HIGHMARK HEALTH: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HIGHMARK HEALTH (EIN 25-1737079)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201411349349305286
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T14:15:28-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251737079 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Canonsburg General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MATTHEW PETERSON | InCareOfName |
| Name Control | CANO | NameControl |
| Phone | 4125446668 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O Tax Dept 120 Fifth Ave Suit | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15222 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Elizabeth Allen | Name |
| Title | Chief Financial Officer | Title |
| Phone | 4125446668 | Phone |
| Date Signed | 2014-05-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Matthew Peterson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 Isabella Street | AddressLine1 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53771361 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.wpahs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | See Form 990, Page 2, Part III, Line 1 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 549 | TotalNbrEmployees |
| Total Nbr Volunteers | 165 | TotalNbrVolunteers |
| Total Gross UBI | 156396 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -75651 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 108639 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 79385 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47651284 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 49886120 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -3944 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1555 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1575044 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3748060 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 49331023 | TotalRevenuePriorYear |
| Total Revenue Current Year | 53715120 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 950 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10464 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23268857 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 25711457 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 101386 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 30346263 | OtherExpensePriorYear |
| Other Expenses Current Year | 32590536 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 53616070 | TotalExpensesPriorYear |
| Total Expenses Current Year | 58312457 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4285047 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4597337 | RevenuesLessExpensesCY |
| Total Assets BOY | 27946630 | TotalAssetsBOY |
| Total Assets EOY | 38492381 | TotalAssetsEOY |
| Total Liabilities BOY | 52826694 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 81207779 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -24880064 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -42715398 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Canonsburg General Hospital is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16299834 | Expense |
| Revenue | 15611433 | Revenue |
| Description | Canonsburg General Hospital is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. To complete this mission, Canonsburg General Hospital provides Medical services to all patients regardless of their ability to pay. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6677123 | Expense |
| Revenue | 7046812 | Revenue |
| Description | Canonsburg General Hospital is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. To complete this mission, Canonsburg General Hospital provides Orthepedic services to all patients regardless of their ability to pay. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4742930 | Expense |
| Revenue | 4718895 | Revenue |
| Description | Canonsburg General Hospital is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. To complete this mission, Canonsburg General Hospital provides Cardiovascular services to all patients regardless of their ability to pay. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 25291112 | Expense |
| Grants | 10464 | Grants |
| Revenue | 25779694 | Revenue |
| Description | Other Medical Services Provided To Patients | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 25291112 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 10464 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 25779694 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 53010999 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | true | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 70 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 549 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MATTHEW PETERSON | NamePerson |
| Telephone Number | 4123306090 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 ISABELLA STREET | AddressLine1 |
| City | Pittsburgh | City |
| State | PA | State |
| ZIP Code | 15212 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Joseph Macerelli | |||||||||
| Chair of the Board | 1.0 | X | X | ||||||
| William Burt | |||||||||
| Director | 1.0 | X | |||||||
| Carol Pankas | |||||||||
| Director | 1.0 | X | |||||||
| William Thomeier MD | |||||||||
| Director | 1.0 | X | |||||||
| Charles LaBelle | |||||||||
| Director | 1.0 | X | |||||||
| Michael Alterio | |||||||||
| Director | 1.0 | X | |||||||
| David Celko MD | |||||||||
| Director | 1.0 | X | |||||||
| David Burkey MD | |||||||||
| Director | 1.0 | X | |||||||
| Joseph Cerenzia | |||||||||
| Director | 1.0 | X | |||||||
| John Isherwood | |||||||||
| Ex Officio Director | 1.0 | X | |||||||
| Theodore Neighbors | |||||||||
| Ex Officio Director | 1.0 | X | |||||||
| Vincent Trapanotto DO | |||||||||
| Ex Officio Director | 1.0 | X | |||||||
| Terry Wiltrout | |||||||||
| Hospital President and CEO | 1.0 | X | X | 39.0 | 0 | 186183 | 0 | ||
| Kimberly Sperring | |||||||||
| Ex Officio Director | 1.0 | X | 39.0 | 0 | 195221 | 0 | |||
| Jeffrey Gretz MD | |||||||||
| Ex Officio Director | 1.0 | X | 39.0 | 0 | 316781 | 0 | |||
| Deborah Olszewski | |||||||||
| Assistant Secretary | 1.0 | X | 39.0 | 0 | 181014 | 0 | |||
| Matthew Peterson | |||||||||
| Treasurer | 1.0 | X | 39.0 | 0 | 281808 | 0 | |||
| Robert Brandfass | |||||||||
| Secretary | 1.0 | X | 39.0 | 0 | 478242 | 0 | |||
| Judy Zedreck | |||||||||
| President & CEO | 1.0 | X | 39.0 | 0 | 415075 | 0 | |||
| Michael Sirott | |||||||||
| Secretary | 1.0 | X | 39.0 | 0 | 193042 | 0 | |||
| Teresa Gordon | |||||||||
| CRNA | 40.0 | 208804 | 0 | 0 | X | ||||
| Denise Westwood | |||||||||
| VP - Patient Care Services | 40.0 | 129516 | X | ||||||
| Laurie Molinda MD | |||||||||
| Physician | 40.0 | 144354 | X | ||||||
| Cathleen Allinder | |||||||||
| CRNA | 40.0 | 151037 | 0 | 0 | X | ||||
| Barbara Gorby | |||||||||
| CRNA | 40.0 | 167594 | 0 | 0 | X | ||||
| Christopher Olivia MD | |||||||||
| Health System President & CEO | 0 | 1261143 | 0 | X | |||||
| Diane Dismukes | |||||||||
| Health System President & CEO | 0 | 833367 | 0 | X | |||||
| Roy Santarella | |||||||||
| Treasurer | 0 | 703046 | 0 | X | |||||
| David Kiehn | |||||||||
| Assistant Treasurer | 0 | 619128 | 0 | X | |||||
| Eugene Trout | |||||||||
| VP of Finance | 40.0 | 0.0 | 0 | 116708 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 801305 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5780758 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Allegheny Chesapeake Physical The | |||||
| 3053 New Germany Road | EBENSBURG | PA | 15931 | Physical Therapy | 1150856 |
| Triangle Urological Group | |||||
| 1307 Federal St STE 300 | PITTSBURGH | PA | 15212 | Medical Prof Svcs | 214152 |
| Aramark Corp | |||||
| 24863 Network Pl | CHICAGO | IL | 60673 | Mgmt Services | 106733 |
| Clean Care | |||||
| 51st and AV R R | PITTSBURGH | PA | 15201 | Linen Services | 220919 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Fundraising Events | 28724 | FundraisingEvents |
| Related Organizations | 10601 | RelatedOrganizations |
| All Other Contributions | 40060 | AllOtherContributions |
| Total Contributions | 79385 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Business Code | 621500 | BusinessCode |
| Total Revenue Column | 49886120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49755482 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 130638 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 49886120 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -725 | TotalRevenueColumn |
| Exclusion | -$725 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 302104 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 302104 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 302104 | TotalRevenueColumn |
| Unrelated Business Revenue | 16331 | UnrelatedBusinessRevenue |
| Exclusion | $285,773 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2280 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2280 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2280 | TotalRevenueColumn |
