ROBERT PACKER HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ROBERT PACKER HOSPITAL (EIN 24-0795463)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201321349349303647
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T13:17:26-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1700 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240795463 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT PACKER HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MICHELE Y SISTO | InCareOfName |
| Name Control | ROBE | NameControl |
| Phone | 5708874625 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GUTHRIE SQUARE | AddressLine1 |
| City | SAYRE | City |
| State | PA | State |
| ZIP Code | 18840 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Marie Droege | Name |
| Title | President | Title |
| Date Signed | 2013-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2673303000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARIE DROEGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | GUTHRIE SQUARE | AddressLine1 |
| City | SAYRE | City |
| State | PA | State |
| ZIP Code | 18840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 821111901 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GUTHRIE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1885 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | ROBERT PACKER HOSPITAL PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,818 PATIENTS WERE ADMITTED TO RPH IN FYE 6/30/12. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1871 | TotalNbrEmployees |
| Total Nbr Volunteers | 208 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2040853 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1118089 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 263735137 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 272336280 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9769400 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18847726 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4751467 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6557982 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 280296857 | TotalRevenuePriorYear |
| Total Revenue Current Year | 298860077 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15600 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 14950 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 81752577 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88147045 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 148963309 | OtherExpensePriorYear |
| Other Expenses Current Year | 160167845 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 230731486 | TotalExpensesPriorYear |
| Total Expenses Current Year | 248329840 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 49565371 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 50530237 | RevenuesLessExpensesCY |
| Total Assets BOY | 345324611 | TotalAssetsBOY |
| Total Assets EOY | 426796580 | TotalAssetsEOY |
| Total Liabilities BOY | 159605290 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 236079304 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 185719321 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 190717276 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ROBERT PACKER HOSPITAL IS AN AFFILIATE OF GUTHRIE HEALTH. GUTHRIE HEALTH IS A NONPROFIT HEALTH CARE ORGANIZATION THAT SERVES TO COORDINATE THE ACTIVITY OF GUTHRIE CLINIC (CLINIC) AND THE AFFILIATES WITHIN GUTHRIE HEALTHCARE SYSTEM (GHS; SEE FORM 990, SCHEDULE R, FOR A LISTING OF AFFILIATES OF GHS, INCLUDING ROBERT PACKER HOSPITAL (RPH)). THROUGH THE ACTIVITIES OF THE CLINIC, GHS, RPH, AND ITS OTHER AFFILIATES (COLLECTIVELY REFERRED TO AS "GUTHRIE"), GUTHRIE HEALTH PROVIDES CHARITABLE COMMUNITY-BASED HEALTH CARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES SERVED BY ITS FACILITIES AND PROVIDERS. THESE CHARITABLE ACTIVITIES INCLUDE PROVIDING PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES, AS WELL AS OPERATING A TERTIARY CARE TEACHING HOSPITAL, COMMUNITY HOSPITALS, A RESEARCH INSTITUTE, HOME CARE, HOSPICE CARE AND A LONG-TERM CARE FACILITY. THE GUTHRIE RESEARCH INSTITUTE AND GUTHRIE CLINICAL RESEARCH FUNCTIONS OF THE GUTHRIE FOUNDATION FOR MEDICA | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 174267429 | Expense |
| Revenue | 272079021 | Revenue |
