FURP.ORG / PUBLIC DATA EXPLORER

WARREN GENERAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WARREN GENERAL HOSPITAL (EIN 25-0965598)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-19
IRS object ID
201521399349300202
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-19T07:33:21-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12402 W 8th StreetAddressLine1
CityErieCity
StatePAState
ZIP Code16505ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965598EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Warren General HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JULIE JACOBSInCareOfNm
Business Name ControlWARRBusinessNameControlTxt
Phone8147234973PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Two Crescent Park WestAddressLine1
Address Line2SuiteAddressLine2
CityWarrenCity
StatePAState
ZIP Code16365ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJULIE JACOBSPersonNm
Person TitleDIRECTOR FISCAL SVCSPersonTitleTxt
Phone8147233300PhoneNum
Signature2015-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCraig C MoffattPreparerPersonNm
PTINP00077574PTIN
Phone8147233300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$76,130,798GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.wgh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1898FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE SERVICES TO THE PUBLIC INCLUDING INPATIENT ACUTE CARE, PSYCHIATRIC CARE, 24-HR EMERGENCY CARE, AND OTHER OUTPATIENT SERVICES TO WARREN COUNTIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee694TotalEmployeeCnt
Total Volunteers14981TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$257,141PYContributionsGrantsAmt
CY Contributions Grants$1,064,817CYContributionsGrantsAmt
PY Program Service Revenue$68,763,579PYProgramServiceRevenueAmt
CY Program Service Revenue$68,850,062CYProgramServiceRevenueAmt
PY Investment Income$1,873,695PYInvestmentIncomeAmt
CY Investment Income$982,993CYInvestmentIncomeAmt
PY Other Revenue$1,353,094PYOtherRevenueAmt
CY Other Revenue$2,806,008CYOtherRevenueAmt
PY Total Revenue$72,247,509PYTotalRevenueAmt
CY Total Revenue$73,703,880CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,151,068PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,279,720CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$145,496CYTotalFundraisingExpenseAmt
PY Other Expenses$42,599,828PYOtherExpensesAmt
CY Other Expenses$43,671,637CYOtherExpensesAmt
PY Total Expenses$77,750,896PYTotalExpensesAmt
CY Total Expenses$78,951,357CYTotalExpensesAmt
PY Revenues Less Expenses-$5,503,387PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,247,477CYRevenuesLessExpensesAmt
Total Assets BOY$55,524,241TotalAssetsBOYAmt
Total Assets EOY$54,852,715TotalAssetsEOYAmt
Total Liabilities BOY$22,301,245TotalLiabilitiesBOYAmt
Total Liabilities EOY$27,607,872TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,222,996NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,244,843NetAssetsOrFundBalancesEOYAmt
MissionWarren General Hospital's mission is to provide community healthcare with quality and compassion. We strive to improve the community's health, lead a vision for the healthcare future, and maintain fiscal viability while providing core healthcare services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$63,210,959ExpenseAmt
Revenue$68,850,062RevenueAmt
DescWarren General Hospital provides healthcare services to the public. These healthcare services include: inpatient acute and psychiatric care, skilled nursing, 24-hour emergency care, outpatient home care and other outpatient services for residents of Warren County, Pa and the surrounding areas. The hospital also operates two outpatient dental clinics for those underinsured/uninsured residents in need of dental services. As part of its commitment to the community, the hospital provides care to individuals regardless of their ability to pay. A charity care program is utilized for those who have need for healthcare services but limited resources for payment. This program provides relief from payment up to 100% for those who meet the qualifications, despite cost. In addtion, the hospital provides care to patients who qualify for medicaid, even though the cost of providing those services exceed the program's reimbursements. The hospital also provides free screenings (in collaboration with local service organizations) for cancer, diabetes, heart disease, vascular disease, and osteoporosis. In addition, rural community health fairs are sponsored, providing diagnostic testing and healthcare education to participants. Various community service organizations utilize the hospital's resources, both space and staff, to send a message or support a program that coincides with the hospital's mission.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$148,500ExpenseAmt
Revenue$103,357RevenueAmt