| Exclusion | $2,280 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 48746 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 28724 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 27587 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21159 | TotalRevenueColumn |
| Exclusion | $21,159 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 42672 | GrossIncomeGaming |
| Gaming Direct Expenses | 28654 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14018 | TotalRevenueColumn |
| Exclusion | $14,018 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| GRANT REVENUE | 621110 | 465817 | 465817 |
| SCHOOL DISTRICT NURSING SERVICES | 621110 | 310515 | 310515 |
| HIGHMARK QUALITY AWARD | 621110 | 291000 | 291000 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2343447 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2334020 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 9427 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3410779 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53715120 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53156834 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 156396 | UnrelatedBusinessRevenue |
| Exclusion | $322,505 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10464 | Total |
| Program Services | 10464 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21076574 | Total |
| Program Services | 18916226 | ProgramServices |
| Management And General | 2107657 | ManagementAndGeneral |
| Fundraising | 52691 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1364857 | Total |
| Program Services | 1228371 | ProgramServices |
| Management And General | 136486 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1936472 | Total |
| Program Services | 1737984 | ProgramServices |
| Management And General | 193647 | ManagementAndGeneral |
| Fundraising | 4841 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1333554 | Total |
| Program Services | 1196865 | ProgramServices |
| Management And General | 133355 | ManagementAndGeneral |
| Fundraising | 3334 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357474 | Total |
| Management And General | 357474 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79 | Total |
| Management And General | 79 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2907404 | Total |
| Program Services | 2410238 | ProgramServices |
| Management And General | 494259 | ManagementAndGeneral |
| Fundraising | 2907 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5861 | Total |
| Program Services | 2861 | ProgramServices |
| Fundraising | 3000 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193896 | Total |
| Program Services | 174312 | ProgramServices |
| Management And General | 19390 | ManagementAndGeneral |
| Fundraising | 194 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1239068 | Total |
| Program Services | 1115161 | ProgramServices |
| Management And General | 123907 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12717 | Total |
| Program Services | 11439 | ProgramServices |
| Management And General | 1272 | ManagementAndGeneral |
| Fundraising | 6 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5160 | Total |
| Program Services | 4644 | ProgramServices |
| Management And General | 516 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1325394 | Total |
| Program Services | 1192855 | ProgramServices |
| Management And General | 132539 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7136994 | Total |
| Program Services | 6423295 | ProgramServices |
| Management And General | 713699 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3038464 | Total |
| Program Services | 2734618 | ProgramServices |
| Management And General | 303846 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1171539 | Total |
| Program Services | 1054385 | ProgramServices |
| Management And General | 117154 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PATIENT CARE COSTS | 6439864 | 6439864 | |
| BAD DEBT | 4227222 | 4227222 | |
| REPAIR AND MAINTENANCE | 2155420 | 1939878 | 215542 |
| PA ACT 49 - QUALITY CARE | 770448 | 770448 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1603532 | Total |
| Program Services | 1419869 | ProgramServices |
| Management And General | 149250 | ManagementAndGeneral |
| Fundraising | 34413 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58312457 | Total |
| Program Services | 53010999 | ProgramServices |
| Management And General | 5200072 | ManagementAndGeneral |
| Fundraising | 101386 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | X | InfoInScheduleOPartX |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 935 | BOY |
| EOY | 1292 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5119356 | BOY |
| EOY | 3087918 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168064 | BOY |
| EOY | 95145 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4931181 | BOY |
| EOY | 5991968 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 819464 | BOY |
| EOY | 1245210 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 773924 | BOY |
| EOY | 427089 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27398434 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 457955 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15869489 | BOY |
| EOY | 26940479 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208018 | BOY |
| EOY | 332773 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13848 | BOY |
| EOY | 49468 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42351 | BOY |
| EOY | 321039 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27946630 | BOY |
| EOY | 38492381 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3738262 | BOY |
| EOY | 3902611 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3117042 | BOY |
| EOY | 2869907 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26142473 | BOY |
| EOY | 25709643 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19828917 | BOY |
| EOY | 48725618 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52826694 | BOY |
| EOY | 81207779 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -25247734 | BOY |
| EOY | -43137811 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 288498 | BOY |
| EOY | 343763 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79172 | BOY |
| EOY | 78650 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -24880064 | BOY |
| EOY | -42715398 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27946630 | BOY |
| EOY | 38492381 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4597337 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1097 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -13239094 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 367670 | BeginningOfYearBalance |
| Contributions | 134638 | Contributions |
| Investment Earnings Or Losses | 2781 | InvestmentEarningsOrLosses |
| Other Expenditures | 82597 | OtherExpenditures |
| Administrative Expenses | 79 | AdministrativeExpenses |
| End Of Year Balance | 422413 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 364235 | BeginningOfYearBalance |
| Contributions | 121900 | Contributions |
| Investment Earnings Or Losses | 936 | InvestmentEarningsOrLosses |
| Other Expenditures | 119274 | OtherExpenditures |
| Administrative Expenses | 127 | AdministrativeExpenses |
| End Of Year Balance | 367670 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 776418 | BeginningOfYearBalance |
| Contributions | 278567 | Contributions |
| Investment Earnings Or Losses | 12775 | InvestmentEarningsOrLosses |
| Other Expenditures | 703464 | OtherExpenditures |
| Administrative Expenses | 61 | AdministrativeExpenses |
| End Of Year Balance | 364235 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 469207 | BeginningOfYearBalance |
| Contributions | 460881 | Contributions |
| Investment Earnings Or Losses | 10255 | InvestmentEarningsOrLosses |
| Other Expenditures | 163880 | OtherExpenditures |
| Administrative Expenses | 45 | AdministrativeExpenses |
| End Of Year Balance | 776418 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 290085 | BeginningOfYearBalance |
| Contributions | 183331 | Contributions |
| Investment Earnings Or Losses | -1398 | InvestmentEarningsOrLosses |
| Other Expenditures | 2624 | OtherExpenditures |
| Administrative Expenses | 187 | AdministrativeExpenses |
| End Of Year Balance | 469207 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.19000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.81000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1730000 | OtherCostOrOtherBasis |
| Book Value | 1730000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16777180 | OtherCostOrOtherBasis |
| Depreciation | 145482 | Depreciation |
| Book Value | 16631698 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42000 | OtherCostOrOtherBasis |
| Depreciation | 700 | Depreciation |
| Book Value | 41300 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8351380 | OtherCostOrOtherBasis |
| Depreciation | 168225 | Depreciation |
| Book Value | 8183155 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 497875 | OtherCostOrOtherBasis |
| Depreciation | 143549 | Depreciation |
| Book Value | 354326 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26940479 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION COST | $7,684,249 |
