PHILHAVEN: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PHILHAVEN (EIN 23-1548822)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201201359349305270
- Schema version
- 2010v3.4
- 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 G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T15:54:19-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | 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 | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231548822 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILHAVEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PHIL | NameControl |
| Phone | 7172702414 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 SOUTH BUTLER ROAD PO BOX 550 | AddressLine1 |
| City | MOUNT GRETNA | City |
| State | PA | State |
| ZIP Code | 17064 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PHILIP D HESS | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 7172702414 | Phone |
| Date Signed | 2012-05-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS C GREEN | Name |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PHILIP D HESS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 SOUTH BUTLER ROAD PO BOX 550 | AddressLine1 |
| City | MOUNT GRETNA | City |
| State | PA | State |
| ZIP Code | 17064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 58619433 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PHILHAVEN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | PHILHAVEN PROVIDES BEHAVIORAL HEALTH SERVICES TO INDIVIDUALS IN CENTRAL PA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1143 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 529248 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 136331 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1207974 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 883871 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 51371076 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 53218563 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 825950 | InvestmentIncomePriorYear |
| Investment Income Current Year | 158777 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 451365 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4317592 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 53856365 | TotalRevenuePriorYear |
| Total Revenue Current Year | 58578803 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41272947 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43056217 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 18000 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 37324 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 236031 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11011279 | OtherExpensePriorYear |
| Other Expenses Current Year | 11778353 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 52302226 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54871894 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1554139 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3706909 | RevenuesLessExpensesCY |
| Total Assets BOY | 28684853 | TotalAssetsBOY |
| Total Assets EOY | 32601888 | TotalAssetsEOY |
| Total Liabilities BOY | 9173790 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9297647 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19511063 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23304241 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | AS AN EXPRESSION OF CHRIST'S LOVE, PHILHAVEN PROMOTES HOPE, HEALING AND WHOLENESS THROUGH THE PROVISION OF BEHAVIORAL RESOURCES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 22090669 | Expense |
| Revenue | 27299097 | Revenue |
| Description | PHILHAVEN'S INPATIENT PSYCHIATRIC PROGRAM IS AVAILABLE TO INDIVIDUALS WHO ARE IN MOST SEVERE STRESS AND/OR DANGER OF HARMING THEMSELVES OR OTHERS. THE INPATIENT PROGRAM PROVIDES A 24-HOUR A DAY THERAPEUTIC MILIEU AND INTERVENTIONS THAT SERVE TO STABILIZE ACUTE PSYCHIATRIC SYMPTOMS. SERVICES ARE PROVIDED TO CHILDREN AND ADOLESCENTS AGES 3 TO 18 AND ADULTS OVER 18 YEARS OF AGE. TYPICAL LENGTH OF STAY IS UP TO SIX DAYS FOR ADULTS AND NINE DAYS FOR CHILDREN/ADOLESCENTS. ADDITIONALLY, PHILHAVEN OFFERS EXTENDED ACUTE PSYCHIATRIC INPATIENT SERVICES FOR ADULTS THAT REQUIRE LONG-TERM INTENSIVE INTERVENTIONS TO STABILIZE THEIR SYMPTOMS. ONCE BEHAVIORAL STABILIZATION IS ACHIEVED, THE PATIENT IS THEN PREPARED FOR TRANSITION TO THE NEXT LEVEL OF APPROPRIATE CARE. THIS PROGRAM SERVED 2,042 INDIVIDUALS DURING THE JUNE 30, 2011 FISCAL YEAR. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11304456 | Expense |
