LEHIGH VALLEY HOSPITAL-HAZLETON: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LEHIGH VALLEY HOSPITAL-HAZLETON (EIN 23-2421970)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-11
- IRS object ID
- 201443159349302304
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-11T02:32:58-00:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232421970 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5705014000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E BROAD STREET | AddressLine1 |
| City | HAZLETON | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM C BAUER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5705016292 | PhoneNum |
| Signature | 2014-11-10 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAZLETON GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John R Fletcher | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Broad St | AddressLine1 |
| City | Hazleton | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $139,433,610 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://hazleton.lvhn.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | HGH provides inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services conducts community education programs/services delivers these programs services with compassion high standards of quality without discrimination. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 798 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $440,352 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$22,631 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $560,787 | PYContributionsGrantsAmt |
| CY Contributions Grants | $588,615 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,251,837 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,298,391 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,545,977 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,616,720 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,078,806 | PYOtherRevenueAmt |
| CY Other Revenue | $2,758,775 | CYOtherRevenueAmt |
| PY Total Revenue | $106,437,407 | PYTotalRevenueAmt |
| CY Total Revenue | $108,262,501 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $553,836 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,141,758 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,546,164 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $716 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $1,756 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $69,575 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,017,416 | PYOtherExpensesAmt |
| CY Other Expenses | $39,156,998 | CYOtherExpensesAmt |
| PY Total Expenses | $89,159,890 | PYTotalExpensesAmt |
| CY Total Expenses | $94,258,754 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,277,517 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,003,747 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $114,238,436 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,662,446 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $73,852,948 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $67,669,798 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,385,488 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $57,992,648 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HGH commits to service health needs in the Hazleton area, through its inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services by providing community education and delivering programs services with compassion high standards of quality without discrimination. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $69,495,678 | ExpenseAmt |
| Revenue | $103,870,317 | RevenueAmt |
| Desc | Hazleton General Hospital provides a full range of hospital inpatient, outpatient, therapeutic, diagnostic, imaging, maternity and rehabilitation care, as well as emergency room services to the residents of Greater Hazleton, regardless of race, religion or economic status. See Schedule O for new projects on 2013 done to enhance the quality efficiency of our mission. View our community report at http//hazleton.lvhn.org/ | Desc |
| Total Program Service Expenses | $69,495,678 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 798 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FINANCE DEPARTMENT | PersonNm |
| Phone | 5705014989 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E BROAD ST | AddressLine1 |
| City | HAZLETON | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| J EDWARDS | |||||||||
| CHIEF EXECUTIVE OFFICER | 028.00 | 012.00 | Yes (X) | Yes (X) | $0 | $1,508,560 | $36,696 | ||
| T KENNEDY ESQ | |||||||||
| BOARD CHAIR | 001.00 | 000.75 | Yes (X) | $0 | $0 | $0 | |||
| A SRINIVASAN MD | |||||||||
| BOARD VICE CHAIR | 001.00 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| J MADDEN PhD | |||||||||
| BOARD SECRETARY | 001.00 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| J OSIECKI | |||||||||
| BOARD TREASURER | 001.00 | 000.75 | Yes (X) | $0 | $0 | $0 | |||
| SISTER MARY MARGARET OSF | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| M LEIB | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| J SNYDER DO | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| P BENYO MD | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| A VEGLIA MD | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| M LOBITZ DO | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| M WASHINSKY DO | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| A CUSATIS | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| D PALERMO | |||||||||
| BOARD MEMBER | 000.50 | 000.50 | Yes (X) | $0 | $0 | $0 | |||
| J FLETCHER | |||||||||
| CHIEF OPERATING OFFICER | 028.00 | 012.00 | Yes (X) | $0 | $301,059 | $10,189 | |||