DescWarren General Hospital Auxiliary provides support to the hospital's activities through volunteer and fundraising activities.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$63,359,459TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee694EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJULIE JACOBSPersonNm
Phone8147233300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1TWO CRESENT PARKAddressLine1
CityWARRENCity
StatePAState
ZIP Code16365ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
VIJAYA K AGARWALA MD
Board member40.00.0Yes (X)$451,696$0$35,686
KIMBERLY J ANGOVE
SECRETARY0.50.0Yes (X)$0$0$0Yes (X)
JULIUS W BERTA MD
BOARD MEMBER0.50.0Yes (X)$0$0$0
TIMOTHY R BEVEVINO
BOARD MEMBER0.50.0Yes (X)$0$0$0
CHRISTOPHER DARLING
BOARD MEMBER0.50.0Yes (X)$0$0$0
CARMEN N FERRANTO
PRESIDENT0.50.0Yes (X)$0$0$0Yes (X)
TIMOTHY A HUBER
TREASURER0.50.0Yes (X)$0$0$0Yes (X)
GARY L MCAFOOS MD
BOARD MEMBER0.50.0Yes (X)$0$0$0
DAVID M MCCONNELL JR MD
BOARD MEMBER0.50.0Yes (X)$0$0$0
STEVE ROTHENBERG
BOARD MEMBER0.50.0Yes (X)$0$0$0
JOHN J SUTTON MD
BOARD MEMBER40.00.0Yes (X)$277,718$0$34,536
JOHN PAPALIA
CEO40.00.0$451,443$0$27,405Yes (X)
JODI BEVEVINO
CORPORATE COMPLIANCE OFFICER40.00.0$139,663$0$26,648Yes (X)
TRUDY BLOOMQUIST
CNO40.00.0$116,114$0$25,072Yes (X)
RANDY CALIFORNIA
COO40.00.0$239,638$0$34,542Yes (X)
KAREN COOMBS
COO - WMG40.00.0$167,480$0$29,052Yes (X)
JAMES FISCUS
COO40.00.0$176,414$0$29,527Yes (X)
DOUGLAS MEGILL
CHIEF CLINICAL OFFICER40.00.0$213,112$0$32,587Yes (X)
NIAZ AHMED
PHYSICIAN40.00.0$538,898$0$35,686Yes (X)
LEROY KORB
PHYSICIAN40.00.0$828,365$0$35,686Yes (X)
PIERRE-JEAN LATTANZIO
PHYSICIAN40.00.0$662,220$0$16,656Yes (X)
TREVOR OLSEN
PHYSICIAN40.00.0$584,279$0$35,686Yes (X)
DAVID THOMAS
PHYSICIAN40.00.0$521,432$0$35,686Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,368,472TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$434,455TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K43IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
GROUP MEDICAL SERVICES INC
2 CRESENT PARK WESTWARRENPA16365HEALTHCARE SERVICES$1,040,971
KINGS MEDICAL COMPANY
PO BOX 72517CLEVELANDOH44192MRI SERVICES$624,205
DEERFIELD BEHAVIORAL HEALTH
2808 STATE STREETERIEPA16508PSYCHIATRIC SERVICES$527,932
WARREN OBSTETRICS GYNECOLOGY
MARKET STREET EXTENSIONWARRENPA16365HEALTHCARE SERVICES$579,613
LABCORP
PO BOX 12140BURLINGTONNC27216LABORATORY SERVICES$371,278
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Fundraising$22,581FundraisingAmt
All Other Contributions$1,042,236AllOtherContributionsAmt
Total Contributions$1,064,817TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTPATIENT SERVICES621400$45,867,215$45,867,215
INPATIENT SERVICES623990$20,766,746$20,766,746
HOME HEALTH SERVICES621610$1,901,518$1,901,518
CAFETERIA REVENUE900099$221,787$221,787
OTHER621990$92,796$92,796
FieldValueIRS element (for citing)
Total Program Service Revenue$68,850,062TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$200,877TotalRevenueColumnAmt
Exclusion$200,877ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$219,866RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$219,866RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$219,866TotalRevenueColumnAmt
Related Or Exempt Func Income$219,866RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,176,837SecuritiesAmt
Other$3,831OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,385,636SecuritiesAmt
Other$12,916OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$791,201SecuritiesAmt
Other-$9,085OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$782,116TotalRevenueColumnAmt
Exclusion$782,116ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$31,933FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$22,581ContriRptFundraisingEventAmt
Fundraising Direct Expenses$28,366FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,567TotalRevenueColumnAmt
Exclusion$3,567ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$303GamingGrossIncomeAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$303TotalRevenueColumnAmt
Exclusion$303ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ONCOLOGY SUBWORK900099$238,677$238,677
VANTAGE/DEERFIELD/CHART900099$336,578$336,578
AUXILIARY/WINDOW BOX900099$103,357$103,357

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,903,660TotalRevenueColumnAmt
Exclusion$1,903,660ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,582,272OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,703,880TotalRevenueColumnAmt
Related Or Exempt Func Income$69,411,962RelatedOrExemptFuncIncomeAmt
Exclusion$3,227,101ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,078,287TotalAmt
Program Services$616,320ProgramServicesAmt
Management And General$1,461,967ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,298,457TotalAmt
Program Services$15,823,791ProgramServicesAmt
Management And General$6,412,515ManagementAndGeneralAmt
Fundraising$62,151FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,737,006TotalAmt
Program Services$1,845,886ProgramServicesAmt
Management And General$884,142ManagementAndGeneralAmt
