MOUNT NITTANY MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT NITTANY MEDICAL CENTER (EIN 24-0795682)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201411329349300726
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T08:15:44-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MARKET STREET | AddressLine1 |
| City | WILLIAMSPORT | City |
| State | PA | State |
| ZIP Code | 17701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240795682 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT NITTANY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 8142317000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 EAST PARK AVENUE | AddressLine1 |
| City | STATE COLLEGE | City |
| State | PA | State |
| ZIP Code | 16803 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD J WISNIEWSKI | Name |
| Title | SENIOR VP FINANCE/CFO | Title |
| Phone | 8142317000 | Phone |
| Date Signed | 2014-05-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS C GREEN CPA JD | Name |
| PTIN | P00350393 | PTIN |
| Phone | 5703236023 | Phone |
| Date Prepared | 2014-05-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN E BROWN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 EAST PARK AVENUE | AddressLine1 |
| City | STATE COLLEGE | City |
| State | PA | State |
| ZIP Code | 16803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 432871942 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MOUNTNITTANY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1905 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE INPATIENT, OUTPATIENT & EMERGENCY CARE SERVICES TO RESIDENTS OF THE CENTRE COUNTY REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1860 | TotalNbrEmployees |
| Total Nbr Volunteers | 804 | TotalNbrVolunteers |
| Total Gross UBI | 2755738 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1144115 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2899939 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3188138 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 256401835 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 278528821 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2561259 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4073823 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3428458 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3585815 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 265291491 | TotalRevenuePriorYear |
| Total Revenue Current Year | 289376597 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 16099602 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 13850795 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 109118779 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 124390204 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 124353711 | OtherExpensePriorYear |
| Other Expenses Current Year | 149235483 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 249572092 | TotalExpensesPriorYear |
| Total Expenses Current Year | 287476482 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15719399 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1900115 | RevenuesLessExpensesCY |
| Total Assets BOY | 353140117 | TotalAssetsBOY |
| Total Assets EOY | 414344237 | TotalAssetsEOY |
| Total Liabilities BOY | 238688534 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 276212432 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 114451583 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 138131805 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MOUNT NITTANY HEALTH'S MISSION: WE ARE HERE TO MAKE PEOPLE HEALTHIER. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 259822076 | Expense |
| Grants | 13850795 | Grants |
| Revenue | 278528821 | Revenue |
| Description | MOUNT NITTANY MEDICAL CENTER IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE IN AN ATMOSPHERE THAT REFLECTS HIGH STANDARDS OF SOCIAL, ETHICAL, AND FINANCIAL RESPONSIBILITY AND WILL ASSURE THAT THOSE SAME STANDARDS ARE MET IN ALL CONTRACTUAL RELATIONSHIPS. THE BOARD OF TRUSTEES HAS ESTABLISHED THIS STATEMENT OF ORGANIZATIONAL VALUES TO ASSURE THAT MEMBERS OF THE BOARD, THE MEDICAL CENTER STAFF, AND THE MEDICAL STAFF HONOR THE FOLLOWING PRINCIPLES THROUGH OUR BEHAVIORS:ALLIANCES WITH PATIENTS:- WE WILL TREAT ALL PATIENTS WITH DIGNITY AND RESPECT, AND WILL ACCOMMODATE INDIVIDUAL RESPONSES TO THE STRESS OF ILLNESS.- WE FULLY SUPPORT THE PRINCIPLES OUTLINED IN THE STATEMENT OF PATIENT'S RIGHTS AND RESPONSIBILITIES DOCUMENT.- WE COMMIT TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS.- ALL PATIENTS RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT THE FACILITY, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER, OR SEXUAL ORIENTATION FACTORS.- THE MEDICAL CENTER AND MEDICAL STAFF WORK JOINTLY TO ASSURE THAT ONLY APPROPRIATE AND EFFECTIVE TESTS, PROCEDURES, AND TREATMENTS ARE PROVIDED TO PATIENTS.COMMUNITY RELATIONS- WE WILL FAIRLY AND ACCURATELY REPRESENT OURSELVES AND OUR CAPABILITIES TO THE PUBLIC.- WE ARE COMMITTED TO CONSTANT PREPARATION FOR THE LONG-TERM FINANCIAL VIABILITY OF THE MEDICAL CENTER THROUGH RESPONSIBLE UTILIZATION OF RESOURCES AND IN SUPPORT OF OUR COMMITMENT TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY.- MEDICAL CENTER LEADERSHIP (EXECUTIVES, BOARD OF TRUSTEES, MEDICAL STAFF) WILL DISCLOSE AND AVOID POTENTIAL CONFLICTS OF INTEREST. ALL OTHER HOSPITAL STAFF WILL AVOID SIMILAR CONFLICTS OF INTEREST.- WE WILL MAINTAIN AN OPEN ADMISSIONS POLICY: NO PATIENT WILL BE REFUSED EVALUATION AND SERVICE BASED UPON SEX, AGE, RACE, CREED, NATIONAL ORIGIN, SEXUAL ORIENTATION, INFECTION STATUS, OR THE ABILITY TO PAY. TRANSFERS TO OTHER FACILITIES WILL OCCUR ONLY WHEN WE ARE UNABLE TO PROVIDE NEEDED SERVICES AND ONLY TO FACILITIES THAT PROVIDE AN APPROPRIATE LEVEL OF CARE, BASED ON OUR ASSESSMENT OF THE PATIENTS' NEEDS. PATIENTS MAY ALSO REQUEST ELECTIVE TRANSFER AND AN INFORMED CONSENT PROCESS WILL BE FOLLOWED.GENERAL PROGRAM SERVICE INFORMATIONOPERATIONS & PATIENTSMOUNT NITTANY MEDICAL CENTER, LOCATED IN STATE COLLEGE, PENNSYLVANIA, IS A 260-BED ACUTE-CARE, NOT-FOR-PROFIT FACILITY OFFERING GENERAL MEDICAL AND SURGICAL SERVICES THAT ARE FOCUSED ON HELPING PATIENTS REACH THEIR HEALTH POTENTIAL. