PHILHAVEN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PHILHAVEN (EIN 23-1548822)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201421339349300302
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-13T06:26:32-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231548822EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHILHAVENBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHILNameControl
Phone7172702414Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1283 SOUTH BUTLER ROAD PO BOX 550AddressLine1
CityMOUNT GRETNACity
StatePAState
ZIP Code17064ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW ROGERSName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7172702414Phone
Date Signed2014-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS C GREENName
PTINP00350393PTIN
Phone2159720701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW ROGERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1283 SOUTH BUTLER ROAD PO BOX 550AddressLine1
CityMOUNT GRETNACity
StatePAState
ZIP Code17064ZIPCode
FieldValueIRS element (for citing)
Gross Receipts77906142GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PHILHAVEN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPHILHAVEN PROVIDES BEHAVIORAL HEALTH SERVICES TO INDIVIDUALS IN CENTRAL PA.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1283TotalNbrEmployees
Total Nbr Volunteers115TotalNbrVolunteers
Total Gross UBI615821TotalGrossUBI
Net Unrelated Business Txbl Income121942NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1236852ContributionsGrantsPriorYear
Contributions Grants Current Year1787368ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55105205ProgramServiceRevenuePriorYear
Program Service Revenue CY57597460ProgramServiceRevenueCY
Investment Income Prior Year284895InvestmentIncomePriorYear
Investment Income Current Year165024InvestmentIncomeCurrentYear
Other Revenue Prior Year1189120OtherRevenuePriorYear
Other Revenue Current Year1086164OtherRevenueCurrentYear
Total Revenue Prior Year57816072TotalRevenuePriorYear
Total Revenue Current Year60636016TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44377603SalariesEtcPriorYear
Salaries Etc Current Year47966615SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year30489TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY43429TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year238523TotalFundrsngExpCurrentYear
Other Expense Prior Year12924926OtherExpensePriorYear
Other Expenses Current Year12859135OtherExpensesCurrentYear
Total Expenses Prior Year57333018TotalExpensesPriorYear
Total Expenses Current Year60869179TotalExpensesCurrentYear
Revenues Less Expenses Prior Year483054RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-233163RevenuesLessExpensesCY
Total Assets BOY33405234TotalAssetsBOY
Total Assets EOY33059790TotalAssetsEOY
Total Liabilities BOY9659611TotalLiabilitiesBOY
Total Liabilities EOY9489918TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23745623NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23569872NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS AN EXPRESSION OF CHRIST'S LOVE, PHILHAVEN PROMOTES HOPE, HEALING AND WHOLENESS THROUGH THE PROVISION OF BEHAVIORAL RESOURCES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19088198Expense
Revenue21628671Revenue
DescriptionPHILHAVEN'S INPATIENT PSYCHIATRIC PROGRAM IS AVAILABLE TO INDIVIDUALS WHO ARE IN MOST SEVERE DISTRESS AND/OR DANGER OF HARMING THEMSELVES OR OTHERS. THE INPATIENT PROGRAM PROVIDES A 24-HOUR A DAY THERAPEUTIC MILIEU AND INTERVENTIONS THAT SERVE TO STABILIZE ACUTE PSYCHIATRIC SYMPTOMS. SERVICES ARE PROVIDED TO CHILDREN AND ADOLESCENTS AGES THREE TO 18 AND ADULTS OVER 18 YEARS OF AGE. TYPICAL LENGTH OF STAY IS APPROXIMATELY TEN DAYS FOR BOTH ADULTS AND CHILDREN/ADOLESCENTS. ADDITIONALLY, PHILHAVEN OFFERS EXTENDED ACUTE PSYCHIATRIC INPATIENT SERVICES FOR ADULTS THAT REQUIRE LONG-TERM INTENSIVE INTERVENTIONS TO STABILIZE THEIR SYMPTOMS. ONCE BEHAVIORAL STABILIZATION IS ACHIEVED, THE PATIENT IS THEN PREPARED FOR TRANSITION TO THE NEXT APPROPRIATE LEVEL OF CARE. THIS PROGRAM SERVED 2,385 INDIVIDUALS DURING THE JUNE 30, 2013 FISCAL YEAR.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14328760Expense
Revenue14250339Revenue
DescriptionPHILHAVEN'S CHILDREN'S/ADOLESCENTS' BEHAVIORAL HEALTH REHABILITATION SERVICE (BHRS) PROGRAM INCLUDES BOTH COMMUNITY BASED AND AFTER SCHOOL SERVICES. THE GOAL OF ALL BHRS SERVICES IS TO ENHANCE THE CHILD'S/ADOLESCENT'S ABILITY TO FUNCTION EMOTIONALLY, SOCIALLY, AND BEHAVIORALLY. INDIVIDUALIZED INTERVENTIONS SERVE TO FACILITATE YOUTH'S BEHAVIORAL STABILIZATION AND EMOTIONAL GROWTH. MENTAL HEALTH SPECIALISTS HELP YOUTH LEARN SKILLS AND COPING STRATEGIES, WHICH ENABLE THE YOUTH TO PREVENT DETERIORATION AND MORE RESTRICTIVE SERVICES. AFTER SCHOOL SERVICES ARE PROVIDED MONDAY - FRIDAY AFTER SCHOOL FOR CHILDREN AGES SIX TO 12 YEARS. COMMUNITY BASED SERVICES ARE PROVIDED IN SCHOOLS AND HOMES BY TRAINED THERAPEUTIC SUPPORT STAFF, MOBILE THERAPISTS, AND BEHAVIORAL SPECIALISTS/CONSULTANTS. THIS PROGRAM SERVED 1,492 INDIVIDUALS DURING THE JUNE 30, 2013 FISCAL YEAR.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense12314492Expense
Revenue9359915Revenue
DescriptionPHILHAVEN'S OUTPATIENT PROGRAM PROVIDES THE LEAST RESTRICTIVE TYPE OF MENTAL HEALTH TREATMENT AVAILABLE AT PHILHAVEN. STAFF WHO ARE PROFESSIONALLY TRAINED IN PSYCHIATRY, PSYCHOLOGY, SOCIAL WORK, AND COUNSELING STRIVE TO PROVIDE OUTPATIENT SERVICES TO CLIENTS IN A CONSCIENTIOUS AND CARING MANNER AS THEY WORK TOWARD THEIR THERAPEUTIC GOALS. PHILHAVEN STRIVES TO PROVIDE INDIVIDUALS AND THEIR FAMILIES WITH THE SKILLS AND RESOURCES NECESSARY TO LIVE HEALTHY, FULFILLED LIVES WITHIN THEIR HOMES AND COMMUNITIES. SPECIFIC SERVICES OFFERED INCLUDE EVALUATIONS AND ASSESSMENTS, PSYCHIATRIC MEDICATION MANAGEMENT, PSYCHIATRIC CONSULTATION, INDIVIDUAL THERAPY, FAMILY THERAPY, GROUP THERAPY, AND MARRIAGE COUNSELING. THIS PROGRAM SERVED 14,838 INDIVIDUALS DURING THE JUNE 30, 2013 FISCAL YEAR.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense8208068Expense
Revenue12358535Revenue
DescriptionOTHER PROGRAM SERVICES PRIMARILY INCLUDES THE DAY AND INTENSIVE OUTPATIENT PROGRAMS, WHICH ARE DESIGNED TO PROVIDE THERAPEUTIC INTERVENTIONS TO INDIVIDUALS WHO DEMONSTRATE SIGNIFICANT IMPAIRMENT IN THEIR DAILY FUNCTIONING DUE TO THEIR HIGH LEVEL OF EMOTIONAL DISTRESS. THESE PROGRAMS SERVE BOTH ADULT AND CHILD/ADOLESCENT POPULATIONS IN SEPARATE SETTINGS. SERVICES INCLUDE GROUP THERAPY TARGETING COPING SKILLS, ANGER MANAGEMENT AND STRESS MANAGEMENT, AS WELL AS INDIVIDUAL AND FAMILY THERAPY SESSIONS. OTHER PROGRAMS INCLUDE RESIDENTIAL PROGRAM FOR ADOLESCENTS AND ASSERTIVE COMMUNITY TREATMENT FOR ADULTS. THE OTHER PROGRAMS SERVED 3,470 INDIVIDUALS DURING THE JUNE 30, 2012 FISCAL YEAR.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp8208068TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev12358535TotalOfOtherProgramServiceRev
Total Program Service Expense53939518TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096123NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1283NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MATTHEW D ROGERS CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7172702414TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1283 SOUTH BUTLER ROADAddressLine1
CityMOUNT GRETNACity
StatePAState
ZIP Code17064ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
REBECCA BURKHOLDER
SECRETARY1.50XX000
KENNETH L MOORE
TREASURER1.50XX000
JANET BRENEMAN
DIRECTOR1.30X000
ROBERT FORTNA
DIRECTOR1.30X000
JANET R STAUFFER
VICE PRESIDENT1.50XX000
SAM THOMAS