| Description | ROBERT PACKER HOSPITAL PROVIDES HEALTHCARE SERVICES TO RESIDENTS OF THE SURROUNDING COMMUNITY ON AN IN-PATIENT AND OUT-PATIENT BASIS. APPROXIMATELY 14,818 PATIENTS WERE ADMITTED TO THE HOSPITAL IN FYE 6/30/2012. PATIENT DAYS TOTALED 68,890. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10502230 | Expense |
| Grants | 14950 | Grants |
| Revenue | 257259 | Revenue |
| Description | ROBERT PACKER HOSPITAL PROVIDES EDUCATIONAL SERVICES TO ITS EMPLOYEES AND MEMBERS OF THE COMMUNITY. THE FOLLOWING EDUCATIONAL SERVICES ARE PROVIDED: 1) X-RAY TECHNOLOGY; 2) RESPIRATORY THERAPY; 3) MEDICAL RESIDENTS & STUDENTS; 4) LABORATORY TECHNOLOGY; AND 5) ROBERT PACKER SCHOOL OF NURSING (AN AFFILIATE). | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 184769659 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | true | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1871 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHELE Y SISTO | NamePerson |
| Telephone Number | 5708874625 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GUTHRIE SQUARE | AddressLine1 |
| City | SAYRE | City |
| State | PA | State |
| ZIP Code | 18840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MARIE DROEGE | ||||||||
| PRESIDENT & COO | 40.0 | X | X | 362357 | 0 | 16103 | ||
| DAVID LR GIBBS | ||||||||
| CHAIRMAN BOD | 1.0 | X | 0 | 0 | 0 | |||
| JOSEPH R JOYCE | ||||||||
| VICE CHAIR BOD | 1.0 | X | 0 | 0 | 0 | |||
| DANIEL J BROWN MD | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 430097 | 44293 | |||
| MARVIN L FISHER II | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| DEAN W HOSTERMAN | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| RHONDA G MOSS-TATICH | ||||||||
| SECRETARY/TREASURER BOD | 1.0 | X | 0 | 0 | 0 | |||
| SURYA NARAYANAN | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 303776 | 39140 | |||
| SEAN NICHOLSON | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| DOUGLAS G RICH | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| DANIEL SPORN MD | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 487844 | 44293 | |||
| GEORGE ELLIS MD | ||||||||
| EMERGENCY MEDICINE CHAIRMAN | 1.0 | X | 337649 | 0 | 45457 | |||
| GAIL ORCHARD | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| JACKSON C FAULKNER | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| MICHAEL NARCAVAGE III | ||||||||
| MEMBER BOD | 1.0 | X | 0 | 0 | 0 | |||
| MINH DANG | ||||||||
| CFO | 39.0 | 0 | 224891 | 34957 | X | |||
| BONNIE ONOFRE | ||||||||
| CHIEF NURSING OFFICER | 36.0 | 197438 | 0 | 16558 | X | |||
| BARBARA PENNYPACKER | ||||||||
| VP SURGICAL SERVICES | 27.0 | 150082 | 0 | 26757 | X | |||
| DAVID CHANNIN MD | ||||||||
| CHAIR MEDICAL IMAGING | 40.0 | 0 | 486833 | 24043 | X | |||
| JOSEPH SAWYER | ||||||||
| VP IMAGING & ANCILLARY TESTING | 26.0 | 149226 | 0 | 19284 | X | |||
| NATHAN SHINAGAWA | ||||||||
| ADMINISTRATIVE DIRECTOR | 40.0 | 86250 | 0 | 7515 | X | |||
| CHARLES MCGURK MD | ||||||||
| PHYSICIAN | 40.0 | 327532 | 0 | 22724 | X | |||
| JAY SHAH | ||||||||
| PHYSICIAN | 40.0 | 303080 | 0 | 24043 | X | |||
| RUSSELL BURKETT | ||||||||
| PHYSICIAN | 40.0 | 274116 | 0 | 24043 | X | |||
| MARC HARRIS | ||||||||
| PHYSICIAN | 40.0 | 281789 | 0 | 16103 | X | |||
| JAMES RAFTIS | ||||||||
| PHYSICIAN | 40.0 | 209570 | 0 | 22398 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2679089 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1933441 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 427711 | TotalOtherCompensation |
| Number Individuals GT100 K | 103 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WELLIVER MCGUIRE INC | |||||
| 250 NORTH GENESEE ST | MONTOUR FALLS | NY | 14865 | CONTRACTOR SERVICES | 1495124 |
| KIMBLE INCORPORATED | |||||
| 1004 SULLIVAN STREET | ELMIRA | NY | 14901 | CONTRACTOR SERVICES | 1170714 |
| EXECUTIVE HEALTH RESOURCE | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 19182 | HEALTH PROF SERVICES | 1093794 |
| NURSEFINDERS | |||||
| PO BOX 910738 | DALLAS | TX | 75391 | HEALTHCARE SERVICES | 1811938 |
| PARIS COMPANIES | |||||
| 3850 REACH ROAD | WILLIAMSPORT | PA | 17701 | CONTRACTOR SERVICES | 618536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 15924 | RelatedOrganizations |
| Government Grants | 369839 | GovernmentGrants |
| All Other Contributions | 732326 | AllOtherContributions |
| Noncash Contributions | 3046 | NoncashContributions |
| Total Contributions | 1118089 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | 150881536 | 150881536 |
| EDUCATIONAL SERVICES | 611600 | 257259 | 257259 |
