ELK REGIONAL PROFESSIONAL GROUP INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ELK REGIONAL PROFESSIONAL GROUP INC (EIN 25-1875183)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349305730
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T16:03:04-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251875183EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELK REGIONAL PROFESSIONAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELKRNameControl
Phone8147888000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1763 JOHNSONBURG ROADAddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURIE MACDONALDName
TitleVP FINANCE/CFOTitle
Date Signed2012-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREG BAUERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1763 JOHNSONBURG ROADAddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3247930GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionINITIALLY DESIGNED TO INTEGRATE AND ASSIST THE PHYSICIANS OF HOSPITAL- BASED DEPARTMENTS, ERPG HAS BECOME AN IMPORTANT PHYSICIAN EMPLOYMENT VEHICLE FOR ERHS TO RECRUIT AND RETAIN HIGH QUALITY PROVIDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees44TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3330653ProgramServiceRevenuePriorYear
Program Service Revenue CY3247806ProgramServiceRevenueCY
Investment Income Prior Year1000InvestmentIncomePriorYear
Investment Income Current Year124InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3331653TotalRevenuePriorYear
Total Revenue Current Year3247930TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4186766SalariesEtcPriorYear
Salaries Etc Current Year3529795SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1344033OtherExpensePriorYear
Other Expenses Current Year1159185OtherExpensesCurrentYear
Total Expenses Prior Year5530799TotalExpensesPriorYear
Total Expenses Current Year4688980TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2199146RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1441050RevenuesLessExpensesCY
Total Assets BOY1142762TotalAssetsBOY
Total Assets EOY947525TotalAssetsEOY
Total Liabilities BOY21198495TotalLiabilitiesBOY
Total Liabilities EOY22444308TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-20055733NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-21496783NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNONEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1948139Expense
Revenue1181512Revenue
DescriptionERPG PROVIDES ANESTHESIA AND CRNA SERVICES TO THE HOSPITAL. THE PHYSICIANS THAT ARE PART OF THIS GROUP PROVIDE EXCELLENT ANESTHESIA SERVICES TO OUR HOSPITAL FOR APPROXIMATELY 290 INPATIENT AND OUTPATIENT SURGERIES EACH MONTH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1623449Expense
Revenue1533774Revenue
DescriptionERPG PROVIDES ER PHYSICIANS TO THE 24-HOUR STAFFED EMERGENCY ROOM AT THE HOSPITAL. APPROXIMATELY 1,510 VISITS ARE MADE TO THE ER EACH MONTH FROM THE SURROUNDING COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense487035Expense
Revenue532520Revenue
DescriptionOTHER SERVICES PROVIDED BY ERPG ARE PATHOLOGY SERVICES FOR APPROX. 150,000 LAB TESTS PER MONTH AND EMG SERVICES, IN ADDITION TO ADMINISTRATIVE SERVICES PROVIDED TO THE PHYSICIANS GROUP.Description
FieldValueIRS element (for citing)
Total Program Service Expense4058623TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees44NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLAURIE MACDONALDNamePerson
Telephone Number8147885505TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1763 JOHNSONBURG ROADAddressLine1
CityST MARYSCity
StatePAState
ZIP Code15857ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GREG BAUER
VICE CHAIRMAN/CEO1.0XX027504725724
JOE GRIBIK
SECRETARY/TREASURER1.0XX000
DR DEAN STOKES MD
PHYS./DIRECTOR/MD STAFF PRES40.0X18038008177
ROB O'LEARY
DIRECTOR1.0X000
MARY AGNES MARSHALL
DIRECTOR1.0X000
FRANK SCUTELLA
DIRECTOR1.0X000
ADRIENNE FUEG MD
DIRECTOR40.0X249821054107
LARRY ZIMMEL
CHAIRMAN1.0XX013329521350
LAURIE MACDONALD
CFO/VP OF FINANCE40.0X014637823513
DR CHRISTOPHER COLOSIMO