| INSURANCE LIABILITIES | $1,000,453 |
| DUE TO AFFILIATED ORGANIZATION | $40,040,916 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48725618 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CGH Inclusion In The Consolidated Audit of WPAHS | Form 990, Schedule D, Part X, Question 2, Part XIII | Canonsburg General Hospital does not receive its own independent audit. It is a member of a regional healthcare system named West Penn Allegheny Health System. West Penn Allegheny Health System receives a consolidated audit that includes the operations of Canonsburg General Hospital. The following analysis represents the reconciliation between the Canonsburg General Hospital financial statement net income and the net income as reported on Form 990, Page 1, line 19: Net loss per financial statements $(4,654,075) Plus: Income and expense reclassified from restricted net assets on the financial statements to unrestricted income and expense on Form 990 56,738 ___________ Net loss per Form 990 $(4,597,337) The following is the footnote to the audited consolidated financial statements of the West Penn Allegheny Health System for FASB ASC 740: WPAHS adopted Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes, which clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements. FASB ASC 740 prescribes a more-likely than-not recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken. Under FASB ASC 740, tax positions will be evaluated for recognition, derecognition, and measurement using consistent criteria and will provide more information about the uncertainty in income tax assets and liabilities. Based on an analysis prepared by WPAHS, it was determined that the application of FASB ASC 740 had no material effect on the recorded assets and liabilities of WPAHS. |
| Intended Use of the Organization Endowment Fund | Schedule D, Page 2, Part V, Line 4 | The intended use of the Canonsburg General Hospital permanent and term endowments are for, but not exclusive to: capital improvements, research, education, departmental needs, operating efficiencies, and overall patient care. The earnings off of the permanent amount are expendable, based on the specific use of the fund. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 77470 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 28724 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 48746 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 26192 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 325 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1070 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 77470 | GrossReceiptsTotal |
| Charitable Contributions Total | 28724 | CharitableContributionsTotal |
| Gross Revenue Total Events | 48746 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 26192 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 325 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1070 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 27587 | DirectExpenseSummaryEvents |
| Net Income Summary | 21159 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 42672 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 12404 | CashPrizesOtherGaming |
| Rent Facility Costs Other Gaming | 1420 | RentFacilityCostsOtherGaming |
| Other Direct Expenses Other Gaming | 14830 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | true | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 0.90000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 42672 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 12404 | CashPrizesTotalGaming |
| Rent Facility Costs Total Gaming | 1420 | RentFacilityCostsTotalGaming |
| Other Direct Expenses Total Gaming | 14830 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 28654 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 14018 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | PA | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | false | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | Rebecca Bibble | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Medical Boulevard | AddressLine1 |
| City | Canonsburg | City |
| State | PA | State |
| ZIP Code | 15317 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | Rebecca Bibble | GamingManagerNamePerson |
| Gaming Manager Compensation | 81408 | GamingManagerCompensation |
| Gaming Manager Services Provided | oversight of gaming activity | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | false | CharitableDistribRequired |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 172194 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 172194 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3631934 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1826223 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1805711 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03340 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3804128 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1826223 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1977905 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03660 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 151806 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 151806 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 105453 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 105453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 289239 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 194105 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 95134 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47605 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 47605 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 594103 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 194105 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 399998 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4398231 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2020328 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2377903 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04400 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 73353 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 73353 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 73353 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 73353 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,333,689 | BadDebtExpenseAmount |
| Amount Attributable To | 320885 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 7234853 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11344790 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4109937 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| 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 | Canonsburg General Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NMedical Boulevard | AddressLine1 |
| City | Canonsburg | City |
| State | PA | State |
| ZIP Code | 15317 | 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 | Canonsburg General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | true | 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 |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Other Reason | X | OtherReason |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Peters Township Outpatient Care Center | ||||
| 160 Gallery Drive | McMurray | PA | 15317 | Outpatient Care Center |
| Canonsburg Community Health Care | ||||
| 36 East Pike Street | Canonsburg | PA | 15317 | Community Health Care |
| CGH - Physician Offices | ||||
| Southpoint Plaza 1 Ste 235 | Canonsburg | PA | 15317 | Physician Offices |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Bad Debt Expense Financial Statement Footnote and Costing Methodology | Schedule H, Part III, Question 4 | Canonsburg General Hospital does not issue a separate audited financial statement and therefore a footnote does not exist. Bad debt is accounted for on a charge basis in our internal financial statements. A cost to charge ratio is applied to the internal figures to convert the charge to cost. It is the opinion of Canonsburg General Hospital management that because patients are often reluctant to complete the required charity care paperwork that an significant amount of charity care results in bad debt. Thus, it is our opinion that bad debt expense should be considered a justifiable component of charity care. |
| Medicare Costing Methodology | Schedule H, Part III, Question 8 | Canonsburg General Hospital receives overall reimbursement from Medicare less than the cost of the services provided. As such, we consider the shortfall a community benefit. The source used to determine the amount reported on line 6 is the medicare cost report. |
| Collection Practices For Patients Who Qualify For Financial Assistance | Schedule H, Part III, Question 9b | Patients that qualify for charity care or financial assistance are provided with an approval letter with the effective dates for the assistance. At any time the individual presents for services within a 90 day span of approval, they show the letter and will be registered as a charity care case. Charity care cases are designated in the internal computerized systems with unique plan codes that prevent billing to the patient. Reports are run to capture the patient accounts registered with the charity care plan codes so they can be written off to charity care. |