| MEDICARE AND MEDICAID PAYMENTS | 621990 | 121197485 | 121197485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 272336280 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9224052 | TotalRevenueColumn |
| Exclusion | $9,224,052 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 531864618 | Securities |
| Other | 10880 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 522140126 | Securities |
| Other | 111698 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9724492 | Securities |
| Other | -100818 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9623674 | TotalRevenueColumn |
| Exclusion | $9,623,674 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 0 | GrossIncomeGaming |
| Gaming Direct Expenses | 0 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CHANGE IN DERIVATIVE INSTRUMENT | 900099 | -4094228 | -$4,094,228 |
| ALL OTHER REVENUE | 10652210 | $10,652,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6557982 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 298860077 | TotalRevenueColumn |
| Related Or Exempt Function Income | 272336280 | RelatedOrExemptFunctionIncome |
| Exclusion | $25,405,708 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14950 | Total |
| Program Services | 14950 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1414631 | Total |
| Program Services | 559944 | ProgramServices |
| Management And General | 854687 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68781997 | Total |
| Program Services | 57897294 | ProgramServices |
| Management And General | 10884703 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3418198 | Total |
| Program Services | 2848378 | ProgramServices |
| Management And General | 569820 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9355912 | Total |
| Program Services | 7418620 | ProgramServices |
| Management And General | 1937292 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5176307 | Total |
| Program Services | 4313406 | ProgramServices |
| Management And General | 862901 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7753681 | Total |
| Program Services | 260244 | ProgramServices |
| Management And General | 7493437 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -52819 | Total |
| Management And General | -52819 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2250259 | Total |
| Management And General | 2250259 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22439 | Total |
| Management And General | 22439 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34342983 | Total |
| Program Services | 28493017 | ProgramServices |
| Management And General | 5849966 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49714 | Total |
| Program Services | 48017 | ProgramServices |
| Management And General | 1697 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9695220 | Total |
| Program Services | 3512221 | ProgramServices |
| Management And General | 6182999 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6069274 | Total |
| Program Services | 945801 | ProgramServices |
| Management And General | 5123473 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5401074 | Total |
| Program Services | 916942 | ProgramServices |
| Management And General | 4484132 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342203 | Total |
| Program Services | 322379 | ProgramServices |
| Management And General | 19824 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213484 | Total |
| Program Services | 205288 | ProgramServices |
| Management And General | 8196 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3849446 | Total |
| Management And General | 3849446 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12788594 | Total |
| Program Services | 46163 | ProgramServices |
| Management And General | 12742431 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -277340 | Total |
| Program Services | 697084 | ProgramServices |
| Management And General | -974424 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 20225507 | 20225507 | |
| MEDICAL SUPPLY EXPENSE | 54328929 | 55184051 | -855122 |
| CAFETERIA/CATERING | 442826 | 309944 | 132882 |
| ACCRETION EXPENSE | 185991 | 185991 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2536380 | Total |
| Program Services | 550409 | ProgramServices |
| Management And General | 1985971 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248329840 | Total |
| Program Services | 184769659 | ProgramServices |