DIRECTOR1.30X000
ROBERT HOFFMAN
DIRECTOR1.30X000
GEORGE STOLTZFUS
PRESIDENT1.50XX000
AARON GROFF
DIRECTOR1.30X000
KYLE HORST
DIRECTOR1.30X000
MONIQUA ACOSTA
DIRECTOR1.30X000
DUANE BRITTON
DIRECTOR1.30X000
AUDREY GROFF
DIRECTOR1.30X000
JAMES HERR
DIRECTOR1.30X000
DAVID WARREN
DIRECTOR1.30X000
FRANCIS D SPARROW MD
MEDICAL DIRECTOR52.00X311256013442
PHILIP D HESS
CHIEF EXECUTIVE OFFICER50.00X187249016988
MATTHEW ROGERS
CFO50.00X10818607736
OLANIYI I OLULEYE
PHYSICIAN41.00262245018538X
RICHARD PAKOLA
PHYSICIAN40.00270655014071X
THOMAS FOLEY
PHYSICIAN40.00240722013313X
THOMAS FENSTERMACHER
PHYSICIAN40.00242042018494X
JEREMY WALTERS
PHYSICIAN40.00233692017049X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1856047TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation119631TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STC SERVICES
4295 W TILGHMAN STALLENTOWNPA18104COMMUNICATION SYSTEM365895
GLS ENTERPRISES
PO BOX 673LEBANONPA17042PHARMACY351410
LOCUMTENENSCOM
PO BOX 405547ATLANTAGA30384TEMPORARY STAFFING295531
ALLCARE FAMILY HEALTH
PO BOX 1210LEBANONPA17042PHYSICIAN SERVICES269112
KE LLC
607 PINKERTON ROADMTJOYPA17552OFFICE RENTAL155729
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Fundraising Events31322FundraisingEvents
Government Grants1023200GovernmentGrants
All Other Contributions732846AllOtherContributions
Noncash Contributions5350NoncashContributions
Total Contributions1787368TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6241005701258357012583
EHR INCENTIVE REVENUE624100446250446250
OTHER OPERATING REVENUE624100138627138627
FieldValueIRS element (for citing)
Total Program Service Revenue57597460TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column138423TotalRevenueColumn
Unrelated Business Revenue9051UnrelatedBusinessRevenue
Exclusion$129,372ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4200Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real7753Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-3553Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3553TotalRevenueColumn
Exclusion-$3,553ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities17216720Securities
Other41941Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17210262Securities
Other21798Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6458Securities
Other20143Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column26601TotalRevenueColumn
Exclusion$26,601ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events22335GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events31322CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses30313FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-7978TotalRevenueColumn
Exclusion-$7,978ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
FARM INCOME110000606770606770
CAFETERIA SALES722210218973$218,973
INS. PREM. RECOVERY624100200000$200,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column71952TotalRevenueColumn
Exclusion$71,952ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1097695TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60636016TotalRevenueColumn
Related Or Exempt Function Income57597460RelatedOrExemptFunctionIncome
Unrelated Business Revenue615821UnrelatedBusinessRevenue
Exclusion$635,367ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total644863Total
Program Services322854ProgramServices
Management And General307794ManagementAndGeneral
Fundraising14215Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37461052Total
Program Services35295865ProgramServices
Management And General2069762ManagementAndGeneral
Fundraising95425Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total261540Total
Program Services248455ProgramServices
Management And General12490ManagementAndGeneral
Fundraising595Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6930985Total
Program Services6827713ProgramServices
Management And General75649ManagementAndGeneral
Fundraising27623Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2668175Total
Program Services2513959ProgramServices
Management And General147419ManagementAndGeneral
Fundraising6797Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total74086Total
Management And General74086ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21280Total
Management And General21280ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80485Total
Program Services13905ProgramServices
Management And General66580ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total96600Total
Management And General96600ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total43429Total
Fundraising43429Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total19875Total
Program Services1840ProgramServices
Management And General18035ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2441370Total
Program Services1700405ProgramServices
Management And General716797ManagementAndGeneral
Fundraising24168Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total58808Total
Management And General58127ManagementAndGeneral
Fundraising681Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3076031Total
Program Services2709505ProgramServices
Management And General356861ManagementAndGeneral
Fundraising9665Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total125657Total
Management And General125657ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2341013Total
Program Services2107778ProgramServices
Management And General233235ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total435205Total
Program Services419753ProgramServices
Fundraising15452Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total615474Total
Program Services502877ProgramServices
Management And General112597ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total239740Total
Management And General239740ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1900064Total
Program Services339299ProgramServices
Management And General1560765ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS446858446858
FARM EXPENSES251800251800
BOOKS, DUES & SUBSCRIPT17323356382116851
FEDERAL INCOME TAX2710227102

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total434454Total
Program Services153168ProgramServices
Management And General280813ManagementAndGeneral
Fundraising473Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60869179Total
Program Services53939518ProgramServices
Management And General6691138ManagementAndGeneral
Fundraising238523Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28685BOY
EOY26437EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3111285BOY
EOY3271723EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY333838BOY
EOY278116EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7891374BOY
EOY9162308EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY340000BOY
EOY340000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20045BOY
EOY27084EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY940609BOY
EOY982892EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46849515LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32003247LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12135531BOY
EOY14846268EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7212291BOY
EOY2669270EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY936422BOY
EOY926818EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8122BOY
EOY6199EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY447032BOY
EOY522675EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33405234BOY
EOY33059790EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5842994BOY