PHYSICIAN40.0547206035455X
DR JAMES PITTMAN
PHYSICIAN40.04433620693X
DR SCOTT MCKIMM
PHYSICIAN40.0549209012288X
DR MARK SHULKOSKY
PHYSICIAN40.0424277065406X
DR TIMOTHY HALL
PHYSICIAN40.0349869045629X
JIM BYHAM
FORMER CHAIRMAN02579815925X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2744124TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs812701TotalReportableCompFrmRltdOrgs
Total Other Compensation298267TotalOtherCompensation
Number Individuals GT100 K36NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonREGIONAL HEALTH SERVICES INCNamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
Description Of ServicesCONTRACTED ER PHYSDescriptionOfServices
Compensation329667Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE62111032462363246236
OTHER REVENUE62111015701570
FieldValueIRS element (for citing)
Total Program Service Revenue3247806TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column124TotalRevenueColumn
Exclusion$124ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3247930TotalRevenueColumn
Related Or Exempt Function Income3247806RelatedOrExemptFunctionIncome
Exclusion$124ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total492485Total
Program Services492485ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2433675Total
Program Services2084852ProgramServices
Management And General348823ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total303426Total
Program Services260500ProgramServices
Management And General42926ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total183836Total
Program Services159827ProgramServices
Management And General24009ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total116373Total
Program Services102199ProgramServices
Management And General14174ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total887365Total
Program Services714099ProgramServices
Management And General173266ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total95593Total
Program Services77360ProgramServices
Management And General18233ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total14943Total
Program Services12170ProgramServices
Management And General2773ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26937Total
Program Services21938ProgramServices
Management And General4999ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total438Total
Program Services357ProgramServices
Management And General81ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total127921Total
Program Services127921ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSES, DUES & SUBSCRIPTIONS578247091073
MEDICAL SUPPLIES & DRUGS206206

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4688980Total
Program Services4058623ProgramServices
Management And General630357ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY82618BOY
EOY96576EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY20815BOY
EOY438EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY611284BOY
EOY580859EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14538BOY
EOY8909EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis918826LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec658083LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY413507BOY
EOY260743EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1142762BOY
EOY947525EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY428248BOY
EOY534911EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20770247BOY
EOY21909397EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21198495BOY
EOY22444308EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-20055733BOY
EOY-21496783EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-20055733BOY
EOY-21496783EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1142762BOY
EOY947525EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1441050ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7438OtherCostOrOtherBasis
Depreciation3719Depreciation
Book Value3719BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis892723OtherCostOrOtherBasis
Depreciation642770Depreciation