Fundraising$6,978FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,052,000TotalAmt
Program Services$4,081,577ProgramServicesAmt
Management And General$1,954,993ManagementAndGeneralAmt
Fundraising$15,430FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,113,970TotalAmt
Program Services$1,425,699ProgramServicesAmt
Management And General$682,881ManagementAndGeneralAmt
Fundraising$5,390FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$328,868TotalAmt
Management And General$328,868ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$101,448TotalAmt
Management And General$101,448ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,109,484TotalAmt
Program Services$16,182,843ProgramServicesAmt
Management And General$926,641ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$845,596TotalAmt
Program Services$408,130ProgramServicesAmt
Management And General$423,607ManagementAndGeneralAmt
Fundraising$13,859FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,516,585TotalAmt
Program Services$2,995,274ProgramServicesAmt
Management And General$521,311ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$449,670TotalAmt
Program Services$169,837ProgramServicesAmt
Management And General$278,825ManagementAndGeneralAmt
Fundraising$1,008FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$184,260TotalAmt
Program Services$184,260ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,855,458TotalAmt
Program Services$2,855,458ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$988,692TotalAmt
Program Services$988,692ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$11,199,978$11,199,978
Bad Debt Expense$3,432,399$3,356,100$76,299
LICENSES AND FEES$973,428$253,910$719,301$217
EQUIPMENT RENTALS AND LEASES$289,123$287,936$1,187

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,396,648TotalAmt
Program Services$683,768ProgramServicesAmt
Management And General$672,417ManagementAndGeneralAmt
Fundraising$40,463FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$78,951,357TotalAmt
Program Services$63,359,459ProgramServicesAmt
Management And General$15,446,402ManagementAndGeneralAmt
Fundraising$145,496FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$551,316BOYAmt
EOY$158,468EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$689,430BOYAmt
EOY$407,587EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,016,805BOYAmt
EOY$8,216,705EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,441,000BOYAmt
EOY$1,548,617EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$618,918BOYAmt
EOY$577,281EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$80,541,627LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,628,808LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,905,971BOYAmt
EOY$22,912,819EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,981,000BOYAmt
EOY$15,939,724EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,319,801BOYAmt
EOY$5,091,514EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,524,241BOYAmt
EOY$54,852,715EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,189,192BOYAmt
EOY$7,975,389EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,244BOYAmt
EOY$19,239EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,393,591BOYAmt
EOY$4,611,100EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,692,218BOYAmt
EOY$15,002,144EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,301,245BOYAmt
EOY$27,607,872EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,116,825BOYAmt
EOY$16,116,850EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,364,315BOYAmt
EOY$5,896,156EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,741,856BOYAmt
EOY$5,231,837EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,222,996BOYAmt
EOY$27,244,843EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,524,241BOYAmt
EOY$54,852,715EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,247,477ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,019,226NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,749,902OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,106,171BeginningYearBalanceAmt
Contributions$1,001,118ContributionsAmt
Investment Earnings Or Losses$1,291,010InvestmentEarningsOrLossesAmt
Other Expenditures$256,830OtherExpendituresAmt
Administrative Expenses$13,476AdministrativeExpensesAmt
End Year Balance$11,127,993EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,948,456BeginningYearBalanceAmt
Contributions$99,909ContributionsAmt
Investment Earnings Or Losses$959,373InvestmentEarningsOrLossesAmt
Other Expenditures$1,888,832OtherExpendituresAmt
Administrative Expenses$12,735AdministrativeExpensesAmt
End Year Balance$9,106,171EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,391,676BeginningYearBalanceAmt
Contributions$2,342,897ContributionsAmt
Investment Earnings Or Losses-$195,755InvestmentEarningsOrLossesAmt
Other Expenditures$577,004OtherExpendituresAmt
Administrative Expenses$13,358AdministrativeExpensesAmt