EOY5469490EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17819BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3798798BOY
EOY4020428EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9659611BOY
EOY9489918EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22587131BOY
EOY22538246EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY690674BOY
EOY472678EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY467818BOY
EOY558948EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23745623BOY
EOY23569872EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33405234BOY
EOY33059790EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-233163ReconcilationRevenueExpenses
Reconciliation Unrealized Invest57412ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$101,698OtherActivitiesAmount
Total Lobbying Expenditures IIB101698TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE HOSPITAL ENGAGED A PROFESSIONAL LOBBYING FIRM TO ASSIST IN SECURING GOVERNMENTAL FUNDING FOR SPECIALIZED PROGRAMS ($96,600). IN ADDITION A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYVLANIA INCLUDES LOBBYING($5,098).Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance475713BeginningOfYearBalance
Contributions80560Contributions
Investment Earnings Or Losses49609InvestmentEarningsOrLosses
End Of Year Balance605882EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance490269BeginningOfYearBalance
Investment Earnings Or Losses-14556InvestmentEarningsOrLosses
End Of Year Balance475713EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance429302BeginningOfYearBalance
Investment Earnings Or Losses60967InvestmentEarningsOrLosses
End Of Year Balance490269EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance401011BeginningOfYearBalance
Investment Earnings Or Losses28291InvestmentEarningsOrLosses
End Of Year Balance429302EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance473539BeginningOfYearBalance
Investment Earnings Or Losses-72528InvestmentEarningsOrLosses
End Of Year Balance401011EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.05000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.95000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis355952OtherCostOrOtherBasis
Book Value355952BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19027530OtherCostOrOtherBasis
Depreciation11034037Depreciation
Book Value7993493BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26489875OtherCostOrOtherBasis
Depreciation20930625Depreciation
Book Value5559250BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis976158OtherCostOrOtherBasis
Depreciation38585Depreciation
Book Value937573BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14846268TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt60718809TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments57412NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities5350DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99062762RevenueNotRptdF990
Revenue Subtotal60656047RevenueSubtotal
Investment Expenses Not Included18035InvestmentExpensesNotIncluded
Other Revenues Not Included-38066OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-20031RevenueNotRptdOnFinStmt
Total Revenue Per Form99060636016TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt60894560TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities5350DonatedServicesUseOfFacilities
Other Expenses Included38066OtherExpensesIncluded
Expenses Not Rptd F99043416ExpensesNotRptdF990
Expenses Subtotal60851144ExpensesSubtotal
Investment Expenses Not Included218035InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt18035ExpensesNotRptdOnFinStmt
Total Expenses Per Form99060869179TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE PURPOSE OF THESE DONOR RESTRICTED FUNDS IS TO PROVIDE A STABLE SOURCE OF PERPETUAL FINANCIAL SUPPORT FOR THE PHILHAVEN PROGRAMS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:PHILHAVEN IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(A) AS THE INTERNAL REVENUE CODE. THE FARM'S INCOME IS TAXABLE FOR FEDERAL PURPOSES OF UNRELATED BUSINESS INCOME. PHILHAVEN AND THE FARM PRESCRIBE A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD FOR THE YEARS ENDED JUNE 30, 2013 AND 2012. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED AFTER JUNE 30, 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EVENT EXPENSE -30,313. RENTAL EXPENSES -7,753.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENT EXPENSES 30,313. RENTAL EXPENSES 7,753.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
In Person SolicitationsXInPersonSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
BENEVON
4528 EIGHT AVENUE NESEATTLEWA98105FUNDRAISING PROGRAM CONSULTANT01295133123198282
ENDOWMENT HORIZONS
PO BOX 196WATERVILLEOH43566CONSULTING ON PLANNED GIVING PROGRAM0780901219865892
FieldValueIRS element (for citing)
Total Gross Receipts207603TotalGrossReceipts
Total Retained By Contractors43429TotalRetainedByContractors
Total Net To Organization164174TotalNetToOrganization
Licensed StatesPALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event153657GrossReceiptsEvent1
Charitable Contributions Event131322CharitableContributionsEvent1
Gross Revenue Event122335GrossRevenueEvent1
Non Cash Prizes Event1610NonCashPrizesEvent1
Rent Facility Costs Event123904RentFacilityCostsEvent1
Food And Beverage Event1343FoodAndBeverageEvent1
Other Direct Expenses Event15456OtherDirectExpensesEvent1
Gross Receipts Total53657GrossReceiptsTotal
Charitable Contributions Total31322CharitableContributionsTotal
Gross Revenue Total Events22335GrossRevenueTotalEvents
Non Cash Prizes Total Events610NonCashPrizesTotalEvents
Rent Facility Costs Total Events23904RentFacilityCostsTotalEvents
Food And Beverage Total Events343FoodAndBeverageTotalEvents
Other Direct Expenses Total Events5456OtherDirectExpensesTotalEvents
Direct Expense Summary Events30313DirectExpenseSummaryEvents
Net Income Summary-7978NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense321463TotalCommunityBenefitExpense
Direct Offsetting Revenue351882DirectOffsettingRevenue
Net Community Benefit Expense-30419NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense34388201TotalCommunityBenefitExpense
Direct Offsetting Revenue33504864DirectOffsettingRevenue
Net Community Benefit Expense883337NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense34709664TotalCommunityBenefitExpense
Direct Offsetting Revenue33856746DirectOffsettingRevenue
Net Community Benefit Expense852918NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2674236TotalCommunityBenefitExpense
Direct Offsetting Revenue1768282DirectOffsettingRevenue
Net Community Benefit Expense905954NetCommunityBenefitExpense
Percent Of Total Expense0.01500PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense80340TotalCommunityBenefitExpense
Net Community Benefit Expense80340NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2754576TotalCommunityBenefitExpense
Direct Offsetting Revenue1768282DirectOffsettingRevenue
Net Community Benefit Expense986294NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense37464240TotalCommunityBenefitExpense
Direct Offsetting Revenue35625028DirectOffsettingRevenue
Net Community Benefit Expense1839212NetCommunityBenefitExpense
Percent Of Total Expense0.03090PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense43355TotalCommunityBuildingExpense
Net Community Building Expense43355NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense43355TotalCommunityBuildingExpense
Net Community Building Expense43355NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$459,441BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare2268361AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2358042CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-89681MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