Book Value249953BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18665OtherCostOrOtherBasis
Depreciation11594Depreciation
Book Value7071BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings260743TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$21,909,397Amount
FieldValueIRS element (for citing)
Total Of Amounts21909397TotalOfAmounts
Total Revenue3247930TotalRevenue
Total Expenses4688980TotalExpenses
Excess Or Deficit For Year-1441050ExcessOrDeficitForYear
Excess Or Deficit Per FS-1441050ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3247930TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3247930RevenueSubtotal
Total Revenue Per Form9903247930TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4688980TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4688980ExpensesSubtotal
Total Expenses Per Form9904688980TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierUNCERTAIN TAX POSITIONSIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JIM BYHAM
01630420009493904425015000263906073434
GREG BAUER
02416350003341207153018571030077100
DR DEAN STOKES MD
1795140314055200081770188557000
ADRIENNE FUEG MD
24926703140240049000051070303928000
LARRY ZIMMEL
0131843000145203724017626015464500
DR CHRISTOPHER COLOSIMO
53278701420302160240000114550582661000
DR JAMES PITTMAN
4414640314015840006930444055000
DR SCOTT MCKIMM
5347900142030216000122880561497000
DR MARK SHULKOSKY
39841102531405520490000164060489683000
DR TIMOTHY HALL
349395031401600268850187440395498000
LAURIE MACDONALD
01361010001027704163019350016989100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCEO COMPENSATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 3ReturnReference
ExplanationA RELATED ORGANIZATION, ELK REGIONAL HEALTH CENTER, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B 457(F) PLAN EMPLOYEE CONTRIBUTIONS JIM BYHAM $ 9,880 GREG BAUER $ 6,739 457(F) PLAN EMPLOYEE DISTRIBUTIONS JIM BYHAM $73,434 THIS AMOUNT IS REPORTED IN COLUMN F OF SCHEDULE J, PART II. BONUSES SCHEDULE J, PART I, LINE 6A PHYSICIANS AT ERPG RECEIVE BONUSES BASED ON THEIR PORTIONS OF THE EMG ANCILLARY SERVICES, IN WHICH ALL PHYSICIANS SHARE IN THE PROFIT. 50% OF THE TOTAL PROFIT IS SHARED EVENLY BY THE EMPLOYED PHYSICIANS. DR. MCKIMM & DR. COLOSIMO'S CONTRACTS ALLOW FOR A $5,000 RETENTION BONUS BASED ON MEETING CERTAIN PERFORMANCE CRITERIA, AND AN ADDITIONAL INCENTIVE BONUS OF UP TO $10,000 IF THE DOCTOR ACHIEVES CERTAIN GOALS RELATED TO PATIENT SATISFACTION SCORES, PARTICIPATING WITH EMR, ETC. DR. SHULKOSKY'S CONTRACT ALLOWS FOR A $25,000 RETENTION BONUS IF HE MEETS CERTAIN PERFORMANCE CRITERIA.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1A SUBSIDIARY OF ELK REGIONAL HEALTH SYSTEM (ERHS), ERPG WAS INITIALLY DESIGNED TO INTEGRATE AND ASSIST THE PHYSICIANS OF HOSPITAL-BASED DEPARTMENTS, SUCH AS ANESTHESIA AND EMERGENCY SERVICES. SINCE ITS INCEPTION, HOWEVER, ERPG HAS BECOME AN IMPORTANT PHYSICIAN EMPLOYMENT VEHICLE THROUGH WHICH ELK REGIONAL HEALTH SYSTEM IS ABLE TO SUCCESSFULLY RECRUIT AND RETAIN HIGH QUALITY PROVIDERS. SINCE ITS INCORPORATION, ERPG HAS GROWN INTO A LARGE AND EFFECTIVE MULTI-SPECIALTY GROUP WHICH INCLUDES THE FOLLOWING SERVICES/SPECIALTIES: ANESTHESIA; EMERGENCY MEDICINE; EMG; FAMILY AND GENERAL MEDICINE; GENERAL SURGERY; INTERNAL MEDICINE; OB/GYN; ORTHOPEDIC SURGERY; PAIN MANAGEMENT; PATHOLOGY; UROLOGY. ERPG OFFICES COVER A LARGE GEOGRAPHIC RADIUS WITH PRACTICES LOCATED IN: BENNETT'S VALLEY; EMPORIUM; JOHNSONBURG; KERSEY; ST. MARYS; RIDGWAY; WEEDVILLE. THE TALENT AND COMMITMENT OF THE ERPG PHYSICIANS ENABLES ERHS TO PROVIDE THE HIGHEST QUALITY OF CARE AT THE LOWEST POSSIBLE COST, AND TO CREATE A HEALTH CARE SERVICE DELIVERY SYSTEM WHEREIN QUALITY, PATIENT SAFETY, CUSTOMER SERVICES, AND CONTINUITY OF CARE IS OF THE HIGHEST IMPORTANCE. THROUGH THE ERPG PROVIDERS, ERHS BUILDS ON ITS COMMITMENT TO THE COMMUNITY BY PROVIDING A FULL COMPLEMENT OF COMPREHENSIVE HEALTH CARE SERVICES WITHIN ONE HEALTH CARE SYSTEM, AS WELL AS CREATING EASY ACCESS TO HEALTH CARE AND SEAMLESS TRANSITION FROM ONE HEALTH CARE SETTING TO ANOTHER.