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, MOUNT NITTANY MEDICAL CENTER PROVIDED CARE TO THE FOLLOWING NUMBER OF PATIENTS:TOTAL NUMBER OF: INPATIENTS 12,681, OUTPATIENTS 220,211 AND ER VISITS 39,748 NUMBER WITH PRIVATE INSURANCE: INPATIENTS 5,299, OUTPATIENTS 127,214 AND ER VISITS 19,184NUMBER WITH MEDICARE: INPATIENTS 3,519, OUTPATIENTS 35,236 AND ER VISITS 4,558 NUMBER WITH MEDICARE HMO: INPATIENTS 2,486, OUTPATIENTS 31,936 AND ER VISITS 2,554 NUMBER WITH MEDICAID INPATIENTS 623, OUTPATIENTS 10,518 ER VISITS 4,321NUMBER WITH MEDICAID HMO INPATIENTS 480, OUTPATIENTS 5,151 ER VISITS 2,597NUMBER WITH OTHER INSURANCE INPATIENTS 113, OUTPATIENTS 2,357 AND ER VISITS 1,035 NUMBER WITHOUT INSURANCE/SELF PAY: INPATIENTS 161, OUTPATIENTS 7,799, AND ER VISITS 5,499MOUNT NITTANY MEDICAL CENTER DID NOT DENY MEDICAL SERVICES TO ANY INDIVIDUALS INCLUDING THOSE THAT HAD PRIVATE INSURANCE, MEDICARE, MEDICAID, PUBLIC HEALTH INSURANCE, OR NO INSURANCE.EMERGENCY DEPARTMENTMOUNT NITTANY MEDICAL CENTER OPERATES AN EMERGENCY ROOM 24 HOURS A DAY, 365 DAYS A YEAR PROVIDING SERVICES TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY AND DENIED ZERO PATIENTS REQUESTING SUCH SERVICES. THE EMERGENCY ROOM DOES NOT HAVE A TRAUMA CENTER CERTIFICATION.MEDICAL STAFF PRIVILEGESALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT MOUNT NITTANY MEDICAL CENTER AND ALL QUALIFIED PHYSICIAN APPLICATIONS HAVE BEEN ACCEPTED FOR MEDICAL STAFF PRIVILEGES. MORE THAN 300 NON-EMPLOYED PHYSICIANS IN 42 SPECIALTIES AND SUBSPECIALTIES ARE CREDENTIALED AT MOUNT NITTANY MEDICAL CENTER.PROFESSIONAL MEDICAL EDUCATION AND TRAININGMOUNT NITTANY MEDICAL CENTER CONDUCTS PROFESSIONAL MEDICAL EDUCATION AND TRAINING PROGRAMS FOR THE BENEFIT OF THE COMMUNITY WITH A RESULTING FINANCIAL LOSS TO THE MEDICAL CENTER. | Description |
| Total Program Service Expense | 259822076 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1860 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD WISNIEWSKI SR VP FINANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8142346148 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 EAST PARK AVENUE | AddressLine1 |
| City | STATE COLLEGE | City |
| State | PA | State |
| ZIP Code | 168036797 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD D ALLATT MD | ||||||||||
| DIRECTOR | 2.00 | X | 16440 | 0 | 0 | |||||
| CARL A ANDERSON | ||||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | 4.00 | X | |||
| PATRICIA BEST DED | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | 2.00 | ||||
| S DIANE BRANNON PHD | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||||
| STEVEN E BROWN | ||||||||||
| DIRECTOR/PRESIDENT & CEO | 32.00 | X | 602851 | 0 | 58200 | 8.00 | X | |||
| JONATHON DRANOV MD | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 494880 | 55124 | 4.00 | ||||
| THOMAS J HARRIS | ||||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | 4.00 | X | |||
| EUGENE KEPHART DED | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||||
| PHILIP I PARK | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||||
| WAYNE SEBASTIANELLI MD | ||||||||||
| DIRECTOR | 2.00 | X | 28021 | 0 | 0 | 2.00 | ||||
| KAREN P SHUTE | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||||
| JAMES B THOMAS PHD | ||||||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | 4.00 | X | |||
| CHARLES WITMER | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||||
| PAUL SHUEY DO | ||||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||||
| THOMAS F BROWN | ||||||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | 8.00 | X | |||
| RICHARD WISNIEWSKI | ||||||||||
| SR VP OF FINANCE & CFO | 36.00 | 326704 | 0 | 53230 | 4.00 | X | ||||
| JEFFREY RATNER MD | ||||||||||
| SR VP OF MEDICAL AFFAIRS | 40.00 | 337087 | 0 | 58690 | X | |||||
| WAYNE THOMPSON | ||||||||||
| SR VP , CIO | 40.00 | 260034 | 0 | 50233 | X | |||||
| HAROLD BRUNGARD III | ||||||||||
| VP, FACILITIES & PLANT OPERATION | 40.00 | 156401 | 0 | 25874 | X | |||||
| JANET SCHACHTNER | ||||||||||
| SR VP OF PATIENT CARE SERV | 38.00 | 273883 | 0 | 50970 | 2.00 | X | ||||
| GERALD DITTMANN | ||||||||||
| VP OF HUMAN RESOURCES | 40.00 | 177705 | 0 | 49567 | X | |||||
| GAIL MILLER | ||||||||||
| VP OF QUALITY/PATIENT SAFE | 40.00 | 161216 | 0 | 41190 | X | |||||
| THOMAS STOESSEL | ||||||||||
| SR VP OF BUSINESS DEVELOPM | 40.00 | 192175 | 0 | 43040 | X | |||||
| STEPHEN TINGLEY MD | ||||||||||
| CHIEF MEDICAL INFORMATICS OFFICER | 40.00 | 251308 | 0 | 56113 | X | |||||
| JOHN ROSSI PHD | ||||||||||
| DIRECTOR PHARMACY | 40.00 | 157430 | 0 | 25484 | X | |||||
| PATRICIA WATSON | ||||||||||
| VP NURSING/CNO | 40.00 | 140293 | 0 | 39947 | X | |||||
| NEAL HOLTER | ||||||||||
| PHYSICIST | 40.00 | 188309 | 0 | 35834 | X | |||||
| LANCE ROSE | ||||||||||
| FORMER PRESIDENT & CEO | 0.00 | 14721 | 0 | 1126 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3284578 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 494880 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 644622 | TotalOtherCompensation |
| Number Individuals GT100 K | 46 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALEXANDER BUILDING CONSTRUCTION LLC | |||||
| 315 VAUGHN STREET | HARRISBURG | PA | 17110 | CONSTRUCTION | 20637813 |
| PENN STATE MILTON S HERSHEY MEDICAL CEN | |||||
| 210 W HAMILTON AVE 294 | STATE COLLEGE | PA | 16801 | CONTRACTED PHYSICIAN SERVICES | 7272669 |
| VERONESI BUILDING & R | |||||
| 1111 WEST COLLEGE AVE | STATE COLLEGE | PA | 16801 | CONSTRUCTION | 1779067 |
| POOLE ANDERSON CONSTRUCTION | |||||
| 2121 GATESBURG ROAD | STATE COLLEGE | PA | 16803 | CONSTRUCTION | 1295657 |
| HF LENZ CO | |||||
| 1407 SCALP AVENUE | JOHNSTOWN | PA | 15904 | CONSTRUCTION | 1295657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 51 | NumberOfContractorsGT100K |
| Related Organizations | 2882879 | RelatedOrganizations |
| Government Grants | 304683 | GovernmentGrants |
| All Other Contributions | 576 | AllOtherContributions |
| Total Contributions | 3188138 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REV | 621110 | 264166838 | 264166838 |
| OTHER OPERATING REV | 900099 | 14361983 | 14361983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 278528821 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4214800 | TotalRevenueColumn |
| Exclusion | $4,214,800 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 394189 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 832936 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -438747 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -438747 | TotalRevenueColumn |