1 KE LLC
RENTAL PROPERTY0.50000
2 ADVANCE MANAGEMENT SERVICES LLC
OUTCOMES SOFTWARE DEVELOPMENT FOR THE HEALTHCARE COMMUNITY0.22380
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHILHAVENBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1283 SOUTH BUTLER ROAD PO BOX 550AddressLine1
CityMOUNT GRETNACity
StatePAState
ZIP Code17064ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherBEHAVIORAL HEALTH HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PHILHAVENBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent150.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities1CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS ITEMS. COST ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE OTHER BENEFITS SECTION. BAD DEBT AND OTHER WRITE-OFFS ARE EXCLUDED IN THE DENOMINATOR WHICH, IF INCLUDED, WOULD INCREASE THE PERCENTAGE OF CHARITY CARE REPORTED. THE AMOUNT OF BAD DEBT NOT INCLUDED IN THE CALCULATION WAS $446,858.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) OF $446,858 IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART II: PHILHAVEN PARTICIPATES IN THE FOLLOWING PROGRAMS IN THE COMMUNITY:CRISIS INTERVENTION /INFORMATION AND REFERRAL CENTER IS A CONFIDENTIAL SEVEN DAY / 24 HOUR SERVICE, PROVIDED BY PHILHAVEN. CRISIS COUNSELORS PROVIDE PSYCHOSOCIAL ASSESSMENT OF CRISIS SITUATIONS OVER THE PHONE AND IN THE COMMUNITY. CRISIS SERVICES ARE FUNDED THROUGH A CONTRACT BETWEEN THE COUNTY COMMISSIONERS AND PHILHAVEN ALONG WITH MEDICAL ASSISTANCE REIMBURSEMENT FOR IDENTIFIED INDIVIDUALS WITH MEDICAID. THIS CONTRACT ALLOWS FOR LIMITED REIMBURSEMENT OF OVERHEAD EXPENSE RESULTING IN SHORTFALLS. THE LANCASTER DIVERSION PROGRAM IS A COMMUNITY-BASED PROGRAM DESIGNED TO SERVE THE NEEDS OF INDIVIDUALS WHO HAVE A HISTORY OF SERIOUS AND PERSISTENT MENTAL ILLNESS AND LONG-TERM HOSPITALIZATION. IT IS ALSO DESIGNED TO SERVE INDIVIDUALS IDENTIFIED BY LANCASTER COUNTY CASE MANAGEMENT STAFF AS BEING AT RISK FOR INPATIENT OR STATE HOSPITAL SERVICES DUE TO SEVERELY ACUTE PSYCHIATRIC ILLNESS AND BEHAVIOR. THE DIVERSION PROGRAM IS FUNDED THROUGH A CONTRACT BETWEEN PHILHAVEN AND LANCASTER COUNTY. THIS CONTRACT PROVIDES LIMITED REIMBURSEMENT FOR OVERHEAD EXPENSE RESULTING IN SHORTFALLS. SUPPORTED HOUSING IS AN INNOVATIVE PROGRAM DESIGNED TO BENEFIT PERSONS WHO SUFFER FROM CHRONIC MENTAL ILLNESS BY ASSISTING THEM WITH BASIC HOUSING NEEDS. CLIENTS ARE ABLE TO LIVE INDEPENDENTLY IN THE COMMUNITY WHILE RECEIVING THE SUPPORTIVE ASSISTANCE THEY NEED THROUGH REGULAR IN-HOME VISITS. THE PROGRAM IS ADMINISTERED BY A MASTER'S LEVEL CLINICIAN AND IS A VOLUNTARY PROGRAM FUNDED BY LEBANON COUNTY MENTAL HEALTH AND MENTAL RETARDATION ASSOCIATION. THE STAFF ALSO ASSISTS WITH ASSESSMENT OF HOUSING NEEDS, PROCUREMENT OF HOUSING AND HOUSEHOLD GOODS, HOME MAINTENANCE SKILLS, LANDLORD/TENANT NEGOTIATIONS AND OTHER ISSUES RELATED TO MAINTAINING INDEPENDENT LIVING. THE FUNDING FROM LEBANON COUNTY IS LIMITED RESULTING IN SHORTFALLS.PARTNERS FOR PROGRESS IS A SERVICE DEVELOPED IN CONJUNCTION WITH THE LEBANON HOUSING AUTHORITY AND LEBANON MH/MR TO PROVIDE HOMES AND SUPPORT SERVICES TO TEN INDIVIDUALS WHO ARE HOMELESS AND WHO HAVE A HISTORY OF EXPERIENCING PERSISTENT MENTAL ILLNESS.THE AUTISM RESILIENCY PROGRAM IS DESIGNED TO HELP FAMILIES AND THE COMMUNITY TO ACHIEVE A GREATER UNDERSTANDING OF AUTISM SPECTRUM DISORDERS (ASD), IMPROVE SKILLS THAT WILL ALLOW PERSONS WHO EXPERIENCE ASD TO INTEGRATE MORE FULLY INTO THE COMMUNITY, AND CREATE GREATER COMMUNITY RESOURCES FOR SOCIAL AND RECREATIONAL ACTIVITIES FOR INDIVIDUALS WITH ASD. THIS WILL PROVIDE FAMILIES WITH TOOLS TO BUILD AND MAINTAIN THEIR PERSONAL RESILIENCY. CURRENTLY, THE PROGRAM REACHES LEBANON COUNTY AND NEARBY AREAS. IT INCLUDES A PHYSICAL SPACE IN PHILHAVEN'S GRACE M. POLLOCK TRAINING & COMMUNITY CENTER AND THE POTENTIAL FOR VIDEO CONFERENCING OF PRESENTATIONS. ADDITIONALLY THE PROGRAM PROVIDES TWO SERIES OF WORKSHOPS FOR INTERESTED COMMUNITY MEMBERS. THE ASERT COLLABORATIVE IS A PARTNERSHIP OF MEDICAL CENTERS, CENTERS OF AUTISM RESEARCH AND SERVICES, UNIVERSITIES AND OTHER PROVIDERS OF SERVICES INVOLVED IN THE TREATMENT AND CARE OF INDIVIDUALS OF ALL AGES WITH AUTISM AND THEIR FAMILIES. THE ASERT COLLABORATIVE HAS BEEN DESIGNED TO BRING TOGETHER RESOURCES LOCALLY, REGIONALLY, AND STATEWIDE. THERE ARE THREE ASERT REGIONS (WESTERN, CENTRAL, AND EASTERN) WORKING TOGETHER TO STREAMLINE RESOURCES AND SHARE EXPERTISE ACROSS THE COMMONWEALTH. EACH ASERT REGION IS CHARGED WITH UNDERSTANDING THE NEEDS OF THEIR RESPECTIVE REGION, INCLUDING THE NEEDS OF THE MOST RURAL REGIONS OF THE STATE AND THE MOST UNDERSERVED POPULATIONS.INTEGRATION WITH PHYSICAL HEALTHCAREIN AN EFFORT TO ADDRESS THE IDENTIFIED COMMUNITY NEED OF INTEGRATION BETWEEN PHYSICAL AND BEHAVIORAL HEALTHCARE SERVICES, PHILHAVEN PROVIDES A VARIETY OF BEHAVIORAL HEALTHCARE SERVICES IN PHYSICAL HEALTHCARE SETTINGS. THESE SERVICES INCLUDE UNCOMPENSATED ACTIVITIES SUCH AS CARE COORDINATION BETWEEN PHILHAVEN AND THE OTHER HEALTHCARE PROVIDERS. AS A RESULT PHILHAVEN OPERATES THESE SERVICES AT A LOSS. BELOW ARE SPECIFIC EXAMPLES OF PHILHAVEN'S INTEGRATED HEALTHCARE SERVICES:HAMILTON HEALTH CENTERPHILHAVEN IS PARTICIPATING IN AN INTEGRATION PROJECT WITH THE HAMILTON HEALTH CENTER LOCATED IN HARRISBURG. THIS PROJECT WILL INTEGRATE PSYCHIATRIC SERVICES INTO THE FEDERALLY QUALIFIED HEALTH CENTER SETTING. SERVICES PROVIDED INCLUDE PSYCHOTHERAPY, PSYCHIATRIC CONSULTATION, AND CLINICAL SUPERVISION OF STAFF.CONSULTATIONSPHILHAVEN PROVIDES PSYCHIATRIC CONSULTATIONS IN THE EMERGENCY ROOM AND INPATIENT FACILITIES AT GOOD SAMARITAN HOSPITAL IN LEBANON.IN ADDITION, PHILHAVEN OFFERS A WIDE RANGE OF BEHAVIORAL HEALTH SERVICES TO NURSING HOMES AND LONG TERM CARE COMMUNITIES. SERVICES INCLUDE PSYCHIATRIC DIAGNOSTIC EVALUATIONS, MEDICATION MANAGEMENT, BEHAVIORAL INTERVENTIONS, AND PSYCHOTHERAPY TO ASSIST SENIOR ADULTS IN NAVIGATING MANY OF LIFE'S CHALLENGES AND TO STRENGTHEN THEIR ABILITY TO LIVE LIFE TO ITS FULLEST. IN ADDITION, PHILHAVEN STAFF PROVIDES EDUCATION FOR NURSING HOME STAFF TO BE ABLE TO UNDERSTAND AND MANAGE THEIR RESIDENTS' BEHAVIORAL CHALLENGES.PARENT TRAININGFINDING A BETTER WAY FOR MOMS AND DADS IS A FREE FOUR-SESSION PROGRAM THAT IS OFFERED TO PARENTS WHO ARE DEALING WITH DIFFICULT SITUATIONS WITH THEIR CHILDREN. THE PROGRAM FACILITATORS ARE CERTIFIED INSTRUCTORS IN THERAPEUTIC CRISIS INTERVENTION. THE PROGRAM, WHICH IS HELD AT DIFFERENT TIMES AND LOCATIONS, IS DESIGNED TO TEACH PARENTS SKILLS TO OPEN UP THE PATHWAY TO EFFECTIVE COMMUNICATION WITH THEIR CHILDREN, GAIN UNDERSTANDING INTO THEIR CHILDREN'S FEELINGS AND NEEDS, AND PROMOTE COOPERATION AND MANAGE UNCOOPERATIVE BEHAVIORS. PARENTS LEARN TO IDENTIFY TRIGGERS AND EARLY WARNING SIGNS OF CHALLENGING BEHAVIORS, THE BEHAVIOR SUPPORT STRATEGIES TO PREVENT AND MANAGE CHALLENGING BEHAVIORS AND CRISIS SITUATIONS, AND HOW TO RESTORE THEIR RELATIONSHIP WITH THEIR CHILDREN AFTER A CRISIS AND TRANSFORM IT INTO A LEARNING EXPERIENCE.OTHER COMMUNITY BUILDING ACTIVITIESPHILHAVEN'S COMMUNITY BUILDING ACTIVITIES INCLUDED CONTRIBUTIONS TO THE MT. GRETNA FIRE COMPANY AND THE CORNWALL POLICE DEPARTMENT. THESE CONTRIBUTIONS ALLOWED THE ORGANIZATIONS TO IMPROVE THE FACILITIES AND EQUIPMENT THEY USE TO MAINTAIN A SAFE COMMUNITY. ADDITIONALLY, REPORTED AS COMMUNITY BUILDING ACTIVITIES ARE CONTRIBUTIONS TO THE UNITED WAY OF LEBANON. THE UNITED WAY OF LEBANON PROVIDES ASSISTANCE TO SEVERAL PHYSICAL AND BEHAVIORAL HEALTHCARE PROVIDERS IN LEBANON COUNTY.