| Revenue | 12191650 | Revenue |
| Description | PHILHAVEN'S CHILDREN'S/ADOLESCENTS' BEHAVIORAL HEALTH REHABILITATION SERVICE (BHRS) PROGRAM INCLUDES BOTH COMMUNITY BASED AND AFTER SCHOOL SERVICES. THE GOAL OF ALL BHRS SERVICES IS TO ENHANCE THE CHILD'S/ADOLESCENT'S ABILITY TO FUNCTION EMOTIONALLY, SOCIALLY, AND BEHAVIORALLY. INDIVIDUALIZED INTERVENTIONS SERVE TO FACILITATE YOUTH'S BEHAVIORAL STABILIZATION AND EMOTIONAL GROWTH. MENTAL HEALTH SPECIALISTS HELP YOUTH LEARN SKILLS AND COPING STRATEGIES, WHICH ENABLE THE YOUTH TO PRVENT DETERIORATION AND MORE RESTRICTIVE SERVICES. AFTERSCHOOL SERVICES ARE PROVIDED MONDAY - FRIDAY AFTER SCHOOL FOR CHILDREN AGES SIX TO 12 YEARS. COMMUNITY BASED SERVICES ARE PROVIDED IN SCHOOLS AND HOMES BY TRAINED THERAPEUTIC SUPPORT STAFF, MOBILE THERAPISTS, AND BEHAVIORAL SPECIALISTS CONSULTANTS. THIS PROGRAM SERVED 2,520 INDIVIDUALS DURING THE JUNE 30, 2011 FISCAL YEAR. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15024167 | Expense |
| Revenue | 13727816 | Revenue |
| Description | PHILHAVEN'S OUTPATIENT PROGRAM PROVIDES THE LEAST RESTRICTIVE TYPE OF MENTAL HEALTH TREATMENT AVAILABLE AT PHILHAVEN. STAFF WHO ARE PROFESSIONALLY TRAINED IN PSYCHIATRY, PSYCHOLOGY, SOCIAL WORK, AND COUNSELING STRIVE TO PROVIDE OUTPATIENT SERVICES TO CLIENTS IN A CONSCIENTIOUS AND CARING MANNER AS THEY WORK TOWARD THEIR THERAPEUTIC GOALS. PHILHAVEN STRIVES TO PROVIDE INDIVIDUALS AND THEIR FAMILIES WITH THE SKILLS AND RESOURCES NECESSARY TO LIVE HEALTHY, FULFILLED LIVES WITHIN THEIR HOMES AND COMMUNITIES. SPECIFIC SERVICES OFFERED INCLUDE EVALUATIONS AND ASSESSMENTS, PSYCHIATRIC MEDICATION MANAGEMENT, PSYCHIATRIC CONSULTATION, INDIVIDUAL THERAPY, FAMILY THERAPY, GROUP THERAPY, AND MARRIAGE COUNSELING. THIS PROGRAM SERVED 17,253 INDIVIDUALS DURING THE JUNE 30, 2011 FISCAL YEAR. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PHILHAVEN PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE PHILHAVEN DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. CRITERIA FOR CHARITY CARE CONSIDER THE PATIENT'S FAMILY INCOME, NET WORTH, ETC.PHILHAVEN MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE AND COMMUNITY SERVICES POLICIES, THE ESTIMATED COST OF THOSE SERVICES AND THE NUMBER OF PATIENTS RECEIVING SERVICES UNDER THESE POLICIES. CHARGES FOREGONE FOR CHARITY CARE SERVICE WERE $200,078 AND $183,056 FOR THE YEARS ENDED JUNE 30, 2011 AND 2010, RESPECTIVELY. ADDITIONALLY, PHILHAVEN SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE EDUCATIONAL FEATURES FOR THE GENERAL COMMUNITY AS WELL AS FOR OTHER PROFESSIONAL HEALTH CARE PROVIDERS IN THE COMMUNITY ON SUCH TOPICS AS WOMEN'S ISSUES, PAIN MANAGEMENT, STRESS MANAGEMENT, SUBSTANCE ABUSE AS WELL AS OTHER MENTAL HEALTH ISSUES. CHARITY SERVICES ARE ALSO PROVIDED TO LOCAL DISASTER RESPONSE PROFESSIONALS FOLLOWING TRAUMATIC EVENTS IN THE COMMUNITY. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 48419292 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 97 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1143 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW D ROGERS CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7172702414 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 SOUTH BUTLER ROAD | AddressLine1 |
| City | MOUNT GRETNA | City |
| State | PA | State |
| ZIP Code | 17064 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| REBECCA BURKHOLDER | |||||||
| SECRETARY | 1.50 | X | X | 0 | 0 | 0 | |
| KENNETH L MOORE | |||||||
| TREASURER | 1.50 | X | X | 0 | 0 | 0 | |
| JANET BRENEMAN | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| ROBERT FORTNA | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| JANET R STAUFFER | |||||||
| VICE PRESIDENT | 1.50 | X | X | 0 | 0 | 0 | |
| SAM THOMAS | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| ROBERT HOFFMAN | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| GEORGE STOLTZFUS | |||||||
| PRESIDENT | 1.50 | X | X | 0 | 0 | 0 | |
| AARON GROFF | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| JAMES SPICER | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| MONIQUA ACOSTA | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| DUANE BRITTON | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| AUDREY GROFF | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| JAMES HERR | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| DAVID WARREN | |||||||
| DIRECTOR | 1.30 | X | 0 | 0 | 0 | ||
| FRANCIS D SPARROW MD | |||||||
| MEDICAL DIRECTOR | 52.00 | X | 300000 | 0 | 31242 | ||