| Exclusion | -$438,747 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 142521432 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 142455059 | Securities |
| Other | 207350 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 66373 | Securities |
| Other | -207350 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -140977 | TotalRevenueColumn |
| Exclusion | -$140,977 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| OUTPATIENT LAB SERVICES | 621500 | 2712755 | 2712755 | |
| CAFETERIA SALES | 722210 | 817142 | $817,142 | |
| SNACK BAR REVENUE | 722210 | 266602 | $266,602 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 228063 | TotalRevenueColumn |
| Unrelated Business Revenue | 42983 | UnrelatedBusinessRevenue |
| Exclusion | $185,080 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4024562 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 289376597 | TotalRevenueColumn |
| Related Or Exempt Function Income | 278528821 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2755738 | UnrelatedBusinessRevenue |
| Exclusion | $4,903,900 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13850795 | Total |
| Program Services | 13850795 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95773424 | Total |
| Program Services | 83630237 | ProgramServices |
| Management And General | 12143187 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6323136 | Total |
| Program Services | 6323136 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15756942 | Total |
| Program Services | 13488841 | ProgramServices |
| Management And General | 2268101 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6536702 | Total |
| Program Services | 5712174 | ProgramServices |
| Management And General | 824528 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 822674 | Total |
| Management And General | 822674 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95663 | Total |
| Management And General | 95663 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14541 | Total |
| Program Services | 14541 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23755 | Total |
| Management And General | 23755 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13424258 | Total |
| Program Services | 9901298 | ProgramServices |
| Management And General | 3522960 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 534223 | Total |
| Program Services | 4566 | ProgramServices |
| Management And General | 529657 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3973170 | Total |
| Program Services | 280120 | ProgramServices |
| Management And General | 3693050 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488030 | Total |
| Management And General | 488030 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2774712 | Total |
| Program Services | 1122704 | ProgramServices |
| Management And General | 1652008 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25440 | Total |
| Program Services | 17742 | ProgramServices |
| Management And General | 7698 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177974 | Total |
| Program Services | 83002 | ProgramServices |
| Management And General | 94972 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7726545 | Total |
| Program Services | 7726545 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13740213 | Total |
| Program Services | 13740213 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 755019 | Total |
| Program Services | 755019 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| UBIT TAXES | 345000 | 345000 |
| MEDICAL SUPPLIES | 74279980 | 74279980 |
| LOSS ON REFINANCING | 11515213 | 11515213 |
| BAD DEBT EXPENSE | 9347595 | 9347595 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9171478 | Total |
| Program Services | 7683355 | ProgramServices |
| Management And General | 1488123 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287476482 | Total |
| Program Services | 259822076 | ProgramServices |
| Management And General | 27654406 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3848 | BOY |
| EOY | 3847 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25257138 | BOY |
| EOY | 12482677 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27893048 | BOY |
| EOY | 28403753 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6133968 | BOY |
| EOY | 6460349 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1833564 | BOY |
| EOY | 3051376 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 338154242 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 151768057 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157326541 | BOY |
| EOY | 186386185 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117826438 | BOY |
| EOY | 163086729 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750288 | BOY |
| EOY | 855196 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16115284 | BOY |
| EOY | 13614125 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 353140117 | BOY |
| EOY | 414344237 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92661151 | BOY |
| EOY | 85120354 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 470147 | BOY |
| EOY | 476134 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140320170 | BOY |
| EOY | 183678884 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 703917 | BOY |
| EOY | 589985 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4533149 | BOY |
| EOY | 6347075 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238688534 | BOY |
| EOY | 276212432 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114237472 | BOY |
| EOY | 137917694 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35617 | BOY |
| EOY | 35617 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178494 | BOY |
| EOY | 178494 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114451583 | BOY |
| EOY | 138131805 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 353140117 | BOY |
| EOY | 414344237 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1900115 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 6236906 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 15543201 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $14,541 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14541 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PORTION OF THE DUES PAID TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ($7,549) AND THE AMERICAN HOSPITAL ASSOCIATION ($6,992) WAS DETERMINED TO BE FOR LOBBYING PURPOSES - TOTAL COST $14,541. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 615509 | BeginningOfYearBalance |