End Year Balance$9,948,456EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,583,914BeginningYearBalanceAmt
Contributions$336,153ContributionsAmt
Investment Earnings Or Losses$1,463,868InvestmentEarningsOrLossesAmt
Other Expenditures$979,694OtherExpendituresAmt
Administrative Expenses$12,565AdministrativeExpensesAmt
End Year Balance$8,391,676EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,796,279BeginningYearBalanceAmt
Contributions$533,678ContributionsAmt
Investment Earnings Or Losses$674,527InvestmentEarningsOrLossesAmt
Other Expenditures$410,069OtherExpendituresAmt
Administrative Expenses$10,531AdministrativeExpensesAmt
End Year Balance$7,583,884EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.47020PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.52980TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$503,941OtherCostOrOtherBasisAmt
Book Value$503,941BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,419,485OtherCostOrOtherBasisAmt
Depreciation$13,480,900DepreciationAmt
Book Value$9,938,585BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,288,171OtherCostOrOtherBasisAmt
Depreciation$1,359,086DepreciationAmt
Book Value$1,929,085BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,330,029OtherCostOrOtherBasisAmt
Depreciation$42,788,821DepreciationAmt
Book Value$10,541,208BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$22,912,819TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$9,419
OTHER ASSETS$2,785,774
EQUITY METHOD INVESTMENTS$2,296,321
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,091,514TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYOR$1,059,663
ACCRUED POST RETIREMENT BENEFIT$265,461
ACCRUED PENSION COSTS$12,418,214
CAPITAL LEASE OBLIGATIONS$1,258,806
FieldValueIRS element (for citing)
Total Liability$15,002,144TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$74,608,052TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,019,226NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,019,226RevenueNotReportedAmt
Revenue Subtotal$73,588,826RevenueSubtotalAmt
Other Revenues Not Included$115,054OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$115,054RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$73,703,880TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$80,552,759TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,749,902OtherExpensesIncludedAmt
Expenses Not Reported$1,749,902ExpensesNotReportedAmt
Expenses Subtotal$78,802,857ExpensesSubtotalAmt
Other Expenses Not Included$148,500OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$148,500ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$78,951,357TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4THE TEMPORARILY RESTRICTED FUNDS HELD IN ENDOWMENT ARE RESTRICTED FOR HEALTH CARE SERVICES, THE HOSPITAL'S BUILDING AND EQUIPMENT, AND CONSTRUCTION FOR THE CANCER CENTER BUILDING AND EQUIPMENT. THE PERMANENTLY RESTRICTED FUNDS HELD IN ENDOWMENT ARE RESTRICTED TO SUPPORT THE HOSPITAL'S HEALTH CARE SERVICES.
PART XI, LINE 4BOTHER ADJUSTMENTS: AUXILIARY/WINDOW BOX INCOME $115,054
PART XII, LINE 2DOTHER ADJUSTMENTS: TRANSFER TO AFFILIATE: $ 82,197 PENSION RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $1,617,772 POST-RETIREMENT RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $ 49,933 TOTAL TO SCHEDULE D, PART XII, LINE 2D $1,749,902
PART XII, LINE 4BOTHER ADJUSTMENTS: AUXILIARY / WINDOW BOX EXPENSES: $148,500

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1HOSPITAL BALLNameOfEvent1Amt
Gross Receipts Event1$31,773GrossReceiptsEvent1Amt
Charitable Contri Event1$22,581CharitableContriEvent1Amt
Gross Revenue Event1$9,192GrossRevenueEvent1Amt
Rent Facility Costs Event1$6,321RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,137FoodAndBeverageEvent1Amt
Entertainment Event1$5,000EntertainmentEvent1Amt
Other Direct Expenses Event1$3,921OtherDirectExpensesEvent1Amt
Name Of Event2GOLF OUTINGNameOfEvent2Amt
Gross Receipts Event2$22,741GrossReceiptsEvent2Amt
Gross Revenue Event2$22,741GrossRevenueEvent2Amt
Non Cash Prizes Event2$784NonCashPrizesEvent2Amt
Food And Beverage Event2$6,751FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$452OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$54,514GrossReceiptsTotalAmt
Charitable Contributions Tot$22,581CharitableContributionsTotAmt
Gross Revenue Total Events$31,933GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$784NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,321RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$11,888FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,373OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$28,366DirectExpenseSummaryEventsAmt
Net Income Summary$3,567NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$195,255TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$195,255NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,063,562TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,063,562NetCommunityBenefitExpnsAmt