| PHILIP D HESS | |||||||
| CHIEF EXECUTIVE OFFICER | 50.00 | X | 177047 | 0 | 37097 | ||
| MATTHEW ROGERS | |||||||
| CFO | 50.00 | X | 100708 | 0 | 7857 | ||
| OLANIYI I OLULEYE | |||||||
| PHYSICIAN | 40.00 | 252143 | 0 | 31555 | X | ||
| EUGENIA ABONYI | |||||||
| PHYSICIAN | 40.00 | 245029 | 0 | 22478 | X | ||
| PAUL YEUNG | |||||||
| PHYSICIAN | 40.00 | 240728 | 0 | 25655 | X | ||
| MUSTAFA KALEEM | |||||||
| PHYSICIAN | 40.00 | 254923 | 0 | 38234 | X | ||
| THOMAS FENSTERMACHER | |||||||
| PHYSICIAN | 40.00 | 226229 | 0 | 37764 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1796807 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 231882 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GLS ENTERPRISES | |||||
| PO BOX 673 | LEBANON | PA | 17042 | PHARMACY | 327975 |
| ALLCARE FAMILY HEALTH | |||||
| PO BOX 1210 | LEBANON | PA | 17042 | PHYSICIAN SERVICES | 207000 |
| KE LLC | |||||
| 607 PINKERTON ROAD | MTJOY | PA | 17552 | OFFICE RENTAL | 180464 |
| GOOD SAMARITAN HOSPITAL | |||||
| PO BOX 1281 | LEBANON | PA | 17042 | MEDICAL LAB SVC | 165192 |
| MOORE BUSINESS PARK | |||||
| 780 EDEN ROAD | LANCASTER | PA | 17601 | OFFICE RENTAL | 147500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Fundraising Events | 35250 | FundraisingEvents |
| Government Grants | 500000 | GovernmentGrants |
| All Other Contributions | 348621 | AllOtherContributions |
| Total Contributions | 883871 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 53218563 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53218563 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 53218563 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136781 | TotalRevenueColumn |
| Unrelated Business Revenue | 8034 | UnrelatedBusinessRevenue |
| Exclusion | $128,747 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5303 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5601 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -298 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -298 | TotalRevenueColumn |
| Exclusion | -$298 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10112 | Securities |
| Other | 17070 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -19193 | Securities |
| Other | 24379 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 29305 | Securities |
| Other | -7309 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21996 | TotalRevenueColumn |
| Exclusion | $21,996 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 13560 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 35250 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29843 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -16283 | TotalRevenueColumn |
| Exclusion | -$16,283 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| INS. PREM. RECOVERY | 624100 | 3812609 | $3,812,609 | |
| FARM INCOME | 110000 | 521214 | 521214 | |
| MISCELLANEOUS INCOME | 624100 | 350 | $350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4334173 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58578803 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53218563 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 529248 | UnrelatedBusinessRevenue |
| Exclusion | $3,947,121 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 549722 | Total |
| Program Services | 515784 | ProgramServices |
| Management And General | 31996 | ManagementAndGeneral |
| Fundraising | 1942 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33966077 | Total |
| Program Services | 31721400 | ProgramServices |
| Management And General | 2129364 | ManagementAndGeneral |
| Fundraising | 115313 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 380365 | Total |
| Program Services | 380365 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5747758 | Total |
| Program Services | 5618345 | ProgramServices |
| Management And General | 98302 | ManagementAndGeneral |
| Fundraising | 31111 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2412295 | Total |
| Program Services | 2248041 | ProgramServices |
| Management And General | 155816 | ManagementAndGeneral |
| Fundraising | 8438 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64861 | Total |
| Program Services | 64861 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1431 | Total |
| Management And General | 1431 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69075 | Total |
| Program Services | 13240 | ProgramServices |
| Management And General | 55835 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96400 | Total |