| Contributions | 97914 | Contributions |
| Investment Earnings Or Losses | 7328 | InvestmentEarningsOrLosses |
| End Of Year Balance | 720750 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 305935 | BeginningOfYearBalance |
| Contributions | 306824 | Contributions |
| Investment Earnings Or Losses | 2750 | InvestmentEarningsOrLosses |
| End Of Year Balance | 615509 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 279801 | BeginningOfYearBalance |
| Contributions | 3991 | Contributions |
| Investment Earnings Or Losses | 22143 | InvestmentEarningsOrLosses |
| End Of Year Balance | 305935 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 275745 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 4056 | InvestmentEarningsOrLosses |
| End Of Year Balance | 279801 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 281903 | BeginningOfYearBalance |
| Contributions | 1505 | Contributions |
| Investment Earnings Or Losses | -7663 | InvestmentEarningsOrLosses |
| End Of Year Balance | 275745 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9 | OtherCostOrOtherBasis |
| Book Value | 9 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 189996473 | OtherCostOrOtherBasis |
| Depreciation | 64663653 | Depreciation |
| Book Value | 125332820 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1246316 | OtherCostOrOtherBasis |
| Depreciation | 521053 | Depreciation |
| Book Value | 725263 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 117507288 | OtherCostOrOtherBasis |
| Depreciation | 83950790 | Depreciation |
| Book Value | 33556498 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29404156 | OtherCostOrOtherBasis |
| Depreciation | 2632561 | Depreciation |
| Book Value | 26771595 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 186386185 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $133,104 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $4,710,419 |
| ACCRUED INTEREST | $1,503,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6347075 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 309083006 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 6236906 | NetUnrealizedGainsInvestments |
| Other Revenues | 15543201 | OtherRevenues |
| Revenue Not Rptd F990 | 21780107 | RevenueNotRptdF990 |
| Revenue Subtotal | 287302899 | RevenueSubtotal |
| Investment Expenses Not Included | 23755 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 2049943 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2073698 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 289376597 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 285402784 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -2049943 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -2049943 | ExpensesNotRptdF990 |
| Expenses Subtotal | 287452727 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 23755 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 23755 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 287476482 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | PERMANENT ENDOWMENT FUNDS ARE HELD BY THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER, INC. AND EARNINGS ARE DESIGNATED TO FUND FUTURE EXPENDITURES AND CAPITAL ACQUISITONS FOR MOUNT NITTANY MEDICAL CENTER. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. ALL REQUIRED FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE ORGANIZATION HAVE BEEN FILED UP TO, AND INCLUDING, THE TAX YEAR ENDED JUNE 30, 2012. THE ORGANIZATION'S FEDERAL INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS") FOR THE YEARS ENDED BEFORE JUNE 30, 2010. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST IN THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER, INC. -791,045. PENSION LIABILITY ADJUSTMENT 16,913,353. CHANGE IN FAIR VALUE OF DERVATIVE INSTRUMENTS -579,107. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | TRANSFERS FROM RELATED ORGANIZATIONS (NETTED ON FINANCIAL STATEMENTS) 2,882,879. RENTAL EXPENSES -832,936. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 832,936. TRANSFERS FROM RELATED ORGANIZATIONS (NETTED ON FINANCIAL STATEMENTS) -2,882,879. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1822862 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1822862 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14769694 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8975436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5794258 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02080 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16592556 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8975436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7617120 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02740 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 584832 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 280 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 584552 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 321686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44940 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 276746 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4673825 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2645791 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2028034 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6083 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6083 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 284638 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 284638 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5871064 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2691011 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3180053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22463620 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11666447 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10797173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03880 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3603 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3603 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4173 