| W BAUER | |||||||||
| CHIEF FINANCIAL OFFICER | 028.00 | 012.00 | Yes (X) | $0 | $299,863 | $36,322 | |||
| A VALENTE MD | |||||||||
| VP MEDICAL AFFAIRS | 021.00 | 009.00 | Yes (X) | $0 | $243,597 | $48,365 | |||
| M GOLDEN | |||||||||
| CHIEF NURSING OFFICER | 028.00 | 012.00 | Yes (X) | $0 | $228,045 | $35,350 | |||
| J DANISH | |||||||||
| ASST SECRETARY OF BOARD / DIR ADM SVC | 028.00 | 012.00 | Yes (X) | $0 | $108,840 | $31,487 | |||
| W REPPY | |||||||||
| VP CHIEF ADMINSTRATIVE OFFICER-HWC | 028.00 | 012.00 | Yes (X) | $0 | $158,101 | $32,937 | |||
| D PATTEN MD | |||||||||
| PHYSICIAN | 031.00 | 009.00 | $400,531 | $0 | $36,859 | Yes (X) | |||
| J CIOTOLA MD | |||||||||
| PHYSICIAN | 031.00 | 009.00 | $380,614 | $0 | $36,388 | Yes (X) | |||
| J AMENTLER MD | |||||||||
| PHYSICIAN | 031.00 | 009.00 | $206,363 | $0 | $8,610 | Yes (X) | |||
| D POGAR | |||||||||
| PHARMACIST | 040.00 | $116,406 | $0 | $31,372 | Yes (X) | ||||
| C FERKO | |||||||||
| PHARMACIST | 040.00 | $113,581 | $0 | $31,765 | Yes (X) | ||||
| E PERRONG | |||||||||
| VP HUMAN RESOURCES | $0 | $40,625 | $360 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,217,495 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,888,690 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $376,700 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HAZLETON ANESTHESIA SERVICES PC | |||||
| 10 COMMERCE DR | NEW ROCHELLE | NY | 10801 | ANESTHESIA SERVICES | $1,187,875 |
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LABORATORY SERVICES | $697,148 |
| MCKAY CONSULTING GROUP | |||||
| 8590 BUSINESS PARK DR | SHREVEPORT | LA | 71105 | CONSULTING SERVICES | $596,940 |
| PHILIPS HEALTHCARE | |||||
| 149 N VINE ST | HAZLETON | PA | 18201 | BIOMEDICAL MAINTENANCE | $475,846 |
| MARVAL MEDICAL | |||||
| 149 N VINE ST | HAZLETON | PA | 18201 | HOSPITALIST SERVICES | $402,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $493,957 | GovernmentGrantsAmt |
| All Other Contributions | $94,658 | AllOtherContributionsAmt |
| Total Contributions | $588,615 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net patient service revenue | 900099 | $100,775,179 | $100,334,827 | $440,352 |
| Pharmacy sales | 900099 | $31,848 | $31,848 | |
| Cafeteria sales | 624200 | $438,655 | $438,655 | |
| Meals on wheels | 624200 | $52,709 | $52,709 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,298,391 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,692,731 | TotalRevenueColumnAmt |
| Exclusion | $1,692,731 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,469 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,469 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,469 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $32,446,301 | SecuritiesAmt |
| Other | $633,393 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,782,357 | SecuritiesAmt |
| Other | $373,348 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,663,944 | SecuritiesAmt |
| Other | $260,045 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,923,989 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $69,784 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $15,404 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,380 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Equity in affiliates | 900003 | $781,705 | $781,705 |
| MSA revenue - HWC | 541610 | $188,331 | $188,331 |
| EHR incentives | 900099 | $1,395,750 | $1,395,750 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $206,140 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $206,140 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,571,926 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,262,501 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,429,965 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $440,352 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,692,731 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,836 | TotalAmt |
| Program Services | $553,836 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,430,149 | TotalAmt |
| Program Services | $33,337,150 | ProgramServicesAmt |
| Management And General | $9,032,163 | ManagementAndGeneralAmt |
| Fundraising | $60,836 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,921,448 | TotalAmt |
| Program Services | $1,509,672 | ProgramServicesAmt |
| Management And General | $409,954 | ManagementAndGeneralAmt |
| Fundraising | $1,822 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,167,063 | TotalAmt |
| Program Services | $5,844,436 | ProgramServicesAmt |
| Management And General | $1,321,990 | ManagementAndGeneralAmt |
| Fundraising | $637 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,027,504 | TotalAmt |
| Program Services | $2,448,296 | ProgramServicesAmt |
| Management And General | $574,684 | ManagementAndGeneralAmt |
| Fundraising | $4,524 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,934 | TotalAmt |
| Management And General | $540,934 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,222 | TotalAmt |
| Management And General | $3,222 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,304 | TotalAmt |
| Management And General | $135,304 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,756 | TotalAmt |
| Fundraising | $1,756 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,455 | TotalAmt |
| Management And General | $411,455 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,385,334 | TotalAmt |
| Program Services | $5,437,299 | ProgramServicesAmt |
| Management And General | $1,948,035 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,948 | TotalAmt |
| Program Services | $12,733 | ProgramServicesAmt |