BUSINESS RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2FRANK SCUTELLA, ERPG BOARD DIRECTOR, IS A BOARD MEMBER OF PENNSYLVANIA MOUNTAINS HEALTHCARE ALLIANCE, OF WHICH JOE GRIBIK, ERPG BOARD SECRETARY/TREASURER, IS CEO.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELK REGIONAL HEALTH SYSTEM (ERHS), A RELATED PENNSYLVANIA NON-PROFIT CORPORATION. THE CORPORATE MEMBER IS ENTITLED TO VOTE IN THE ELECTION OF FOUR OF THE DIRECTORS OF ERPG. THE BOARD SHALL CONSIST OF SIX TO TEN VOTING DIRECTORS, PROVIDED THAT AT ALL TIMES 20-30% ARE PHYSICIANS EMPLOYED BY ERPG. THESE PHYSICIAN DIRECTORS ARE ELECTED BY A VOTE OF THE PHYSICIANS EMPLOYED ON A FULL-TIME BASIS BY ERPG. ALL OTHER DIRECTORS ARE APPOINTED BY THE CORPORATE MEMBER. A BOARD MEMBER SELECTED FROM AMONG THOSE APPOINTED BY THE CORPORATE MEMBER SHALL SERVE AS PRESIDENT OF ERPG. ALL POWERS OF THE ORGANIZATION ARE EXERCISED AND AUTHORIZED BY THE BOARD OF DIRECTORS, PROVIDED THAT THE BOARD OBTAINS APPROVAL OF ERHS BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: 1. AMENDMENT OF THE ARTICLES OF INCORPORATION OR OF THE BYLAWS 2. THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF ERPG 3. MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION 4. DISSOLUTION OF ERPG 5. APPROVAL OF AN ANNUAL BUDGET 6. ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM ERPG 7. ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF THE CORPORATE MEMBER OF A NONPROFIT CORPORATION
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DRAFT FORM 990 IS REVIEWED BY THE CFO AND THE CONTROLLER. AFTER ALL SUGGESTED CHANGES FROM THE CFO AND CONTROLLER ARE MADE, THE UPDATED DRAFT FORM 990 IS PRESENTED AT THE FINANCE COMMITTEE MEETING. AFTER ANY FINAL CHANGES ARE MADE, A COPY IS PROVIDED TO THE FULL BOARD BEFORE FILING.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CTHE WRITTEN CONFLICT OF INTEREST POLICY IS GIVEN TO BOARD MEMBERS ANNUALLY ALONG WITH A LETTER AND DISCLOSURE STATEMENT. THE CHAIRMAN OF THE BOARD REVIEWS THESE DISCLOSURE STATEMENTS AND SUBMITS A REPORT TO THE EXECUTIVE COMMITTEE CONCERNING ANY CONFLICTS OF INTEREST. THE BOARD MEMBERS ALSO COMPLETE A SEPARATE QUESTIONNAIRE DEVELOPED TO HELP ANSWER THE NEW FORM 990 QUESTIONS. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST WITH RESPECT TO ANY MATTER WILL NEITHER VOTE NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. THIS INDIVIDUAL WILL ALSO NOT BE COUNTED IN DETERMINING THE QUORUM FOR ANY ACTION ON THE MATTER IN QUESTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE OF THE INTEREST, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. COMPENSATION DETERMINATION FORM 990, PART VI, SECTION B, LINES 15A & 15B THE CEO'S CONTRACT IS REVIEWED ANNUALLY BY THE BOARD OF ERHC. AS PART OF THIS PROCESS, THE BOARD USES SALARY SURVEYS AS COMPARABILITY DATA. NO OTHER OFFICERS RECEIVE THIS SALARY REVIEW. THE PROCESS IS DISCUSSED WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BUT IS NOT DOCUMENTED IN THE MINUTES. THE CHAIRMAN OF THE BOARD DOES, HOWEVER, SIGN THE CONTRACT APPROVING ANY CHANGES AS AGREED UPON.