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4173 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 559 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 559 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3663 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3663 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 279 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 279 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12277 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12277 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,978,144 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 43501608 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 60543847 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -17042239 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 ADG HOSPITAL DRIVE ASSOCIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | LEASING REAL PROPERTY FOR MEDICAL OFFICE AND SURGICAL CENTER | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.24260 | OrganizationProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT NITTANY MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 EAST PARK AVENUE | AddressLine1 |
| City | STATE COLLEGE | City |
| State | PA | State |
| ZIP Code | 16803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT NITTANY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 250.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: A DISCOUNT OF 50% OFF OF CHARGES IS OFFERED TO UNINSURED PATIENTS ON HOSPITAL ACCOUNT BALANCES. THE FOLLOWING ARE EXAMPLES THAT QUALIFY PATIENTS AS UNINSURED: TERMINATED COVERAGE EITHER DUE TO JOB TERMINATION OR UNINSURED PERIODS DURING INSURANCE TRANSITION, EMPLOYED PATIENTS WHO MAY BE IN A "WAITING/GRACE" PERIOD FOR INSURANCE, OR INSURED PATIENTS WHERE COVERAGE HAS EXHAUSTED. | ||
| PART I, LINE 7: COST TO CHARGE RATIO WAS COMPUTED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO FORM 990 FOR LINES 7A, 7B, AND 7G. COST ACCOUNTING SYSTEM WAS USED FOR SUBSIDIZED HEALTH SERVICES. FOR ALL OTHERS, COSTS INCLUDED THE VALUE OF STAFF DONATED HOURS (WITH ESTIMATED BENEFITS), MONETARY CONTRIBUTIONS, ESTIMATED VALUE OF MATERIALS USED IN DELIVERING PROGRAMS, AND ESTIMATED SPACE COSTS. THE INDIRECT COST ALLOCATION APPLIES THE INDIRECT-TO-DIRECT COST RATIO FROM THE MEDICAL CENTER'S MOST RECENT MEDICARE COST REPORT ( AS OF 6/30/2013 APPROX. 31%). | ||
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9347595. | ||
| PART II: OUR ENTRIES FOR COALITION BUILDING INCLUDE STAFF TIME FOR PARTICIPATION ON LOCAL COMMUNITY BOARDS OR STEERING COMMITTEES THAT FOCUS ON COMMUNITY HEALTH, FOR EXAMPLE, THE ADMINISTRATIVE DIRECTOR OF THE CANCER PROGRAM SERVES ON THE PA OATIENT NAVIGATOR INTERWORK STEERING COMMITTEE, MNMC'S DIRECTOR OF EDUCATION SERVED ON THE BOARD FOR CENTRE COUNTY PARTNERSHIP FOR COMMUNITY HEALTH, OUR INFECTION CONTROL NURSE SERVES ON THE INFECTION CONTROL COMMITTEE AT HEALTHSOUTH, AND OUR CFO SERVES ON THE BOARD FOR CENTRE VOLUNTEERS IN MEDICINE. THESE ARE JUST A FEW EXAMPLES. | ||
| PART III, LINE 4: BAD DEBT (AT COST) IS CALCULATED BY APPLYING THE PATIENT CARE COST-TO-CHARGE RATIO FROM WORKSHEET 2 TO THE MEDICAL CENTER'S PROVISION FOR DOUBTFUL COLLECTIONS AS OF JUNE 30, 2013. THE MEDICAL CENTER'S ACCOUNTING DEPARTMENT RECORDS PAYMENTS, WHILE PATIENT ACCOUNTING STAFF MAKES APPROPRIATE ADJUSTMENTS TO PATIENT ACCOUNTS FOR BAD DEBT, DISCOUNTS, OR FREE CARE WRITE-OFFS. THE MEDICAL CENTER IS UNABLE TO ESTIMATE THE AMOUNT OF BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PATIENTS DO NOT PROVIDE INCOME INFORMATION PRIOR TO RECEIVING CARE. THE REGISTRATION DEPARTMENT GIVES EVERY PATIENT A COPY OF OUR FINANCIAL ASSISTANCE PROGRAM TO ENSURE EVERY PATIENT HAS THE OPPORTUNITY AS APPROPRIATE TO QUALIFY FOR OUR ASSISTANCE PROGRAM. THE MEDICAL CENTER OFFERS DETAILED INFORMATION ABOUT THE CHARITY CARE PROGRAM WHEN PATIENTS OFFER INFORMATION THAT IS NEEDED TO DETERMINE ELIGIBILITY. SEE RESPONSE TO PART VI, LINE 3 HEREIN. BAD DEBT IS PUBLISHED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ON THE STATEMENT OF OPERATIONS ON THE LINE ENTITLED, "PROVISION FOR BAD DEBTS."MOUNT NITTANY MEDICAL CENTER PROVIDES SERVICES TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY AS PART OF THE HOSPITAL'S MISSION. A PORTION OF THE MOUNT NITTANY MEDICAL CENTER'S BAD DEBT WOULD RELATE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. AS SUCH A PORTION OF THE HOSPITAL'S BAD DEBT SHOULD BE CONSIDERED COMMUNITY BENEFIT. | ||
| PART III, LINE 8: THE MEDICAL CENTER CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. THROUGH DILIGENT COST CONTROL PROCESSES, THE MEDICAL CENTER SEEKS WAYS TO KEEP COSTS OF PROVIDING CARE TO A MINIMUM, WHILE STILL PROVIDING THE SAFETY MEASURES, TECHNOLOGICAL CAPABILITIES, AND APPROPRIATE STAFFING LEVELS TO ENSURE THE BEST POSSIBLE OUTCOMES. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE MEDICAL CENTER A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT AS THE MEDICAL CENTER STRIVES TO PROVIDE THE BEST CARE POSSIBLE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CENTER USES A STEP-DOWN COST ALLOCATION METHOD AND THEN APPLIES A COST-TO-CHARGE RATIO. | ||
| PART III, LINE 9B: IF PATIENTS ARE FOUND TO QUALIFY, THE MEDICAL CENTER IMMEDIATELY CEASES COLLECTIONS AND ADJUSTS CHARGES OFF AS CHARITY CARE. | ||
| PART V, SECTION B, LINE 3: DURING THE RECENT COMMUNITY NEEDS ASSESSMENT, MNMC PERSONNEL MET WITH COMMUNITY REPERSENTATIVES DURING THE HEALTH SUMMIT, AS WELL AS DURING KEY STAKEHOLDER INTERVIEWS. A TOTAL OF 36 INDIVIDUAL INTERVIEWS WERE CONDUCTED DURING THE FALL AND WINTER OF 2012/13. INTERVIEWEES INCLUDED THE DIRECTORS OF A VARIETY OF MAJOR HEALTH AND HUMAN SERVICE ORGANIZATIONS IN AND AROUND CENTRE COUNTY, HEALTH-RELATED FACULTY AND LEADERS FROM THE PENNSYLVANIA STATE UNIVERSITY, STUDENT HEALTH SERVICES STAFF, PUBLIC SAFETY OFFICIALS, SCHOOL DISTRICT ADMINISTRATORS, PHYSICIANS, AND TRANSPORTATION MANAGERS. | MOUNT NITTANY MEDICAL CENTER | |
| PART V, SECTION B, LINE 11: A DISCOUNT OF 50% OFF OF CHARGES IS OFFERED TO UNINSURED PATIENTS ON HOSPITAL ACCOUNT BALANCES. THE FOLLOWING ARE EXAMPLES THAT QUALIFY PATIENTS AS UNINSURED: TERMINATED COVERAGE EITHER DUE TO JOB TERMINATION OR UNINSURED PERIODS DURING INSURANCE TRANSITION, EMPLOYED PATIENTS WHO MAY BE IN A "WAITING/GRACE" PERIOD FOR INSURANCE, OR INSURED PATIENTS WHERE COVERAGE HAS EXHAUSTED. | MOUNT NITTANY MEDICAL CENTER | |