| Management And General | 63560181 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6890030 | BOY |
| EOY | 7234827 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 522 | BOY |
| EOY | 500 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29914564 | BOY |
| EOY | 29794218 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5711862 | BOY |
| EOY | 6631796 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4045545 | BOY |
| EOY | 4323663 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 233941575 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 151183710 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78670064 | BOY |
| EOY | 82757865 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217413633 | BOY |
| EOY | 289925361 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2678391 | BOY |
| EOY | 6128350 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345324611 | BOY |
| EOY | 426796580 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33806818 | BOY |
| EOY | 34234674 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 603027 | BOY |
| EOY | 66305 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125195445 | BOY |
| EOY | 201778325 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159605290 | BOY |
| EOY | 236079304 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 182038126 | BOY |
| EOY | 187088107 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3631291 | BOY |
| EOY | 3577913 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49904 | BOY |
| EOY | 51256 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185719321 | BOY |
| EOY | 190717276 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345324611 | BOY |
| EOY | 426796580 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 50530237 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -45532282 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $22,439 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 22439 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C, PART II-B, LINE 1J | Identifier |
| Return Reference | OTHER LOBBYING ACTIVITIES | ReturnReference |
| Explanation | MEMBERSHIPS IN AMERICAN HOSPITAL ASSOCIATION(AHA) AND THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Included On FS | false | IncludedOnFS |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 877575 | OtherCostOrOtherBasis |
| Book Value | 877575 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127909592 | OtherCostOrOtherBasis |
| Depreciation | 82561460 | Depreciation |
| Book Value | 45348132 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4345800 | OtherCostOrOtherBasis |
| Depreciation | 2123767 | Depreciation |
| Book Value | 2222033 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 94240116 | OtherCostOrOtherBasis |
| Depreciation | 63888258 | Depreciation |
| Book Value | 30351858 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6568492 | OtherCostOrOtherBasis |
| Depreciation | 2610225 | Depreciation |
| Book Value | 3958267 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 82757865 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY PAYABLE | $6,811,840 |
| RPH AUXILARY INVESTMENTS | $63,819 |
| ASSET RETIREMENT OBLIGATION | $3,887,894 |
| SWAP CONTRACT PAYABLE 2007 | $337,707 |
| SWAP CONTRACT PAY FMV 2007 | $25,367,599 |
| DUE TO AFFILIATES | $24,391,299 |
| LOAN PAY-GH TAX EXEMPT BONDS | $140,918,167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 201778325 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D PART X LINE 2 | Identifier |
| Explanation | THE CORPORATION HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2012, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1365360 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 185577 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1179783 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24245152 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18019163 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6225989 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02730 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 25610512 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18204740 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7405772 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03250 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 836241 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 365998 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 