017 meetings. At that time, the committees will review the Form 990 and have the opportunity to discuss any information contained within the document. |
| Form 990, Part VI, Section B, Line 12c | Yearly, Board members are required to complete a new conflict of interest statement. At any time, any board member may question a possible conflict of interest and a thorough review would then be completed. |
| Form 990, Part VI, Section B, Line 15 | An independent firm is hired t compare, review, and recommend all senior officers' compensation. The Board of directors provides the final approval. |
| Form 990, Part VI, Section C, Line 18 | A copy of the Form 990 tax return is located in the administrative offices of DuBois Regional Medical Center. It is available for public inspection at any time upon request. |
| Form 990, Part VI, Section C, Line 19 | The conflict of interest statement and other governing documents are available to the public at the public's request. They are located tin a "Public Binder" in the administrative offices of DRMC |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nathan D Yingling Cancer Center | ||||||||||||
| 815 Doctors Drive | Clearfield | PA | 16830 | 205114093 | Radiation and Oncology Services | PA | 501 (c) (3) | 3 | Clearfield Hospital | DuBois Regional Medical Center | Yes (1) | |
| Brookville Hospital | ||||||||||||
| 100 Hospital Road | Brookville | PA | 15825 | 250984595 | Hospital | PA | 501 (c) (3) | 3 | Penn Highlands Healthcare | Yes (1) | ||
| Clearfield Hospital | ||||||||||||
| 809 Turnpike Avenue | Clearfield | PA | 16830 | 250979346 | Hospital | PA | 501 (c) (3) | 3 | Penn Highlands Healthcare | Yes (1) | ||
| Penn Highlands Healthcare | ||||||||||||
| 100 Hospital Avenue | DuBois | PA | 15801 | 320345810 | Hospital Mgmt Services | PA | 501 (c) (3) | 11c | 0 | N/A | ||
| Elk Regional Health Center | ||||||||||||
| 763 Johnsonburg Road | St Marys | PA | 15857 | 250585230 | Hospital | PA | 501 (c) (3) | 3 | Penn Highlands Healthcare | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kidney Care Services LLC | |||||||||||||
| 635 Maple Ave Suite D | DuBois | PA | 15801 | 510644566 | Dialysis Services | PA | N/A | Related | -$2,784 | $6,563 | 0 | Yes (1) | 0.74 |
| Kidney Care Services DuBois | |||||||||||||
| 635 Maple Ave Suite D | DuBois | PA | 15801 | 510644542 | Dialysis Services | PA | N/A | Related | $4,097 | $9,790 | 0 | Yes (1) | 0.69 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DuBois Regional Medical Group | ||||||||||||
| PO Box 447 | DuBois | PA | 15801 | 251856569 | Pediatric Services | PA | N/A | C | -$2,367,119 | $2,061,572 | 1 | 0 |
| DuBois Medical Risk Retention Group | ||||||||||||
| PO Box 447 | DuBois | PA | 15801 | 200324622 | Insurance Services | PA | N/A | C | $244,609 | $11,531,731 | 1 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | 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 (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DuBois Medical Risk Retention Group | ||
| m | $980,865 | Cost |
| Brookville Hospital | ||
| k | $36,521 | |
| Brookville Hospital | ||
| p | $88,173 | Cost |
| Elk Regional Health Center | ||
| k | $392,712 | Cost |
| Elk Regional Health Center | ||
| p | $318,623 | Cost |
| Clearfield Hospital | ||
| k | $129,533 | Cost |
| Clearfield Hospital | ||
| p | $34,173 | Cost |
| Penn Highlands Healthcare | ||
| m | $9,388,189 | Cost |
| DuBois Medical Risk Retention Group | ||
| l | $12,000 | Cost |
| Brookville Hospital | ||
| j | $81,422 | Cost |
| Brookville Hospital | ||
| q | $1,150,815 | Cost |
| Clearfield Hospital | ||
| j | $27,943 | Cost |
| Clearfield Hospital | ||
| q | $971,685 | No |
| Elk Regional Health Center | ||
| q | $1,312,721 | Cost |
| Penn Highlands Healthcare | ||
| q | $7,401,382 | Cost |
| DuBois Regional Medical Group | ||
| q | $7,391,202 | Cost |
| DuBois Regional Medical Group | ||
| p | $203,669 | Cost |
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