| Charges For Medical Care | Schedule H, Part V, Line 19 | Canonsburg General Hospital offers uninsured patients a fifty percent (50%) discount on total gross charges to all hospital charges. The intent of the discount is to standardize charging practices for covered and non covered patients. The discount is offered during patient contact for elective/ urgent (non cosmetic) procedures during the financial counseling process, as well as during the patient statement cycle process for services provided (including Emergency services.) Patient statements are clearly marked with the uninsured discount, reducing the 'amount owed' of the gross charges. An uninsured discount of 50% is applied to the patient account either at the time of payment or prior to transferring the account to bad debt upon conclusion of the routine four statement cycle, for any unpaid balances. |
| Charges Equal to Gross Charges for Patient Services | Schedule H, Part V, Line 20 | The hospital offers a variety of procedures. For elective/non medically emergent procedures not covered by health plans, individual fee schedules are published and communicated prior to services. Patients are contacted in advance of the procedure by financial counselors and are required to pay for services in full based on the fee schedule. The patient is required to pay the hospital fee schedule for the technical component and the physician for the professional services rendered. |
| Health Needs Assessment | Schedule H, Part VI, Line 2 | Canonsburg General Hospital management and staff utilize multiple strategies to continually monitor and assess the health care needs of the communities it serves. One approach to assessing needs involves surveying community members about health needs related to national and state health goals. Canonsburg General Hospital also acts on expressed community needs by responding to direct community requests for health screenings, outreach events and other health-related activities and by maintaining longstanding programs that are well attended and positively evaluated by community participants. In addition, Canonsburg General Hospital gathers community input through participation in area rotaries, chambers of commerce, through partnerships with community organizations and other community engagement activities. Another means is through reviewing and taking appropriate actions on feedback gathered from the following sources: routine market assessments; patient and family satisfaction surveys; Press Ganey surveys; patient, patient family and staffs' suggestions for improving patient safety; medical staff input and physician surveys. Canonsburg General Hospital conducted a Community Health Needs Assessment (CHNA) during the year ended June 30, 2013 in accordance with IRC Section 501(r) and the guidance documented in the Internal Revenue Bulletin 2011-30, Notice 2011-52 and the proposed regulations issued April 5, 2013. The CHNA process began in August 2012 and concluded in May 2013. The Board of Directors that govern Canonsburg General Hospital approved an implementation strategy designed to address the community health needs identified in the CHNA on October 1, 2013. The CHNA process included input from persons representing the broad interests of the community including individuals with special knowledge of or expertise in public health, organizations with information relevant to the health needs of the community and representatives of medically underserved populations. The results of the CHNA identified multiple health needs in the communities we serve. The Hospital addressed the following health needs: diabetes, heart disease and breast cancer. The CHNA identified the following health needs the Hospital chose not to address: flu and pneumonia, bronchus and lung cancer and health literacy because existing hospital and/or community resources work to address these needs. Canonsburg General Hospital evaluated all top priority needs and put forth plans to address the needs we felt we were best positioned to make a positive impact for the betterment of the health of the communities we serve. The Hospital has made the CHNA widely available to the public. The community health needs assessment can be viewed at : www.wpahs.org. |
| Patient Education For Eligibility For Assistance | Schedule H, Part VI, Line 3 | Canonsburg General Hospital displays signage in various patient Admission, Registration and Emergency Department areas that alerts that patient to Account Assistance program availability and contact information. During the preservice process, patients are evaluated to determine financial assistance options. Canonsburg General Hospital offers the "Account Assistance Program" which consists of application assistance for governmental eligibility, Charity Care application completion and submission support, as well as uninsured provisions. Account Assistance summaries are available on the West Penn Allegheny Health System website www.wpahs.org under the link titled, "Care for Uninsured" are available to the public. The Charity Care application, as well as, a Medical Assistance check list is available for patients who wish to self-apply. In addition to the documents, toll free telephone numbers regarding Account Assistance, charity and/or other financial inquiries are available. The website also contains a copy of the brochure that summarizes the Account Assistance program, as well as provides various governmental and internal numbers to patients seeking additional support. Canonsburg General Hospital also provides on-site support through Financial Counselor staff who are available to work with patient walk in's. Financial Counselors work directly with the patients as well as designated agency support regarding qualifying patients for Medical Assistance. Both week day and weekend coverage is available to the patients, as well as field support needed for post discharge follow up needed for application submission. The above support is available at no charge to the patient. |
| Community Served Information | Schedule H, Part VI, Line 4 | Canonsburg General Hospital, located in Canonsburg Pennsylvania, provides health care services to residents of Allegheny and Washington Counties. Located approximately 20 miles outside of Pittsburgh, Canonsburg has approximately 9,000 residents. Allegheny County consists of approximately 1,227,000 residents living in a land area of approximately 730 square miles. The median housing value in Allegheny County is $118,700. Washington County consists of approximately 209,000 residents living in a land area of approximately 857 square miles. The median housing value in Washington County is $136,400. |
| Promotion of Community Health | Schedule H, Part VI, Line 5 | The Canonsburg General Hospital Emergency Department cares for the community by operating 24 hours a day, 7 days a week with highly skilled and trained emergency medicine physicians and nurses. The Emergency Department is open to all individuals regardless of their ability to pay. The voting members of the Canonsburg General Hospital Board of Directors consist of a majority of independent community members without personal financial ties to the hospital. |
| Affiliated Healthcare System | Schedule H, Part VI, Line 6 | West Penn Allegheny Health System (WPAHS) is comprised of some of the oldest and best-known names in health care in western Pennsylvania. From their inception, the system's hospitals have been in the vanguard of patient care, medical research and health sciences education. Comprised of two tertiary and three community hospitals, WPAHS includes Allegheny General Hospital and The Western Pennsylvania Hospital, both in Pittsburgh; Alle-Kiski Medical Center in Natrona Heights; Canonsburg General Hospital in Canonsburg; and Forbes Regional Campus in Monroeville. Offering a comprehensive range of medical and surgical services, the hospitals serve Pittsburgh and the surrounding five-state area, house approximately 1,600 beds and employ more than 11,000 people. Together, the WPAHS hospitals admit nearly 56,000 patients, log over 164,000 emergency visits and deliver more than 3,800 newborns each year. Combined, the hospitals are among the leaders in percentages of total surgeries, cardiac surgeries, neurosurgeries and cardiac catheterization procedures performed throughout the region. Through the West Penn Allegheny Health System, Canonsburg General Hospital (CGH) is able to ensure that area residents have access to a complete continuum of health care services. And through appropriate integration across the system, both clinically and operationally, the hospital is able to remain a high-quality, low-cost provider with linkages to the latest medical research and advanced technology. Canonsburg General Hospital provides a wide range of medical and surgical services, with advanced diagnostic and treatment services accessible on both an inpatient and outpatient basis. The Hospital has an active ambulatory care center available to serve the needs of the community. On April 29, 2013, WPAHS consummated an affiliation with Highmark Health, a 501(c)(3) tax exempt organization. This affiliation was one step toward the creation of an integrated delivery system named Allegheny Health Network. In addition to WPAHS, the Allegheny Health Network also includes Jefferson Regional Medical Center, Saint Vincent Health System and Saint Vincent Health Center. |