470243 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9702970 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3260454 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6442516 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02820 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7759840 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5909746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1850094 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00810 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18299051 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9536198 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8762853 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03840 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43909563 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27740938 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16168625 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $20,225,507 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 82166140 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 79484093 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2682047 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT PACKER HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GUTHRIE SQUARE | AddressLine1 |
| City | SAYRE | City |
| State | PA | State |
| ZIP Code | 18840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT PACKER HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PART I, LINE 7A - COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET #2. PART I, LINE 7B - COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET #2. PART I, LINE 7E - THE COST METHODOLOGY USED WAS ACTUAL EXPENDITURES. PART I, LINE 7F- THE COST WAS TAKEN FROM THE MEDICARE COST REPORT. PART I, LINE 7G - A COST ACCOUNTING SYSTEM WAS USED. WITHIN THE COST ACCOUNTING SYSTEM, SOME PATIENT SEGMENTS WERE BASED ON A RATIO OF COST TO CHARGE - TOTAL DEPARTMENTAL EXPENSE PLUS ALLOCATED OVERHEAD SPREAD BASED ON CHARGES. PART III, LINE 4 - GROSS BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENTS. PART III, LINE 8 - ALLOWABLE COST FROM MEDICARE COST REPORT. PART III, LINE 9B - ONCE A PATIENT IS APPROVED FOR CHARITY CARE OR AN INSTALLMENT PLAN, THEIR ACCOUNT IS TRANSFERRED TO EITHER THE BUDGET OR CHARITY CARE FINANCIAL CLASS. ACCOUNTS IN THESE FINANCIAL CLASSES ARE NOT PLACED WITH COLLECTION. PART V, LINE 19D - ALL PATIENTS ARE BILLED BASED ON THE CHARGES ESTABLISHED IN THE HOSPITAL'S CHARGEMASTER. DISCOUNTS ARE GIVEN IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY FOR THOSE WHO ARE UNINSURED. A PROMPT PAY DISCOUNT IS GIVEN TO THOSE WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. ADDITIONAL DISCOUNTS ARE CONSIDERED ON A CASE BY CASE BASIS DEPENDING ON THE PATIENT'S SITUATION AND THE TOTAL AMOUNT DUE TO THE HOSPITAL. PART VI, LINE 2 - THE ORGANIZATION HAS NOT DONE A HEALTH ASSESSMENT OF THE COMMUNITIES IT SERVES. THERE ARE PLANS TO COMPLETE AN ASSESSMENT DURING THE ORGANIZATION'S 2013 FISCAL YEAR. PART VI, LINE 3 - CHARITY CARE AVAILABILITY AND CONTACT INFORMATION ARE POSTED IN ALL REGISTRATION AREAS AND IN THE HOSPITAL'S BUSINESS OFFICE. THE CHARITY CARE POLICY, APPLICATION, AND CONTACT INFORMATION ARE POSTED ON THE HOSPITAL'S WEBSITE. SELF PAY PATIENTS ARE REFERRED TO THE HOSPITAL'S FINANCIAL COUNSELOR FROM PHYSICIAN OFFICES, SOCIAL WORKERS, OR SELF REFERRED. PART VI, LINE 3 - THE FINANCIAL COUNSELOR AS WELL AS THE BUSINESS OFFICE STAFF FOLLOW UP WITH SELF PAY PATIENTS TO ASSESS THEIR NEED AND ASSIST IN DETERMINING THEIR ELIGIBILITY FOR SECURING A PAYMENT SOURCE (I.E. COBRA COVERAGE, SPECIAL NEEDS PROGRAM, MEDICAID, OTHER FEDERAL/STATE PROGRAMS, OR CHARITY CARE). STAFF ALSO ASSIST WITH THE APPLICATION PROCESS AS REQUESTED BY SELF PAY PATIENTS. PART VI, LINE 3 - THE HOSPITAL'S BILLING STATEMENTS ALSO HAVE INFORMATION REGARDING WHOM TO CONTACT IN CASE A PATIENT NEEDS ASSISTANCE MEETING ITS FINANCIAL OBLIGATIONS. PART VI, LINE 4 - ROBERT PACKER HOSPITAL IS A 328-BED TERTIARY CARE TEACHING HOSPITAL LOCATED IN SAYRE, PA. THE HOSPITAL OFFERS A FULL COMPLEMENT OF MEDICAL AND SURGICAL SERVICES AS WELL AS SPECIALIZED PROGRAMS. THE HOSPITAL'S PRIMARY SERVICE LIES IN BRADFORD COUNTY IN PA AND STEUBEN AND TIOGA COUNTIES IN NEW YORK. THE SECONDARY SERVICE AREA INCLUDES CONTIGUOUS COUNTIES IN BOTH PA AND NY. PART VI, LINE 4 - THE POPULATION FOR THE TOTAL SERVICE AREA IS APPROXIMATELY 630,000 WITH 50% OF THE HOUSEHOLD INCOMES GENERALLY FALLING IN TWO CATEGORIES: $25,000 - $50,000 AND $50,000 - $75,000. PART VI, LINE 6 - SEE THE ATTACHED STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATTACHED TO THE FORM 990 AS TO HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUMNITY. PART VI, LINE 7 - SEE THE ATTACHED STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ATTACHED TO THE FORM 990. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Educational Aid - Undergraduate Students | TypeOfGrant |
