PAROCHIAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PAROCHIAL MEDICAL CENTER (EIN 23-2300834)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-03-11
IRS object ID
201300709349300005
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)
Timestamp2013-03-11T10:36:04-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SNIEGOCKI & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 606AddressLine1
CityPALMYRACity
StatePAState
ZIP Code17078ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232300834EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PAROCHIAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPARONameControl
Phone7175560702Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 WEST MAIN STREETAddressLine1
CityNEW HOLLANDCity
StatePAState
ZIP Code17557ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMELVIN H HOOVERName
TitleTREASURERTitle
Phone7175560702Phone
Date Signed2013-02-19DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSUE A HARVEYName
Phone7178382682Phone
Date Prepared2013-02-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1109836GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees18TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year10896ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1216843ProgramServiceRevenuePriorYear
Program Service Revenue CY1095942ProgramServiceRevenueCY
Investment Income Prior Year3707InvestmentIncomePriorYear
Investment Income Current Year2998InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1220550TotalRevenuePriorYear
Total Revenue Current Year1109836TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year675331SalariesEtcPriorYear
Salaries Etc Current Year650655SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year443365OtherExpensePriorYear
Other Expenses Current Year473267OtherExpensesCurrentYear
Total Expenses Prior Year1118696TotalExpensesPriorYear
Total Expenses Current Year1123922TotalExpensesCurrentYear
Revenues Less Expenses Prior Year101854RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14086RevenuesLessExpensesCY
Total Assets BOY341774TotalAssetsBOY
Total Assets EOY327897TotalAssetsEOY
Total Liabilities BOY90218TotalLiabilitiesBOY
Total Liabilities EOY90427TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY251556NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY237470NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE PHYSICAL AND MENTAL HEALTH CARE SERVICES TO THE UNINSURED AND PROMOTE HEALTH AND WELL BEING OF INDIVIDUALS IN SOUTH CENTRAL PENNSYLVANIA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1006071Expense
Revenue1095942Revenue
DescriptionAPPROXIMATELY 7,300 PATIENTS OF THE PLAIN AND UNINSURED COMMUNITY RECEIVED HEALTH CARE SERVICES.Description
Total Program Service Expense1006071TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees18NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMELVIN HOOVERNamePerson
Telephone Number7175560702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11065 WEST MAIN STREETAddressLine1
CityNEW HOLLANDCity
StatePAState
ZIP Code17557ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ALLEN HOOVER
DIRECTOR1.00X751900
STEVE HUYARD
DIRECTOR1.00X000
BEN BEILER
DIRECTOR1.00X000
PAUL BURKHOLDER
DIRECTOR1.00X000
MERVIN M MARTIN
DIRECTOR1.00X000
SAMUEL HERSCHBERGER
DIRECTOR1.00X000
HENRY M HOOVER
DIRECTOR1.00X000
DANIEL LAPP
CHAIRMAN2.00000X
SAM KINSINGER
V CHAIRMAN1.00000X
MELVIN HOOVER
TREASURER4.00000X
ELAM STOLTZFUS
SECRETARY1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7519TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions10896AllOtherContributions
Total Contributions10896TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OFFICE VISITS566916566916
LAB WORK/E-RAY230822230822
MEDICATIONS155521155521
PROCEDURES/SUPPLIES133863133863
RENTAL88208820
FieldValueIRS element (for citing)
Total Program Service Revenue1095942TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2998TotalRevenueColumn
Exclusion$2,998ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1109836TotalRevenueColumn
Related Or Exempt Function Income1095942RelatedOrExemptFunctionIncome
Exclusion$2,998ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total606292Total
Program Services555775ProgramServices
Management And General50517ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total44363Total
Program Services44363ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total328Total
Management And General328ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6402Total
Management And General6402ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2633Total
Program Services2633ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16184Total
Management And General16184ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20182Total
Program Services20182ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1190Total
Management And General1190ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total90Total
Program Services90ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17309Total
Program Services17309ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
OUTSIDE PROFESSIONAL SERV159160159160
LAB FEES & SUPPLIES6168561685
MEDICINES & SUPPLIES6050560505
EMPLOYEE INSURANCE3280832808

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total94791Total
Program Services51561ProgramServices
Management And General43230ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1123922Total
Program Services1006071ProgramServices
Management And General117851ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY52515BOY
EOY43953EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY76230BOY
EOY64756EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis673872LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec460524LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY207189BOY
EOY213348EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5840BOY
EOY5840EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY341774BOY
EOY327897EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15218BOY
EOY15427EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY60000BOY
EOY60000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15000BOY
EOY15000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90218BOY
EOY90427EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY251556BOY
EOY237470EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY251556BOY
EOY237470EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY341774BOY
EOY327897EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-14086ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years183667CurrentTaxYearMinus3Years
Current Tax Year10896CurrentTaxYear
Total213385Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1038736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1041353CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1088449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1216843CurrentTaxYearMinus1Year
Current Tax Year1095942CurrentTaxYear
Total5481323Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1057558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1225020CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1088449CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1216843CurrentTaxYearMinus1Year
Current Tax Year1106838CurrentTaxYear
Total5694708Total
FieldValueIRS element (for citing)
Public Support Total5095694708PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3707CurrentTaxYearMinus1Year
Current Tax Year2998CurrentTaxYear
Total14881Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3707CurrentTaxYearMinus1Year
Current Tax Year2998CurrentTaxYear
Total14881Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1060421CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1226361CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1092421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1220550CurrentTaxYearMinus1Year
Current Tax Year1109836CurrentTaxYear
Total5709589Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99740PublicSupportPercentage509
Prior Year Support Percentage0.99700PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis40000OtherCostOrOtherBasis
Book Value40000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis503615OtherCostOrOtherBasis
Depreciation364668Depreciation
Book Value138947BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis130257OtherCostOrOtherBasis
Depreciation95856Depreciation
Book Value34401BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings213348TotalOfBookValueLandBuildings

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonS KINSINGERNamePerson
Purpose Of LoanCASH FLOW NEEDSPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$175,000OriginalPrincipalAmount
Balance Due60000BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementfalseWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due60000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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