GOVERNING DOCUMENT AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST FROM LORI SCUTELLA, ADMINISTRATIVE SECRETARY. DOCUMENTS MAY BE MAILED, E-MAILED, FAXED, OR HELD FOR PICKUP BY REQUESTING PERSONS.
BOARD MEMBER COMPENSATIONFORM 990, PART VII, SECTION ANO DIRECTORS RECEIVE ANY COMPENSATION FOR THEIR DIRECTOR DUTIES. GREG BAUER, VICE CHAIRMAN, IS EMPLOYED BY ERHC AS CEO/PRESIDENT. DR. DEAN STOKES, DIRECTOR, IS PAID BY THE ORGANIZATION AS A PHYSICIAN AND PRESIDENT OF THE MEDICAL STAFF. HE ALSO RECEIVES A 1099 FROM ERHC FOR THE EKG READS PROGRAM. DR. ADRIENNE FUEG IS PAID BY THE ORGANIZATION AS A PHYSICIAN. LARRY ZIMMEL, CHAIRMAN, IS EMPLOYED BY ERHC AS AS THE VICE PRESIDENT OF PHYSICAN SERVICES. JIM BYHAM, FORMER CHAIRMAN, WAS EMPLOYED BY ELK REGIONAL HEALTH CENTER (ERHC) AS A CONSULTANT.
RELATED HOURSFORM 990, PART VII, SECTION A, COLUMN BGREG BAUER, ERHC HOSPITAL PRESIDENT/CEO, AND LAURIE MACDONALD, CFO/VP OF FINANCE, WORK APPROXIMATELY 40 HOURS PER WEEK BETWEEN ERHC, ELK REGIONAL HEALTH SYSTEM, ERHS FOUNDATION, ELK REGIONAL PROFESSIONAL GROUP, AND ERHS AUXILIARY. ADDITIONALLY, LARRY ZIMMEL, BOARD CHAIRMAN, WORKS APPROXIMATELY 40 HOURS PER WEEK FOR ERHC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ELK REGIONAL HEALTH CENTER
763 JOHNSONBURG ROADST MARYSPA15857250585280HEALTH CAREPA501(C)(3)3NA
ELK REGIONAL HEALTH SYSTEM FOUNDATION
763 JOHNSONBURG ROADST MARYSPA15857251636685SUPPORTPA501(C)(3)11A INA
ELCO HOUSING
759 JOHNSONBURG ROADST MARYSPA15857251639115HOUSINGPA501(C)(3)7NA
ELK REGIONAL HEALTH SYSTEM AUXILIARY
763 JOHNSONBURG ROADST MARYSPA15857251429093SUPPORTPA501(C)(3)7NA
ELK REGIONAL HEALTH SYSTEM
763 JOHNSONBURG ROADST MARYSPA15857251636723HEALTH CAREPA501(C)(3)9NA
COMMUNITY NURSES HOME HEALTH & HOSPICE
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857250996070HEALTH CAREPA501(C)(3)9NA
COMMUNITY NURSES HOME SUPPORT SERVICES
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623601HEALTH CAREPA501(C)(3)9NA
COMMUNITY NURSES INC
757 JOHNSONBURG ROAD STE 200ST MARYSPA15857251623598HEALTH CAREPA501(C)(3)7NA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ELK REG MRI CTR
763 JOHNSONBURG ROADST MARYSPA15857251924737MRI CENTERPANA
REG AMBUL SURG CTR
1376 BUCKTAIL ROADST MARYSPA15857251873083SURGERY CENTERPANA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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