| Number Of Recipients | 46 | NumberOfRecipients |
| Amount Of Cash Grant | 14950 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I, PART I LINE 2 | Identifier |
| Return Reference | GRANTS TO INDIVIDUALS IN THE UNITED STATES | ReturnReference |
| Explanation | Health Profession Scholarships - Seniors must plan to enter an accredited college, university, hospital based nursing, or allied health program with careers in health professions, including hospital administration or a planned career in medical research. Guthrie Employee Scholarships - These scholarships are offered to children of full-time employees of Guthrie. Seniors must plan to enter an accredited college or university. Any career interest is allowed. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIE DROEGE | |||||||||||||
| 313780 | 0 | 48577 | 0 | 0 | 0 | 0 | 0 | 16103 | 0 | 378460 | 0 | 0 | 0 |
| DANIEL J BROWN MD | |||||||||||||
| 0 | 425301 | 0 | 0 | 0 | 4796 | 0 | 0 | 0 | 44293 | 0 | 474390 | 0 | 0 |
| SURYA NARAYANAN | |||||||||||||
| 0 | 303776 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 39140 | 0 | 342916 | 0 | 0 |
| DANIEL SPORN MD | |||||||||||||
| 0 | 487844 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 44293 | 0 | 532137 | 0 | 0 |
| MINH DANG | |||||||||||||
| 0 | 196100 | 0 | 28791 | 0 | 0 | 0 | 0 | 0 | 34957 | 0 | 259848 | 0 | 0 |
| BONNIE ONOFRE | |||||||||||||
| 197438 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16558 | 0 | 213996 | 0 | 0 | 0 |
| GEORGE ELLIS MD | |||||||||||||
| 334344 | 0 | 3305 | 0 | 0 | 0 | 0 | 0 | 45457 | 0 | 383106 | 0 | 0 | 0 |
| BARBARA PENNYPACKER | |||||||||||||
| 142874 | 0 | 7208 | 0 | 0 | 0 | 0 | 0 | 26757 | 0 | 176839 | 0 | 0 | 0 |
| CHARLES MCGURK MD | |||||||||||||
| 321548 | 0 | 5984 | 0 | 0 | 0 | 0 | 0 | 22724 | 0 | 350256 | 0 | 0 | 0 |
| JAY SHAH | |||||||||||||
| 303080 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 24043 | 0 | 327123 | 0 | 0 | 0 |
| RUSSELL BURKETT | |||||||||||||
| 274116 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 24043 | 0 | 298159 | 0 | 0 | 0 |
| MARC HARRIS | |||||||||||||
| 272189 | 0 | 9600 | 0 | 0 | 0 | 0 | 0 | 16103 | 0 | 297892 | 0 | 0 | 0 |
| JAMES RAFTIS | |||||||||||||
| 204770 | 0 | 4800 | 0 | 0 | 0 | 0 | 0 | 22398 | 0 | 231968 | 0 | 0 | 0 |
| DAVID CHANNIN MD | |||||||||||||
| 0 | 447094 | 0 | 35063 | 0 | 4676 | 0 | 0 | 0 | 24043 | 0 | 510876 | 0 | 0 |
| JOSEPH SAWYER | |||||||||||||
| 145466 | 0 | 2690 | 0 | 1070 | 0 | 0 | 0 | 19284 | 0 | 168510 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 1A | QUESTIONS REGARDING COMPENSATION | GROSS-UP PAYMENTS ARE PERIODICALLY PROVIDED TO EMPLOYEES. ALL PAYMENTS ARE MADE PURSUANT TO WRITTEN ORGANIZATION POLICIES. |
| PART I, LINE 3 | QUESTIONS REGARDING COMPENSATION | EXECUTIVE COMPENSATION IS GENERALLY ESTABLISHED WITHIN A WRITTEN EMPLOYMENT AGREEMENT. COMPENSATION IS DETERMINED BASED ON MARKET STUDIES, PRESENTED TO THE EXECUTIVE COMPENSATION COMMITTEE, and SUBSEQUENTLY APPROVED BY THE BOARD OF DIRECTORS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL BRADFORD PROGRESS AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 232735865 | IssuerEIN |
| CUSIP Number | 152691AA9 | CUSIPNumber |
| Date Issued | 2011-09-08 | DateIssued |
| Issue Price | 50000000 | IssuePrice |
| Description Of Purpose | SEE PART VI | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 50017765 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 1509708 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 804312 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 5460696 | CapitalExpenditures |
| Other Spent Proceeds | 20175557 | OtherSpentProceeds |
| Amount Unspent | 22067492 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | true | ExceptionToRebate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, ROW A, COLUMN(F): | 0 | CONSTRUCT FACILITY AND REFUND PRIOR ISSUE (2/14/2002). |