| State Filing of Community Benefit Report | Schedule H, Part VI, Line 7 | Canonsburg General Hospital files the community benefit report with the state of Pennsylvania as part of our obligation to furnish the state of Pennsylvania with a copy of the IRS Form 990 and related schedules. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INCLUSION OF SCHEDULE I | SCHEDULE I | CANONSBURG GENERAL HOSPITAL REPORTED A TOTAL OF $10,464 OF GRANTS TO ORGANIZATIONS IN THE US ON PART IX, COLUMN A, LINE 1. SINCE THIS TOTAL IS GREATER THAN $5,000, PART V, LINE 21 ON THE FORM 990 WAS ANSWERED YES. A SCHEDULE I IS REQUIRED TO BE ATTACHED TO THE FORM 990. THERE WAS NO RECIPIENT THAT RECEIVED MORE THAN $5,000, THEREFORE, NOTHING IS REQUIRED TO BE DISCLOSED ON SCHEDULE I. |
| PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS | SCHEDULE I | CANONSBURG GENERAL HOSPITAL MANAGEMENT ANALYZES REQUESTS FOR DISBURSEMENT OF CONTRIBUTIONS AND GRANTS. REQUESTS ARE GRANTED TO THOSE ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE AND A MISSION THAT WILL UTILIZE THE FUNDS TO THE BETTERMENT OF THE COMMUNITY THAT WE SERVE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Christopher Olivia MD | ||||||||||||||
| Health System President & CEO | 0 | 0 | 0 | 0 | 0 | 1261143 | 0 | 625000 | 0 | 7325 | 0 | 1893468 | 0 | 1250000 |
| Roy Santarella | ||||||||||||||
| Treasurer | 0 | 0 | 0 | 0 | 0 | 703046 | 0 | 585817 | 0 | 183 | 0 | 1289046 | 0 | 703046 |
| Deborah Olszewski | ||||||||||||||
| Assistant Secretary | 0 | 179977 | 0 | 0 | 0 | 1037 | 0 | 10858 | 0 | 1538 | 0 | 193410 | 0 | 0 |
| Matthew Peterson | ||||||||||||||
| Treasurer | 0 | 231605 | 0 | 50000 | 0 | 203 | 0 | 6250 | 0 | 9353 | 0 | 297411 | 0 | 0 |
| Terry Wiltrout | ||||||||||||||
| Hospital President and CEO | 0 | 186012 | 0 | 0 | 0 | 171 | 0 | 7667 | 0 | 8745 | 0 | 202595 | 0 | 0 |
| Kimberly Sperring | ||||||||||||||
| Ex Officio Director | 0 | 194818 | 0 | 0 | 0 | 403 | 0 | 9974 | 0 | 8915 | 0 | 214110 | 0 | 0 |
| Teresa Gordon | ||||||||||||||
| CRNA | 208804 | 0 | 0 | 0 | 0 | 0 | 8452 | 0 | 8245 | 0 | 225501 | 0 | 0 | 0 |
| Cathleen Allinder | ||||||||||||||
| CRNA | 151037 | 0 | 0 | 0 | 0 | 0 | 7801 | 0 | 6781 | 0 | 165619 | 0 | 0 | 0 |
| Barbara Gorby | ||||||||||||||
| CRNA | 167594 | 0 | 0 | 0 | 0 | 0 | 6941 | 0 | 8556 | 0 | 183091 | 0 | 0 | 0 |
| Jeffrey Gretz MD | ||||||||||||||
| Ex Officio Director | 0 | 241788 | 0 | 74649 | 0 | 344 | 0 | 8125 | 0 | 9156 | 0 | 334062 | 0 | 0 |
| David Kiehn | ||||||||||||||
| Assistant Treasurer | 0 | 13033 | 0 | 100000 | 0 | 506095 | 0 | 0 | 0 | 725 | 0 | 619853 | 0 | 564419 |
| Robert Brandfass | ||||||||||||||
| Secretary | 0 | 317358 | 0 | 150717 | 0 | 10167 | 0 | 0 | 0 | 10801 | 0 | 489043 | 0 | 0 |
| Diane Dismukes | ||||||||||||||
| Health System President & CEO | 0 | 0 | 0 | 0 | 0 | 833367 | 0 | 0 | 0 | 183 | 0 | 833550 | 0 | 833367 |
| Eugene Trout | ||||||||||||||
| VP of Finance | 0 | 37623 | 0 | 0 | 0 | 79085 | 0 | 0 | 0 | 2873 | 0 | 119581 | 0 | 66147 |
| Judy Zedreck | ||||||||||||||
| President & CEO | 0 | 379144 | 0 | 34000 | 0 | 1931 | 0 | 12500 | 0 | 13188 | 0 | 440763 | 0 | 0 |
| Michael Sirott | ||||||||||||||
| Secretary | 0 | 192662 | 0 | 0 | 0 | 380 | 0 | 0 | 0 | 9370 | 0 | 202412 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Additional Compensation Disclosure | Form 990, Schedule J, Page 1, Part I, Question 4a | The following represents additional disclosure for Schedule J, line 4a pertaining to officers and key employees listed in Form 990, Part VII, Section A, Line 1a receiving severance pay during the calendar year ending within the June 30, 2013 fiscal year end: Christopher Olivia, MD $1,250,000 Diane Dismukes $ 833,367 Roy Santarella $ 703,046 David Kiehn $ 464,419 Gene Trout $ 66,147 |
| Deferred Compensation | Schedule J, Part II, Column C | Retirement and other deferred compensation reflect amounts accrued to the benefit of the applicable individuals related to qualified pension and severance plans. In this regard, the following individuals have amounts accrued related to future severance payments to be made: Christopher Olivia, MD Roy Santarella |
Schedule K IRS990ScheduleK
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Bond Information | Identifier |
| Return Reference | Form 990, Schedule K, Part VI | ReturnReference |
| Explanation | Canonsburg General Hospital is a member of the West Penn Allegheny Health System obligated group in regards to 2007 Allegheny County Hospital Development Authority Tax-exempt Bonds. Accordingly, Schedule K has been inserted into this form 990 for full disclosure purposes. The IRS form 990 filed for West Penn Allegheny Health System, Inc., EIN: 25-0969492 contains the full disclosure for Schedule K. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| IRS Form 990 - Organizational Comment | IRS Form 990 | On April 29, 2013, West Penn Allegheny Health System, Inc., the parent organization of the West Penn Allegheny Health System formalized an affiliation with Highmark Health, EIN: 45-3674900, a 501(c)(3) tax exempt organization to become a member of a newly created integrated delivery system named Allegheny Health Network (the "Network"). West Penn Allegheny Health System, Inc. is the sole member of Canonsburg General Hospital. In addition to West Penn Allegheny Health System, the Allegheny Health Network also consists of Jefferson Regional Medical Center, Saint Vincent Health Center and Saint Vincent Health System. In total, the Network consists of 22 different organizations exempt from federal income tax under IRS Section 501(c)(3). The parent organization of the Network is Allegheny Health Network, EIN: 45-3674924, a 501(c)(3) tax exempt organization. Together, these organizations have combined to create a cost-effective health system that raises quality, enhances outcomes and preserves consumer choice for everyone. Statement of Program Service Accomplishments Form 990, Page 2, Part III, Line 4a INTRODUCTION TO CANONSBURG GENERAL HOSPITAL Canonsburg General Hospital (CGH), founded in 1904, is a 104-bed community hospital located 25 miles southwest of Pittsburgh. The hospital's primary service areas are northern Washington and southern Allegheny counties. CGH is a member of the Allegheny Health Network by virtue of being affiliated with West Penn Allegheny Health System (WPAHS). Organized in 2000, WPAHS (www.wpahs.org) is comprised of West Penn Allegheny Health System, Inc. (WPAHS, Inc.), Alle-Kiski Medical Center (AKMC), Allegheny Medical Practice Network (AMPN), Allegheny Specialty Practice Network (ASPN) Allegheny-Singer Research Institute (ASRI), West Penn Allegheny Oncology Network (WPAON), West Penn Physician Practice Network (WPPPN), Canonsburg General Hospital Ambulance Service (CGH Ambulance), the Western Pennsylvania Hospital Foundation (WPHF), Forbes Health Foundation (FHF), Suburban Health Foundation (SHF) and the Alle-Kiski Medical Center Trust (AKMC Trust) as well as CGH. Through its affiliation with the West Penn Allegheny Health System, CGH area residents have access to a complete continuum of health care services. Through appropriate integration across the System both clinically and operationally, the Hospital is able to remain a high quality, low-cost provider with linkages to the latest medical research and advanced technology. The Hospital received various accreditations in Fiscal 2013 from sources that include the state Department of Health and the American College of Radiology. CGH has also maintained The Joint Commission's Gold Seal of Approval by demonstrating compliance with The Joint Commission's national standards for health care quality and safety. CGH participated in the Quality Blue program sponsored by Highmark that measured quality initiatives and indicators that included Emergency Department Throughput, Readmissions, Surgical Safety, and Venous Thromboembolism Care and Coordination. The Hospital achieved the maximum level of incentive for the Highmark Quality Blue initiative as a result of our infection prevention initiatives, and process changes to improve patient care and patient safety. CGH provides a wide range of medical and surgical services, with diagnostic and treatment services easily accessible on both an inpatient and outpatient basis. The hospital offers specialized services in acute inpatient rehabilitation, as well as having a strong focus on health education and preventive care programs that reflect its commitment to wellness and health improvement. CGH's ambulatory care center offers a full complement of outpatient services including same-day surgery, gastrointestinal (GI) procedures, computed tomography (CT) scans, pain management and sleep labs. Other specific departments and services available at CGH include medical imaging; laboratory testing and analysis, acute