Total Expense0.03880TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,043TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,043NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,322,860TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,322,860NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,186TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$83,186NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,000NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$820,278TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$820,278NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,016NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$957,480TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$957,480NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,280,340TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,280,340NetCommunityBenefitExpnsAmt
Total Expense0.05430TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$266,511TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$266,511NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$276,511TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$276,511NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,336,251BadDebtExpenseAmt
Bad Debt Expense Attributable$133,625BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,250,280ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$23,447,562CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,197,282MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
PINEGROVE AMBULATORY
OUTPATIENT AMBULATORY SURGERY0.350000.110000.54000
MEDIPAR ASSOCIATES
REAL ESTATE FOR MEDICAL BLDG0.860000.14000
SENIOR LIVING SVCS
OUTPATIENT REHABILITATION0.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Warren General HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Two Crescent Park WestAddressLine1
CityWarrenCity
StatePAState
ZIP Code16365ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WARREN GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.WGH.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3DEMOGRAPHIC INFORMATION, SECONDARY DATA STATISTICS, AND RESULTS OF PHYSICIAN SURVEY WERE PROVIDED TO THE GROUP IN THE FORM OF A POWER POINT PRESENTATION. THE PERSONS THE HOSPITAL CONSULTED WITH WERE AS FOLLOWS: Nutrition Education Advisor from Penn State Nutrition Link - Carol Wilcox Senior Income Development Rep from American Cancer Society/Warren County - Marie Costello Executive Director from Warren County Housing Authority - Tonya Mitchell-Weston RNC from PA Dept of Health/Warren County - Barbara White Executive Director of Experience Inc./Area Agency on Aging - Farley Wright Warren County Sheriff - William Gardner Police Lieutenant from Warren Police Department - James Jordan WGH Director of Marketing and Development - George Lilja Psychiatrist from Deerfield Behavioral Health - Mark Beuger, MD VP of Program Evaluation from Beacon Light Behavioral Health - Becky Jensen WGH Diabetes Educator - Nancy Mague Administrator of the Rouse Home - Cindy Walters Superintendent of Warren County School District - Brandon Huffnagel Office Manager and Program Development Specialist at Deerfield Behavioral Health - Susan Teconchuk WGH Director of Patient & Public Relations - Holli Summerville COO of Warren Medical Group - Karen Coombs Executive Director of the Warren County YMCA - Thad Turner Warren General Hospital Alcohol/Drug Counselor - Jessica Uber
PART V, SECTION B, LINE 5CINFORMATION ON HOW TO ACCESS THE CHNA WAS PUBLISHED IN THE WGH QUARTERLY NEWSLETTER.
PART V, SECTION B, LINE 14GTHE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO SPEAKS WITH ELIGIBLE INDIVIDUALS REGARDING OUR FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, LINE 16ETHE HOSPITAL CONTRACTS WITH A RECEIVABLES MANAGEMENT COMPANY TO HANDLE OUR SELF-PAY ACCOUNTS RECEIVABLE FROM DAY 1 TO 120. AFTER DAY 120 THE ACCOUNTS ARE SENT TO A COLLECTIONS AGENCY WHO AT THAT TIME REPORTS THE INDIVIDUAL(S) TO A CREDIT AGENCY.
PART V, SECTION B, LINE 18ETHE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO SPEAKS WITH ELIGIBILE INDIVIDUALS REGARDING OUR FINANCIAL ASSISTANCE POLICY. SHE ASSISTS INDIVIDUALS IN APPLYING FOR OUR STATE MEDICAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 20SELF PAY CHARGES ARE SET AT 50% OF GROSS CHARGES, WHICH REPRESENTS AN AVERAGE OF OUR COMMERCIAL INSURANCE REIMBURSEMENT.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN FTHE HOSPITAL CALCULATED AN OVERALL COST TO CHARGE RATIO USING TOTAL GROSS CHARGES AND TOTAL OPERATING COSTS LESS BAD DEBT EXPENSE. THE HOSPITAL THEN REDUCED ITS BAD DEBT TO COST.
PART II, LINE 8THE HOSPITAL SPEND $266,511 JUST ON THE DIRECT EXPENSE OF RECRUITING PHYSICIANS INTO OUR RURAL MARKET IN FY 2014. THE DIRECT HEALTH BENEFITS AND INDIRECT ECONOMINC BENEFITS OF OUR EMPLOYMENT AND SPENDING ARE SUBSTANTIAL. OUR TRADE ASSOCIATION ESTIMATES THAT THE ECONOMIC IMPACT (DIRECT SPENDING OF THE HOSPITAL PLUS INDIRECT BENEFITS ON OUR COMMUNITY) IS OVER $100 MILLION DOLLARS.