| PART V, SECTION B, LINE 20D: PATIENTS WHOSE FAMILY INCOME IS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE TO RECEIVE A 100% DISCOUNT FOR FREE CHARITY/FREE CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 250% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF THE MEDICAL CENTER. | MOUNT NITTANY MEDICAL CENTER | |
| PART VI, LINE 2: MOUNT NITTANY HEALTH SYSTEM ("MNHS") HAS HISTORICALLY USED INFORMAL COMMUNITY FEEDBACK MECHANISMS SUCH AS PATIENT AND STAFF INTERACTIONS, AS WELL AS MORE FORMAL MEANS SUCH AS CONSULTANT-LED MARKET RESEARCH AND SOLICITING FEEDBACK FROM DONORS, NON-EMPLOYED PHYSICIANS, AND COMMUNITY LEADERS TO UNDERSTAND THE NEEDS OF REGIONAL POPULATIONS. IN ADDITION, MNHS CONTINUES TO HOLD ONGOING AND MEANINGFUL DISCUSSIONS WITH MAJOR COMMUNITY STAKEHOLDERS, INCLUDING, BUT NOT LIMITED TO, THE PENNSYLVANIA STATE UNIVERSITY AND MILTON S. HERSHEY MEDICAL CENTER, TO DEVELOP RESPONSIVE PROGRAMS AND SOLUTIONS TO THE HEALTH CARE NEEDS OF PROMINENT SEGMENTS OF THE LOCAL POPULATION IN CENTRE COUNTY.DURING FISCAL YEAR 2013, MOUNT NITTANY MEDICAL CENTER CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA EFFORT CONSISTED OF THE COLLECTION, ANALYSIS, AND SYNTHESIS OF DATA FROM A WIDE VARIETY OR PRIMARY AND SECONDARY SOURCES IN ORDER TO CHARACTERIZE THE POPULATION AND PRIORITY HEALTH NEEDS OF CENTRE COUNTY AND THE SURROUNDING REGION. MNMC BEGAN ITS COMPREHENSIVE CHNA IN THE SUMMER OF 2012. PRELIMINARY MEETINGS WERE HELD WITH COMMUNITY LEADERS TO EXPLORE THE COMMUNITY'S PERCEPTION OF THE SCOPE OF MOUNT NITTANY MEDICAL CENTER'S EFFORTS, RESOURCES AVAILABLE FOR COLLABORATION, AND LEVEL OF INTEREST IN COMMUNITY-BASED AND COMMUNITY-OWNED SOLUTIONS. THESE DISCUSSIONS LED TO A FIVE PART APPROACH WHEREBY WE CONDUCTED:1. KEY STAKEHOLDER INTERVIEWS - A TOTAL OF 36 INDIVIDUAL INTERVIEWS WERE CONDUCTED DURING THE FALL AND WINTER OF 2012/13. INTERVIEWEES INCLUDED THE DIRECTORS OF A VARIETY OF MAJOR HEALTH AND HUMAN SERVICE ORGANIZATIONS IN AND AROUND CENTRE COUNTY, HEALTH-RELATED FACULTY AND LEADERS FROM THE PENNSYLVANIA STATE UNIVERSITY, STUDENT HEALTH SERVICES STAFF, PUBLIC SAFETY OFFICIALS, SCHOOL DISTRICT ADMINISTRATORS, PHYSICIANS, AND TRANSPORTATION MANAGERS. 2. HEALTH NEEDS SURVEY - AN ONLINE AND PAPER-BASED SURVEY WAS WIDELY DISTRIBUTED TO THE COMMUNITY AND WITHIN MOUNT NITTANY MEDICAL CENTER'S FACILITIES. BY THE END OF MARCH 2013, 1,133 COMPLETED SURVEYS WERE RECEIVED. RESULTS ARE INCLUDED IN THIS REPORT. 3. INTERNAL ADVISORY TEAM - BEGINNING IN LATE FALL 2012, AN INTERNAL TEAM OF EXPERIENCED MOUNT NITTANY MEDICAL CENTER CLINICAL AND CASE MANAGEMENT STAFF MET FOR A SERIES OF DISCUSSIONS TO DOCUMENT HEALTH NEEDS AS UNDERSTOOD BY THE PROVIDER COMMUNITY. 4. SECONDARY DATA - MOUNT NITTANY MEDICAL CENTER PARTNERED WITH THE PENNSYLVANIA STATE UNIVERSITY FACULTY AND STUDENTS IN THE DEPARTMENT OF HEALTH POLICY AND ADMINISTRATION TO IDENTIFY, REVIEW, AND SYNTHESIZE SECONDARY DATA ABOUT THE HEALTH OF CENTRAL PENNSYLVANIANS. 5. HEALTH NEEDS SUMMIT - MOUNT NITTANY MEDICAL CENTER IDENTIFIED CENTRE COUNTY'S SOLE STATE HEALTH IMPROVEMENT PLAN (SHIP) PARTNERSHIP AS A LOGICAL COLLABORATOR TO HELP BRING COMMUNITY LEADERS TOGETHER TO ENSURE COMPREHENSIVE INPUT INTO LOCAL AND REGIONAL POCKETS OF NEED. THE SHIP PARTNERSHIP, CENTRE COUNTY PARTNERSHIP FOR COMMUNITY HEALTH (CCPCH), HOSTED THIS EVENT ON FEBRUARY 25, 2013. THIS SUMMIT WAS THE FIRST IN A SERIES OF ONGOING MEETINGS ORGANIZED AND HOSTED BY CCPCH WITH SUPPORT FROM MOUNT NITTANY MEDICAL CENTER. THESE ONGOING EVENTS PROVIDE INCLUSIVE FORUMS TO MONITOR NEEDS, ADJUST IMPLEMENTATION TACTICS, AND CONDUCT ONGOING NEEDS ASSESSMENTS MORE EFFICIENTLY OVER TIME.SEE ALSO SCHEDULE H PART V. | ||
| PART VI, LINE 3: MOUNT NITTANY MEDICAL CENTER IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. AS MENTIONED PREVIOUSLY, MNMC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FISCAL YEAR 2013. THIS ASSESSMENT RESULTED IN SIX MAJOR COMMUNITY HEALTH NEEDS AND GAPS WHICH INCLUDE ACCESS TO CARE, HEALTHY AGING, MENTAL HEALTH, OBESITY/DIABETES, ORAL HEALTH AND SUBSTANCE ABUSE. REFER TO THE CHNA FOR ANALYSIS AND RESPONSE TO THESE AREAS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MOUNT NITTANY MEDICAL CENTER PROVIDES MEDICAL CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AND AS THE COUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, MOUNT NITTANY MEDICAL CENTER WILL CONTINUE TO PROVIDE CARE FOR THOSE WHO NEED IT. MOUNT NITTANY MEDICAL CENTER WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. MOUNT NITTANY MEDICAL CENTER WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTH SERVICES TO CERTAIN INDIVIDUALS OR GROUPS.MOUNT NITTANY MEDICAL CENTER'S REGISTRATION DEPARTMENT REPRESENTATIVES WILL GIVE A COPY OF OUR FINANCIAL ASSISTANCE PROGRAM TO EVERY PATIENT ALONG WITH OTHER IMPORTANT BILLING INFORMATION. OUR FINANCIAL COUNSELOR WILL DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSIST THE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORK FOR ASSISTANCE. IN ADDITION, OUR VENDOR DEBIASE & LEVINE REPRESENTATIVE, WHO IS WORKING ON BEHALF OF MOUNT NITTANY MEDICAL CENTER, WILL ALSO ASSIST PATIENTS WITH THE MEDICAL ASSISTANCE PROCESS. OUR THIRD PARTY VENDOR WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. MOUNT NITTANY MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY IS POSTED ON OUR WEBSITE ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WILL ALSO WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS.MOUNT NITTANY MEDICAL CENTER WILL MAKE AVAILABLE A WRITTEN NOTICE TO EACH PATIENT OR THEIR REPRESENTATIVE OF THE EXISTENCE, CRITERIA AND MECHANISM FOR RECEIVING FINANCIAL ASSISTANCE. THE HOSPITAL WILL CREATE AND MAINTAIN RECORDS AND DOCUMENT THAT AN APPLICATION WAS SENT TO THE PATIENT DEMONSTRATING THAT THE REQUIRED CRITERIA AND MECHANISM ARE ESTABLISHED (MOUNT NITTANY MEDICAL CENTER WILL RECORD ANY AND ALL REQUESTS FOR FINANCIAL ASSISTANCE, THE DISPOSITION AND THE DOLLAR AMOUNT OF MOUNT NITTANY MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM PROVIDED). THE COMPLETED APPLICATIONS ARE GIVEN TO THE PATIENT ACCOUNTS DEPARTMENT SHOWING WHETHER THE APPLICATION WAS APPROVED OR DENIED. IN ALL INSTANCES, PATIENT CONFIDENTIALITY WILL BE PROTECTED.ELIGIBILITY WILL BE DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES.A NOTICE OF AVAILABILITY OF MOUNT NITTANY MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES WHEREBY THE PATIENT IS TRIAGED PRIOR TO COMPLETING THE REGISTRATION PROCESS. THESE PATIENTS WOULD RECEIVE THE NOTICE REGARDING THE FINANCIAL ASSISTANCE PROGRAM AT SOME POINT DURING THAT VISIT. THESE NOTICES ARE DISPLAYED AND MADE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AND INCLUDES THE MOST CURRENT AVAILABLE "HOUSEHOLD INCOME GUIDELINES" AS PUBLISHED IN THE FEDERAL REGISTER. MOUNT NITTANY MEDICAL CENTER'S CURRENT FINANCIAL ASSISTANCE PROGRAM ELIGIBILITY IS BASED ON 2.5 TIMES THE "HOUSEHOLD INCOME GUIDELINES".THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALL APPLICATIONS FOR THE MOUNT NITTANY MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE PROOF OF INCOME. | ||