care and intensive care units, and rehabilitation services. The Outpatient Care Center - Peters Township offers medical services and physician offices, allowing cancer care, diagnostic testing, laboratory services, primary care physician offices, specialists, and same-day surgery. For the 12 months ended June 30, 2013, CGH served 3,260 inpatients, registered 70,991 outpatient visits, treated 20,603 patients in the emergency department (2,364 of which were admitted) and performed 2,143 surgeries. CGH employed a workforce of 459 employees and has 312 physicians on its medical staff during the year ended June 30, 2013. PURPOSE AND MISSION Canonsburg general Hospital is a team of care givers committed to improving health and promoting wellness in our communities, one person at a time. We pledge to consistently deliver safe, compassionate quality healthcare by treating the whole person - body, mind and spirit. UNCOMPENSATED CARE To enhance the health status of the community in which it operates and consistent with its tax-exempt status, CGH provides needed health care services to individuals regardless of their ability to pay for all or part of the services rendered. These services include both inpatient and outpatient services as well as an emergency room that is available 24 hours a day. Consistent with the filing of Schedule H, the components of uncompensated care include charity care and unreimbursed Medicaid costs. CGH provided uncompensated care at a cost of $1,977,905 in Fiscal 2013. COMMUNITY BENEFIT Community Health Improvement Services and Community Benefit Operations Community health improvement services and community benefit operations include activities carried out to improve community health. They extend beyond patient care to include activities subsidized by the Hospital. The activities range from community health clinics and screenings to health education programs designed to raise community awareness of various healthcare topics and issues. Consistent with the filing of Schedule H, CGH provided these services at a cost of $151,806 in Fiscal 2013. Flu Vaccinations - Flu vaccinations were provided free of charge at local community clinics. In addition, the Hospital provided free vaccinations to local fire, police and ambulance personnel of Canonsburg, Fort Cherry, North Strabane and Houston borough. Medivan Service - CGH provided a free transportation service to area residents who require testing or surgery at the hospital. The Hospital provides this program to enhance access to healthcare for those members of the community who cannot find adequate transportation. During Fiscal 2013, the medivan service made 2,799 trips. Health Fairs and Screenings - CGH sponsored various free health fairs throughout the year. Medical professionals provided cholesterol, glucose, body composition, bone density, lung capacity and blood pressure screenings. Festivals - CGH CGH participated in several local festivals throughout the year where first aid supplies were donated and CGH provided health care services, handed out health information and performed blood pressure screenings. Health & Education Classes - The community is provided with the opportunity to attend various programs and classes throughout the year, including CPR, First Aid, AED, Pediatric CPR as well as informational sessions on joint replacement and pain management. opportunity to attend various programs and classes throughout the year, including CPR, First Aid, AED, Pediatric CPR as well as informational sessions on joint replacement and pain management. |
| Statement of Program Service Accomplishments | (continued) | Ask The Doctor Show - CGH, in collaboration with local cable television, produced a monthly health education program during which a CGH surgeon hosts the 30-minute live show. Physician guests answer questions regarding a variety of topics. Pastoral Care - CGH, in association with Canonsburg Ministerial Association, contracted with a Hospital Chaplain to provide spiritual guidance and healing to CGH patients and their respective families. Diabetes Awareness and Education - A registered pharmacist conducted quarterly presentations to the public on diabetes related topics such as oral and insulin medications and the side effects of those medications. In addition, CGH sponsored a four-week course designed to promote diabetes awareness and education three times a year. The courses provided education on diabetes, diet, eye care, insulin pumps, foot care and coping skills. Sessions are in conjunction with other local agencies. Bereavement Series - Three times during the year, the Hospital Chaplain lead a six-week series on the process of grief. A grief and loss support dinner was held monthly at the Hospital. Hospital Tours - 50 Children from local pre-schools and elementary schools were provided tours of the Hospital. The event promoted awareness and comfort by teaching children about the hospital and it allows the schools to learn about the services the hospital provides in the case of an emergency. Summer Camp Splash Program - This program educated children attending summer camp about basic first aid, summer safety tips, hazardous weather emergencies and water safety concerns. Poison Presentations - CGH staff gave two presentations during the year in an effort to educate young children about various types of poisons. The children were taught how to identify and avoid poisonous substances. Glo-Germ Presentations - Hospital personnel made eight presentations to pre-school and K-2 grades about how to properly wash hands. An educational lesson was given to the children in conjunction with a photosynthesized gel. Safe Sitter Classes - CGH held numerous classes during the year designed to teach boys and girls how to handle emergencies when caring for young children. Physician Speaking Engagements/Media Interviews - during the course of the year, our physicians and medical staff visited numerous church and community groups to continue to educate and raise awareness for different medical conditions. Health Professions Education CGH provided aspiring health professionals with many educational opportunities to further their career in healthcare. Consistent with the filing of Schedule H, CGH provided these services at a cost of $105,453 in Fiscal 2013. Physical Therapy - Physical therapy students received mentoring and training by CGH therapists. The training took place during regular clinical rotations. Phlebotomy Training - Twelve students received 120 hours of training and mentoring in phlebotomy at the hospital during the year. Subsidized Health Services Subsidized health services represent those programs provided to the community by CGH despite the fact the Hospital incurs a financial loss to do so. CGH recognizes the need of its community and voluntarily subsidizes these programs in support of its charitable mission. Among the subsidized health services provided by CGH are the treatment of drug and alcohol abuse and mental health treatment. Consistent with the filing of Schedule H, CGH provided subsidized health services at a cost of $95,134 in Fiscal 2013. In Kind Donations - Financial Contributions This category includes funds and in-kind services donated to individuals and the community at large. In-kind services include hours donated by staff to the community during hospital work hours, overhead expenses of meeting space donated to not-for-profit community groups and the free provision of food, equipment, supplies as well as monetary donations. Consistent with the filing of Schedule H, CGH provided these contributions at a cost of $47,605 in Fiscal 2013. Community Blood Drives - In conjunction with the Central Blood Bank, the Hospital provided large common areas for the community and employees, one at CGH and several at OCC, plus markets for these events. Cash Donations - CGH supported the community through cash contributions made at the discretion of the Hospital and its directors, benefiting not only the non-profit recipient but also ultimately the community as a whole. The Hospital made cash contributions totaling $10,464 during Fiscal 2013. In-kind Donations - In addition to the cash contributions, CGH also made in-kind donations of time and resources to help support various community functions. The Hospital donated space for community food drives, blood drives, girl scouts, boy scouts, clothing drives, ministerial associations, United Way, Rotary International, elderly functions, local EMS and Fire departments. In addition, the Hospital donated products and equipment to various local charitable organizations including Brother's Brother Foundation, the humane society and local youth sports teams. COMMUNITY BUILDING ACTIVITIES Community Building Activities include activities engaged in for the purpose of improving or protecting the health, future and well being of the community. Consistent with the filing of Schedule H, CGH provided these services at a cost of $ $73,353 in Fiscal 2013. Social Work Services - The services of a professionally trained medical social worker is available to all patients and families for crisis intervention, counseling and discharge planning. The social worker handles problems that may arise during hospitalization or at the time of discharge. The social worker also provides counseling, emotional support and information regarding community services and programs. Thanksgiving Essay Contest- The Hospital Children Services Department sponsored a Thanksgiving essay contest for elementary age students. The essays were intended to promote healthy themes to children. Each essay focused on a healthy topic and the reasons why the child is thankful. Each child completed an essay which was judged by the community. The winners received a U.S. Savings Bond. Halloween Trail - The Hospital sponsored the annual Halloween Trail to provide a fun and safe way for children to celebrate Halloween. Treats were provided free of charge and hospital employees dressed in costumes and passed out treats. Approximately 1,000 children attended the free event held at the hospital. 4th of July - Each year Canonsburg, PA has a large Fourth of July Celebration in which the hospital participates with employees walking in the parade, supporting the celebration with donations and making medical staff available. |