PART III, LINE 4: PHILHAVEN RECOGNIZES THE PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL EXPERIENCE. A COST CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS REPORTED AS BAD DEBT. BAD DEBT IS RECORDED BASED ON THE NET BALANCE OF THE AGED RECEIVABLES ACCOUNT. ALL DISCOUNTS AND PAYMENTS ARE RECORDED PRIOR TO THE ADJUSTMENT OF THE BAD DEBT ACCOUNT. A SAMPLE OF CHARITY CARE APPLICATIONS WAS REVIEWED TO DETERMINE A RATIO OF REQUESTED CHARITY CARE TO GRANTED CHARITY CARE. THIS PERCENTAGE WAS APPLIED TO THE BAD DEBT BALANCE.
PART III, LINE 8: PHILHAVEN USES A COST TO CHARGE RATIO FOR APPLICABLE LEVELS OF CARE REIMBURSED BY MEDICARE. THESE INCLUDE INPATIENT, OUTPATIENT AND DAY/IOP PROGRAMS.
PART III, LINE 9B: THE ORGANIZATION DOES NOT PURSUE COLLECTIONS AGAINST PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS POLICY, HOWEVER, IS NOT CURRENTLY DOCUMENTED. THE ORGANIZATION IS WORKING TO MAKE THE POLICY AGAINST COLLECTION EFFORTS FOR FINANCIALLY NEEDY PATIENTS MORE FORMALIZED IN THEIR WRITTEN PROCEDURES.
PART V, SECTION B, LINE 3: TWO COMMUNITY FORUMS WERE CONDUCTED WITH COMMUNITY MEMBERS AND MENTAL HEALTH PROFESSIONALS. THERE WERE 76 PARTICIPANTS, REPRESENTING PUBLIC HEALTH AND MEDICAL SERVICES AND NON-PROFIT AND SOCIAL ORGANIZATIONS. UPON COMPLETION OF THE FORUMS, AN ADVISORY COMMITTEE WAS PUT INTO PLACE TO REVIEW THE RESULTS AND SHARE OBSERVATIONS AND INTERPRETATIONS OF THE DATA. THE ADVISORY COMMITTEE INCLUDED PHILHAVEN STAFF, PHILHAVEN BOARD MEMBERS AND COMMUNITY PARTICIPANTS INCLUDING: THE LEBANON COUNTY MH/ID/EI DEPUTY ADMINISTRATOR, THE DAUPHIN COUNTY MH/ID PROGRAM ADMINISTRATOR, THE MHA OF LEBANON EXECUTIVE DIRECTOR, THE LANCASTER COUNTY BH/DS EXECUTIVE DIRECTOR, AND THE VICE PRESIDENT OF MEDICAL AFFAIRS OF GOOD SAMARITAN HOSPITAL. THROUGH GROUP DIALOGUE, SEVEN KEY STRATEGIC ISSUES WERE IDENTIFIED. USING AN ANONYMOUS WIRELESS KEYPAD VOTING SYSTEM, EACH ATTENDEE WAS ASKED TO RATE EACH STRATEGIC ISSUE WITH REGARD TO HOW STRONGLY THEY FELT THE ISSUE SHOULD BE INCLUDED IN THE FINAL IMPLEMENTATION PLAN. THEY WERE EACH ALSO ASKED TO SELECT THE ONE ISSUE THAT THEY DEEMED MOST IMPORTANT. THIS PRIORITIZATION WAS THEN UTILIZED BY PHILHAVEN LEADERSHIP AND BOARD OF DIRECTORS IN ADOPTING THE THREE PRIORITY AREAS OF THE CHNA.PHILHAVEN
PART V, SECTION B, LINE 7: A CRITERIA-DRIVEN APPROACH, WHICH INCLUDED ASSESSING THE SCOPE AND SERIOUSNESS OF THE IDENTIFIED NEEDS, PHILHAVEN'S EXPERTISE AND RESOURCES AVAILABLE TO ADDRESS THEM, AND A DISCUSSION OF WHAT NEEDS MAY BE ADDRESSED BY OTHERS, WENT INTO THE SELECTION OF PRIORITY ISSUES. WHILE THREE ISSUES, INTEGRATED TREATMENT MODELS, FOCUS ON PREVENTION, AND REDUCTION IN EMERGENCY DEPARTMENT USE, WERE PRIORITIZED AND ADOPTED BY PHILHAVEN FOR ITS IMPLEMENTATION PLAN, PHILHAVEN CONTINUES WORK ACROSS MANY OF THE OTHER IDENTIFIED COMMUNITY NEEDS. AS THE NEEDS THAT WERE IDENTIFIED ARE NOT MUTUALLY EXCLUSIVE FROM ONE ANOTHER, IT IS PHILHAVEN'S HOPE THAT BY ADEQUATELY ADDRESSING THE THREE PRIORITIZED NEEDS, THE OTHER NEEDS WILL BE INDIRECTLY IMPACTED AS WELL. THE NEEDS THAT WERE IDENTIFIED, BUT NOT ADDRESSED ARE:1.A LACK OF "HUMAN RESOURCES"PHILHAVEN WILL CONTINUE TO ADVOCATE FOR INCREASED FUNDING AND HIGHER LEVELS OF STAFFING IN THE MENTAL HEALTH PROFESSION. THROUGH ITS ROLE AS A NON-PROFIT ORGANIZATION IN SOUTH CENTRAL PENNSYLVANIA, PHILHAVEN WILL REPRESENT THE FIELD OF MENTAL AND BEHAVIORAL HEALTH AS ONE THAT IS FULFILLING, ATTRACTIVE AND WORTHWHILE TO PURSUE. WHILE PHILHAVEN WILL CONTINUE ITS EFFORTS WITH RECRUITMENT AND RETENTION IN THE FIELD, OTHERS ARE DOING THE SAME AND NEED TO DO THE SAME FOR THIS TO IMPROVE. PHILHAVEN ALONE AND EVEN IN PARTNERSHIP WITH OTHERS LOCALLY CANNOT ALONE IMPACT FUNDING CHANGES AND TRAINING OF MENTAL HEALTH PROFESSIONALS. THE BEST WORK IS DONE THROUGH STATE AND NATIONAL ASSOCIATIONS. FOR THIS REASON, IT WAS FELT THAT PHILHAVEN'S ABILITY TO DIRECTLY IMPACT THIS AS THE LOCAL LEVEL MAY BE LIMITED. 