| Management And General | 96400 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37324 | Total |
| Fundraising | 37324 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17951 | Total |
| Program Services | 1607 | ProgramServices |
| Management And General | 16344 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1853810 | Total |
| Program Services | 1190060 | ProgramServices |
| Management And General | 650179 | ManagementAndGeneral |
| Fundraising | 13571 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66785 | Total |
| Program Services | 57 | ProgramServices |
| Management And General | 66728 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3025468 | Total |
| Program Services | 2361072 | ProgramServices |
| Management And General | 656398 | ManagementAndGeneral |
| Fundraising | 7998 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133088 | Total |
| Management And General | 133088 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3147313 | Total |
| Program Services | 2417613 | ProgramServices |
| Management And General | 729700 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 399581 | Total |
| Program Services | 383042 | ProgramServices |
| Fundraising | 16539 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 539759 | Total |
| Program Services | 368529 | ProgramServices |
| Management And General | 171230 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1241078 | Total |
| Program Services | 323356 | ProgramServices |
| Management And General | 917722 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 398567 | 398567 | ||
| BOOKS, DUES & SUBSCRIPT | 210710 | 60994 | 148978 | 738 |
| FARM EXPENSES | 193271 | 193271 | ||
| FEDERAL INCOME TAX | 33371 | 33371 | ||
| TAXES AND LICENSES | 16654 | 16654 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 269180 | Total |
| Program Services | 109063 | ProgramServices |
| Management And General | 157060 | ManagementAndGeneral |
| Fundraising | 3057 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54871894 | Total |
| Program Services | 48419292 | ProgramServices |
| Management And General | 6216571 | ManagementAndGeneral |
| Fundraising | 236031 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23398 | BOY |
| EOY | 25467 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1236385 | BOY |
| EOY | 2375342 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 532167 | BOY |
| EOY | 438668 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6888519 | BOY |
| EOY | 9213342 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21402 | BOY |
| EOY | 19928 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1324205 | BOY |
| EOY | 1388741 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 41282324 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 29393562 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12002375 | BOY |
| EOY | 11888762 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5347082 | BOY |
| EOY | 5845626 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 890610 | BOY |
| EOY | 936246 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12640 | BOY |
| EOY | 10273 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406070 | BOY |
| EOY | 459493 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28684853 | BOY |
| EOY | 32601888 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4814087 | BOY |
| EOY | 5358250 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8634 | BOY |
| EOY | 16079 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4351069 | BOY |
| EOY | 3923318 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9173790 | BOY |
| EOY | 9297647 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18389263 | BOY |
| EOY | 22310553 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 689539 | BOY |
| EOY | 513623 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432261 | BOY |
| EOY | 480065 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19511063 | BOY |
| EOY | 23304241 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28684853 | BOY |
| EOY | 32601888 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3706909 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 86269 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | 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) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $96,400 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 96400 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THE HOSPITAL ENGAGED A PROFESSIONAL LOBBYING FIRM TO ASSIST IN SECURING GOVERNMENTAL FUNDING FOR SPECIALIZED PROGRAMS. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 429302 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 60967 | InvestmentEarningsOrLosses |