| PART II, LINE 3: | 0 | THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 3046 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990 SCHEDULE O DISCLOSURES | Identifier |
| Explanation | Form 990 Part IV Line 12 The organization's financial statements were audited on a consolidated basis with Guthrie Health and Affiliates. Form 990 Part VI Line 6 Guthrie Healthcare System is the sole member of Robert Packer Hospital. Form 990 Part VI Line 7a As the sole member of Robert Packer Hospital, Guthrie Healthcare System appoints the organization's Board of Directors. Form 990 Part VI Line 7b As the sole member of Robert Packer Hospital, Guthrie Healthcare System has approval rights of certain board decisions. Form 990 Part VI Line 11a The Form 990 of the organization is presented to the Board of Directors for review and is also reviewed by the organization's finance personnel and an independent accounting firm prior to filing with the IRS. Form 990 Part VI Line 12c The Conflict of Interest Disclosure Policy sets forth that all persons, including employees, agents and Board/Committee members, particularly those involved in decision-making for Guthrie Health (GH), act in an appropriate manner and will not participate in any actions that might create a personal or professional conflict of interest and/or not be in the best interest of GH. All members of any GH Board/Committee and GH senior management must make full disclosure of any possible conflict of interest through the use of the Conflict of Interest Disclosure Form and refrain from voting or participating in decision-making involving any possible conflict of interest. The form is distributed to all Board/Committee members, and employees (when applicable) annually by the GH Administration office. GH Board/Committee members or employees must complete the Conflict of Interest Disclosure Form. This form should be completed when there is any situation where a possible conflict of interest exists, and/or on an annual basis and/or at the time of appointment or election of new Board/Committee members. If the form is not completed within 13 months of the last signing, the GH Board Chairman will be advised. Any individual having a conflict of interest or possible conflict of interest on any manner should excuse themselves from the portion of the meeting or meetings where the matter is discussed and not vote or use his or her personal influence on the matter. The minutes of the meeting or meetings should reflect the disclosure, the abstention from voting, and any action taken to determine whether a conflict of interest existed. Form 990 Part VI Line 15a Executive compensation is generally established within a written employment agreement. Compensation is determined based on market studies, presented to the Executive Compensation Committee, and subsequently approved by the Board of Directors. Form 990 Part VI Line 15b Executive compensation is generally established within a written employment agreement. Compensation is determined based on market studies, presented to the Executive Compensation Committee, and subsequently approved by the Board of Directors. Form 990 Part VI Line 18 The organization's Form 1023, 990, and 990-T are available for public inspection upon request. Form 990 Part VII Line 19 The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990 Part VII Section A Average hours per week devoted to related organizations: Daniel J. Brown, MD Member BOD 40 hours per week Surya Narayanan, MD Member BOD 40 hours per week Daniel Sporn, MD Member BOD 40 hours per week Minh Dang, CFO 1 hour per week Bonnie Onofre, Chief Nursing Officer 6 hours per week Barbara Pennypacker, VP Surgical Services 13 hours per week DAVID CHANNIN, MD CHAIR, MEDICAL IMAGING 40 HOURS PER WEEK JOSEPH SAWYER VP IMAGING & ANCILLARY TESTING 14 HOURS PER WEEK. FORM 990, PART X TAX EXEMPT BONDS - GUTHRIE HEALTHCARE SYSTEM HAS BEEN ALLOCATED CERTAIN PROCEEDS OF TAX-EXEMPT BONDS THAT WERE ISSUED TO GUTHRIE HEALTH (EIN: 23-3055017). AS SUCH, ALL OF THE TAX-EXEMPT BOND REPORTING FOR GUTHRIE HEALTH AND ITS AFFILIATES HAS BEEN MADE ON GUTHRIE HEALTH'S FORM 990. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS: EQUITY TRANSFER TO/FROM AFFILIATES $645,525; PENSION ADJUSTMENT ($25,560,097); GRANTS $41,101; INTEREST DIVIDEND INCOME ON INVESTMENTS $39,379; NET REALIZED GAINS AND LOSSES ON RESTRICTED INVESTMENTS ($12,493); NET UNREALIZED GAINS AND LOSSES ON RESTRICTED INVESTMENTS $23,861; EARNINGS DISTRIBUTION ($58,100); UNREALIZED GAINS AND LOSSES ON INVESTMENTS (9,941,881); CHANGE IN FAIR VALUE DERIVATIVE INSTRUMENT ($10,709,577) =($45,532,282) FORM 990, PART XII, LINE 2B THE ORGANIZATIONS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH GUTHRIE HEALTH AND AFFILIATES. | Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| GUTHRIE HEALTHCARE SYSTEM | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 232200910 | SUPPORTING | PA | 501(C)(3) | 11C - III | GH | false |