| Operational Oversight By A Third Party Management Company | Form 990, Page 6, Part VI, Line 3 | Canonsburg General Hospital (CGH) is a member of the Allegheny Health Network by virtue of being affiliated with the West Penn Allegheny Health System (System). The System consists of thirteen operational IRC Section 501(c)(3) organizations. The parent organization for CGH and the other eleven operational IRC Section 501(c)(3) organizations is West Penn Allegheny Health System, Inc. (WPAHS, Inc.). The board of directors of WPAHS, Inc. is comprised of a majority of independent members. On November 7, 2011 (Effective Date), the board of directors of WPAHS, Inc. engaged Alvarez & Marsal Healthcare Industry Group, LLC (A&M) to assign an Interim Chief Executive Officer of the System, Interim Chief Operating Officer of the System and Interim Chief Financial Officer of the System. All individuals appointed to their respective positions are under the employment of A&M and have daily oversight of all matters pertinent to the operation of the System as a whole and all organizations on an independent basis. All interim management personnel under the employment of A&M are responsible to and report to the WPAHS, Inc. board of directors. The term of the engagement is to last one year from the effective date with the option to renew the engagement beyond the initial one year term. During the course of the engagement, the WPAHS, Inc. board of directors upon written notice may cause any individual employed by A&M to be removed from their respective position and replaced by another similarly qualified individual. CGH did not directly compensate A&M for their management services. WPAHS, Inc. compensates A&M directly for these services. The decision was made to allocate a portion of the expenditures of WPAHS, Inc. to CGH. Thus, the portion of management expense allocated from WPAHS, Inc. to CGH is reflected on Form 990, Page 10, Line 11a. On April 29, 2013, West Penn Allegheny Health System, Inc., the sole member of Canonsburg General Hospital consummated a formal affiliation to establish a regional integrated health care services delivery system. With the establishment of this formal affiliation, the management team from A&M were removed from their respective positions and ceased to provide management services. CHANGE TO THE ORGANZATIONAL GOVERNING DOCUMENTS FORM 990, PAGE 6, PART IV, SECTION A, QUESTION 4 The bylaws of Canonsburg General Hospital were amended effective May 17, 2013 to reflect an affiliation with Highmark Health, EIN: 45-3674900 and the creation of a regional integrated healthcare delivery system, the parent organization of which is Allegheny Health Network, EIN: 45-3674924. In accordance with the affiliation, Highmark Health assumed certain reserve powers over Canonsburg General Hospital. Among the reserve powers given to Highmark Health includes the right to approve the election, re-election and removal of all officers of the corporation; to amend, revise and restate the corporation's Articles of Incorporation and Bylaws; adopt or change the mission, purpose, philosophy or objective of the corporation; to change the general structure of the corporation; to dissolve or liquidate, consolidate or merge and sell or acquire assets in excess of certain thresholds; approve the capital, operating plan and budget of the corporation; approve the incurrence of debt by the corporation and the making of capital expenditures in excess of certain thresholds; to approve donations or other transfers in excess of certain thresholds; approve the strategic plan and mission statement; approve investment policies; approve the closure or relocation of a licensed healthcare facility; approve the creation of or dissolution of subsidiary corporations, partnerships or other joint ventures in excess of certain thresholds; manage the corporations program for compliance with all legal requirements; selection of auditors and the designation of the fiscal year of the corporation. |
| Form 990 Review Process | Form 990, Page 6, Part VI, Section B, Question 11a | The IRS Form 990 of the Canonsburg General Hospital was prepared by the Highmark Health Tax Department. Prior to filing the final tax return with the Internal Revenue Service, members of senior management reviewed components of the tax return and the voting members of the governing body received a copy of the tax return. |
| Monitoring and Enforcement of the Conflict of Interest Policy | Form 990, Page 6, Part VI, Section B, Question 12c | Canonsburg General Hospital (CGH) is a member of the Allegheny Health Network by virtue of being affiliiated with West Penn Allegheny Health System (WPAHS). WPAHS has a corporate compliance department that monitors and oversees compliance with the conflict of interest policy of all organizations in the health system. The following describes the manner in which the corporate compliance department monitors and oversees compliance with the conflict of interest policy for CGH as well as the other WPAHS affiliates: Conflict of Interest disclosure forms are completed on an annual basis by all board members, officers, employees who have a title of Manager and above, physicians in leadership roles, Pharmacy and Therapeutic Committee members, all employees of the System's Compliance and Internal Audit Departments as well as personnel involved with contracting in the Corporate Purchasing Department. Upon completion of the above disclosure statement by all applicable individuals, a report is generated listing all individuals that have reported a conflict. The System Compliance Officer and General Counsel review the conflicts disclosed. Those that require additional information or clarification receive a letter from the Compliance Officer requesting such. Once received, all additional information is added to the report and again reviewed by the Compliance Officer and General Counsel. Those conflicts that require a mitigation plan are sent to the respective organization's senior management for development of the mitigation plan. The organization's senior management is responsible to discuss the mitigation plan with the individual as needed and monitor compliance with the mitigation plan. Once mitigation is received, a final report is reviewed by System Executive Compliance Council with the Legal Department and the Allegheny Health Network(AHN)senior management and finally with the AHN Audit and Compliance Subcommittee of the Board. the mitigation plan. Once mitigation is received, a final report is reviewed by System Executive Compliance Council with the Legal Department and the Allegheny Health Network(AHN)senior management and finally with the AHN Audit and Compliance Subcommittee of the Board. |
| Process Used To Determine Executive Compensation | Form 990, Page 6, Part VI, Section B, Line 15b | The West Penn Allegheny Health Systems (WPAHS) process for determining compensation for executive positions (including officers, key employees and other management positions) within Canonsburg General Hospital is covered by the WPAHS Executive Compensation Policy. This policy was approved by the West Penn Allegheny Health System, Inc. Board of Directors. It is the policy of WPAHS and its Board of Directors to compensate its executives in accordance with the market and in relation to the experience, service and accomplishments of the individual both prior to and during their service with WPAHS. The Compensation Committee of the West Penn Allegheny Health System, Inc. Board of Directors approves the compensation for WPAHS senior executives. The Compensation Committee approves the initial compensation for newly hired senior executives, which shall include all compensation components, including without limitation, base compensation, incentive compensation, deferred compensation, fringe and other benefits, as well as the total compensation. It shall also approve all base compensation adjustments and all incentive compensation awards, as well as material changes to deferred compensation, fringe, or other benefits. The Compensation Committee uses comparability data provided by the System Human Resources Department, which may include industry surveys, expert compensation studies, documented compensation of persons holding similar positions, or other comparable data in approving any executive compensation. The Compensation Committee shall periodically retain the services of an independent compensation consultant to provide an expert opinion report as to the reasonableness of total compensation of Canonsburg General Hospital officers and key employees. Each Compensation Committee member voting on a senior executive's compensation arrangement ensures that he or she has no conflict of interest, including that he or she (a) does not economically benefit from the proposed employment; (b) does not receive compensation subject to the approval of the proposed employee; and (c) has no material financial interest affected by the transaction. The Compensation Committee consists of five independent Board Members of West Penn Allegheny Health System, Inc. All decisions of the Compensation Committee regarding executive compensation matters are documented. |