PART III, LINE 4PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.
PART III, LINE 8THE HOSPITAL'S LARGEST GOVERNMENTAL PAYER IS THE FEDERAL MEDICARE PROGRAM. THE HOSPITAL'S COSTS ARE GREATER THAN PROGRAM REIMBURSEMENTS. IT IS CLEARLY A COMMUNITY BENEFIT FOR THE HOSPITAL TO PROVIDE RURAL ACCESS TO MEDICARE BENEFICIARIES IN TERMS OF TIME, DISTANCE, AND WEATHER CONDITIONS ISSUES.
PART III, LINE 9BTHE HOSPITAL EMPLOYS MANY METHODS TO IDENTIFY THOSE WHO QUALIFY FOR CHARITY CARE OR DISCOUNTED CARE. THE HOSPITAL ALSO EMPLOYS A FULL TIME COUNSELOR WHO ASSISTS FAMILIES WITH CHARITY CARE, MEDICAID APPLICATIONS, AND ADVOCACY.
PART VI, LINE 2THE HOSPITAL CONDUCTIONS ANNUAL STRATEGIC PLANNING WITH A FOCUS ON COMMUNITY HEALTH NEEDS. THE HOSPITAL USES METRICS SUCH AS "HEALTHY PEOPLE" AND PLANS SERVICES NEEDS ACCORDINGLY. THIS PROCESS IS INTERACTIVE AND HAS RESULTED IN THE EXPANSION OF PRIMARY DENTAL SERVICES IN 2010 AS ONE EXAMPLE. WE ALSO DRIVE OUR DOCTOR RECRUITING PLAN FROM THIS PROCESS.
PART VI, LINE 3THE HOSPITAL ADVERTISES ITS PROGRAMS IN LOCAL NEWSPAPERS. WE ALSO HAVE BROCHURES AVAILABLE AT OUR SERVICES LOCATIONS AND EMPLOYED DR'S OFFICES. OUR INTAKE STAFF ARE AWARE OF THESE PROGRAMS AND MAKE PATIENTS AWARE OF OUR COUNSELOR AS WELL. THIS FULL TIME PERSON HELPS IDENTIFY AND ASSISTS PATIENTS WITH CHARITY CARE, DISCOUNTED CARE, MEDICAL ASSISTANCE APPLICATIONS, AND ADVOCACY.
PART VI, LINE 4WARREN COUNTY HAS A POPULATION OF APPROXIMATELY 40,000. THE COUNTY IS A LARGE GEOGRAPHIC SIZE WITH MANY RURAL AND SMALL COMMUNITIES. Warren County Ranks 13th of 67 counties in Pennsylvania in terms of overall health outcomes Warren County ranks 48th of 67 counties in Pennsylvania in terms of health factors 17.5% of the population is +65 state avg 15.2% 27% adult population smokes*- state avg. 23% 28% adult obesity*-state avg. 28% 16% poor health* - state avg. 14% 12% uninsured adults* - state avg. 12%
PART VI, LINE 5WE HAVE AN OPEN MEDICAL STAFF, A DIVERSE COMMUNITY BOARD, AND ALL OF OUR SURPLUS IS USED TO SUSTAIN AND REINVEST IN OUR ASSOCIATES AND PLANT AND FUND BALANCE TO ASSURE LONG TERM VIABILITY AND ACCESS IN OUR COMMUNITY.
PART VI, LINE 6 - 7N/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
VIJAYA K AGARWALA MD
Board member$340,769$0$0$0$110,927$0$0$0$0$0$451,696$0$0$0
JOHN J SUTTON MD
BOARD MEMBER$209,144$0$16,438$0$52,136$0$0$0$0$0$277,718$0$0$0
JODI BEVEVINO
CORPORATE COMPLIANCE OFFICER$139,663$0$0$0$0$0$0$0$0$0$139,663$0$0$0
NIAZ AHMED
PHYSICIAN$383,131$0$0$0$155,767$0$0$0$0$0$538,898$0$0$0
RANDY CALIFORNIA
COO$197,266$0$24,000$0$18,372$0$0$0$0$0$239,638$0$0$0
KAREN COOMBS
COO - WMG$123,712$0$16,750$0$27,018$0$0$0$0$0$167,480$0$0$0
JAMES FISCUS
COO$146,227$0$28,300$0$1,887$0$0$0$0$0$176,414$0$0$0
LEROY KORB
PHYSICIAN$391,690$0$382,133$0$54,542$0$0$0$0$0$828,365$0$0$0
PIERRE-JEAN LATTANZIO
PHYSICIAN$629,472$0$32,000$0$748$0$0$0$0$0$662,220$0$0$0
DOUGLAS MEGILL
CHIEF CLINICAL OFFICER$211,225$0$0$0$1,887$0$0$0$0$0$213,112$0$0$0
TREVOR OLSEN
PHYSICIAN$554,678$0$0$0$29,601$0$0$0$0$0$584,279$0$0$0
DAVID THOMAS
PHYSICIAN$368,899$0$98,245$0$54,288$0$0$0$0$0$521,432$0$0$0
JOHN PAPALIA
CEO$399,684$0$27,600$0$24,159$0$0$0$0$0$451,443$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1A:SPOUSAL TRAVEL AND SOCIAL CLUB DUES ARE PAID FOR THE CHIEF EXECUTIVE OFFICER.