| SAYRE HOUSE OF HOPE | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 203979472 | HEALTH CARE | PA | 501(C)(3) | 7 | GHS | true |
| DONALD GUTHRIE FOUNDATION | ||||||||||
| 200 SOUTH WILBUR AVENUE | SAYRE | PA | 18840 | 246022957 | MED RESEARCH | PA | 501(C)(3) | 4 | GHS | true |
| ROBERT PACKER HOSPITAL SCHOOL OF NURSING | ||||||||||
| 200 SOUTH WILBUR AVENUE | SAYRE | PA | 18840 | 236408773 | EDUCATION | PA | 501(C)(3) | 2 | GHS | true |
| TROY COMMUNITY HOSPITAL INC | ||||||||||
| 101 Elmira Street | TROY | PA | 16947 | 240800337 | HEALTH CARE | PA | 501(C)(3) | 3 | GHS | true |
| TIOGA HEALTHCARE FACILITY | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 150532257 | HEALTH CARE | PA | 501(C)(3) | 3 | GHS | true |
| SAYRE HOUSE INC | ||||||||||
| 1001 NORTH ELMER AVENUE | SAYRE | PA | 18840 | 231643404 | NURSING FAC | PA | 501(C)(3) | 9 | GHS | true |
| GUTHRIE HOME CARE | ||||||||||
| 421 Tomahawk Road | TOWANDA | PA | 18848 | 232394345 | HOME HEALTH | PA | 501(C)(3) | 9 | GHS | true |
| GUTHRIE CORNING DEVELOPMENT COMPANY INC | ||||||||||
| 176 DENISON PARKWAY E | CORNING | NY | 14830 | 161594628 | SUPPORTING | NY | 501(C)(3) | 11B TYPE II | GHS | true |
| GUTHRIE SAME DAY SURGERY CENTER INC | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 020551081 | AMBULATORY | NY | 501(C)(3) | 9 | GHS | true |
| GUTHRIE RISK RETENTION GROUP | ||||||||||
| 151 MEETING STREET | CHARLESTON | SC | 29401 | 201090801 | SUPPORTING | SC | 501(C)(3) | 11A TYPE 1 | GH | true |
| TIOGA NURSING FACILITY | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 222979677 | NURSING FAC | NY | 501(C)(3) | 3 | GHS | true |
| GUTHRIE CLINIC LTD | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 250815795 | HEALTH CARE | PA | 501(C)(3) | 3 | GH | true |
| DARWAY NURSING HOME INC | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 231733967 | NURSING FAC | PA | 501(C)(3) | 9 | GHS | true |
| CORNING HOSPITAL | ||||||||||
| 176 DENISON PARKWAY E | CORNING | NY | 14830 | 160393490 | HEALTH CARE | NY | 501(C)(3) | 3 | GHS | true |
| GUTHRIE HEALTH | ||||||||||
| ONE GUTHRIE SQUARE | SAYRE | PA | 18840 | 233055017 | SUPPORTING | PA | 501(C)(3) | 11B TYPE II | NA | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWIN TIER MANAGEMENT CORP INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 310 | AddressLine1 |
| City | SAYRE | City |
| State | PA | State |
| ZIP Code | 18840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232209439 | EIN |
| Primary Activity | MANAGEMENT | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 5781220 | ShareOfTotalIncome |
| Share Of EOY Assets | 5453276 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| GUTHRIE CLINIC | ||
| A | 844319 | CONTRACT AGREE |
| GUTHRIE CLINIC | ||
| J | 509425 | CONTRACT AGREE |
| GUTHRIE CLINIC | ||
| K | 1371613 | CONTRACT AGREE |
| GUTHRIE CLINIC | ||
| P | 926903 | DIRECT COST EXP |
| GUTHRIE CLINIC | ||
| O | 70757 | DIRECT COST EXP |
| GUTHRIE CLINIC | ||
| L | 18822610 | CONTRACT AGREE |
| CORNING HOSPITAL | ||
| K | 1094291 | CONTRACT AGREE |
| CORNING HOSPITAL | ||
| F | 83100 | ASSET VALUE |
| GUTHRIE HOME CARE | ||
| K | 147829 | CONTRACT AGREE |
| TROY COMMUNITY HOSPITAL | ||
| K | 655781 | CONTRACT AGREE |
| TROY COMMUNITY HOSPITAL | ||
| P | 336519 | DIRECT COST EXP |
| ROBERT PACKER SCHOOL OF NURSING | ||
| A | 311 | CONTRACT AGREE |
| ROBERT PACKER SCHOOL OF NURSING | ||
| P | 128749 | DIRECT COST EXP |
| ROBERT PACKER SCHOOL OF NURSING | ||
| J | 202349 | CONTRACT AGREE |
| DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH | ||
| P | 154841 | DIRECT COST EXP |
| DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH | ||
| B | 50000 | DIRECT COST EXP |
| DONALD GUTHRIE FDN FOR EDUCATION & RESEARCH | ||
| A | 777 | CONTRACT AGREE |
| TROY COMMUNITY HOSPITAL | ||
| P | 336519 | DIRECT COST EXP |
| TWIN TIER MANAGEMENT CORP INC | ||
| L | 52217 | CONTRACT AGREE |
| TWIN TIER MANAGEMENT CORP INC | ||
| A | 78 | CONTRACT AGREE |
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