2.STIGMADESPITE THIS PARTICULAR COMMUNITY NEED NOT RISING TO THE TOP OF THE PRIORITIZE NEEDS, PHILHAVEN REMAINS COMMITTED TO REDUCING THE STIGMA OF MENTAL ILLNESS. PHILHAVEN HAS HAD A NUMBER OF OUTREACH INITIATIVES TO EDUCATE THE PUBLIC ON MENTAL HEALTH AND MENTAL WELLNESS AND WILL CONTINUE TO DO SO. 3.LACK OF A FORUM FOR COLLECTIVE ADVOCACYTHE ROLE OF A PROVIDER ORGANIZATION IS TO PARTICIPATE IN ADVOCACY ISSUES WITH ELECTED OFFICIALS, HOWEVER, IT WAS DETERMINED THAT PHILHAVEN'S HIGHEST CALLING FROM A COMMUNITY-HEALTH PERSPECTIVE, IS NOT TO TAKE THE LEAD WITH PENNSYLVANIA'S ADVOCACY EFFORTS. HAVING THE EXPERTISE OF RUNNING A NOT-FOR-PROFIT IS A VERY DIFFERENT SKILL SET THAN PULLING TOGETHER A STATEWIDE ADVOCACY INITIATIVE. THAT BEING SAID, PHILHAVEN WILL CONTINUE TO BE A VOICE FOR INCREASED FUNDING AND OTHER HIGH PRIORITY ISSUES IN THE MENTAL HEALTH FIELD. 4.INCREASED NEED FOR CULTURAL COMPETENCYPHILHAVEN CURRENTLY HAS SEVERAL INITIATIVES TO PROVIDE SPECIFIC COMMUNITY-BASED MENTAL HEALTH SERVICES TO CERTAIN SUB-POPULATIONS. FOR EXAMPLE, PHILHAVEN PROVIDES CULTURALLY-COMPETENT SERVICES TO THE PLAIN COMMUNITY THAT ARE DEVELOPED AROUND THE UNIQUE BELIEFS AND NEEDS OF THAT POPULATION. THESE INITIATIVES WILL CONTINUE, MANY IN PARTNERSHIP WITH OTHER ORGANIZATIONS IN THE AREA. HOWEVER, PHILHAVEN AND THE CHNA ADVISORY COMMITTEE FELT THAT THE SCOPE AND SEVERITY OF THIS PARTICULAR ISSUE WAS NOT AS GREAT AS THE OTHER THREE THAT MADE THE FINAL PRIORITIZED LIST.PHILHAVEN
PART V, SECTION B, LINE 18E: A MINIMUM OF THREE ATTEMPTS TO COLLECT PAYMENT FROM THE PATIENT IS REQUIRED PRIOR TO REFERRAL TO A CREDIT AGENCY.PHILHAVEN
PART V, SECTION B, LINE 20D: AS DETAILED IN ITS CHARITY CARE POLICY, PHILHAVEN USES A SLIDING SCALE BASED ON HOUSEHOLD INCOME AND THE FEDERAL POVERTY GUIDELINES AS THE BASIS FOR CHARGES TO INDIVIDUALS QUALIFYING FOR FINANCIAL ASSISTANCE. THIS INCLUDES DISCOUNTS FROM 25% TO 100% OF THE USUAL AND CUSTOMARY CHARGES.PHILHAVEN
PART VI, LINE 2: PHILHAVEN SENIOR MANAGEMENT REGULARLY MEETS WITH LEADERSHIP OF THE COUNTY GOVERNMENTS AND LEADERSHIP OF LOCAL COMMUNITY HOSPITALS, HEALTH SYSTEMS AND OTHER PHYSICAL HEALTHCARE PROVIDERS TO IDENTIFY HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES RELATED TO MENTAL HEALTH AND PSYCHIATRY. ADDITIONALLY PHILHAVEN REGULARLY SURVEYS ITS OWN PATIENTS TO GAIN A BETTER UNDERSTANDING OF THEIR NEEDS AND SATISFACTION WITH SERVICES PROVIDED.
PART VI, LINE 3: THE "CHARITY CARE" POLICY IS POSTED IN ALL ADMISSIONS / WAITING AREAS. UPON ADMISSION THE PATIENT IS INFORMED, IN WRITING, OF THEIR LIABILITY. SHOULD A PATIENT BE IDENTIFIED UPON ADMISSION OR DURING THE COURSE OF TREATMENT AS HAVING NO INSURANCE COVERAGE A CHARITY CARE COORDINATOR WILL MEET WITH THEM OR THEIR RESPONSIBLE PARTY TO REVIEW THE "CHARITY CARE" POLICY AND ASSIST IN APPLICATION FOR FINANCIAL ASSISTANCE THROUGH THE CHARITY CARE POLICY AND/OR THROUGH AN APPLICATION TO MEDICAL ASSISTANCE.
PART VI, LINE 4: PHILHAVEN PRIMARILY SERVES FOUR COUNTIES IN CENTRAL PENNSYLVANIA (LEBANON, LANCASTER, YORK AND DAUPHIN). THESE COUNTIES INCLUDE THE CITIES OF HARRISBURG, LANCASTER, LEBANON AND YORK ALOING WITH RURAL AREAS. FIFTY FOUR PERCENT OF THE PATIENTS WE SERVE ARE FEMALE AND FORTY SIX PERCENT ARE MALE. ADDITIONALLY SEVENTY TWO PERCENT OF THE PATIENTS WE SERVE ARE CAUCASIAN, NINE PERCENT ARE HISPANIC, FOUR PERCENT ARE AFRICAN-AMERICAN, AND FIFTEEN PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE OR MIXED RACE.
PART VI, LINE 5: PHILHAVEN MAKES MEMBERS OF ITS MEDICAL AND CLINICAL STAFF AVAILABLE TO VARIOUS COMMUNITY ORGANIZATIONS. INCLUDED IN THIS ARE PSYCHIATRIC: PHILHAVEN PROVIDES CONSULTATIONS FROM ITS MEDICAL STAFF MEMBERS TO LOCAL COMMUNITY AND ACUTE CARE HOSPITALS. ADDITIONALLY PHILHAVEN PROVIDES MEDICAL STAFF AND CLINICAL STAFF TO A LOCAL SCHOOL DISTRICT FOR PSYCHIATRIC AND THERAPEUTIC CONSULTATION OR DIRECT SERVICES AT NO CHARGE. PHILHAVEN ENCOURAGES ITS SENIOR MANAGEMENT AND EMPLOYEES TO VOLUNTEER THEIR TIME FOR LOCAL NON-PROFIT ORGANIZATIONS. THESE STAFF PROVIDE MENTAL HEALTH EXPERTISE TO NON-PROFIT AGENCIES PROVIDING SERVICES TO HOMELESS PERSONS, PERSONS WITH DEVELOPMENTAL DISABILITIES, AND PERSONS WITH MENTAL ILLNESS. ADDITIONALLY, PHILAHVEN ALLOWS SOME LOCAL NON-PROFIT ORGANIZATIONS USE OF ITS TRAINING FACILITIES AT NO CHARGE INCLUDING OTHER HEALTH CARE ORGANIZATIONS. TRAININGS SPONSORED BY PHILHAVEN ARE ALSO MADE AVAILABLE TO OTHER MENTAL HEALTH AND PHYSICAL HEALTHCARE PROVIDERS ON A VARIETY OF MENTAL HEALTH TOPICS IMPROVING THE OTHER HEALTHCARE PROVIDERS' ABILITY TO SERVE PATIENTS WITH MENTAL ILLNESS.