| PART VI, LINE 4: THE MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES CENTRE COUNTY AND PARTS OF THE SURROUNDING COUNTIES. CENTRE COUNTY'S POPULATION IS APPROXIMATELY 155,000. APPROXIMATELY 16% OF THE POPULATION IS AGED 0-14, 72% AGED 15-64, AND 12% IS 65 OR OLDER. THE ESTIMATE FOR THE POPULATION LIVING BELOW THE POVERTY LINE IS 19%. THE MEDIAN AGE IN CENTRE COUNTY IS 26.6 (39.9 FOR ALL OF PA). 40% OF THOSE AGED 25 OR OLDER HAVE AT LEAST A BACHELOR'S DEGREE VS. 26.4% FOR ALL OF PA. THE MEDIAN HOUSEHOLD INCOME IS $48,262, WHILE THE PA MEDIAN IS $51,651. 40,000+ COLLEGE STUDENTS LIVE IN STATE COLLEGE. MOUNT NITTANY MEDICAL CENTER IS THE SOLE GENERAL ACUTE CARE HOSPITAL IN CENTRE COUNTY. THE NEAREST LEVEL II TRAUMA CENTER IS APPROX. 43 MILES AWAY. PART OF CENTRE COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED AREA. | ||
| PART VI, LINE 5: THE MEDICAL CENTER'S BOARD OF TRUSTEES AND ITS VARIOUS COMMITTEES INCLUDE COMMUNITY MEMBERS AS WELL AS MEDICAL STAFF. THE COMMUNITY MEMBERS ARE NOT DIRECTLY INVOLVED IN THE MEDICAL CENTER'S OPERATIONS. THE MEDICAL CENTER'S MEDICAL STAFF EXCEEDS 300 PHYSICIANS. THE MEDICAL CENTER CONTINUES TO INVEST IN STRONG AND BENEFICIAL RELATIONSHIPS WITH ALL PHYSICIANS WHO HAVE AN INTEREST IN WORKING WITH THE MEDICAL CENTER. ALL REVENUES IN EXCESS OF EXPENSES ARE RE-INVESTED IN THE COMMUNITY, INCLUDING SIGNIFICANT DONATIONS TO THE COUNTY'S ONLY FREE MEDICAL AND DENTAL CLINIC, AS WELL AS INTERNAL IMPROVEMENTS TO TECHNOLOGY SO THAT THE PEOPLE AND COMMUNITIES WE SERVE HAVE IMMEDIATE ACCESS TO THE BEST AND MOST APPROPRIATE DIAGNOSTIC AND TREATMENT OPTIONS AVAILABLE. | ||
| PART VI, LINE 6: AS OF JUNE 30, 2013, MOUNT NITTANY HEALTH SYSTEMS HAS TWO CONTROLLED CORPORATIONS, WHICH ARE THE MOUNT NITTANY MEDICAL CENTER (INPATIENT AND OUTPATIENT SERVICES) AND MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES, INC. (A PHYSICIAN PRACTICE D/B/A MOUNT NITTANY PHYSICAN GROUP). THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER, INC. (FUNDRAISING) AND THE MOUNT NITTANY SURGICAL CENTER, INC. (OUTPATIENT SURGICAL CENTER) ARE CONTROLLED BY MOUNT NITTANY MEDICAL CENTER.COMMUNITY BENEFIT SERVICES OFFERED BY MOUNT NITTANY MEDICAL CENTER ARE AFFORDED TO THE BROAD COMMUNITY WITH THE INTENT OF IMPROVING COMMUNITY HEALTH. PROGRAMS AND SERVICES ARE DESIGNED TO RESPOND TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFIT ACTIVITIES FALL INTO THESE MAJOR CATEGORIES: COMMUNITY HEALTH IMPROVEMENT SERVICES - INCLUDES ACTIVITIES THAT ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH. MOUNT NITTANY MEDICAL CENTER PROVIDES COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, AND TRANSPORTATION ASSISTANCE. THIS PAST YEAR OFFERED NUMEROUS SCREENINGS AND EDUCATION EVENTS FOR MEMBERS OF OUR COMMUNITY. HEALTH PROFESSIONS EDUCATION - MOUNT NITTANY MEDICAL CENTER IS ADVANCING HEALTHCARE BY ADVANCING ACCESS TO EDUCATION AND TRAINING. IN 2013, MOUNT NITTANY AWARDED CONTINUING EDUCATION CREDITS FOR NURSES AND PHYSICIANS, AS WELL AS TRAININGS IN THE AMERICAN HEART ASSOCIATION TRAINING CENTER. CASH AND IN-KIND DONATIONS - MOUNT NITTANY MEDICAL CENTER REPORTED ITS SUPPORT OF MORE THAN FORTY LOCAL ORGANIZATIONS THROUGH IN-KIND AND CASH DONATIONS. THE LEAD BENEFICIARY OF MOUNT NITTANY'S SUPPORT IS CENTRE VOLUNTEERS IN MEDICINE. OTHER NON-PROFIT GROUPS INCLUDE AMERICAN HEART ASSOCIATION, PEOPLE CENTRE'D ON DIABETES, YMCA OF CENTRE COUNTY, AND MORE. COMMUNITY-BUILDING ACTIVITIES - MOUNT NITTANY IS A LEAD FACILITATOR IN LOCAL AND REGIONAL PREPAREDNESS ACTIVITIES, ENSURING THAT CENTRE COUNTY IS PREPARED SHOULD A DISASTER STRIKE. IN ADDITION, MOUNT NITTANY PROVIDES ACCESS TO CARE IN RURAL AREAS TO ENSURE THAT EVERY COMMUNITY HAS ACCESS TO CARE, SUCH AS PROVIDING DIABETES EDUCATION AT RURAL DOCTORS' OFFICES. SUBSIDIZED HEALTH SERVICES - MOUNT NITTANY MEDICAL CENTER PROVIDES THE COMMUNITY MENTAL HEALTH SERVICES AT ITS INPATIENT UNIT, ONCOLOGY PATIENT NAVIGATOR PROGRAM, TRANSPORTATION SERVICES FOR PATIENTS WITH CANCER, PEDIATRIC MEDICAL HOME PROGRAM FOR AT-RISK CHILDREN AND SEVERAL FREE SUPPORT GROUPS.THE MOUNT NITTANY PHYSICIAN GROUP OFFERS A COMMUNITY BENEFIT BY SEEING CENTRE VOLUNTEERS IN MEDICINE (CVIM) PATIENTS FOR SPECIALTY SERVICES AT NO COST TO THE PATIENT OR TO CVIM. THIS GROUP ALSO PROVIDES VARIOUS INTERNSHIPS, PRESENTATIONS AND NEWSLETTERS TO THE COMMUNITY INCLUDING TOPICS LIKE HEART HEALTH AND PEDIATRICS. | ||
| PA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 EAST PARK AVENUE | AddressLine1 |
| City | STATE COLLEGE | City |
| State | PA | State |
| ZIP Code | 16803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 510426500 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 13850795 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | CASH | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | PROVIDE FINANCIAL SUPPORT TO AFFILIATE | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE ORGANIZATION OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN E BROWN | ||||||||||||||
| DIRECTOR/PRESIDENT & CEO | 477851 | 0 | 125000 | 0 | 0 | 0 | 19625 | 0 | 38575 | 0 | 661051 | 0 | 0 | 0 |
| JONATHON DRANOV MD | ||||||||||||||
| DIRECTOR | 0 | 494880 | 0 | 0 | 0 | 0 | 0 | 25301 | 0 | 29823 | 0 | 550004 | 0 | 0 |
| RICHARD WISNIEWSKI | ||||||||||||||
| SR VP OF FINANCE & CFO | 274143 | 0 | 52561 | 0 | 0 | 0 | 19625 | 0 | 33605 | 0 | 379934 | 0 | 0 | 0 |
| JEFFREY RATNER MD | ||||||||||||||
| SR VP OF MEDICAL AFFAIRS | 313859 | 0 | 23228 | 0 | 0 | 0 | 19625 | 0 | 39065 | 0 | 395777 | 0 | 0 | 0 |
| WAYNE THOMPSON | ||||||||||||||
| SR VP , CIO | 226366 | 0 | 33668 | 0 | 0 | 0 | 19625 | 0 | 30608 | 0 | 310267 | 0 | 0 | 0 |
