2013-11-05T01:15:15-00:00 2012-12-31 990 2012-01-01 232421970 NORTHEASTERN PENNSYLVANIA HEALTH CORPORATION NORT 5705014000 700 E BROAD STREET HAZLETON PA 18201 WILLIAM C BAUER 2013-11-05 false 2012 2016-02-24 21:20:13Z HAZLETON GENERAL HOSPITAL James D Edwards 700 E Broad St Hazleton PA 18201 136276717 false X www.ghha.org X 1985 PA HGH provides inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services conducts community education programs/services delivers these programs services with compassion high standards of quality without discrimination. 15 14 756 11 555547 -40155 457478 560787 108232158 99251837 1379323 2545977 591783 4078806 110660742 106437407 0 0 49477190 51141758 1109 716 66494 46330897 38017416 95809196 89159890 14851546 17277517 109712096 114238436 76296473 73852948 33415623 40385488 X HGH commits to service health needs in the Hazleton area, through its inpatient, emergency, diagnostic, maternity, rehabilitative, outpatient therapeutic medical services by providing community education and delivering programs services with compassion high standards of quality without discrimination. true false 67761160 106437407 Hazleton General Hospital provides a full range of hospital inpatient, outpatient, therapeutic, diagnostic, imaging, maternity and rehabilitation care, as well as emergency room services to the residents of Greater Hazleton regardless of race, religion or economic status. See Schedule O for new projects in 2012 done to enhance the quality efficiency of our mission. View our community report at www.ghha.org 67761160 true true false true false false false false false false true false false false true false false true false false false false false true true false true true false false true false false false true false true true true false false false false false true true true true false true 81 0 true 756 true true true false false false false true true false false false false X 15 14 false true false false true true true true true false false true true true true true true true true true true PA X X FINANCE DEPARTMENT 5705014989 700 E BROAD ST HAZLETON PA 18201 J EDWARDS 028.00 012.00 X X 0 648559 36396 J DANISH 028.00 012.00 X 0 118840 31285 T KENNEDY ESQ 002.00 001.00 X 0 0 0 A SRINIVASAN MD 001.00 000.50 X 0 0 0 J MADDEN PhD 001.00 000.50 X 0 0 0 J OSIECKI 001.00 000.50 X 0 0 0 SISTER MARY MARGARET OSF 000.50 000.50 X 0 0 0 A ARIAS 000.50 000.50 X 0 0 0 P BENYO MD 000.50 000.50 X 0 0 0 A CUSATIS 000.50 000.50 X 0 0 0 M LEIB 000.50 000.50 X 0 0 0 M LOBITZ DO 000.50 000.50 X 0 0 0 D PALERMO 000.50 000.50 X 0 0 0 J SNYDER DO 000.50 000.50 X 0 0 0 A VEGLIA MD 000.50 000.50 X 0 0 0 M WASHINSKY DO 000.50 000.50 X 0 0 0 J FLETCHER 028.00 012.00 X 0 359041 16423 W BAUER 028.00 012.00 X 0 357819 36022 A VALENTE 021.00 009.00 X 0 285595 35548 M GOLDEN 028.00 012.00 X 0 260951 34164 M SCHERER 028.00 012.00 X 0 123657 3946 W REPPY 028.00 012.00 X 0 107641 5117 L MILLER 028.00 012.00 X 0 103767 3912 D PATTEN MD 026.00 006.00 X 397640 0 35408 J CIOTOLA MD 026.00 006.00 X 381313 0 34908 J AMENTLER MD 040.00 X 202109 0 8279 D POGAR 040.00 X 109115 0 31610 C FERKO 040.00 X 107219 0 31520 E PERRONG 028.00 012.00 X 0 164109 11980 1197396 2529979 356518 8 true true true HAZLETON ANESTHESIA SERVICES PC 10 COMMERCE DR NEW ROCHELLE NY 10801 ANESTHESIA SERVICES 1223974 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 871879 PHILIPS HEALTHCARE 22100 BOTHELL EVERETT HWY PO BOX 30 BOTHELL WA 980218431 BIOMEDICAL MAINTENANCE SERVICE 719623 SIEMENS MEDICAL SOLUTIONS USA INC 51 VALLEY STREAM PARKWAY MALVERN PA 19355 EQUIPMENT MAINTENANCE SERVICE 407724 MORRISON MANAGMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 DIETARY MANAGEMENT 406729 34 517495 43292 560787 Net patient service revenue 900099 99026744 98471197 555547 Pharmacy sales 900099 30438 30438 Cafeteria sales 624200 175868 175868 Meals on wheels 624200 18787 18787 99251837 1395654 1395654 145667 145667 145667 30971287 4605 29825569 1145718 4605 1150323 61345 13741 47604 Equity in affiliates 900003 473089 473089 MSA revenue - HWC 541610 189566 189566 EHR incentives 900099 2870173 2870173 352707 352707 3885535 106437407 102356732 555547 1620747 0 0 0 0 0 0 39392950 32619093 6714715 59142 0 8970861 8104155 864595 2111 2777947 2390660 382762 4525 0 442296 442296 126846 126846 104072 104072 716 716 0 5040386 3311265 1729121 446075 17197 428878 1692619 1059218 633401 695580 695580 0 1369728 1266638 103090 128758 107358 21400 0 54502 29985 24517 1223437 1223437 0 5867192 2138000 3729192 914585 914585 MEDICAL SUPPLIES 10413485 10378803 34682 EQUIPMENT RENTAL MAINTENANCE 3779035 3428185 350850 PHYSICIAN FEES 3091808 2692333 399475 2627012 218270 2408742 89159890 67761160 21332236 66494 950 1902 19465249 10249260 8585106 9339801 134334 98498 728987 