PART I, LINE 4B:FIVE EMPLOYEES LISTED ABOVE ARE PARTICIPANTS OF ACTIVE 457(F) PLANS: VIJAYA K. AGARWALA, M.D.: $16,667 NIAZ AHMED: $20,000 RANDY CALIFORNIA: $14,546 LEROY KORB: $33,333 TREVOR OLSEN: $10,714
PART I, LINE 5:THE HOSPITAL HAS AN EMPLOYMENT CONTRACT WITH DR. KORB THAT PAYS A BASE SALARY AND ALSO AN INCENTIVE BASED ON COLLECTED REVENUES. IN ADDITION, DR. SUTTON, DR. LATTANZIO, AND DR. THOMAS RECEIVED AN INCENTIVE PAYMENT DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2013 BASED UPON EXCEEDING THEIR SET RVU LEVELS.
PART I, LINE 6:THE HOPSITAL USES A PAY FOR PERFORMANCE SYSTEM BALANCED SCORECARD FOR INCENTIVE COMPENSATION FOR SOME OF ITS MANAGERS. NET EARNINGS REPRESENTS ONLY ONE COMPONENT OF THE FORMULUA WHICH ALSO HAS PATIENT SATISFACTION, CLINICAL QUALITY, AND PATIENT SAFETY MEASURES.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementIndBalance DueBalanceDueAmtLoan PurposeLoanPurposeTxt
John Papalia
CEOYes (X)$100,000falseYes (true)Yes (true)
DAVID THOMAS
PHYSICIANYes (X)$207,000falseYes (true)Yes (true)$101,036
TREVOR OLSEN
PHYSICIANYes (X)$85,000falseYes (true)Yes (true)$36,833EDUCATION
FieldValueIRS element (for citing)
Total Balance Due$137,869TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
TIM BEVEVINO
BOARD MEMBER$138,607WIFE EMPLOYEED BY WGHfalse
TIM BEVEVINO
BOARD MEMBER$21,817LEGAL SERVICES PAID TO FIRMfalse
NORTHWEST SAVINGS BANK
BOARD MEMBER$152,263INTEREST EXPENSE PAIDfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A, LINE 2JODI BEVEVINO, CORPORATE COMPLIANCE OFFICER, IS A KEY EMPLOYEE AND HER SPOUSE, TIM BEVEVINO IS BOARD MEMBER. PART VI, SECTION A, LINE 6 CARE CORPORATION OF WARREN IS THE SOLE CORPORATE MEMBER OF WARREN GENERAL HOSPITAL.
PART VI, SECTION A, LINE 7ACARE CORPORATION OF WARREN, THE PARENT COMPANY, APPOINTS THREE OF THE MEMBERS OF THE WARREN GENERAL HOSPITAL BOARD OF DIRECTORS.
PART VI, SECTION A, LINE 7BSPECIFIC DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF CARE CORPORATION OF WARREN, THE PARENT COMPANY OF WARREN GENERAL HOSPITAL.
PART VI, SECTION B, LINE 11MANAGEMENT EMAILED A COPY OF THE FORM 990 TO ALL BOARD MEMBERS BEFORE FILING.
PART VI, SECTION B, LINE 12CEACH YEAR THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS WHICH MAY CREATE A CONFLICT. EACH BOARD OF DIRECTOR AGREES TO REFRAIN FROM VOTING ON ANY ITEM IN WHICH A CONFLICT MAY EXIST. ANNUALLY, THE CORPORATE COMPLIANCE OFFICER REVIEWS THE POLICY AND AUDITS THE SIGNATURES.
