2012-05-14T16:03:04-05:00 2011-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-07-01 251875183 ELK REGIONAL PROFESSIONAL GROUP ELKR 8147888000 763 JOHNSONBURG ROAD ST MARYS PA 15857 LAURIE MACDONALD 2012-05-08 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z GREG BAUER 763 JOHNSONBURG ROAD ST MARYS PA 15857 3247930 false X N/A X 2000 PA INITIALLY 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. 8 4 44 8 0 0 0 0 3330653 3247806 1000 124 0 0 3331653 3247930 0 0 0 0 4186766 3529795 0 0 0 1344033 1159185 5530799 4688980 -2199146 -1441050 1142762 947525 21198495 22444308 -20055733 -21496783 X NONE false false 1948139 1181512 ERPG 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. 1623449 1533774 ERPG 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. 487035 532520 OTHER 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. 4058623 true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 9 0 true 44 true false false false false false false false false false false X 8 4 true false false false true true true true true false false true true true true true true false false false X LAURIE MACDONALD 8147885505 763 JOHNSONBURG ROAD ST MARYS PA 15857 X GREG BAUER 1.0 X X 0 275047 25724 JOE GRIBIK 1.0 X X 0 0 0 DR DEAN STOKES MD 40.0 X 180380 0 8177 ROB O'LEARY 1.0 X 0 0 0 MARY AGNES MARSHALL 1.0 X 0 0 0 FRANK SCUTELLA 1.0 X 0 0 0 ADRIENNE FUEG MD 40.0 X 249821 0 54107 LARRY ZIMMEL 1.0 X X 0 133295 21350 LAURIE MACDONALD 40.0 X 0 146378 23513 DR CHRISTOPHER COLOSIMO 40.0 X 547206 0 35455 DR JAMES PITTMAN 40.0 X 443362 0 693 DR SCOTT MCKIMM 40.0 X 549209 0 12288 DR MARK SHULKOSKY 40.0 X 424277 0 65406 DR TIMOTHY HALL 40.0 X 349869 0 45629 JIM BYHAM X 0 257981 5925 2744124 812701 298267 36 true true false REGIONAL HEALTH SERVICES INC CONTRACTED ER PHYS 329667 1 0 NET PATIENT SERVICE REVENUE 621110 3246236 3246236 OTHER REVENUE 621110 1570 1570 3247806 124 124 0 0 0 0 0 0 0 3247930 3247806 124 0 0 0 0 492485 492485 0 2433675 2084852 348823 303426 260500 42926 183836 159827 24009 116373 102199 14174 0 0 0 0 0 0 887365 714099 173266 0 95593 77360 18233 0 0 14943 12170 2773 0 0 26937 21938 4999 0 0 438 357 81 127921 127921 LICENSES, DUES & SUBSCRIPTIONS 5782 4709 1073 MEDICAL SUPPLIES & DRUGS 206 206 4688980 4058623 630357 0 82618 96576 20815 438 611284 580859 14538 8909 918826 658083 413507 260743 1142762 947525 428248 534911 20770247 21909397 21198495 22444308 X -20055733 -21496783 -20055733 -21496783 1142762 947525 -1441050 X false true false X false X 7438 3719 3719 892723 642770 249953 18665 11594 7071 260743 0 DUE TO RELATED PARTIES 21909397 21909397 3247930 4688980 -1441050 -1441050 3247930 3247930 3247930 4688980 4688980 4688980 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 MANAGEMENT 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. false true false false false true false false false JIM BYHAM 0 163042 0 0 0 94939 0 4425 0 1500 0 263906 0 73434 GREG BAUER 0 241635 0 0 0 33412 0 7153 0 18571 0 300771 0 0 DR DEAN STOKES MD 179514 0 314 0 552 0 0 0 8177 0 188557 0 0 0 ADRIENNE FUEG MD 249267 0 314 0 240 0 49000 0 5107 0 303928 0 0 0 LARRY ZIMMEL 0 131843 0 0 0 1452 0 3724 0 17626 0 154645 0 0 DR CHRISTOPHER COLOSIMO 532787 0 14203 0 216 0 24000 0 11455 0 582661 0 0 0 DR JAMES PITTMAN 441464 0 314 0 1584 0 0 0 693 0 444055 0 0 0 DR SCOTT MCKIMM 534790 0 14203 0 216 0 0 0 12288 0 561497 0 0 0 DR MARK SHULKOSKY 398411 0 25314 0 552 0 49000 0 16406 0 489683 0 0 0 DR TIMOTHY HALL 349395 0 314 0 160 0 26885 0 18744 0 395498 0 0 0 LAURIE MACDONALD 0 136101 0 0 0 10277 0 4163 0 19350 0 169891 0 0 CEO COMPENSATION SCHEDULE J, PART I, LINE 3 A 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. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 A 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 RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 FRANK SCUTELLA, ERPG BOARD DIRECTOR, IS A BOARD MEMBER OF PENNSYLVANIA MOUNTAINS HEALTHCARE ALLIANCE, OF WHICH JOE GRIBIK, ERPG BOARD SECRETARY/TREASURER, IS CEO. MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B THE 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 PROCESS FORM 990, PART VI, SECTION B, LINE 11B THE 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 COMPLIANCE FORM 990, PART VI, SECTION B, LINE 12C THE 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 AVAILABILITY FORM 990, PART VI, SECTION C, LINE 19 THE 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 COMPENSATION FORM 990, PART VII, SECTION A NO 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 HOURS FORM 990, PART VII, SECTION A, COLUMN B GREG 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. 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