| End Of Year Balance | 490269 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 401011 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 28291 | InvestmentEarningsOrLosses |
| End Of Year Balance | 429302 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 473539 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -72528 | InvestmentEarningsOrLosses |
| End Of Year Balance | 401011 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 355952 | OtherCostOrOtherBasis |
| Book Value | 355952 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16488807 | OtherCostOrOtherBasis |
| Depreciation | 10459796 | Depreciation |
| Book Value | 6029011 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23912848 | OtherCostOrOtherBasis |
| Depreciation | 18908539 | Depreciation |
| Book Value | 5004309 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 524717 | OtherCostOrOtherBasis |
| Depreciation | 25227 | Depreciation |
| Book Value | 499490 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11888762 | TotalOfBookValueLandBuildings |
| Total Revenue | 58578803 | TotalRevenue |
| Total Expenses | 54871894 | TotalExpenses |
| Excess Or Deficit For Year | 3706909 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 86269 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 86269 | TotalAdjustments |
| Excess Or Deficit Per FS | 3793178 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 58389096 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 86269 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 4846 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | -299922 | OtherRevenues |
| Revenue Not Rptd F990 | -208807 | RevenueNotRptdF990 |
| Revenue Subtotal | 58597903 | RevenueSubtotal |
| Investment Expenses Not Included | 16344 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -35444 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -19100 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 58578803 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 54595918 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 4846 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 35444 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 40290 | ExpensesNotRptdF990 |
| Expenses Subtotal | 54555628 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 16344 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 299922 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 316266 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 54871894 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE PURPOSE OF THESE DONOR RESTRICTED FUNDS IS TO PROVIDE A STABLE SOURCE OF PERPETUAL FINANCIAL SUPPORT FOR THE PHILHAVEN PROGRAMS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | PHILHAVEN IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES. THE FARM'S INCOME IS TAXABLE FOR FEDERAL PURPOSES AS UNRELATED BUSINESS INCOME. PHILHAVEN AND THE FARM PRESCRIBE A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. NO SUCH LIABILITIES ARE RECORDED AT JUNE 30, 2011 AND 2010. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INCOME TAX EXPENSE -41,831. FUNDRAISING EXPENSES RPT AS NON-OPERATING GAIN/LOSS -258,091. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSE -29,843. RENTAL EXPENSES -5,601. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 29,843. RENTAL EXPENSES 5,601. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | INCOME TAX EXPENSE 41,831. FUNDRAISING EXPENSES RPT AS NON-OPERATING GAIN/LOSS 258,091. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Person Solicitations | X | InPersonSolicitations |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds | Gross ReceiptsGrossReceipts | Amount Retained By ContractorAmountRetainedByContractor | Net To OrganizationNetToOrganization |
|---|---|---|---|---|---|---|---|---|
| BENEVON | ||||||||
| 4528 EIGHT AVENUE NE | SEATTLE | WA | 98105 | FUNDRAISING PROGRAM CONSULTANT | 0 | 294562 | 27200 | 267362 |
| ENDOWMENT HORIZONS | ||||||||
| PO BOX 196 | WATERVILLE | OH | 43566 | CONSULTING ON PLANNED GIVING PROGRAM | 0 | 0 | 5140 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 294562 | TotalGrossReceipts |
| Total Retained By Contractors | 32340 | TotalRetainedByContractors |
| Total Net To Organization | 267362 | TotalNetToOrganization |