| Management And General | $339,215 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,024,652 | TotalAmt |
| Program Services | $1,443,387 | ProgramServicesAmt |
| Management And General | $581,265 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,589,238 | TotalAmt |
| Program Services | $24,965 | ProgramServicesAmt |
| Management And General | $1,564,273 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,921,891 | TotalAmt |
| Program Services | $2,639,367 | ProgramServicesAmt |
| Management And General | $282,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,595 | TotalAmt |
| Program Services | $121,218 | ProgramServicesAmt |
| Management And General | $27,377 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,069 | TotalAmt |
| Program Services | $105,070 | ProgramServicesAmt |
| Management And General | $30,999 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,081,891 | TotalAmt |
| Management And General | $1,081,891 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,060,650 | TotalAmt |
| Program Services | $1,745,387 | ProgramServicesAmt |
| Management And General | $3,315,263 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,498,132 | TotalAmt |
| Program Services | $1,380,399 | ProgramServicesAmt |
| Management And General | $117,733 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $10,508,421 | $10,474,884 | $33,537 |
| EQUIPMENT RENTAL MAINTENANCE | $3,073,016 | $2,196,622 | $876,394 |
| PA HOSPITAL ASSESSMENT | $1,629,749 | $1,629,749 | |
| DUES AND LICENSES | $317,074 | $97,154 | $219,920 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,423 | TotalAmt |
| Program Services | $123,803 | ProgramServicesAmt |
| Management And General | $215,620 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,258,754 | TotalAmt |
| Program Services | $69,495,678 | ProgramServicesAmt |
| Management And General | $24,693,501 | ManagementAndGeneralAmt |
| Fundraising | $69,575 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,902 | BOYAmt |
| EOY | $1,902 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,249,260 | BOYAmt |
| EOY | $3,446,793 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,339,801 | BOYAmt |
| EOY | $9,616,579 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $802,690 | BOYAmt |
| EOY | $817,277 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985,348 | BOYAmt |
| EOY | $745,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $93,472,533 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,981,672 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,089,727 | BOYAmt |
| EOY | $29,490,861 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,925,311 | BOYAmt |
| EOY | $79,378,311 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,844,397 | BOYAmt |
| EOY | $2,165,280 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,238,436 | BOYAmt |
| EOY | $125,662,446 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,993,823 | BOYAmt |
| EOY | $13,006,463 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,535,000 | BOYAmt |
| EOY | $29,005,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,324,125 | BOYAmt |
| EOY | $25,658,335 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,852,948 | BOYAmt |
| EOY | $67,669,798 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,582,895 | BOYAmt |
| EOY | $57,154,096 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $802,593 | BOYAmt |
| EOY | $838,552 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,385,488 | BOYAmt |
| EOY | $57,992,648 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,238,436 | BOYAmt |
| EOY | $125,662,446 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,003,747 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $916,833 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,686,580 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $135,304 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $135,304 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $94,123,450 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $94,258,754 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $224,478 | CurrentYearMinus3Amt |
| Current Year Minus2 | $123,394 | CurrentYearMinus2Amt |
| Current Year Minus1 | $135,747 | CurrentYearMinus1Amt |
| Current Year | $135,304 | CurrentYearAmt |
| Total | $618,923 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $928,385 | LobbyingCeilingAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,858,690 | OtherCostOrOtherBasisAmt |
| Book Value | $6,858,690 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,690,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,323,974 | DepreciationAmt |
| Book Value | $12,366,731 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,658,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,368,467 | DepreciationAmt |
| Book Value | $8,289,788 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,264,883 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,289,231 | DepreciationAmt |
| Book Value | $1,975,652 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,490,861 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Accrued Pension Costs | $13,589,209 |
| Third Party Settlements | $9,159,219 |
| Pension Payable | $1,318,516 |
| Capitalized Leases | $332,985 |
| Malpractice Insurance Liability | $1,258,406 |
| Other Liabilities |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,658,335 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | PA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1Amt |