802690 966839 985348 93981327 62891600 28033293 31089727 46217380 57925311 5579958 3745899 109712096 114238436 9650395 8993823 32714151 30535000 33931927 34324125 76296473 73852948 X 32675981 39582895 739642 802593 33415623 40385488 109712096 114238436 X 17277517 880185 -11187839 X false true X true false X 0.00000 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 135747 135747 89024141 89159888 1000000 250000 269218 224478 123394 135747 752837 1129256 false 7201589 7201589 53377802 39862185 13515617 30127303 21931812 8195491 3274633 1097603 2177030 31089727 Financial derivatives and other financial products Closely-held equity interests Federal income taxes Accrued Pension Costs 24728664 Third Party Settlements 7204606 Pension Payable 1169828 Capitalized Leases 496167 Malpractice Insurance Liability 603860 Other Liabilities 121000 34324125 106411987 880185 880185 105531802 905605 905605 106437407 89202481 89202481 -42593 -42593 89159888 XI 4b Loss on refinancing 688,273 XI 4b Goodwill impairment 217,330 X X X false PA Golf Tournament 61345 61345 2760 8133 2279 569 61345 61345 2760 8133 2279 569 13741 47604 true true true X true X true true true false true true 2817862 2817862 0.03160 14201835 10341112 3860723 0.04330 17019697 10341112 6678585 0.07490 292023 126163 165860 0.00190 134928 10279 124649 0.00140 313722 313722 0.00350 156956 156956 0.00180 897629 136442 761187 0.00860 17917326 10477554 7439772 0.08350 147858 147858 0.00170 24394 24394 0.00030 299 299 199645 199645 0.00220 372196 372196 0.00420 true 1689796 986008 38074334 38863427 -789093 X true true Beltway Health LP Medical Office Space Rental 0.43780 1 1 Northeastern Pennsylvania Health Corporation dba Hazleton General Hospital

700 E Broad St Hazleton PA 18201

www.ghha.org X X X A A 1 false true true 0000000002.000000000000 true 0000000004.000000000000 true X X X X X X true true X X X X X X true true X X X X true X false true Part I Line 3c Hazleton General Hospital uses the FPG to determine eligibility for providing free and discounted care. All uninsured patients with family incomes greater than 400 of the Federal Poverty Guidelines FPG receive an Uninsured Discount of 70 off billed charges. This discount lessens the financial burden on uninsured patients and allows them access to discounts comparable to those offered to insured patients. Part I Line 3c Patients with family incomes at 400 of FPG or less are eligible for greater financial assistance discounts. Part I Line 6a Hazleton General Hospital community report activities are included with the Greater Hazleton Health Alliance annual community report, which is available by request or on our website at www.ghha.org Part I Line 7 Amounts used in the calculation of Charity Care and Other Community Benefits at Cost were calculated utilizing the optional supplemental worksheets provided by the IRS instructions to Schedule H. Part II The community building activities promote the health of the community. These activities include Patient Advocate Services, Interpretation Services and Patient Satisfaction Surveys, which assist the patients with the quality of care that they receive. Part III Line 4 The footnote to our financial statements that describes the bad debt expense can be found on page 9 in the attached financial statements. Part III Line 8 For 2012, the Medicare shortfall is 789,093 using only allowable costs however, if all costs are considered, a shortfall would exist of 2.8 million. Part III Line 9b Patient inquiries will be referred to a financial counselor who will assist the patient with the application process, as well as application for available government insurance programs. Once the application is completed, appropriate discounts will be determined. Part III Line 9b A 100 Charity Care discount will be provided to patients with incomes up to 200 of the Department of Health Human Services poverty level published on an annual basis. For patients with incomes between 200 and 400 of the poverty level, a percentage discount between 70 100 applies. A 70 Uninsured Patient Discount applies for patients with incomes greater than 400 of the poverty level. Part V Northeastern Pennsylvania Health Corporation, dba Hazleton General Hospital, is a licensed general medical surgery community hospital who provides 24-hour emergency room care. Part V Signage is posted in registration waiting areas notifying patients of the availability for Charity Care and other financial assistance. Correspondence and/or billing statements will also inform patients to contact a financial counselor if they are having difficulty in payment for services. In the patient handbook, it is posted that, in keeping with our mission, we offer Charity Care at free reduced rates. Patients need to contact a financial counselor to