| Licensed States | PA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 48810 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 35250 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13560 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 2272 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 4421 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 19575 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 2274 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1301 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 48810 | GrossReceiptsTotal |
| Charitable Contributions Total | 35250 | CharitableContributionsTotal |
| Gross Revenue Total Events | 13560 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2272 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 4421 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 19575 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 2274 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1301 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 29843 | DirectExpenseSummaryEvents |
| Net Income Summary | -16283 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 198044 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58468 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 139576 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 102362 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 102362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 300406 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58468 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 241938 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 348202 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 184869 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 163333 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93188 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 93188 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 441390 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 184869 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 256521 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 741796 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 243337 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 498459 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00910 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $400,201 | BadDebtExpenseAmount |
| Amount Attributable To | 293798 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 2803249 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 2773665 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 29584 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | PHILHAVEN | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 SOUTH BUTLER ROAD PO BOX 550 | AddressLine1 |
| City | MOUNT GRETNA | City |
| State | PA | State |
| ZIP Code | 17064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILHAVEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS ITEMS. COST ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE OTHER BENEFITS SECTION. BAD DEBT AND OTHER WRITE-OFFS ARE EXCLUDED IN THE DENOMINATOR WHICH, IF INCLUDED, WOULD INCREASE THE PERCENTAGE OF CHARITY CARE REPORTED. THE AMOUNT OF BAD DEBT NOT INCLUDED IN THE CALCULATION WAS $400,201. | |
| PART II: N/A | |
| PART III, LINE 4: PHILHAVEN RECOGNIZES THE PROVISION FOR BAD DEBTS AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL EXPERIENCE. A COST CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS REPORTED AS BAD DEBT. BAD DEBT IS RECORDED BASED ON THE NET BALANCE OF THE AGED RECEIVABLES ACCOUNT. ALL DISCOUNTS AND PAYMENTS ARE RECORDED PRIOR TO THE ADJUSTMENT OF THE BAD DEBT ACCOUNT. A SAMPLE OF CHARITY CARE APPLICATIONS WAS REVIEWED TO DETERMINE A RATIO OF REQUESTED CHARITY CARE TO GRANTED CHARITY CARE. THIS PERCENTAGE WAS APPLIED TO THE BAD DEBT BALANCE. | |
| PART III, LINE 8: PHILHAVEN USES A COST TO CHARGE RATIO FOR APPLICABLE LEVELS OF CARE REIMBURSED BY MEDICARE. THESE INCLUDE INPATIENT, OUTPATIENT AND DAY/IOP PROGRAMS. | |
| PART III, LINE 9B: THE ORGANIZATION DOES NOT PURSUE COLLECTIONS AGAINST PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. THIS POLICY, HOWEVER, IS NOT CURRENTLY DOCUMENTED. THE ORGANIZATION IS WORKING TO MAKE THE POLICY AGAINST COLLECTION EFFORTS FOR FINANCIALLY NEEDY PATIENTS MORE FORMALIZED IN THEIR WRITTEN PROCEDURES. | |
| PART V, SECTION B, LINE 17E: A MINIMUM OF THREE ATTEMPTS TO COLLECT PAYMENT FROM THE PATIENT IS REQUIRED PRIOR TO REFERRAL TO A CREDIT AGENCY. | PHILHAVEN |
| PART V, SECTION B, LINE 19D: THE HOSPITAL CHARGES THE USUAL AND CUSTOMARY (GROSS) CHARGE TO SELF-PAY PATIENTS. | PHILHAVEN |