| Gross Receipts Event1 | $69,784 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $69,784 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $267 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $3,689 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $8,623 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,490 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $335 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $69,784 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $69,784 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $267 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $3,689 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $8,623 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,490 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $335 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $15,404 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $54,380 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,969,364 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,969,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,196,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,077,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,119,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,165,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,077,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,088,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $387,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $207,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $179,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,415 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $111,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $437,754 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $437,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $553,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $553,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,512,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $231,244 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,281,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,678,086 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,308,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,369,519 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07820 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $174,455 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $174,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,933 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $195,668 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $195,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $395,056 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $395,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,520,154 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,003,606 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,193,287 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,103,998 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$910,711 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Beltway Health LP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Medical Office Space Rental | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.43780 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northeastern Pennsylvania Health Corporation dba Hazleton General Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Broad St | AddressLine1 |
| City | Hazleton | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http//hazleton.lvhn.org/ | WebsiteAddressTxt |
| State License | 083701 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | A | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http//hazleton.lvhn.org/ | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 0000000002.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 0000000004.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Group Northeastern Pennsylvania Health Corporation, dba Hazleton General Hospital Line Part V, Secti | In conducting our CHNA, we took into account input from representatives of the community including Hazleton General Hospital, Freeland Senior Citizens Center, Buenas Nuevas Church, County Assistance Office-Hazleton District, Greater Hazleton Chamber of Commerce, Bureau of Aging-Hazleton Campus, Rural Health Corp NEPA, Serento Gardens Alcoholism and Drug Addiction Services, Greater Hazleton School District, Penn State University-Hazleton, Migrant Workers Education, Alliance Medical Group-Pediatrics Office, United Way of Greater Hazleton, Northeast Counseling Services Mental Health Services and Hazleton City Police Department. |
| Group Northeastern Pennsylvania Health Corporation, dba Hazleton General Hospital Line Part V, Secti | The CHNA plan was adopted in December 2013 and, therefore, the objectives were not met as of 12/31/13. It is expected the plan will be completed within the 12 months from the implementation date of the CHNA report. |
| Group Northeastern Pennsylvania Health Corporation, dba Hazleton General Hospital Line Part V, Secti | Signage is posted in registration waiting areas notifying patients of the availability for Charity Care and other financial assistance. Correspondence and/or billing statements also inform patients to contact a financial counselor if they are having difficulty in payment for services. It is posted that, in keeping with our mission, we offer Charity Care at free reduced rates. Patients need to contact a financial counselor to see if they are eligible. |