| Public Availability of Organizational Documents | Form 990, Page 6, Part VI, Section C, Question 19 | Canonsburg General Hospital (CGH) does not make its governing documents available to the public. CGH is a member of Allegheny Health Network by virtue of being affiliiated with West Penn Allegheny Health System (WPAHS). The WPAHS makes available their annual and quarterly financial statements through the use of a dissemination agent. These financial statements are on a consolidated basis with CGH being one of the consolidated entities. In addition, the WPAHS annual report and quarterly financial results are available on the WPAHS website. WPAHS has adopted a conflict of interest policy that is uniformly applied to all organizations of the health system, including CGH. A condensed version of this conflict of interest policy is available on the WPAHS website. |
| Average Hours Per Week Reported for Officers, Directors and Key Employees | Form 990, Page 7, Part VII, Column B | Canonsburg General Hospital (CGH) is a member of the Allegheny Health Network by virtue of being affilated with West Penn Allegheny Health System ( WPAHS). WPAHS is part of an integrated healthcare delivery system. Individuals employed by one organization may be assigned to provide management for an affiliated organization. As such, many individuals play key roles or serve as officers or directors on multiple affiliated organizations. Each individual will be assigned forty hours to the organization of their actual employment. If the individual is employed by one organization and appointed as an officer, director or key employee of affiliated organizations the hour allocation on Form 990, Part VII, Page 7, Column (B) takes various factors into account when attempting to assign hours in a reasonable manner. Thus, it is possible for a single individual to have hours assigned in excess of forty hours per week if all affiliated organization IRS Forms 990 is taken into account. Directors who are not employed and volunteer their services are assigned one hour of service. The actual time served for all individuals disclosed in IRS Form 990 can vary based upon the need of the organization. |
| Officers and Directors - Partial Year Terms | Form 990, Page 7, Part VII, Column C | The following list represents Officers, Directors or Key Employees of Canonsburg General Hospital listed on Form 990, Part VII who did not serve a full consecutive twelve month tenure for the year ended June 30, 2013 along with the dates served: William Burt 07-01-2012 - 02-28-2013 Joseph Cerenzia 07-01-2012 - 02-28-2013 Jefery Gretz 07-01-2012 - 02-28-2013 Terry Wiltrout 07-01-2012 - 02-28-2013 Vincent Trapanotto 02-28-2013 - 06-30-2013 Kim Sperring 02-28-2013 - 06-30-2013 Robert Brandfass 07-01-2012 - 11-16-2012 Mike Sirott 02-28-2013 - 06-30-2013 Judy Zedreck 02-28-2013 - 06-30-2013 |
| Rental Expense | Form 990, Page 9, Part VIII, Line 6b | Canonsburg General Hospital does not account for rental expense in a manner that would allow for a direct offset of rental income on Form 990, Page 9, Line 6b(i). The components of rental expense are reflected on Form 990, Page 10, Statement of Functional Expense. |
| Purpose of Tax Exempt Bond Issue | Form 990, Page 11, Part X, Line 20 | Canonsburg General Hospital is a member of the West Penn Allegheny Health System obligated group in regards to 2007 Allegheny County Hospital Development Authority tax-exempt bonds. Accordingly, Schedule K has been inserted into this Form 990 for full disclosure purposes. The purpose of the issue of the Allegheny County Hospital Development Authority (ACHDA) Hospital Revenue Bonds, Series 2007 A is to refund the outstanding ACHDA Series 2000A and B Bond Issues, refund the Dauphin County General Authority (DCGA) Series 1992A and B Hospital Bonds, the Pennsylvania Higher Education Facility Authority (PHEFA) Series 1991A Revenue Bonds, the Monroeville Hospital Authority (MHA) Series 1992 and 1995 Revenue Bonds, the funding of a project fund for certain prior and future capital expenditures and to pay the cost of issuing Series 2007A Debt. The amount of $25,709,643 reflected on Form 990, Page 11, Line 20 represents the internal allocation of debt to Canonsburg General Hospital by the parent organization, West Penn Allegheny Health System, Inc. The IRS Form 990 filed by West Penn Allegheny Health System, Inc., EIN: 25-0969492 has completed Schedule K in its entirety. Please refer to the Form 990 filed by West Penn Allegheny Health System, Inc., EIN: 25-0969492 to review Schedule K with regard to this bond issue. |
| Other Changes In Net Assets | Form 990, Page 12, Part XI, Line 9 | The following is a reconciliation of Other Changes in Net Assets of Canonsburg General Hospital for the year ended June 30, 2013: Change in Minimum Pension Liability $ 754,903 Transfer to Balance Sheet Investment Account (3,091) Purchase Accounting Ajustment (13,990,906) __________ Other Changes in Net Assets ($13,239,094) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| West Penn Allegheny Health System Inc | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 250969492 | Healthcare | PA | 3 | NA | false |
| Alle-Kiski Medical Center | |||||||||
| 1301 Carlisle Street | Natrona Heights | PA | 15065 | 251875178 | Healthcare | PA | 3 | NA | false |
| Allegheny Singer Research Institute | |||||||||
| 320 East North Avenue | Pittsburgh | PA | 15212 | 251320493 | Sci. Research | PA | 4 | NA | false |
| Allegheny Medical Practice Network | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251838457 | Healthcare | PA | 3 | NA | false |
| Allegheny Specialty Practice Network | |||||||||
| 320 East North Avenue | Pittsburgh | PA | 15212 | 251838458 | Healthcare | PA | 3 | NA | false |
| West Penn Allegheny Oncology Network | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 113683376 | Healthcare | PA | 11-III FL | NA | false |
| West Penn Physician Practice Network | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251494317 | Healthcare | PA | 9 | NA | false |
| CGH Ambulance Service Inc | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 232939715 | Emer Response | PA | 9 | NA | false |
| Alle-Kiski Medical Center Trust | |||||||||
| 1301 Carlisle Street | Natrona Heights | PA | 15065 | 205855753 | Fundraising | PA | 11-I | NA | false |
| Forbes Health Foundation | |||||||||
| 2570 Haymaker Road | Monroeville | PA | 15146 | 251798379 | Fundraising | PA | 7 | NA | false |
| Suburban Health Foundation | |||||||||
| 100 South Jackson Avenue | Pittsburgh | PA | 15202 | 251472073 | Fundraising | PA | 11-I | NA | false |
| Western Pennsylvania Hospital Foundation | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251470766 | Fundraising | PA | 11-I | NA | false |
| West Allegheny Hospital | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251054206 | Inactive | PA | 3 | NA | false |
| Greater Canonsburg Health System | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251488089 | Inactive | PA | 11-I | NA | false |
| Canonsburg HealthHospital Foundation | |||||||||
| 100 Medical Boulevard | Canonsburg | PA | 15317 | 251818505 | Inactive | PA | 11-I | NA | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|
| Burn Care Associates | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 232899534 | Healthcare | PA | NA | C Corporation | |
| Medical Center Clinic | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 232894939 | Healthcare | PA | NA | C Corporation | |
| West Penn Corporate Medical Services Inc | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251437405 | Healthcare | PA | NA | C Corporation | |
| West Penn Neurosurgery | |||||||||
| 4800 Friendship Avenue | Pittsburgh | PA | 15224 | 251630719 | Healthcare | PA | NA | C Corporation | |
| Friendship Insurance Company Ltd | |||||||||
| 980116952 | Insurance | NA | C Corporation | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Canonsburg General Hospital Ambulance Servic | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | 1p | TransactionType |
| Amount Involved | 268840 | AmountInvolved |