| PART V, SECTION B, LINE 21: USUAL AND CUSTOMARY (GROSS) CHARGES ARE USED TO INVOICE SELF-PAY PATIENTS. | PHILHAVEN |
| PART VI, LINE 2: PHILHAVEN SENIOR MANAGEMENT REGULARLY MEETS WITH LEADERSHIP OF THE COUNTY GOVERNMENTS AND LEADERSHIP OF LOCAL COMMUNITY HOSPITALS, HEALTH SYSTEMS AND OTHER PHYSICAL HEALTHCARE PROVIDERS TO IDENTIFY HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES RELATED TO MENTAL HEALTH AND PSYCHIATRY. ADDITIONALLY PHILHAVEN REGULARLY SURVEYS ITS OWN PATIENTS TO GAIN A BETTER UNDERSTANDING OF THEIR NEEDS AND SATISFACTION WITH SERVICES PROVIDED. | |
| PART VI, LINE 3: THE "CHARITY CARE" POLICY IS POSTED IN ALL ADMISSIONS / WAITING AREAS. UPON ADMISSION THE PATIENT IS INFORMED, IN WRITING, OF THEIR LIABILITY. SHOULD A PATIENT BE IDENTIFIED UPON ADMISSION OR DURING THE COURSE OF TREATMENT AS HAVING NO INSURANCE COVERAGE A CHARITY CARE COORDINATOR WILL MEET WITH THEM OR THEIR RESPONSIBLE PARTY TO REVIEW THE "CHARITY CARE" POLICY AND ASSIST IN APPLICATION FOR FINANCIAL ASSISTANCE THROUGH THE CHARITY CARE POLICY AND/OR THROUGH AN APPLICATION TO MEDICAL ASSISTANCE. | |
| PART VI, LINE 4: PHILHAVEN PRIMARILY SERVES FOUR COUNTIES IN CENTRAL PENNSYLVANIA (LEBANON, LANCASTER, YORK, AND DAUPHIN). THESE COUNTIES INCLUDE THE CITIES OF HARRISBURG, LANCASTER, LEBANON, AND YORK ALONG WITH RURAL AREAS. FIFTY-FOUR PERCENT OF THE PATIENTS WE SERVE ARE FEMALE AND FORTY-SIX PERCENT ARE MALE. ADDITIONALLY SEVENTY-THREE PERCENT OF THE PATIENTS WE SERVE ARE CAUCASIAN, TEN PERCENT ARE HISPANIC, FOUR PERCENT ARE AFRICAN-AMERICAN, AND THIRTEEN PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE OR MIXED RACE. | |
| PART VI, LINE 6: PHILHAVEN MAKES MEMBERS OF ITS MEDICAL AND CLINICAL STAFF AVAILABLE TO VARIOUS COMMUNITY ORGANIZATIONS. INCLUDED IN THIS ARE PSYCHIATRIC: PHILHAVEN PROVIDES CONSULTATIONS FROM ITS MEDICAL STAFF MEMBERS TO LOCAL COMMUNITY AND ACUTE CARE HOSPITALS. ADDITIONALLY PHILHAVEN PROVIDES MEDICAL STAFF AND CLINICAL STAFF TO A LOCAL SCHOOL DISTRICT FOR PSYCHIATRIC AND THERAPEUTIC CONSULTATION OR DIRECT SERVICES SERVICES AT NO CHARGE. PHILHAVEN ENCOURAGES ITS SENIOR MANAGEMENT AND EMPLOYEES TO VOLUNTEER THEIR TIME FOR LOCAL NON-PROFIT ORGANIZATIONS. THESE STAFF PROVIDE MENTAL HEALTH EXPERTISE TO NON-PROFIT AGENCIES PROVIDING SERVICES TO HOMELESS PERSONS, PERSONS WITH DEVELOPMENTAL DISABILITIES, AND PERSONS WITH MENTAL ILLNESS. ADDITIONALLY, PHILAHVEN ALLOWS SOME LOCAL NON-PROFIT ORGANIZATIONS USE OF ITS TRAINING FACILITIES AT NO CHARGE INCLUDING OTHER HEALTH CARE ORGANIZATIONS. TRAININGS SPONSORED BY PHILHAVEN ARE ALSO MADE AVAILABLE TO OTHER MENTAL HEALTH AND PHYSICAL HEALTHCARE PROVIDERS ON A VARIETY OF MENTAL HEALTH TOPICS IMPROVING THE OTHER HEALTHCARE PROVIDERS' ABILITY TO SERVE PATIENTS WITH MENTAL ILLNESS. | |
| PART VI, LINE 7: N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANCIS D SPARROW MD | |||||||||||||
| 300000 | 0 | 0 | 0 | 0 | 0 | 15925 | 0 | 15317 | 0 | 331242 | 0 | 0 | 0 |
| PHILIP D HESS | |||||||||||||
| 177047 | 0 | 0 | 0 | 0 | 0 | 18562 | 0 | 18535 | 0 | 214144 | 0 | 0 | 0 |
| OLANIYI I OLULEYE | |||||||||||||
| 252143 | 0 | 0 | 0 | 0 | 0 | 11317 | 0 | 20238 | 0 | 283698 | 0 | 0 | 0 |
| EUGENIA ABONYI | |||||||||||||
| 245029 | 0 | 0 | 0 | 0 | 0 | 13995 | 0 | 8483 | 0 | 267507 | 0 | 0 | 0 |
| PAUL YEUNG | |||||||||||||
| 240728 | 0 | 0 | 0 | 0 | 0 | 5417 | 0 | 20238 | 0 | 266383 | 0 | 0 | 0 |
| MUSTAFA KALEEM | |||||||||||||
| 254923 | 0 | 0 | 0 | 0 | 0 | 19699 | 0 | 18535 | 0 | 293157 | 0 | 0 | 0 |
| THOMAS FENSTERMACHER | |||||||||||||
| 226229 | 0 | 0 | 0 | 0 | 0 | 19229 | 0 | 18535 | 0 | 263993 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PHILHAVEN IS CONTROLLED BY THE LANCASTER CONFERENCE OF THE MENNONITE CHURCH. UNDER THE BYLAWS OF PHILHAVEN CONTROL IS EXERCISED VIA CERTAIN RESERVE POWERS, INCLUDING THE APPROVAL AND APPOINTMENT OF MEMBERS OF THE GOVERNING BODY, APPROVAL OF THE APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER AND APPROVAL OF AMENDMENTS TO THE BYLAWS AND ARTICLES OF INCORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE LANCASTER MENNONITE CONFERENCE APPOINTS THREE MEMBERS OF THE BOARD OF DIRECTORS. ADDITIONALLY, THE LANCASTER MENNONITE CONFERENCE WILL APPROVE THE SELECTION OF ALL AT-LARGE MEMBERS OF THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE LANCASTER MENNONITE CONFERENCE MUST APPROVE ANY CHANGE TO THE EXISTING BY-LAWS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PERFORMS AN INITIAL REVIEW OF THE 990. UPON THE FINANCE COMMITTEE'S APPROVAL, THE 990 GETS DISTRIBUTED TO ALL BOARD MEMBERS ELECTRONICALLY. EACH BOARD MEMBER WILL THEN HAVE THE OPPORTUNITY TO REVIEW THE 990 BEFORE THE RETURN'S SUBMISSION TO THE IRS. | |