| Group Northeastern Pennsylvania Health Corporation, dba Hazleton General Hospital Line Part V, Secti | All uninsured individuals received a 70 discount in 2013. The hospital monitors the overall collection rates experienced from commercial carriers as well as that of Medicare and uses the average of the two to gauge the discount applied to the bills of uninsured individuals. The uninsured discount is a higher percentage discount than the average of our top 3 insurance carriers. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 3c | Hazleton General Hospital uses the FPG to determine eligibility for providing free and discounted care. All uninsured patients with family incomes greater than 400 of the Federal Poverty Guidelines FPG receive an Uninsured Discount of 70 off billed charges. This discount lessens the financial burden on uninsured patients and allows them access to discounts comparable to those offered to insured patients. |
| Part I Line 3c | Patients with family incomes at 400 of FPG or less are eligible for greater financial assistance discounts. |
| Part I Line 6a | Hazleton General Hospital annual community report is currently being prepared. Upon completion, the report will be available upon request or on our website at http//hazleton.lvhn.org/ |
| Part I Line 7 | Amounts used in the calculation of Charity Care and Other Community Benefits at Cost were calculated utilizing the optional supplemental worksheets provided by the IRS instructions to Schedule H. |
| Part II | The community building activities promote the health of the community. These activities include Patient Advocate Services, Interpretation Services and Patient Satisfaction Surveys, which assist the patients with the quality of care that they receive. |
| Part III Line 2 | Amounts reported as bad debt expense are reported net of applicable patient payments. Insurance payments and contractual allowances as well as other hospital discounts for which the patient is deemed eligible. The ratio of costs-to-charges RCC is applied to the net amount to determine the hospital cost of bad debt expense. |
| Part III Line 3 | Bad debt expense is calculated using the worksheet provided by IRS instructions. The bad debt expense attributable to patients eligible under our charity care policy was estimated using a sampling of accounts transferred to bad debts that were written off. We ran the patient information that we had through a third-party software package to determine estimated eligibility for charity care had the patient provided the information necessary to complete the charity care application. |
| Part III Line 4 | The footnote to our financial statements that describes the bad debt expense can be found on page 9 in the attached financial statements. |
| Part III Line 8 | For 2013, the Medicare shortfall is 910,711 using only allowable costs however, if all costs are considered, a shortfall would exist of 2.9 million. |
| Part III Line 9b | Patient inquiries will be referred to a financial counselor who will assist the patient with the application process, as well as application for available government insurance programs. Once the application is completed, appropriate discounts will be determined. |
| Part III Line 9b | A 100 Charity Care discount will be provided to patients with incomes up to 200 of the Department of Health Human Services poverty level published on an annual basis. For patients with incomes between 200 and 400 of the poverty level, a percentage discount between 70 100 applies. A 70 Uninsured Patient Discount applies for patients with incomes greater than 400 of the poverty level. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BERNADINE FRANCISCAN SISTERS | |||||||
| 460 ST BERNADINE ST | READING | PA | 186071737 | 231691743 | 501c3 | $425,000 | Donation |
| GREATER HAZLETON HEALTH CLINIC | |||||||
| 106-108 S CHURCH ST | HAZLETON | PA | 18201 | $20,000 | Donation | ||
| LEHIGH VALLEY HEALTH NETWORK | |||||||
| 2100 MACK BLVD | ALLENTOWN | PA | 181035622 | 222458317 | 501c3 | $20,000 | Donation |
| AMERICAN CANCER SOCIETY | |||||||
| 132 S WYOMING ST | HAZLETON | PA | 18201 | $12,500 | Donation | ||
| MINSI TRAILS COUNCIL #502 BOY SCOUTS OF AMERICA | |||||||
| PO BOX 20624 | LEHIGH VALLEY | PA | 180020624 | 231708585 | 501c3 | $7,500 | Donation |
| GREATER HAZLETON CHAMBER OF COMMERCE | |||||||
| 20 W BROAD ST | HAZLETON | PA | 18201 | 240607160 | 501c6 | $6,224 | Donation |
| CASTLE AUDITORIUM COMMUNITY ARTS CENTER INC | |||||||
| 12 E BROAD ST | HAZLETON | PA | 18201 | 263658611 | 501c3 | $5,000 | Donation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 7 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| J EDWARDS | ||||||||||
| CHIEF EXECUTIVE OFFICER | $398,560 | $150,000 | $960,000 | $7,650 | $29,046 | $1,545,256 | ||||
| J FLETCHER | ||||||||||
| CHIEF OPERATING OFFICER | $231,059 | $70,000 | $7,650 | $2,540 | $311,249 | |||||
| W BAUER | ||||||||||
| CHIEF FINANCIAL OFFICER | $229,863 | $70,000 | $7,650 | $28,672 | $336,185 | |||||
| A VALENTE MD | ||||||||||
| VP MEDICAL AFFAIRS | $188,597 | $55,000 | $12,495 | $7,320 | $28,550 | $291,962 | ||||
| M GOLDEN | ||||||||||
| CHIEF NURSING OFFICER | $175,045 | $53,000 | $6,840 | $28,509 | $263,394 | |||||
| W REPPY | ||||||||||
| VP CHIEF ADMINSTRATIVE OFFICER-HWC | $125,560 | $32,541 | $4,726 | $28,210 | $191,037 | |||||
| E PERRONG | ||||||||||
| VP HUMAN RESOURCES | $40,625 | $361 | $40,986 | |||||||
| D PATTEN MD | ||||||||||
| PHYSICIAN | $400,531 | $7,650 | $29,209 | $437,390 | ||||||
| J CIOTOLA MD | ||||||||||
| PHYSICIAN | $380,614 | $7,650 | $28,738 | $417,002 | ||||||
| J AMENTLER MD | ||||||||||
| PHYSICIAN | $206,363 | $6,152 | $2,458 | $214,973 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I Line 4a | Compensation to J. Edwards includes 960,000 in severance wages. |
| Part I Line 4a | Compensation to E. Perrong includes 40,625 in severance wages. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marval Medical | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Anthony Valente, MD, VP of Medical Affairs | RelationshipDescriptionTxt |