see if they are eligible. Part V All uninsured individuals received a 70 discount in 2012. The hospital monitors the overall collection rates experienced from commercial carriers as well as that of Medicare and uses the average of the two to gauge the discount applied to the bills of uninsured individuals. The uninsured discount is a higher percentage discount than the average of our top 3 insurance carriers. Part V To assess healthcare needs, the organization utilizes admission information and determines services, physician needs, programs and community education beased on top diagnoses. A continual review of reasons for patient migration to other areas for care is also made. A formal community healthcare needs assessment has been conducted in 2013 to further help in identifying community needs. Part V We serve 3 counties - lower Luzerne, and portions of Carbon and Schuylkill counties. The population of our primary and secondary market areas is estimated at 100,000 primary area 66,500 secondary area 33,000. Population is mainly Caucasian but has seen a recent influx of the Hispanic population - 13,000 in 2010 compared to 1,600 in 2000. Over 50 of residents in our primary secondary market areas are over 65. Our hospital saw 53 Medicare and 14 Medicaid patients in 2012. Part V HGH promotes a healthy community through free health screenings education, access to care for all patients through an employed physician group that ensures sufficient appropriate physicians are available in the community, leadership through a community board, partnership with local non-profit health human services organization, as well as schools, colleges univerisities, publishing a community newsletter weekly articles penned by our physician for local newspapers. Part V Greater Hazleton Health Alliance consists of various entities to promote good health and healthy living including Hazleton General Hospital HGH, Hazleton Professional Services, d/b/a Alliance Medical Group AMG, Hazleton Surgical Alliance HSA and Hazleton Health Wellness Center HWC. Part V HGH is a 150-bed inpatient acute care and emergency services facility AMG is an employed physician group that provides a health network of medical surgical services HSA is a provider of surgical services and HWC provides staffing to the hospitals offsite outpatient testing and rehab center. All entities work together to provide a continuum of medical care and other health services, programs and wellness/prevention education to the community. X X X true false false false false false false false false J EDWARDS 398559 250000 7350 29046 684955 J FLETCHER 231041 128000 7350 9072 375463 W BAUER 229819 128000 7350 28672 393841 A VALENTE 188595 97000 6815 28733 321143 M GOLDEN 166951 94000 5698 28466 295115 E PERRONG 62957 25000 76152 4739 7241 176089 J DANISH 88840 30000 3097 28188 150125 D PATTEN MD 380974 16666 6200 29208 433048 J CIOTOLA MD 381313 5700 29208 416221 J AMENTLER MD 200996 1113 5834 2444 210387 I 4a Compensation to E. Perrong includes 76,152 in severance wages. Eugene Gorski MD Employee of related entity Refinancing of Debt X 250000 28498 false true true Michael Bono MD Employee of related entity Working capital X 70000 70000 true true true 98498 Marval Medical Anthony Valente, MD, VP of Medical Affairs, is partner in the business 307681 Hospital Professional Fee false Michael Bono MD Employee of related organization 90000 Purchase of stock of related entity from employee false Jodi Lenko MD Michael A, Washinsky, DO, board member, is related to Jodi 20000 Education agreement false Form 990 Part III Line 2 In 2012, HGH continued to pursue opportunities to enhance its quality services. New programs services at HGH include providing better access to care through a Telehealth Program in conjunction with the Lehigh Valley Health Network to include stroke, burn, and infectious disease services development of and accreditation as a Chest Pain Center continued development of the Electronic Medical Record EMR with implementation of the Clinical Provider Order Entry CPOE module implemented a program for the prevention and treatment of pressure ulcers to the homebound through Hazleton General Home Care development of osteoporosis and vision therapy programs and restructuring of Senior Choice Program to include health education and fitness programs, free screenings, and social activities for our senior population. Form 990 Part VI Section A Line 6 Greater Hazleton Health Alliance, a PA non-profit corporation is Northeastern Pennsylvania Health Corporations sole member. There are no stockholders. Form 990 Part VI Section A Line 7a Greater Hazleton Health Alliance, the sole member, appoints the directors. Form 990 Part VI Section A Line 7b Greater Hazleton Health Alliance, the sole member, makes