| HAROLD BRUNGARD III | ||||||||||||||
| VP, FACILITIES & PLANT OPERATION | 138731 | 0 | 17670 | 0 | 0 | 0 | 13654 | 0 | 12220 | 0 | 182275 | 0 | 0 | 0 |
| JANET SCHACHTNER | ||||||||||||||
| SR VP OF PATIENT CARE SERV | 226072 | 0 | 47811 | 0 | 0 | 0 | 19625 | 0 | 31345 | 0 | 324853 | 0 | 0 | 0 |
| GERALD DITTMANN | ||||||||||||||
| VP OF HUMAN RESOURCES | 159944 | 0 | 17761 | 0 | 0 | 0 | 15754 | 0 | 33813 | 0 | 227272 | 0 | 0 | 0 |
| GAIL MILLER | ||||||||||||||
| VP OF QUALITY/PATIENT SAFE | 134592 | 0 | 26624 | 0 | 0 | 0 | 13234 | 0 | 27956 | 0 | 202406 | 0 | 0 | 0 |
| THOMAS STOESSEL | ||||||||||||||
| SR VP OF BUSINESS DEVELOPM | 160799 | 0 | 31376 | 0 | 0 | 0 | 16022 | 0 | 27018 | 0 | 235215 | 0 | 0 | 0 |
| STEPHEN TINGLEY MD | ||||||||||||||
| CHIEF MEDICAL INFORMATICS OFFICER | 251308 | 0 | 0 | 0 | 0 | 0 | 19625 | 0 | 36488 | 0 | 307421 | 0 | 0 | 0 |
| JOHN ROSSI PHD | ||||||||||||||
| DIRECTOR PHARMACY | 157430 | 0 | 0 | 0 | 0 | 0 | 15428 | 0 | 10056 | 0 | 182914 | 0 | 0 | 0 |
| PATRICIA WATSON | ||||||||||||||
| VP NURSING/CNO | 123749 | 0 | 16544 | 0 | 0 | 0 | 12424 | 0 | 27523 | 0 | 180240 | 0 | 0 | 0 |
| NEAL HOLTER | ||||||||||||||
| PHYSICIST | 188309 | 0 | 0 | 0 | 0 | 0 | 18573 | 0 | 17261 | 0 | 224143 | 0 | 0 | 0 |
| LANCE ROSE | ||||||||||||||
| FORMER PRESIDENT & CEO | 14721 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1126 | 0 | 15847 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINES 4A-B | KENNETH BIXEL RECEIVED SEVERANCE PAYMENTS. LANCE ROSE RECEIVED NONQUALIFIED PLAN PAYMENTS. |
| PART I, LINE 6 | THE EXECUTIVE TEAM MEMBERS OF MOUNT NITTANY MEDICAL CENTER RECEIVED A PORTION OF THEIR ANNUAL VARIABLE-PAY BASED UPON THE CONSOLIDATED OPERATING MARGIN, MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES (D/B/A MOUNT NITTANY PHYSICIAN GROUP) OPERATING MARGIN, AND CONSOLIDATED NET EARNINGS OF MOUNT NITTANY HEALTH AND OTHER CORPORATE GOALS. THE CORPORATE GOALS FOCUSED ON FINANCE, QUALITY, PATIENT SAFETY, STRATEGY, AND GROWTH. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CENTRE COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 203197497 | 156273CU6 | 2011-05-05 | 70552972 | FUND EMERG. DEPT. EXPANSION & OTHER CAPITAL EXPENDITURES | 0 | 1 | 0 |
| CENTRE COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 203197497 | 156273ED2 | 2012-10-15 | 69404972 | REFUNDING OF THE SERIES 2009 BONDS & PAY ISSUANCE COSTS | 0 | 1 | 0 |
| CENTRE COUNTY HOSPITAL AUTHORITY | ||||||||
| C | 203197497 | 156273DK7 | 2012-10-15 | 44591375 | FUND PERIOPERATIVE EXPANSION & OTHER CAPITAL EXPENDITURES | 0 | 1 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Other Spent ProceedsOtherSpentProceeds | Capitalized InterestCapitalizedInterest | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 690000 | 70552972 | 1033856 | 69519116 | 2013 | 0 | 0 | 1 | 1 | ||||
| B | 69404972 | 811090 | 2013 | 0 | 1 | 0 | 1 | 19 | 68593863 | ||||
| C | 44591375 | 534964 | 18058146 | 2014 | 0 | 0 | 0 | 1 | 3000747 | 22997518 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART III, LINE 3: | Identifier |
| Explanation | THERE ARE NO MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS RELATING TO THE FINANCED PROPERTIES FOR THE 2011 OR 2012 BONDS. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| EDWARD BELL | |||
| FAMILY MEMBER OF A BOARD TRUSTEE, KAREN SHUTE | 126729 | SALARY COMPENSATION AS A MNMC EMPLOYEE. | 0 |
| APRIL HARRIS | |||
| FAMILY MEMBER OF A BOARD TRUSTEE, THOMAS HARRIS | 26676 | SALARY COMPENSATION | 0 |
| BLUE COURSE MEDICAL REALITY | |||
| PAUL SHUEY, DO (BOARD TRUSTEE) HAS OWNERSHIP INTEREST IN BLUE COURSE | 112067 | RENTAL INCOME TO COMPANY | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WAS PROVIDED TO THE BOARD OF TRUSTEES AND TO THE MOUNT NITTANY HEALTH SYSTEM AUDIT COMMITTEE BEFORE BEING FILED WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE CONFLICT OF INTEREST POLICY IS DISTIBUTED TO KEY MEMBERS OF THE ORGANIZATION INCLUDING BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. EACH PERSON MUST REPORT ANY POTENTIAL CONFLICT OF INTERESTS, WHICH IS THEN REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THEN REPORTED AND REVIEWED BY THE HEALTH SYSTEM'S AUDIT COMMITTEE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION COMMITTEE FROM BOARD OF TRUSTEES REVIEWS COMPENSATION PAID TO EXECUTIVE MANAGEMENT TEAM IN CONJUNCTION WITH AN INDEPENDENT THIRD PARTY CONSULTING FIRM TO ENSURE COMPENSATION IS REASONABLE AND APPROPRIATE FOR DUTIES AND RESPONSIBILITES ASSIGNED. REVIEW AND APPROVAL OF COMPENSATION IS DOCUMENTED VIA MINUTES OF COMMITTEE MEETINGS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER, INC. -791,045. PENSION LIABILITY ADJUSTMENT 16,913,353. CHANGE IN FAIR VALUE OF DERIVATIVE -579,107. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER INC | |||||||||||
| 1800 EAST PARK AVENUE | STATE COLLEGE | PA | 168036796 | 571138956 | FUNDRAISING AND SUPPORT FOR MOUNT NITTANY MEDICAL CENTER | PA | 501(C)(3) | 11A | MOUNT NITTANY MEDICAL CENTER | 1 | |
| MOUNT NITTANY MEDICAL CENTER WORKMEN'S COMPENSATION SELF INSURANCE TRUST | |||||||||||
| 1800 EAST PARK AVENUE | STATE COLLEGE | PA | 168036796 | 256440788 | PROVIDE WORKMEN'S COMPENSATION BENEFITS TO EMPLOYEES OF MNMC | PA | 501(C)(3) | 11A | MOUNT NITTANY MEDICAL CENTER | 1 | |
| MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC | |||||||||||
| 1800 EAST PARK AVENUE | STATE COLLEGE | PA | 168036796 | 510426500 | PROFESSIONAL SERVICES TO SUPPORT MNMC | PA | 501(C)(3) | 11A | MOUNT NITTANY HEALTH SYSTEM | 0 | |
| MOUNT NITTANY SURGICAL CENTER INC | |||||||||||
| 1850 EAST PARK AVENUE | STATE COLLEGE | PA | 168036796 | 251712099 | HEALTHCARE | PA | 501(C)(3) | 11A | MOUNT NITTANY MEDICAL CENTER | 1 | |
| MOUNT NITTANY HEALTH SYSTEM | |||||||||||
| 1800 EAST PARK AVENUE | STATE COLLEGE | PA | 168036796 | 800663092 | PROVIDE MANAGEMENT AND ADMINISTRATIVE SUPPORT TO MNMC & SUBSIDIARIES | PA | 501(C)(3) | 11A | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER | ||
| C | 2795379 | CASH |
| FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER | ||
| O | 380582 | COST OF SHARING PAID EMPLOYEES |
| MOUNT NITTANY SURGICAL CENTER | ||
| O | 505799 | COST OF SHARING PAID EMPLOYEES |
| MOUNT NITTANY SURGICAL CENTER | ||
| L | 497922 | COST OF SERVICES PERFORMED |
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