| Transaction | $402,550 | TransactionAmt |
| Transaction | Hospitalist Professional Fees | TransactionDesc |
| Sharing Of Revenues | Yes (true) | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 2 | In 2013, HGH continued to pursue opportunities to enhance its quality services. New programs services at HGH include providing better access to care through Telehealth Program at HGH in conjuction with Lehigh Valley Health Network to include stroke, burn, and infectious disease services continued development and implementation of the Electronic Medical Record EMR system. commitment to a three-year financial pledge to support a community-based organizations development of a free clinic for the uninsured conducted a Community Health Needs Assessment and developed a plan based on community needs. As of 01/01/2014, Hazleton General Hospital became an affiliate of LVHN, as its parent Greater Hazleton Health Alliance merged into Lehigh Valley Health Network. HGH is now doing business as Lehigh Valley Hospital-Hazleton. |
| Form 990, Part VI, Section A, Line 6 | Greater Hazleton Health Alliance, a PA non-profit corporation is Northeastern Pennsylvania Health Corporations sole member. There are no stockholders. |
| Form 990, Part VI, Section A, Line 7a | Greater Hazleton Health Alliance, the sole member, appoints the directors. |
| Form 990, Part VI, Section A, Line 7b | Greater Hazleton Health Alliance, the sole member, makes and ratifies the decisions as specified in Northeastern Pennsylvania Health Corporations bylaws. |
| Form 990, Part VI, Section B, Line 11b | IRS Form 990s for Greater Hazleton Health Alliance entities i.e. GHHA, HGH, HPS, HSA, HWC are prepared by the Finance Department. Draft 1 of the returns is reviewed in detail, with a focus on accuracy, completeness and perspective by the LVHN Tax Director, LVHH Chief Financial Officer, and the LVHN Corporate Legal Counsel. Draft 2 of the returns are reviewed with LVHN Sr. Vice-President and Chief Financial Officer. Final returns are reviewed with LVHN Executive Committee of the Board of Trustees prior to submitting to the IRS. |
| Form 990, Part VI, Section B, Line 12c | Yearly, all Board members and executive staff receive the conflict of interest policy and are asked to complete a statement sheet reporting any possible business or personal conflicts. All statements are reviewed by the Compliance Officer. I any Board member has a conflict with a specific discussion at a Board meeting, he / she either removes himself / herself from the discussion or is included in the discussion, but is not allowed to vote on the matter at hand. |
| Form 990, Part VI, Section B, Line 15 | Compensation surveys are used to make a recommendation on the CEO payrate, for approval by the compensation committee. Compensation surveys are also used to make recommendations to the CEO on payrates for the other officers and the compensation committee reviews and approves those rates as well. |
| Form 990, Part VI, Section C, Line 19 | Greater Hazleton Health Alliance and affiliated entities makes governing documents, conflicts of interest policy, tax returns and financial statements available upon request. Also, Form 990 is available on www.guidestar.org |
| Form 990, Part XI, Line 9 | Minimum Pension Liability Adjustment 10,618,189 |
| Form 990, Part XI, Line 9 | Impairment Loss 827,880 |
| Form 990, Part XI, Line 9 | Write down intercompany receivable 7,139,688 |
| Form 990, Part XI, Line 9 | Change in temporarily restricted net assets 35,959 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Greater Hazleton Health Alliance | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 232831830 | Management Services | PA | 501c3 | 11 | N/A | false | |
| Hazleton Health & Wellness Center | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 232580968 | Staffing Services | PA | 501c3 | 11 | false | Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital | |
| Hazleton Professional Services | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 205880364 | Physician Services | PA | 501c3 | 3 | false | Greater Hazleton Health Alliance | |
| Hazleton Surgical Alliance | |||||||||||
| 700 E Broad St | Hazleton | PA | 18201 | 202038456 | Surgical Services | PA | 501c3 | 3 | false | Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hazleton Surgery Center LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17480 Dallas Parkway Ste 210 | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75287 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201232531 | EIN |
| Primary Activities | Surgical Services | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hazleton Surgical Alliance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.66000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hazleton Saint Joseph Medical Office Building Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 E Broad St | AddressLine1 |
| City | Hazleton | City |
| State | PA | State |
| ZIP Code | 18201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232500981 | EIN |
| Primary Activities | Medical Office Rental | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corp | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Hazleton Saint Joseph Medical Office Building Inc | ||
| k | $8,790 | Actual rent amount |
| Hazleton Saint Joseph Medical Office Building | ||
| o | $5,142 | Actual salary amount |
| Hazleton Saint Joseph Medical Office Building | ||
| q | $3,000 | Actual expense paid |
| Hazleton Saint Joseph Medical Office Building | ||
| r | $120,648 | Actual write off |
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