PART VI, SECTION B, LINE 15THE HOSPITAL PARTICIPATES IN THE YAFFEE AND COMPANY HOSPITAL ASSOCIATION OF PENNSYLVANIA COUNCIL OF SMALL HOSPITALS EXECUTIVE COMPENSATION SURVEY. THIS INSTRUMENT SURVEYS HOSPITALS OF LIKE SIZE AND WITHIN OUR GEOGRAPHY. THE HOSPITAL BOARD CHOSE THIS INSTRUMENT DUE TO ITS RELEVANCY TO THE HOSPITAL'S MARKET. THE SURVEY DATA IS USED BY THE HOSPITAL BOARD OF DIRECTORS COMPENSATION COMMITTEE FOR COMPARISONS OF COMPENSATION AND BENEFITS FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE COMPENSATION COMMITTEE REPORTS ITS FINDINGS AND MAKES RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW, DELIBERATION, AND APPROVAL OR MODIFICATION. THE HOSPITAL BOARD OF DIRECTORS ALSO APPOINTED A COMMITTEE CALLED THE MANAGEMENT TRANSACTION AND AUDIT COMMITTEE TO REVIEW ALL TRANSACTIONS BETWEEN THE HOSPITAL AND PHYSICIANS. THIS BODY REVIEWS SEVERAL PHYSICIAN COMPENSATION SURVEYS (SUCH AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION SURVEY AND THE MERRITT HAWKINS SURVEY) TO ESTABLISH COMPARISONS FOR PHYSICIAN COMPENSATION.
PART VI, SECTION B, LINE 16WRITTEN POLICY OR PROCEDURES REGARDING PARTICIPATION IN JOINT VENTURE THE HOSPITAL BOARD OF DIRECTORS MUST ULTIMATELY APPROVE ANY INVESTMENTS IN ANY JOINT VENTURE OR SIMILAR ARRANGEMENT. AS AN ADDITIONAL STEP, THE HOSPITAL BOARD OF DIRECTORS APPOINTED A COMMITTEE CALLED THE MANAGEMENT TRANSACTION & AUDIT COMMITTEE THAT REVIEWS ALL TRANSACTIONS BETWEEN THE HOSPITAL AND PHYSICIANS. AS PART OF ITS GOVERNANCE AND OVERSIGHT ROLE, THE FULL HOSPITAL BOARD ALSO SUBJECTS ANY JOINT VENTURE ARRANGEMENTS TO LEGAL REVIEW PRIOR TO ANY INVESTMENT BY THE HOSPITAL.
PART VI, SECTION C, LINE 19EACH YEAR A COMBINED CORPORATE MEETING IS HELD IN WHICH THE PUBLIC IS WELCOME TO ATTEND. IN ADDITION, DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC IF THEY ARE REQUESTED IN PERSON OR IN WRITING.
PART XI, LINE 9OTHER CHANGES IN NET ASSETS: TRANSFER TO AFFILIATE: $ 82,197 PENSION RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $1,617,772 POST-RETIREMENT RELATED CHANGES UNDER GAAP OTHER THAN NET PERIODIC COSTS: $ 49,933 TOTAL TO PART XI, LINE 9: $1,749,902
PART XII, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING SERVICES TOTAL FEES:173305
FORM 990 PART IX LINE 11GDESCRIPTION:LINEN SERVICES TOTAL FEES:203522
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:3332716
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION AGENCY TOTAL FEES:195452
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIANS FEES TOTAL FEES:8830616
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:4373873

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Care Corporation of Warren
2 Crescent Park WestWarrenPA16365251512016PARENT CORPPA501(c)(3)11NAfalse
General Care Services Inc
2 Crescent Park WestWarrenPA16365251512020HOSPICE SVCSPA501(c)(3)9CARE CORPfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Group Medical Services CorpBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 Crescent Park WestAddressLine1
CityWarrenCity
StatePAState
ZIP Code16365ZIPCode
FieldValueIRS element (for citing)
EIN232806359EIN
Primary ActivitiesHEALTH CARE SVCSPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0.00000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GROUP MEDICAL SERVICES CORPORATION
D$82,197CASH PAID
GENERAL CARE SERVICES INC
J$1CASH PAID
GROUP MEDICAL SERVICES CORPORATION
O$2,604,654CASH PAID
GENERAL CARE SERVICES INC
L$61,511CASH PAID
GENERAL CARE SERVICES INC
Q$58,127CASH PAID