| ALL MEMBERS OF THE BOARD OF DIRECTORS, EMPLOYEES WHO ARE DIRECTORS OR ABOVE, LICENSED PROFESSIONALS AND INDEPENDENT LICENSED PRACTITIONERS ARE SUBJECT TO PHILHAVEN'S CONFLICT OF INTEREST POLICIES. PHILHAVEN REQUIRES EACH MEMBER OF THE BOARD OF DIRECTORS TO DISCLOSE CONFLICTS OF INTEREST, OR POTENTIAL CONFLICTS OF INTEREST, TO THE PRESIDENT OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE PRESIDENT MUST DISCLOSE CONFLICTS OF INTEREST, OR POTENTIAL CONFLICTS OF INTEREST, TO THE FULL BOARD OF DIRECTORS ON AN ANNUAL BASIS. IF A CONFLICT OF INTEREST IS IDENTIFIED THAT HAS NOT BEEN DECLARED THE BOARD MAY DECLARE BY RESOLUTION CARRIED BY TWO-THIRDS OF ITS MEMBERS PRESENT AT THE MEETING, THAT A CONFLICT OF INTEREST EXISTS AND THE MEMBER OF THE BOARD THUS FOUND TO BE IN CONFLICT SHALL WITHDRAW FROM THE MEETING OR REFRAIN FROM DISCUSSION OR VOTING IN RELATION TO THE MATTER. UPON HIRE AND ANNUALLY THEREAFTER ANY EMPLOYEE OR INDEPENDENT PRACTITIONER SUBJECT TO THE POLICIES IS REQUIRED TO COMPLETE A DISCLOSURE STATEMENT. ADDITIONALLY PHILHAVEN'S CHIEF LEGAL OFFICER IS REQUIRED TO REVIEW ALL CONTRACTS OR AGREEMENTS WITH OTHER CARE PROVIDERS OR FOR OTHER SERVICES TO IDENTIFY ANY CONFLICTS OF INTEREST. SHOULD A CONFLICT OF INTEREST WITH AN EMPLOYEE OR WITH AN AGREEMENT OR CONTRACT WITH A THIRD PARTY BE IDENTIFIED, THE CHIEF LEGAL OFFICE AND MEDICAL DIRECTOR SHALL REVIEW THE CIRCUMSTANCES TO MAKE A DECISION ON THE APPROPRIATE ACTION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SHALL DETERMINE AND APPROVE IN ADVANCE THE COMPENSATION ARRANGEMENTS FOR IDENTIFIED EXECUTIVE EMPLOYEES WHO ARE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER PHILHAVEN'S AFFAIRS. EXECUTIVE EMPLOYEES SUBJECT TO THIS POLICY INCLUDE THE CHIEF EXECUTIVE OFFICER AND MEDICAL DIRECTOR. IN MAKING ITS DETERMINATION, THE EXECUTIVE COMMITTEE SHALL RELY UPON APPROPRIATE DATA AND INFORMATION AS TO THE COMPARABILITY OF COMPENSATION ARRANGEMENTS. RELEVANT FACTORS THAT MAY BE CONSIDERED INCLUDE, BUT ARE NOT LIMITED TO: 1. COMPENSATION PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; 2. CURRENT COMPENSATION SURVEYS CONDUCTED BY INDEPENDENT FIRMS; 3. EXECUTIVE EMPLOYEE'S SALARY HISTORY WITH OTHER ORGANIZATIONS; 4. ACTUAL WRITTEN OFFERS FROM SIMILAR ORGANIZATIONS COMPETING FOR THE SERVICES OF THE EXECUTIVE; AND 5. AVAILABILITY OF SIMILARLY QUALIFIED EXECUTIVES IN THE GEOGRAPHIC AREA. THE EXECUTIVE COMMITTEE'S DECISION MUST BE CONTEMPORANEOUSLY DOCUMENTED IN WRITING. THE CEO DETERMINES THE COMPENSATION FOR THE CHIEF FINANCIAL OFFICER. | FORM 990, PART VI, SECTION B, LINE 15 | |
| PHILHAVEN DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE INTERNET OR OTHER SIMILAR MEDIA. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO EMPLOYEES AT ANY TIME VIA THE COMPANY INTRA-NET. AUDITED FINANCIAL STATEMENTS ARE ROUTINELY SUBMITTED TO OTHER PARTIES INCLUDING FINANCIAL INSTITUTIONS AND LOCAL GOVERNMENT AGENCIES. ANY OF THESE DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 86,269. | FORM 990, PART XI, LINE 5: |
| AUDIT OVERSIGHT: | PHILHAVEN'S FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SERVES AS THE AUDIT COMMITTEE. THE AUDIT COMMITTEE IS RESPONSIBLE FOR APPOINTING INDEPENDENT AUDITORS INCLUDING INTERVIEWING POTENTIAL FIRMS AND ESTABLISHING THE TERMS OF THE CONTRACTUAL AGREEMENTS. ADDITIONALLY THE AUDIT COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS. AT THE CONCLUSION OF THE AUDIT THE AUDIT COMMITTEE MEETS WITH THE INDEPENDENT AUDITORS WITHOUT MANAGEMENT PRESENT TO REVIEW THE RESULTS OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 S BUTLER ROAD PO BOX 550 | AddressLine1 |
| City | MT GRETNA | City |
| State | PA | State |
| ZIP Code | 17064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232647658 | EIN |
| Primary Activity | REAL ESTATE RENTAL | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | UNRELATED | PredominantIncomeType |
| Share Of Total Income | 55636 | ShareOfTotalIncome |
| Share Of EOY Assets | 936246 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| Code V | $8,034 | CodeVAmount |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KE LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionType |
| Amount Involved | 153690 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |
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