PART VI, LINE 6: N/A
PAREPORTS FILED WITH STATESPART VI, LINE 7
PHILHAVEN HAS ADOPTED THE FOLLOWING IMPLEMENTATION DETAILS TO SUPPORT ITS COMMUNITY-BASED WORK REGARDING THE THREE PRIORITY COMMUNITY NEEDS. THIS WORK WILL BE SPEARHEADED BY THE PHILHAVEN LEADERSHIP TEAM WITH ONGOING GUIDANCE FROM A COMMUNITY ADVISORY GROUP. ADDITIONALLY, PHILHAVEN WILL ENGAGE WITH AREA PARTNERS, MANY OF WHOM PARTICIPATED IN THE COMMUNITY FORUMS, TO ADVANCE THE WORK OF THE PRIORITIZED COMMUNITY NEEDS. INTEGRATED TREATMENT MODELSGOAL STATEMENT: TO IMPROVE THE DELIVERY OF COMMUNITY HEALTHCARE SERVICES THROUGH THE INTEGRATION OF PRIMARY CARE, MENTAL HEALTHCARE, AND OTHER RELATED SERVICES. OBJECTIVES:A. TO PROVIDE PATIENT SERVICES IN AT LEAST ONE INTEGRATED CARE MODEL BY JANUARY 1, 2014.B. TO MEET WITH IDENTIFIED PRIMARY HEALTHCARE PROVIDERS AT LEAST TWO TIMES PER YEAR IN ORDER TO IDENTIFY AND ENHANCE STRATEGIES THAT PROMOTE WELLNESS.C. TO DEVELOP AT LEAST ONE TRAINING SERIES OR COMMUNICATION CAMPAIGN ANNUALLY DESIGNED TO INCREASE INTERNAL AND COMMUNITY AWARENESS OF THE NEED FOR INTEGRATED TREATMENT MODELS TO MEET COMMUNITY HEALTHCARE NEEDS.IMPLEMENTATION STRATEGIES:1. ESTABLISH A WORKGROUP OF PRIMARY CARE AND MENTAL HEALTH PROFESSIONALS TO IDENTIFY POSSIBLE MODELS FOR INTEGRATED CARE; THIS GROUP WOULD MEET ON A SEMIANNUAL BASIS.2. PROVIDE INTEGRATED COMMUNITY SERVICES WITH HAMILTON HEALTHCARE.3. SUPPORT EXISTING COMMUNITY GROUPS AND STAKEHOLDERS FOCUSED ON INTEGRATING TREATMENT MODELS TO IMPROVE THE DELIVERY OF HEALTHCARE SERVICES.4. DEVELOP TRAINING AND EDUCATION OPPORTUNITIES FOR STAFF, CLIENTS, AND THE COMMUNITY REGARDING HEALTHCARE DELIVERY MODELS AND MODALITIES. FOCUS ON PREVENTIONGOAL STATEMENT: TO IMPROVE THE COMMUNITY'S QUALITY OF LIFE THROUGH PREVENTION STRATEGIES.OBJECTIVES:A. TO ANNUALLY ENGAGE AND COLLABORATE WITH COMMUNITY PHYSICAL HEALTH PROVIDERS AND AGENCIES ON AT LEAST TWO COMMUNITY HEALTH PROMOTION AND PREVENTION PROJECTS.B. TO INCREASE COMMUNITY AWARENESS OF PREVENTION STRATEGIES AS EVIDENCED BY CIRCULATION OF HEALTHY LIVING LITERATURE IN 50% OF LEBANON COUNTY PRIMARY CARE PHYSICIAN OFFICES BY JANUARY 2015. C. TO PROMOTE HEALTHY LIFESTYLES BY PROVIDING AT LEAST ONE ANNUAL EDUCATION OPPORTUNITY FOR STAFF, CLIENTS AND THE COMMUNITY TO ADDRESS KEY PHYSICAL AND MENTAL HEALTH ISSUES BY JANUARY 2015. IMPLEMENTATION STRATEGIES:1. COLLABORATE ON PREVENTION FOCUSED ENDEAVORS SUCH AS HEALTH SCREENING PROJECTS, COMMUNITY HEALTH COUNCIL, COALITIONS, ETC. WITH COMMUNITY STAKEHOLDERS.2. PROVIDE INFORMATION TO CLIENTS AND THE COMMUNITY TO IMPROVE UNDERSTANDING OF KEY BEHAVIORAL HEALTHCARE ISSUES FACING THE COMMUNITY INCLUDING BUT NOT LIMITED TO SUICIDE, DOMESTIC VIOLENCE, TRAUMA AND SUBSTANCE ABUSE.3. PROVIDE MEDICAL/PHYSICAL HEALTH INFORMATION AND LITERATURE IN WAITING AREAS.4. WORK WITH COMMUNITY AGENCIES AND PROVIDERS TO IMPROVE UNDERSTANDING OF BEHAVIORAL HEALTHCARE SYSTEMS BY OFFERING ONGOING INFORMATION INCLUDING WHEN AND HOW TO ACCESS CARE, SYSTEM ENTRY POINTS, EVALUATIONS AND TREATMENT.5. DEVELOP PEDAGOGY TO PROMOTE HEALTH LITERACY USING HEALTHY PEOPLE 2020 AS A FRAMEWORK FOR NEEDS. REDUCTION OF THE USE OF THE EMERGENCY DEPARTMENT AS AN ACCESS POINT FOR PERSONS WITH A MENTAL ILLNESSGOAL STATEMENT: TO REDUCE THE USE OF EMERGENCY DEPARTMENTS AS AN ACCESS POINT FOR PERSONS WITH MENTAL ILLNESS. OBJECTIVES:A. MEET WITH REPRESENTATIVES FROM EMERGENCY DEPARTMENTS IN LANCASTER AND LEBANON COUNTIES AT LEAST TWO TIMES PER YEAR STARTING IN 2014 TO ADDRESS BEHAVIORAL HEALTH NEEDS OF "SUPER-UTILIZERS" IN ORDER TO ADDRESS ISSUES RELATED TO EMERGENCY DEPARTMENT OVERUSE.B. ENGAGE COMMUNITY STAKEHOLDERS IN SEMIANNUAL MEETINGS STARTING 2014 TO IDENTIFY DISCRETE BEHAVIORAL HEALTH SERVICES AND SUPPORTS NEEDED WITHIN EMERGENCY DEPARTMENTS TO MEET URGENT, NON-EMERGENCY BEHAVIORAL HEALTH NEEDS. IMPLEMENTATION STRATEGIES:1. PARTICIPATE IN MEETING WITH LOCAL EMERGENCY DEPARTMENT LEADERS TO IDENTIFY TACTICS TO REDUCE USE OF DEPARTMENTS AS AN ACCESS POINT FOR PERSONS WITH MENTAL ILLNESS.2. PARTICIPATE IN MEETINGS WITH LEADERS FROM LOCAL ADULT COMMUNITY BASED PSYCHIATRIC INPATIENT DIVERSION PROGRAMS TO DEVELOP STRATEGIES FOR REDUCING EMERGENCY DEPARTMENT USE BY CLIENTS SERVED IN THESE PROGRAMS. 3. PARTICIPATE IN REGULAR "SUPER-UTILIZER" MEETINGS WITH COMMUNITY STAKEHOLDERS TO ADDRESS ISSUES THAT LEAD MENTAL HEALTH CONSUMERS TO USE EMERGENCY DEPARTMENTS IN PLACE OF OTHER CARE OPTIONS. 4. PROVIDE EDUCATION AND INFORMATION TO THE COMMUNITY ON ALTERNATIVE OPTIONS TO EMERGENCY DEPARTMENT USE AS AN ACCESS POINT FOR PERSONS WITH MENTAL ILLNESS. MECHANISMS TO COMMUNICATE THIS INFORMATION INCLUDE BUT ARE NOT LIMITED TO LITERATURE AT PRIMARY CARE AND OTHER HEALTHCARE PROVIDER OFFICES AND SPEAKING ENGAGEMENTS BY PHILHAVEN STAFF.IMPLEMENTATION PLANPART VI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRANCIS D SPARROW MD
MEDICAL DIRECTOR3112560000031790102630324698000
PHILIP D HESS
CHIEF EXECUTIVE OFFICER1872490000021250148630204237000
OLANIYI I OLULEYE
PHYSICIAN2622450000036750148630280783000
RICHARD PAKOLA
PHYSICIAN2706550000028330112380284726000
THOMAS FOLEY
PHYSICIAN2407220000030500102630254035000
THOMAS FENSTERMACHER
PHYSICIAN2420420000036310148630260536000
JEREMY WALTERS
PHYSICIAN2336920000035050135440250741000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS COMPRISED OF THE FOUR ELECTED OFFICERS OF THE BOARD, I.E., PRESIDENT, VICE PRESIDENT, TREASURER AND SECRETARY, AND A "FIFTH MEMBER" ELECTED BY THE BOARD. THE CHIEF EXECUTIVE OFFICER AND THE MEDICAL DIRECTOR ARE NON-VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. ALL VOTING MEMBERS OF THE EXECUTIVE COMMITTEE ARE ON THE BOARD. THE NON-VOTING MEMBERS ARE NOT ON THE BOARD. THE SCOPE OF EXECUTIVE COMMITTEE AUTHORITY INCLUDES: (1) TO ACT ON BEHALF OF THE BOARD WHILE THAT BODY IS ADJOURNED BETWEEN MEETINGS, SUBJECT TO REVIEW BY THE BOARD AT ITS NEXT MEETING; (2) TO DEVELOP A SYSTEM OF CORPORATE OBJECTIVES AND LONG-RANGE GOALS; (3) TO RECOMMEND TO THE BOARD THE APPOINTMENT AND REAPPOINTMENT OF MEDICAL STAFF MEMBERS AND THE GRANTING OF CLINICAL PRIVILEGES TO EACH MEMBER OF THE MEDICAL STAFF; (4) TO ENSURE APPROPRIATE BOARD REPRESENTATION AT ORGANIZATIONAL STRATEGIC PLANNING MEETINGS.