and ratifies the decisions as specified in Northeastern Pennsylvania Health Corporations bylaws. Form 990 Part VI Section B Line 11b IRS Form 990s for Greater Hazleton Health Alliance entities i.e. GHHA, HGH, HPS, HSA, HWC are prepared by the Finance Department and then reviewed by the CFO. A detailed summary of the 990s is presented to the Finance Committee and, subsequently, in accordance with the Finance Committees wishes, a brief summary is presented to the Board. Board members are provided with a draft copy of the 990s during the presentation. Upon approval, the 990s are then submitted to the IRS. Form 990 Part VI Section B Line 12c Yearly, all Board members and executive staff receive the conflict of interest policy are asked to complete a statement sheet reporting any possible business or personal conflicts. All statements are reviewed by the Compliance Officer. If any Board member has a conflict with a specific discussion at a Board meeting, he / she either removes himself / herself from the discussion or is included in the discussion, but is not allowed to vote on the matter at hand. Form 990 Part VI Section B Line 15 Compensation surveys are used to make a recommendation on the CEO payrate, for approval by the compensation committee. Compensation surveys are also used to make recommendations to the CEO on payrates for the other officers and the compensation committee reviews and approves those rates as well. Form 990 Part VI Section C Line 19 Greater Hazleton Health Alliance and affiliated entities makes the governing documents, conflicts of interest policy, tax returns and financial statements available upon request. Also, Form 990 is available on www.guidestar.org Form 990 Part XI Line 9 Loss on refinancing 688,273 Form 990 Part XI Line 9 Goodwill impairment 217,330 Form 990 Part XI Line 9 Discontinue equity method accounting 617,896 Form 990 Part XI Line 9 Minimum Pension Liability Adjustment 1,769,692 Form 990 Part XI Line 9 Write down intercompany receivable 7,957,601 Form 990 Part XI Line 9 Increase in temporarily restricted net assets of 62,953 Greater Hazleton Health Alliance 700 E Broad St Hazleton PA 18201 232831830 Management Services PA 501c3 11 N/A false Hazleton Health & Wellness Center 700 E Broad St Hazleton PA 18201 232580968 Staffing Services PA 501c3 3 Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital false Hazleton Professional Services 700 E Broad St Hazleton PA 18201 205880364 Physician Services PA 501c3 3 Greater Hazleton Health Alliance false Hazleton Surgical Alliance 700 E Broad St Hazleton PA 18201 202038456 Surgical Services PA 501c3 3 Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital false Hazleton Surgery Center LLC 17480 Dallas Parkway Ste 210 Dallas TX 75287 201232531 Surgical Services TX Hazleton Surgical Alliance Related false true 0.69470 Hazleton Saint Joseph Medical Office Building Inc 700 E Broad St Hazleton PA 18201 232500981 Medical Office Rental PA Northeastern Pennsylvania Health Corp DBA Hazleton General Hospital C Corp 1.00000 false false false false true false false false false false true true true false true true true true true true Greater Hazleton Health Alliance k 8936442 Actual Mgmt Fee Greater Hazleton Health Alliance p 23148 Actual payments Greater Hazleton Health Alliance q 6072634 Actual payments Greater Hazleton Health Alliance r 1186571 Actual write off Hazleton Professional Services dba Alliance Medical Group i 12451 Actual expenses paid Hazleton Professional Services dba Alliance Medical Group j 28618 Actual rent amount Hazleton Professional Services dba Alliance Medical Group k 27878 Actual expenses paid Hazleton Professional Services dba Alliance Medical Group l 180000 Actual Mgmt Fee Hazleton Professional Services dba Alliance Medical Group n 30973 Actual expenses paid Hazleton Professional Services dba Alliance Medical Group o 2219736 Actual expenses paid Hazleton Professional Services dba Alliance Medical Group p 314306 Actual expenses paid Hazleton Professional Services dba Alliance Medical Group q 150062 Actual expenses paid Hazleton Professional Services dba Alliance Medical Group s 7171419 Actual write off Hazleton Health & Wellness Center k 9568 Actual Mgmt Fee Hazleton Health & Wellness Center l 1818944 Actual loan balance guaranteed Hazleton Health & Wellness Center n 4201526 Actual expenses paid Hazleton Health & Wellness Center p 18980 Actual expenses paid Hazleton Health & Wellness Center s 1877022 Actual write off Hazleton Saint Joseph Medical Office Building Inc k 11341 Actual common area exp Hazleton Saint Joseph Medical Office Building Inc o 6013 Actual expenses paid Hazleton Saint Joseph Medical Office Building Inc q 4844 Actual expenses paid Hazleton Saint Joseph Medical Office Building r 484 Actual write off