FORM 990, PART VI, SECTION A, LINE 6PHILHAVEN IS CONTROLLED BY THE LANCASTER CONFERENCE OF THE MENNONITE CHURCH. UNDER THE BYLAWS OF PHILHAVEN, CONTROL IS EXERCISED VIA CERTAIN RESERVE POWERS INCLUDING THE APPROVAL AND APPOINTMENT OF MEMBERS OF THE GOVERNING BODY, APPROVAL OF THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER AND APPROVAL OF AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE LANCASTER MENNONITE CONFERENCE APPOINTS THREE MEMBERS OF THE BOARD OF DIRECTORS. ADDITIONALLY, THE LANCASTER MENNONITE CONFERENCE WILL APPROVE THE SELECTION OF ALL AT-LARGE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE LANCASTER MENNONITE CONFERENCE MUST APPROVE ANY CHANGE TO THE EXISTING BY-LAWS.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS AN INITIAL REVIEW OF THE 990. UPON THE FINANCE COMMITTEE'S APPROVAL, THE 990 GETS DISTRIBUTED TO ALL BOARD MEMBERS ELECTRONICALLY. EACH BOARD MEMBER WILL THEN HAVE THE OPPORTUNITY TO REVIEW THE 990 BEFORE THE RETURN'S SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS OF THE BOARD OF DIRECTORS, EMPLOYEES WHO ARE DIRECTORS OR ABOVE, LICENSED PROFESSIONALS AND INDEPENDENT LICENSED PRACTITIONERS ARE SUBJECT TO PHILHAVEN'S CONFLICT OF INTEREST POLICIES. PHILHAVEN REQUIRES EACH MEMBER OF THE BOARD OF DIRECTORS TO DISCLOSE CONFLICTS OF INTEREST, OR POTENTIAL CONFLICTS OF INTEREST, TO THE PRESIDENT OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE PRESIDENT MUST DISCLOSE CONFLICTS OF INTEREST, OR POTENTIAL CONFLICTS OF INTEREST, TO THE FULL BOARD OF DIRECTORS ON AN ANNUAL BASIS. IF A CONFLICT OF INTEREST IS IDENTIFIED THAT HAS NOT BEEN DECLARED THE BOARD MAY DISCLOSE BY RESOLUTION CARRIED BY TWO-THIRDS OF ITS MEMBERS PRESENT AT THE MEETING, THAT A CONFLICT OF INTEREST EXISTS AND THE MEMBER OF THE BOARD THUS FOUND TO BE IN CONFLICT SHALL WITHDRAW FROM THE MEETING OR REFRAIN FROM DISCUSSION OR VOTING IN RELATION TO THE MATTER. UPON HIRE AND ANNUALLY THEREAFTER ANY EMPLOYEE OR INDEPENDENT PRACTITIONER SUBJECT TO THE POLICIES IS REQUIRED TO COMPLETE A DISCLOSURE STATEMENT. ADDITIONALLY PHILHAVEN'S CHIEF LEGAL OFFICER IS REQUIRED TO REVIEW ALL CONTRACTS OR AGREEMENTS WITH OTHER CARE PROVIDERS OR FOR OTHER SERVICES TO IDENTIFY ANY CONFLICTS OF INTEREST. SHOULD A CONFLICT OF INTEREST WITH AN EMPLOYEE OR WITH AN AGREEMENT OR CONTRACT WITH A THIRD PARTY BE IDENTIFIED, THE CHIEF LEGAL OFFICE AND MEDICAL DIRECTOR SHALL REVIEW THE CIRCUMSTANCES TO MAKE A DECISION ON THE APPROPRIATE ACTION.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SHALL DETERMINE AND APPROVE IN ADVANCE THE COMPENSATION ARRANGEMENTS FOR IDENTIFIED EXECUTIVE EMPLOYEES WHO ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PHILHAVEN'S AFFAIRS. EXECUTIVE EMPLOYEES SUBJECT TO THIS POLICY INCLUDE THE CHIEF EXECUTIVE OFFICER AND MEDICAL DIRECTOR. IN MAKING ITS DETERMINATION, THE EXECUTIVE COMMITTEE SHALL RELY UPON APPROPRIATE DATA AND INFORMATION AS TO THE COMPARABILITY OF COMPENSATION ARRANGEMENTS. RELEVANT FACTORS THAT MAY BE CONSIDERED INCLUDE, BUT ARE NOT LIMITED TO: 1. COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; 2. CURRENT COMPENSATION SURVEYS CONDUCTED BY INDEPENDENT FIRMS (SUCH AS NATIONAL ASSOCIATION OF ADDICTION TREATMENT (NAATP/NATIONAL COUNCIL FOR COMMUNITY BEHAVIORAL HEALTHCARE AND MENNONITE HEALTH SERVICES (MHS) ALLIANCE; 3. EXECUTIVE EMPLOYEE'S SALARY HISTORY WITH OTHER ORGANIZATIONS; 4. ACTUAL WRITTEN OFFERS FROM SIMILAR ORGANIZATIONS COMPETING FOR THE SERVICES OF THE EXECUTIVE; AND 5. AVAILABILITY OF SIMILARLY QUALIFIED EXECUTIVES IN THE GEOGRAPHIC AREA. THE EXECUTIVE COMMITTEE'S DECISION MUST BE CONTEMPORANEOUSLY DOCUMENTED IN WRITING. THE CEO DETERMINES THE COMPENSATION FOR THE CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION C, LINE 19ANY OF THESE DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
KE LLC
283 S BUTLER ROAD PO BOX 550MT GRETNAPA17064232647658REAL ESTATE RENTALPAN/AUNRELATED50396901818010.50000
ADVANCED MANAGEMENT SERVICES
320 HIGHLAND DRIVEMOUNTVILLEPA17554611676937SOFTWARE COMPANYPAN/AUNRELATED25000010.22380
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KE LLC
K143465COST
ADVANCED MANAGEMENT SERVICES
R25000COST
KE LLC
S85000CASH

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